Amendment01pages2-8.doc

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RFP-CMS-2007-0027 Amendment 000001 Pages 2-8

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PAGE

RFP-CMS-2007-0027

Amendment 000001

1) Answers to questions that were submitted on October 24, 2007 are hereby incorporated as Attachment A.

2) The slides presented at the Pre-Proposal Conference on October 17, 2007 are hereby incorporated as Attachment B.

3) The Standard Form 33, page 1 of the solicitation is amended as follows:

Block 12 should read “240” [calendar days].

4) Section B.11(d) is amended as follows:

(d) The contractor agrees that effort performed in fulfillment of level of effort obligations under this contract shall include only verifiable effort in direct support of the work specified. It shall not include efforts such as work performed in transit to or from an employee’s usual workplace or work during lunchtime activities.

5) Section G.23 Task Order Proposals, Paragraph three, is amended as follows:

1. Direct Labor – The estimated direct labor dollars (broken out by hours and rates for each task) for each labor category, along with name if known, assigned to/proposed for the task order. The hours and rates shall be appropriate for the labor category/position title for each individual proposed. Time and Material proposals shall apply the fully burdened labor rates as applicable.

6) Section H.2 Conflict of Interest, d.2.(c), is amended as follows:

(c) with the submission of the ZPIC proposal and annually on October 31st thereafter; and

7) Section K has been replaced in its entirety and is hereby incorporated as Attachment C.

8) Section L.4 52.215-1 Instructions to Offerors – Competitive Acquisition (JAN 2004), (e) Restriction on disclosure and use of data is amended to remove all references to “(New Window).”

9) Section L.10.n., Page Size, Typing, Spacing and Page Numbering:, 3. is amended as follows:

3. Submit proposals, to the extent possible, on recycled paper.

10) Section L.10.n., Page Size, Typing, Spacing and Page Numbering:, 4. is amended as follows:

4. Type size shall not be less than 12-point font type Times New Roman. Charts, graphics and tables may be no less than 8-point font type Times New Roman.

11) Section L.I.1.A., General, last bullet is amended as follows:

In addition, two (2) copies each of the Business Proposal (Volume I), Technical Proposal (Volume II), and Conflict of Interest and Compliance Program (Volume III), in their entirety, shall be submitted electronically on a CD-ROM submitted in Microsoft Office Word, unless otherwise noted. Signed documents such as conflict of interest may be submitted in Adobe Acrobat or “pdf” format. Organizational charts may be provided in PowerPoint. Cost proposal spreadsheets shall be submitted in Microsoft Excel. The Work Breakdown Structure may be submitted in Microsoft Project or other stated format as indicated in Section L.

12) Section L.I.2.C, Contract Form and Representation and Certifications, is amended to request that subcontractors provide Section K.

C.

Contract Form and Representation and Certifications

The SF-33 and the Representations and Certifications contained in Section K must be executed by an official authorized to bind the Offeror and provided by the Prime Contractor and subcontractors. In addition, Sections B, G and H of the RFP shall be completed where applicable.

13) Section L.I.2.D, Breakdown of Proposed Costs, is amended as follows:

In general, no specific cost proposal is required for award of the IDIQ contract. However, prospective Offerors, at a minimum, shall provide staffing level assumptions for Part C and Part D only as if all of the work for Part C and Part D under the umbrella contract were being performed, as well as assumptions for Other Direct Costs for Part C and Part D only. Please use the Assumptions and Constraints for Parts C and D, USOW Section 3.1.2.

14) Section L.I.3.1.B.2., Written Technical Proposal/Personnel is amended as follows:

2.

Resumes: The Offeror shall provide, at a minimum, resumes for the key personnel identified in section G.9 Key Personnel. See Section L.II and L.III for additional task order instructions. Resumes shall contain information on education, general background, industry background, and specific professional accomplishments directly applicable to the Statement of Work. Résumés shall not exceed 3 pages each.

15) Section L.I.3.1.D.1., Written Technical Proposal/Past Performance, the first sentence, is amended as follows:

1. A list of all contracts and/or subcontracts for same or similar work (completed and/or currently in progress) for the prime contractor and any subcontractors for the last two (2) years. Please note that one Past Performance Questionnaire (PPQ), Attachment J.9, may be submitted for multiple Zone proposals as long as the PPQ is clearly identified for “ZPIC.” This PPQ will be kept on file and used for all current and future proposals as long as it falls within the respective past two years.

