Amendment_1.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 11. CONTRACT ID CODE IPA~E OF PAGES

I 8

2. AMENDMENT/MODI FICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 15. PROJECT NO. (If applicable)

Amendment #1 03/02/2015 0001-15

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE I Federal Bureau of Prisons Federal Bureau of Prisons Field Acquisition Office Federal Correctional Complex US Armed Forces Reserve Complex 846 NE Terrace 346 Marine Forces Drive Coleman, FL 33521 .

Grand Prairie, TX 75051

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) B.. 9A. AMENDMENT OF SOLICITATION

NO.

[Xl RFPP03021500001

9B. DATED (SEE ITEM 11)

03/02/2015

10A. MODIFICATION OF CONTRACT/ORDER NO.

D 10B. DATED (SEE ITEM 13)

CODE !FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

[Xl The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers D is extended, [Xl 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 1 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 APPROPRIATION DATA (If required)

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

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

CH ECK 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.

D D

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).

D

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

D D. OTHER (Specify type of modification and authority)

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

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

RFPP03021500001 is hereby amended as follows:

Section 2-1 Contract Pricing (pages 4-10) are removed and replaced with the attached Section 2-1 , Pages 4-10.

End of Amendment.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 1 OA, as heretofore changed, remains unchanged and in full force and effect.

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

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

NSN 7540-01-152-8070

Previous edition unusable

15C. DATE SIGNED

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

Scott Sarayusa, Contract Specialist

16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

SCOTT SARA YUSA [:~~:;;:;:~~-·- .. ---

(Signature of Contracting Officer) 03/02/2015

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

RFPP03021500001

2-1 CONTRACT PRICING

BLOCK 19 THROUGH 24 - CONTRACT PRICING

Overview

Services are required to be provided in accordance with the Performance Work Statement included in this solicitation/contract. Offerors are required to submit, as a part of their business proposal, a completed copy of the Schedule of Items.

Pricing Methodology

Except for services based on session rates, price proposals will be calculated from benchmarks utilizing Medicare reimbursement methodologies. For each category of service to be provided, offerors will be allowed to propose a variance from the benchmark Medicare rate in the form of a discount from or a premium to Medicare rates established by the Centers for Medicare and Medicaid Services. The rates established in the resulting contract shall not be construed as participation in the Medicare program; contract rates will merely be equated to Medicare rates of reimbursement without reductions for deductibles, copayments, or coinsurance. When appropriate, outlier payments calculated in accordance with Medicare reimbursement methodologies shall be made in recognition of extremely costly stays. The outlier payment shall be calculated based upon the defined benchmark and will consist of the operating portion only. This structuring of the pricing methodology is not intended to be restrictive of any offeror; offerors need only to propose that percentage discount from or premium to the Medicare benchmark rate which will reflect the desired level of payment for the category of services rendered. If during contract performance, it is determined that a necessary contract deliverable is not covered by Medicare reimbursement methodologies, a separate rate shall be negotiated for such deliverable(s).

Medicare Part A. The Medicare benchmark to be utilized for all services covered by Medicare Part A shall be the most current Basic MS-DRG payment (i.e., Operating Federal Rate) established for CBSA Code 36740 Orlando-Kissimmee-Sanford, Florida. The Basic MS-DRG calculation shall not include any provider-specific adjustments allowed under actual Medicare participation. Offerors may propose a discount from or a premium to Basic MS-DRG rates. (Refer to Attachment I of this solicitation)

Medicare Part B Physician Services and Non-Physician Services. The Medicare benchmark to be utilized for all physician and non-physician services covered by Medicare Part B shall be those rates established in the most current Medicare Part B Fee Schedule for Payment Locality 99 State of Florida. The benchmark charges shall be those established for participating providers. Offerors may propose a discount from or a premium to the benchmark charges.

Medicare Part B Facility Services (including hospital outpatient services and ambulatory surgical centers) . The Medicare benchmark to be utilized for all facility services covered by Medicare Part B shall be the most current APC and ASC rates calculated for CBSA Code 36740, Orlando-Kissimmee-Sanford, Florida. Offerors may propose a discount from or a premium to the benchmark charges.

Estimated Quantities

Estimated quantities for the base year and all option periods are detailed below. The estimated quantities provided are not a representation to the offeror/contractor that the estimated quantities will be required or ordered or that conditions affecting requirements will be stable or normal.

Inpatient and Outpatient Facility and Physician Services

Base Year - Date of Award (EDOA) through twelve (12) months from EDOA

Inpatient Days:

Outpatient Visits:

Estimated 2200 Days Estimated 3000 Visits

Option Year 1 - Thirteen (13) months through twenty-four (24) months from EDOA

Inpatient Days:

Outpatient Visits:

Estimated 2200 Days Estimated 3000 Visits

Option Year 2 - Twenty-five (25) months through thirty-six (36) months from EDOA

Inpatient Days:

Outpatient Visits:

Estimated 2200 Days Estimated 3000 Visits

Option Year 3 - Thirty-seven (37) months through forty-eight (48) months from EDOA

Inpatient Days:

Outpatient Visits:

Estimated 2200 Days Estimated 3000 Visits

Option Year 4 - Forty-nine (49) months through sixty (60) months from EDOA

Inpatient Days:

Outpatient Visits:

Estimated 2200 Days Estimated 3000 Visits

RFPP03021500001

Estimated quantities shall remain constant for the base year and all option years. For Medicare-based services, duration of visits is listed for informational purposes only, as contracted rates will be based upon the Medicare allowable per procedure performed. Optometrist and Oral Surgeon services shall be paid based upon the provision of defined sessions. The estimated quantities provided are not a representation to the offeror/contractor that the estimated quantities will be requ ired or ordered or that conditions affecting requirements will be stable or normal. The following specialty clinics shall be conducted at the FCC.

