Amendment_1-Telehealth_GPAIHS.pdf

DEPARTMENT OF HEALTH & HUMAN SERVICES

Great Plains Area Indian Health Service Federal Building, Room 309 115 4th Ave. SE Aberdeen, SD 57401

OUR REFERENCE: GPA/DAM

Amendment No. One (1) Solicitation Number:

RFP-75H70622R00005

May 18, 2022

To Whom It May Concern:

Enclosed is the executed SF-30 document(s) signed and dated by the Contracting Officer in reference to solicitation number RFP-75H70622R00005. Please retain for your own records.

Should you have any questions or need information, please contact Wenda Wright, Contract Specialist or I at 605/226-7724 at your convenience.

Sincerely, Craig Wells Contracting Officer Great Plains Area Indian Health Service

Attachment(s)

- Questions and Answers

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

2. AMENDMENT/MODIFICAITON NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicble)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICIATION NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 11)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a)By completing items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPIRATION DATA (If required)

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

Questions and Answers to RFP-75H70622R00005 – Telehealth Services, GPAIHS, Aberdeen, SD

1. I am looking for further clarity on Pricing format. The unit is plural with “visits”. Does that mean you are looking for a total price for all the estimated visits as a whole or an individual price per visit? Per Visit

2. The same pricing format exists for Tele-Emergency and eSANE services and this was historically a flat monthly rate. Does that mean that you are looking for a flat monthly rate for all CLINS? No

3. Seeking clarity behavioral health services. I can see that GPA is looking for a robust behavioral health support in the ER, inpatient, outpatient, and home. Is this solicitation carving out behavioral health out of specialty clinic services and creating it as a standalone? Negotiable

4. Is there a concern with 638 BH programs in Eagle Butte and Pine Ridge to provide services outside of the emergency department? I agree that providing timely follow up to individuals with suicidal ideation is crucial but wanted to ensure we are sensitive to tribal partners. Not a concern

5. Will the GPA be updating the specialty clinic and ER equipment to Cisco? I know the current equipment is end of life and this solicitation is not seeking replacement form contractor. Yes, GPA IHS will be specifying the platforms and equipment

6. Do you intend to make multiple awards? Single Award

7. Since the duties of the Contractor and the Provider are separate and distinct, especially as Contractor does not itself provide medical services, it is important that Providers not be incorporated into the definition of Contractor—can this be included in a potential contract? Yes

8. How many patients per day would you estimate the provider would see? This will depend on need and type of specialty for each facility, can’t predict this.

9. Are candidates required with our proposal? Yes

10. What was last year's spend for these services for this contract? Please contact FOIA

11. What are the current challenges/obstacles in meeting its staffing and recruitment goals for these positions? If a contract for the proposed services is in place, what areas of improvement over the existing contract would you like to see? Is there an incumbent and current contract for this service?

If so, can you please provide the vendor name and current contract rate? Avel, 4500 N Lewis Ave., Sioux Falls, SD 57104. Contact FOIA for additional information.

12. What is the expected process and timeline for notifying vendor of needs, reviewing candidates, scheduling providers, etc.? Upon award the vendor would be contacted immediately to start the process.

13. Can we add rates for all specialties we recruit for?

This is a complete telehealth package not individual recruitment

14. Is the encounter time 15 mins for each “unit”? The visits are usually 20 minutes – 40 minutes but that would be dependent on the specialty

15. Is the encounter time the same for each specialty? If not, will you please provide the breakdown.

The visits dependent on the specialty

16. Will price adjustments be allowed for the renewal years? Can we submit a rate increase with each option year? Complete the Price Schedule as you feel appropriate

17. Do you want an all-inclusive rate? Yes

18. Can pricing for staff be done on an hourly basis instead of unit? No

19. Will you consider $1M per occurrence/$3M aggregate insurance limits? Yes

20. What is the expected time for the completion of credentialing for an accepted candidate? Using

Telehealth process for credentialing, contractor provides majority of credentialing documents following the rules for telehealth credentialing.

21. Are background screenings required? Will the facility be handling this requirement or are you expecting the vendor to complete? Background is completed by IHS. Contractor makes sure they provide and complete all tasks

22. Will providers need to be onsite at any time during the project term? No

23. Will training/orientation be covered? The contractor will make sure their staff complete our required orientation process for providers at each facility.

24. What current telehealth platform are the facilities using? The equipment is owned by IHS and they all use the same type (IT will have specific equipment).

25. What is the expected need of on-site coverage vs tele coverage? Only telehealth Coverage

26. Is the initial provider/patient encounter required to be in person? No

27. Is coverage pre-scheduled or is it by request only? If pre-scheduled, how many hours per day do you expect to schedule the telehealth service? If by request ("on-demand"), what is the maximum time allowed between request and physician availability? Specialty clinic is scheduled, ER is on demand

28. This is solicitation for a vendor to implement a full-service telehealth program or just staffing & equipment? Full service Staffing and Credentialing

29. Are you seeking physicians, advanced practitioners, and nurses? Yes and all (Nursing depending on Specialty; ie, E-Sane) and on if they are doing different tasks for Behavioral health

30. Are you expecting vendors to cover and provide all specialties? Yes

31. Will the contractor be responsible for scheduling, or will the facilities coordinate that?

Contractor provides the physician availability and both do the scheduling of the patients working through our scheduling package.

32. What training are you expecting contractors to provide, if any? None

Great Plains Area Office 115 4th Ave SE Aberdeen, SD 57401

A. To post Questions and Answers.

B. Response date remains the same at May 23, 2022, 12:00pm CST.

There are no other changes made by reason of this amendment.