16) Section L.I.3.2.c. Oral Technical Proposal/Participation and Attendance is amended as follows:

c.

Participation and Attendance: Only members of the Contractor’s or subcontractor’s in-house staff shall participate in the oral presentation. The only exception is individuals who are proposed as Key Personnel or managers on the contract, but are not currently employed by the contractor/subcontractor who may participate in the presentation. Offerors may not use consultants to make any part of the oral presentation. Company (or subcontractor) senior or general managers or other employees who are not key personnel, managers or otherwise proposed on this contract may not participate in the oral presentation in any area other than the introduction. The Government will not consider substitution of key personnel or managers for (presenting or non-presenting) company or subcontractor officials. The Contractor’s key personnel or managers shall address, as part of the oral presentation, each area identified in the topics described in paragraph h. below.

17) Section L.I.3.2.f. Oral Technical Proposal/Question and Answer Session is amended as follows:

f.

Question and Answer Session: The question and answer session that follows the Oral Presentation will not constitute “discussions” as described in the Federal Acquisition Regulation (FAR). The key personnel and/or the individual performing the specific activities related to the question must answer questions during the question and answer period. The question and answer session will focus on technical issues from the oral presentation and/or the written technical proposal.

18) Section L.I.4, A. Conflict of Interest, is amended to amend paragraph one as follows:

In order to be eligible for award of a contract the Government must ensure that an Offeror and its proposed subcontractors are free, to the greatest extent possible, of all conflicts of interest. Therefore, the Offeror and its proposed subcontractors are required to submit the disclosure of information contained in contract section H.2 Conflict of Interest, in order to be considered for award. Failure to submit the required information may deem an Offeror’s proposal to be non-responsive to the solicitation.

19) Section M.I.2.A, ZPIC IDIQ USOW Technical Evaluation Criteria, the first paragraph and chart have been amended to incorporate Cost Reports and provide clarification as follows:

The total points that can be earned for the ZPIC Umbrella SOW technical proposal are 2075. The Offeror shall address each technical evaluation criteria inclusive of all claim types, unless otherwise noted. For example, for Potential Fraud Investigations the Offeror shall provide its approach for all claim types: Parts A, B, C, D, DMEPOS, HH+H and Medi-Medi.

Technical Evaluation Criteria

Technical Understanding and Approach (including Management Approach) (Total) (oral)
1,125
Potential Fraud Investigations
200
Case Referrals to Law Enforcement
100
Administrative Actions/Intermediate Sanctions
150
Law Enforcement Requests
50
Data Analysis
150
Medical Review for Benefit Integrity
100
High Risk Areas
75
Risk Analysis and Mitigation Plan(s)
100
Audits (Medicare Parts C and D only)
75

Public Relations/Outreach/Education

(Medicare Parts C and D only)

Cost Report Audit, Settlement and Reimbursement
75
Coordination and Communication(Total) (oral)
350
Coordination and Communication with Task orders within the ZPIC
100
Coordination and Communication with Other ZPICs
50

Coordination and Communication with Other Stakeholders/Partners (e.g., LE, state agencies, MFCUs, MACs, ACs, etc.)

Key Personnel and Staffing Plans (oral and written)

Security (IT and Physical Security) (oral)
100
ISO/Quality Assurance (oral)
50
Past Performance (written)
150
Corporate Experience (oral)
50
Small Business Utilization (if applicable) (oral and written)
100
Subcontracting Approach (if applicable) (oral)
Pass/Fail

Total

2,075

20) Section M.I.2.A.1 is amended to incorporate paragraph - K) Cost Report Audit, Settlement and Reimbursement as follows:

K) Cost Report Audit, Settlement and Reimbursement (75 Points) – The offeror will be evaluated on its technical understanding and approach (including management approach) of cost report audit, settlement and reimbursement. At a minimum, the offeror will be evaluated on its understanding and approach to the following:

· performing Medicare cost report acceptance, desk review, audit, settlement and appeals activities;

· understanding of Medicare payment policy; and

· methodology of determining what cost reports are audited.

