Amendment 1.pdf

11. CONTRACT ID CODE OF PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT IPA~E

I 2

2. AMENDMENTIMODIFICATION NO. 3. EFFECTIVE DATE

Amendment #1 12/19/2011

4. REQUISITIONIPURCHASE REQ. NO. 15. PROJECT NO. (If applicable)

6. ISSUED BY CODE

Federal Bureau of Prisons Field Acquisition Office U.S. Armed Forces Reserve Complex 346 Marine Forces Drive Grand Prairie, TX 75051

7. ADMINISTERED BY (If other than Item 6) CODE I Federal Bureau of Prisons FMC Carswell J Street Building 3000 Fort Worth, TX 76127

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

9A. AMENDMENT OF SOLICITATION

NO.

RFPP05051100003

9B. DATED (SEE ITEM 11)

10/25/2011

10A. M0DIFICATION OF CONTRACTIORDER NO.

CODE IFACILITY CODE

0 10B. DATED (SEE ITEM 13)

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 Otters ~ is extended, o is not extended.

Otters 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 otter 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 otter 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.

CHECK ONE

o 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.

o B. THE ABOVE NUMBERED CONTRACTIORDER 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).

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

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

E. IMPORTANT: Contractor 0 is not, 0 is required to sign this document and return _____ copies to the issuing office.

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

RFPP05051100003 is amended as follows:

The deadline for receipt of proposals is hereby extended to Thursday, January 12, 2012, at 2:00 p. m. local time.

Amendment #1 (Attached) (1 Page)

Attached you will find Questions and Answers regarding RFPP05051100003. (6 Pages)

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

STANDARD FORM 30 (REV. 10-83) •

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

15B. CONTRACTOR/OFFEROR

(Signature ofperson authorized to sign)

NSN 7540-01-152-8070

Previous edition unusable

15C. DATE SIGNED

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

Mike Miller

16B. UNITED STATES OF AMERICA

tvf~

16C. DATE SIGNED

(Signature of Contracting Officer) 17Ar/blr

Prescribed by GSA FAR (48 CFR) 53.243

Amendment #1

RFPP05051100003

Comprehensive Medical Services

FMC Carswell

RFPP05051100003 is hereby amended to incorporate the following changes:

Attachment #1- Block 20 Performance Work Statement:

On Page 15, Output #4 / Manage Medical Record Information shall be changed to Output #5; Output #5 Maintain Open Lines of Communication shall be changed to Output #6.

Page 5 / 1 st Sentence is revised as follows: Whenever possible, appointments for specialty care should be available within 30 calendar days from the date of referral to the specialty provider.

Attachment #2 - Schedule of Items / SDB Participation and Sub-Contract Certification

On Pages 5 and 6, Notes for Optometrist and Laboratory Director / Pathologist is replaced with the following:

Notes for Optometrist and Laboratory Director / Pathologist:

All individuals performing services on-site at the FMC will be scheduled for the session duration specified in the contract. FMC staffwill inform the contractor of the number of patients pending consultation for the Optometrist or services required of the Laboratory Director / Pathologist. The Optometrist is expected to provide consultation to a mutually agreed upon number of patients for each session. If the Optometrist or Laboratory Director / Pathologist has not completed the arranged consultations or services and he/she wishes to depart the FMC prior to the conclusion of the session, the contract (session) rate will be pro-rated to the nearest quarter hour. Ifhowever, the specialist has completed the arranged consultations or services and/or the BOP fails to provide the number of patients or services which was mutually agreed upon, the specialist may depart the FCI prior to the conclusion ofthe session and the BOP will pay the full contract rate.

Session-priced items which exceed the established session shall be prorated to the nearest quarter hour.

Should telephone or electronic mail consultations be necessary, the contract session rate shall be prorated to the nearest quarter hour.

Enclosure 1

QUESTIONS

RFP-P05051100003

Federal Medical Center (FMC) Carswell

I. Solicitation Format

Attachment 1 - Pages 11 and 15

1. There appears to be duplicate numbers for Output #4 on the above referenced pages. These do not match the output references on Page 3.

II. Technical Questions

Attachment 1 .. Output #2 .. Page 4 & 5 (Paragraph 1) & Page 7 (Paragraph 3)

1. Does the language under Output #2 enable the contractor to utilize physician extenders (e.g., PAts, Midwives, and/or Nurse Practitioners), who have appropriate educational qualifications, experience, licensure and credentials, to provide community standards of care for Community-Based Services and Institution-Based Services?

Attachment 1 - Output #2 - Community-Based Services .. Page 5

1. The BOP's requirement to provide access to specialty services in the community within 14 days from the date of referral is not consistent with community standards.

intends to meet the medical urgency requirements of inmate patient referrals; however, the general scheduling requirement for specialty care for commercial insurance companies (BC/BS, United Healthcare and Aetna) and other federal agencies (DOD TRICARE and VA) is 30 days from the initial consult.

requests the BOP to amend this target deadline to reflect 30-days from the initial consult. This language change will also be consistent with the recently awarded FCI Fort Worth contract.

Attachment 1- Output #3 - Dialysis Services - Pages 9 &10

1. The performance expectations for on-site dialysis services require the contractor to perform user maintenance labor on the Government's dialysis equipment. Does "user maintenance labor" apply and is it limited to typical treatment maintenance that would be required on dialysis equipment before and after conducting a dialysis treatment? Does this definition also include monthly preventative maintenance and repairs on the Government's dialysis equipment? Please clarify.