Orthopedic Surgeon:

Dermatologist:

Psychiatrist:

Neurologist:

Urologist:

General Surgeon:

Visit duration - 4 hours (approximate) Visit quantity - 20 per contract year

Visit duration - 3 hours (approximate) Visit quantity - 27 visits per contract year

Visit duration - 4 hours (approximate) Visit quantity - 25 per contract year

Visit duration - 2 hours (approximate) Visit quantity - 4 per contract year

Visit duration - 4 hours (approximate) Visit quantity - 60 per contract year

Visit duration - 4 hours (approximate) Visit quantity - 84 per contract year

ENT Specialist:

Oral Surgeon:

Optometrist:

Schedule of Items

Visit duration - 3 hours (approximate) Visit quantity - 12 per contract year

Session duration - 4 hours Session quantity - 10 per contract year

Session duration - 2 hours Session quantity - 148 per contract year

RFPP03021500001

Offerors shall complete the following Schedule of Items. All proposed pricing will be evaluated in accordance with FAR 52.212-2, "Evaluation--Commercial Items" and "Evaluation of Proposals" (Section 5-2) of this solicitation .

BASE YEAR

SCHEDULE OF ITEMS

BASE YEAR

Effective Date of Award (EDOA) through 12 months from EDOA

la. Inpatient Facility Services: Discount or+ ___ Premium to Medicare Part A

lb. Outpatient Facility Services: Discount or+ ___ Premium to Medicare Part B

2a . Inpatient Physician Services : Discount or+ ___ Premium to Medicare Part B

2b. Outpatient Physician Services: Discount or+ ___ Premium to Medicare Part B

Outpatient Institution Services:

2c. Other Physicians : Discount or+ ___ Premium to Medicare Part B

2cl. Optometrist $ _____ Per Session

2c2. Oral Surgeon : $ _____ Per Session

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE, INSERT

APPLICABLE"-/+" PERCENTAGE. IF NO VARIANCE, ENTER "O".

OPTION YEAR 1

13 through 24 months from EDOA

la. Inpatient Facility Services : Discount or+ ___ Premium to Medicare Part A

lb. Outpatient Facility Services : Discount or+ ___ Premium to Medicare Part B

2a. Inpatient Physician Services: Discount or+ ___ Premium to Medicare Part B

2b. Outpatient Physician Services: Discount or+ ___ Premium to Medicare Part B

Outpatient Institution Services:

2c. Other Physicians: Discount or+ ___ Premium to Medicare Part B

2cl. Optometrist $ _____ Per Session

2c2. Oral Surgeon: $ _____ Per Session

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE, INSERT

OPTION YEAR 2

25 through 36 months from EDOA

la. Inpatient Facility Services: Discount or+ ___ Premium to Medicare Part A

lb. Outpatient Facility Services: Discount or+ ___ Premium to Medicare Part B

2a . Inpatient Physician Services : Discount or+ ___ Premium to Medicare Part B

2b. Outpatient Physician Services: Discount or+ ___ Premium to Medicare Part B

Outpatient Institution Services:

2c. Other Physicians : Discount or+ ___ Premium to Medicare Part B

2cl. Optometrist $ _____ Per Session

2c2. Oral Surgeon: $ _____ Per Session

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE, INSERT

OPTION YEAR 3

37 through 48 months from EDOA

la. Inpatient Facility Services: Discount or+ ___ Premium to Medicare Part A

lb. Outpatient Facility Services: Discount or + ___ Premium to Medicare Part B

2a . Inpatient Physician Services : Discount or+ ___ Premium to Medicare Part B

2b. Outpatient Physician Services : Discount or+ ___ Premium to Medicare Part B

Outpatient Institution Services:

2c. Other Physicians: Discount or+ ___ Premium to Medicare Part B

2cl. Optometrist $ _____ Per Session

2c2. Oral Surgeon : $ _____ Per Session

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE, INSERT

OPTION YEAR 4

49 through 60 months from EDOA

la. Inpatient Facility Services : Discount or+ ___ Premium to Medicare Part A

lb. Outpatient Facility Services: Discount or+ ___ Premium to Medicare Part B

2a. Inpatient Physician Services : Discount or+ ___ Premium to Medicare Part B

2b. Outpatient Physician Services : Discount or+ Premium to Medicare Part B

Outpatient Institution Services:

2c. Other Physicians: Discount or+ ___ Premium to Medicare Part B

2cl . Optometrist $ _____ Per Session

2c2. Oral Surgeon : $ _____ Per Session

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE, INSERT

APPLICABLE"-/+" PERCENTAGE. IF NO VARIANCE, ENTER "O".

All offerers are hereby advised that the successful offerer's unit pricing (to include discount percentage from or premium percentage to the benchmark Medicare rate and session rates) for the base year and all option years is publ ic information , in accordance with Federal Acquisition Regulation FAR 15.503(b)(1 )(iv). Accordingly, all successful unit pricing will be released to unsuccessful offerers with the notification of award as well as to the general public when requested . Any party who objects to the release of their own unit pricing information, should they be awarded a contract in response to this solicitation, should not submit proposal in response to the solicitation .