21) Attachment J.3, Zone 4, B.3, Determination of Order Type/Prices/Cost, CLIN 0002 is amended as follows:

0002
Zone 4 Year 1
$ TBD
$ TBD
$ TBD
$ TBD
$ TBD
05/01/09-04/30/10
0002AA
Zone 4 - Texas
$ TBD
$ TBD
$ TBD
$ TBD
$ TBD
05/01/09-04/30/10
0002AB
Zone 4 – New Mexico
$ TBD
$ TBD
$ TBD
$ TBD
$ TBD
N/A
0002AC
Zone 4 – Colorado
$ TBD
$ TBD
$ TBD
$ TBD
$ TBD
05/01/09-04/30/10
0002AD
Zone 4 - Oklahoma
$ TBD
$ TBD
$ TBD
$ TBD
$ TBD
05/01/09-04/30/10

22) Zones 4, 5 and 7 – Task Order 0001, Section G.9, HHSAR 352.270-5 Key Personnel is amended as follows:

The key personnel required for this task order are:

Fee-For-Service (FFS) Task Order Manager Benefit Integrity (BI) Manager

Chief Legal Counsel

Medical Review (MR) for BI Manager

Medical Director

Chief Statistician

Additional requirements are provided in the Task Order Statement of Work.

23) Zones 4, 5 and 7 – Task Order 0002, Section G.9, HHSAR 352.270-5 Key Personnel is amended as follows:

The key personnel required for this task order are:

Medi-Medi Task Order Manager Benefit Integrity (BI) Manager

Chief Legal Counsel

Medical Review (MR) for BI Manager

Medical Director

Chief Statistician

Additional requirements are provided in the Task Order Statement of Work.

24) Zones 4, 5 and 7 - Section M.III.2, Medicare Data Matching Project (Medi-Medi) Task Order Technical Evaluation Criteria, is amended to have any reference to “Total Points” be changed from “1800” to “1750.”

25) Zones 4, 5 and 7 - Section M.III.2.5, Medicare Data Matching Project (Medi-Medi) Task Order Technical Evaluation Criteria/Quality Assurance, is amended to read

“5. Quality Assurance (50 Points)”

26) Zones 4, 5 and 7 - Section M.III.2.6, Medicare Data Matching Project (Medi-Medi) Task Order Technical Evaluation Criteria/Small Business Utilization is amended to read “6. Small Business Utilization (50 Points).”

27) Zone 7, J.6, Section B.3, CLIN 0002 is amended to read “Infusion Therapy Demonstration.”

28) Exhibits E.3.A, E.3.B and E.3.C, Medi-Medi Business Proposal Spreadsheets have been amended to revise the travel spreadsheet and are provided as an attachment to this amendment.

29) Section J, J.1, ZPIC IDIQ Umbrella Statement of Work is amended and provided in its entirety as an attachment.

30) Section J, J.1.A, ZPIC USOW Appendices A – K is amended and provided in its entirety as an attachment.

31) Section J, J.1.B, ZPIC USOW Appendices L - end is amended and provided in its entirety as an attachment.

32) Section J, J.2.A, Zone 4 Medicare Parts A, B, DME and HH+H Task Order Statement of Work is amended and provided in its entirety as an attachment.

33) Section J, J.3.A, Zone 4 Medicare-Medicaid Data Matching Program Task Order Statement of Work is amended and provided in its entirety as an attachment.

34) Section J, J.4.A, Zone 5 Medicare Parts A, B, DME and HH+H Task Order Statement of Work is amended and provided in its entirety as an attachment.

35) Section J, J.5.A, Zone 5 Medicare-Medicaid Data Matching Program Task Order Statement of Work is amended and provided in its entirety as an attachment.

36) Section J, J.6.A, Zone 7 Medicare Parts A, B, DME and HH+H Task Order Statement of Work is amended and provided in its entirety as an attachment.

37) Section J, J.7.A, Zone 7 Medicare-Medicaid Data Matching Program Task Order Statement of Work is amended and provided in its entirety as an attachment.

END OF AMENDMENT

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