S02_36C26225R0121_Final.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C26225R0121 09/03/2025

Michael Palmer 424-450-5132 09/19/2025

12:00 PM PST

36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

X

624221

$13.5 Million

N/A

X

36C644

Department of Veterans Affairs Phoenix VA Medical Center (PVAHCS) 650 E Indian Rd

Phoenix AZ 85012

36C262

Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

Department of Veterans Affairs Financial Services Center Contractor shall bill in arrears to:

Tungsten Network http://www.tungsten-network.com/us/

See CONTINUATION Page

Medical Respite Care for Homeless Veterans Programs (HCHV).

In support of Phoenix VA Health Care System (PVAHCS).

Please see attached Performance Work Statement.

See CONTINUATION Page

X X

X 1

Danielle Trudeau Contracting Officer

36C26225R0121

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES AND PRICING

ITEM INFORMATION

AGGREGATE TOTALS

B.3 PERFORMANCE WORK STATEMENT (PWS)

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)

C.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.8 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.9 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.10 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.11 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (FEB 2024)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 WAGE DETERMINATION

D.2 IT CONTRACT SECURITY

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E.2 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.7 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (FEB 2024)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT:

Michael Palmer, Contract Specialist Department of Veterans Affairs VHA Regional Procurement Office – West Network Contracting Office 22 4811 Airport Plaza Dr, Ste. 600 Long Beach, CA 90815

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

6. UNIQUE ENTITY IDENTIFER (UEI) NUMBER: In accordance with FAR Provision 52.212-1 paragraph (j), please provide the System for Award Management (SAM) UEI Number assigned to your firm in the space provided below:

UEI# ____ ____ ____ ____ ____ ____ ____ ____ ____

B.2 SCHEDULE OF SERVICES AND PRICING

Contractor’s price shall include sufficient facilities to accommodate Homeless Veterans who need medical and mental health respite care. The facility shall be staffed 24-hours-a-day, 7-days-a-week and have at a minimum of one administrative staff member or designee on the premises available for emergencies at all times.

This solicitation is for a base plus four (4) one (1) year options contract for the Phoenix VA Health Care System (PVAHCS).

Quantities are estimates ONLY. This is an IDIQ contract. Stated contract minimum(s) are the only guaranteed quantities. The guaranteed minimum on any option period is only guaranteed if the option is exercised. Ordering procedures and order minimum and maximum can be found at C.4 (52.216-19). The Government will not require more than 8395 bed days or less than 365 bed days during the duration of the base period or any exercised option period. Invoices and payments will be based on the minimum or actual quantity, whichever is greater. Task orders will be issued/funded separately from the base contract or any subsequent option years.

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

8,395.00 DY ________________ ________________

Transitional Housing

Contract Period: Base POP Begin: 01-01-2026 POP End: 12-31-2026

Contract Period: Option 1 POP Begin: 01-01-2027 POP End: 12-31-2027

Contract Period: Option 2 POP Begin: 01-01-2028 POP End: 12-31-2028

Contract Period: Option 3 POP Begin: 01-01-2029 POP End: 12-31-2029

Contract Period: Option 4 POP Begin: 01-01-2030 POP End: 12-31-2030

GRAND TOTAL __________________

AGGREGATE TOTALS

Description Total Pricing

Base Year: 1/1/2026 – 12/31/2026 $

Option Year 1: 1/1/2027 – 12/31/2027 $

Option Year 2: 1/1/2028 – 12/31/2028 $

Option Year 3: 1/1/2029 – 12/31/2029 $

Option Year 4: 1/1/2030 – 12/31/2030 $

Base Year + Four (4) One (1) Year Option Total $

B.3 PERFORMANCE WORK STATEMENT (PWS)

CONTRACT RESIDENTIAL SERVICES (CRS)

Transitional Housing for severely mentally ill, disabled and aged Veterans

A. PURPOSE.

The Phoenix VA Medical Center requires contractors to provide services as part of its community-based Health Care for Homeless Veterans (HCHV) program. HCHV Contract Residential Services (CRS) target and prioritizes Veterans who are transitioning from literal street homelessness, being discharged from institutions, those in need of medical treatment, and those who recently became homeless. HCHV CRS program requires contractors to provide safe living arrangements for homeless Veterans while helping them find permanent housing.

HCHV CRS programs exists to provide a means of removing homeless Veterans from homelessness by placing them in residential environments with sufficient supportive services to meet their basic need. Veterans who are severely mentally ill, disabled and/or elderly are particularly vulnerable and require specialized services to resolve their unique housing situation The need for a transitional housing program that specializes in providing shelter and case management services for severely mentally ill, disabled and/or elderly Veterans is required.