Attachment 1- Output #4 -Invoice Definitions - Pages 11 & 12

1. Please explain why the BOP has restricted contractors from submitting no more than 50 individual medical claims as an invoice for services rendered for Line Items 1a, 1b, 1c, 2a, 2b, and 2c.

Attachment 1 - Output #5 - Medical Records - Page 15

1. The solicitation requires the contractor to provide health care services which conform to community standards and other applicable regulations, including all specialty services and on-site after-duty hour emergency, emergent, and primary care services. It also requires the contractor to manage medical record information to promote the continuity of cafe provided to the inmate population at FMC Carswell.

It is understood that the Bureau has recently developed and implemented a Bureau wide electronic medical record system (BEMR) to document and track the health care services provided to its inmate population. .

Considering the community standard of care requires the availability of historic clinical data to help facilitate the provision of health care services, will the BOP allow contract providers access to BEMR while on-site at FMC Carswell? Will the BOP also provide electronic interface and/or remote access capability between BEMR and off-site contract physician offices and contract facilities?

Attachment 1 - Section IV - Infants Born to Inmates - Page 16

1. The solicitation requirements state the FMC "may" assume financial responsibility of the medical expenses for a child born to a female inmate. Please provide the criteria that will be used by the BOP to determine when they will assume financial responsibility of medical expenses for a child born to a female inmate.

The solicitation requirements further state the FMC's financial responsibility may be extended for a limited time for "extenuating circumstances on a case-by-case basis."

Please explain what types of infant cases the BOP will consider to be under the category of "extenuating circumstances."

2. Considering the fact the contractor has no official contact with the inmate family, guardian, or inmate, how will the BOP expect the contractor to coordinate the application for financial assistance (e.g., Medicaid) for the infant in the event the infant's medical needs exceed the BOP's authority for financial responsibility?

Please explain the BOP's role and responsibility, including the FMC staffing support, which will assist the contractor, and its agents, in obtaining the necessary signed documentation from the inmate family, guardian, and/or inmate to apply for such financial assistance. .

2. Since the Volunteers of America 0/0A) currently operates a corporate-owned contract facility in Fort Worth to support the BOP's Mothers and Infants Nurturing Together Program (MINT), will the BOP consider the VOA to be an authorized "optional user" of the contract awarded under this solicitation? If so, please specify any additional performance requirements and operational procedures that will need to be followed by the contractor to support this MINT program.

Answers to Questions

RFPP05051100003

FMC Carswell

I. Solicitation Fonnat

Attachment 1 Pages 11 and

Answer: See Amendment #1

II. Technical Questions

Attachment 1 Output #2 Page 4 & 5(Paragraph 1) & Page 7 (Paragraph 3)

Answer: Yes, services shall be limited to services the professional is legally authorized to perform in accordance with State law (or State regulatory mechanism established by State law).

Attachment 1 Output #2 - Community-Based Services Page 5

Answer: See Amendment #1

Attachment 1 - Output #3 Dialysis Services - Pages 9 & 10

Answer: The contractor will be responsible for providing the following user maintenance.

Interval Precipitate Control/Rinsing

Cleaning Disinfection Other

After each dialysis

Exterior cleaning Exterior disinfection

Daily Vinegar/acid concentrate rinse

Flowpath cleaning Flowpath disinfection

Inspect and grease O-rings on cartridge holder

Weekly Nitric acid rinse or Citric acid rinse

Clean dialysate hose connectors - Clean filter screens

Flowpath disinfection

As Required

WHO cleaning Replace element in accessory filter cartridge

The monthly preventive maintenance and repairs will be performed by the Government.

Attachment 1 - Output #4 - Invoice Definitions - Pages 11 & 12

Answer: Contract Requirement, no further information necessary.

Attachment 1 - Output #5 - Medical Records - Page 15

Answer: It is anticipated that on-site contract providers will be provided access to BEMR. However, electronic interface and/or remote access capability between BEMR and off-site contract physician offices and contract facilities will not be available.

Attachment 1 - Section IV - Infants Born to Inmates - Page 16

Answer: If no other resource can be compelled to pay, the BOP will assume financial responsibility as identified on Page 16 of the Performance Work Statement. If an infant requires an extended stay in the NICU/Hospital for any medical reason, the BOP Regional Director may approve an extra 7 days of medical coverage to be paid by the BOP (a total of 10 days for vaginal birth and 14 days for a Caesarean birth). If the infant still requires further medical stay after the 7 day extension, the contractor, subcontractor, and FMC will work together to apply for Medicaid coverage which shall be retroactive to birth.

Regardless of the state in which the infant will reside, the infant is considered a Texas resident because of the length of stay is undeterminable.

The FMC Social Worker will coordinate placement of infants with the inmate's designated care giver prior to discharge from the hospital.

Should financial assistance be required, the FMC Social Worker will act as a liaison between the designated caregiver and the contractor and its agents in obtaining the necessary signed documentation.

II. Business Questions

Attachment 2 Pricing Methodology - Pagel

Answer: Contract requirement, no further clarification necessary.

Attachment 2 - Estimated Quantities Page 6

Answer: Contract requirement, (See Amendment #2 for further clarification)

Attachment 3 Special Contract Conditions - Page 6

As provided in the solicitation, the contractor will be responsible for direct billing the applicable agency for services provided. Any authorized user must abide by the terms and conditions of the contract. If necessary, the Administrative Contracting Officer will respond to issues to involving contract compliance and reimbursements.

The VOA will not be considered an authorized "optional user". However, the MINT Program will be covered by any resulting contract as Attachment #3, (Special Contract Conditions, Authorized Users) enables FMC Carswell to authorize other institutions within the Federal Bureau of Prisons to utilize the contract.