The VHA Homeless Program Office will provide funding for FY2025, with continued and reoccurring funding for additional option years as the budget requires.

B. BACKGROUND.

The Department of Veterans Affairs has established Health Care for Homeless Veterans (HCHV), in accordance with 38 USC 1720A and Public Law 101-237. This program will provide immediate and emergent housing for homeless veterans. The targeted population is homeless veterans who are severely mentally ill, disabled and/or aged. The contractor will provide case management and supportive services in collaboration with the VA contract liaison. The contractor will provide beds in a free standing facility or complex facilities that provide domicile and health related services, supportive program staff, and personal and/or protective care for veterans with or without substance use disorders. Contractor staff shall communicate information pertinent to resident’s treatment to VA clinical staff. Contractor staff will participate in staff meetings during which their input regarding treatment decisions may be solicited.

C. SERVICES TO BE PROVIDED

1 GENERAL: The Contractor shall provide sufficient facilities to accommodate homeless Veterans. The Contractor shall accommodate male and female Veterans. The targeted population is homeless veterans who are severely mentally ill, disabled and/or aged. The contractor shall provide housing, therapeutic and rehabilitative services, supportive program staff and personal and/or protective care for Veterans with severe mental illness.

All case management services will be provided in collaboration with the VA contract liaison. The facility shall be staffed 24-hours-a-day, 7-days-a-week and have at a minimum of one administrative staff member or designee on the premises available for emergencies at all times.

The Contractor shall provide on-site case management personnel no less than 40 hours per week. Case management personnel shall provide therapeutic rehabilitative and recovery services, which shall be determined through the development of the Veteran’s Individualized Care Plan (ICP). The Individualized Care Plan (ICP) shall include the identification of the Veteran’s biopsychosocial needs. Contractor shall be capable of receiving referrals Monday through Friday during business hours of 8am to 4:30pm, excluding Federal holidays. Absences of any Veteran from the facility in excess of seventy–two (72) consecutive hours will not be reimbursable except with prior approval of the designated Contracting Officer’s Representative (COR). Negative drug screens shall not be a requirement for admission.

2 CONTRACTOR RESPONSIBILITIES AND QUALIFICATIONS:

The Contractor shall provide on-site case management personnel assigned to Veterans under this contract no less than 40 hours per week. The Case Manager shall hold a Bachelor’s degree and have at least 6 months of experience in social services settings.

The Case Manager shall provide services no less than 40 hours per week to Veterans assigned to this contract.

a. CASE MANAGEMENT SERVICES: The Contract Case Manager shall be responsible for the intake assessment of Veteran residents to develop a plan of care. The therapeutic and rehabilitative services to be provided shall include but are not limited to the following:

i. A thorough written Individualized Care Plan (ICP) shall be developed within

72 business hours of admission for each Veteran. The Individualized Care Plan (ICP) shall include the identification of the Veteran’s biopsychosocial needs. This shall include structured individual case management, at minimum, weekly referral to including counseling on self-care skills, adaptive coping skills, financial planning, long-tern transitional and permanent housing referrals, written care plan, referral for financial benefits. Additional counseling may include professional and vocational rehabilitation counseling, in collaboration with VA programs and community resources.

ii. Weekly scheduled visits with each Veteran resident and open office hours to discuss progress toward goals established at intake. Case Managers shall possess the ability to respond to crisis situations with Veteran residents and provide access to emergency care as needed.

iii. Structured group activities, as appropriate, shall occur two times per month

– examples include group therapy, life skills training, social skills training, financial workshops, Alcoholics Anonymous, Narcotics Anonymous, vocational counseling and physical activities as appropriate. For the purposes of this contract “House Meetings” and VA housing resource groups may not be counted as a structured group. Group activity shall have a therapeutic value and facilitation, which may include guest speakers, shall be the responsibility of the Contractor. Should a Veteran have mental health, medical, family and/or employment obligations which directly conflicts with this requirement alternate group activities shall be arranged and/or the Contractor shall clearly document efforts made to accommodate the Veteran.

iv. All Veterans shall be referred for follow up to VA for Primary Care and Mental Health appointments and Contractor shall support Veterans in making initial and subsequent follow up appointments. Particular efforts shall be made for Veterans who are identified to be highly acute. Efforts will be documented in the Veterans ICP and reviewed in case consultation with the VA Liaison at least monthly.

v. Special attention shall be made to address High Suicide Risk (HSR) Veterans, as identified by VA Medical or Mental Health Staff, the contracted Case Manager, and/or the Mental Health provider. On a weekly basis the contracted Case Manager and/or Mental Health provider shall update the VA Liaison on Veteran progress, changes, and/or safety concerns for HSR Veterans. Contracted Case Manager shall review HSR Safety Plans with the Veteran on a bi-weekly basis. HSR Safety plan reviews and a copy of the Veteran’s Safety Plan shall be documented in the chart.

vi. Provision of intensive weekly case management services, including assistance with completing and submission of applications for benefits (both VA and non-VA) obtaining necessary identification and records (i.e.

birth certificate , DD 2-14, VA ID, state issued ID, etc.), referrals to transitional housing (both VA-GPD and non-VA transitional housing) and permanent housing resources such as Supportive Services to Veteran Families (SSVF), Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) and non-VA housing resources in the community.

vii. Instruction in and assistance with health and person hygiene, establishment of income and or financial benefits, and strengthening budgeting skills to increase financial stability.

viii. Discharge planning to appropriate transitional or permanent housing, including assistance with completing and submission of applications and referrals, as clinically indicated. This includes offer of referrals and linkages to Veterans that are asked to exit the program prior to successful completion, due to rule violation(s).

b. ALL CONTRACTOR STAFF: All Contractor staff shall maintain proper documentation verifying services and case management efforts by all team members including but not limited to housing, benefits, and employment services, Case Manager interactions/interventions, and program management staff. Notes shall be written professionally in a format that utilizes clear goal setting and progress towards those goals (e.g. SNAP, SOAP, or SMART notes).

Upon exit of the program, a discharge plan summarizing services provided during the Veteran’s stay, including Veteran’s engagement and achievement of goals, housing status, discharge placement and location, and aftercare plan will be placed in the Veteran record and available for VA Liaison to review.

3 BASIC SERVICES: The Contractor shall furnish each Veteran resident under this contract with the following basic services:

a. ROOM AND BOARD: The Contractor shall provide sufficient facilities to accommodate 23 Veteran residents and shall be accessible to the Veterans 7 days a week and 24 hours per day. Accommodations shall include a bed and other furnishings for clothing and personal properties such as a dresser, storage locker or designated secured space, and personal linens (towels, pillows, blankets and bed sheets, etc.). The Contractor shall allow Veterans to store personal belongings for at least 72 hours after formal discharge. Unclaimed personal belongings can be discarded after a minimum of 72 hours. At least three nutritious meals, 7 days a week shall be provided for the Veteran. In addition, there shall be availability of snacks of nourishing quality (e.g. fruits, vegetables, protein sources, etc.), between meals and bedtime for those requiring or desiring additional food, even when it is not medically indicated.

There shall not be more than a 14-hour span between evening meal and breakfast of the following day. Contractor shall provide alternative meals for Veterans with dietary restrictions, if medically indicated (e.g. diabetic, renal, and soft mechanical diets) and reasonable accommodation for Veterans with cultural or religious preferences around food (e.g. Kosher, Sikh, Vegan, etc.). Food shall be prepared, transported, served, and stored under sanitary conditions, in accordance with local, state, and federal guidelines. The facility shall establish and maintain sanitary procedures for washing dishes, cleaning equipment and work areas, and disposing of waste. Sub-contracted food service providers will be subject to the same guidelines.

b. LAUNDRY FACILITIES: Laundry facilities and necessary detergent are free of charge and adequate for residents to do their own laundry or to have laundry done at minimum one time per week.

c. HOUSING SERVICES: Programs shall provide Veterans with direct and ongoing assistance in achieving permanent housing. As a primary goal of the HCHV program, plans for Veterans’ transition to permanent and housing placements must be clearly reflected in each ICP and in weekly case management notes. As part of this plan, Veterans’ housing history and needs must be assessed through a formal and thorough Housing Assessment completed within 72 business hours of program admission. Housing Assessments must identify Veterans’ housing history, strengths (i.e. positive prior rental history), and barriers (i.e. Unlawful Detainer, evictions, etc.). Should Veteran refuse to engage with program staff regarding plans for housing transition, motivational interviewing, trauma informed care, and other therapeutic techniques shall be used to address Veteran ambivalence. All efforts to engage Veteran regarding housing plans, options, and resources shall be clearly documented and include any therapeutic techniques utilized. Contractor staff shall provide direct assistance to Veterans in developing housing plans and accessing appropriate housing resources. These services shall be provided weekly through one-to-one case management.

Examples of expected housing services include:

i. Assistance obtaining and reviewing Veteran’s free credit report, identifying housing strengths and/or barriers associated with current credit status

ii. Creating a Tenant Portfolio with Veteran that contains all relevant documents in the rental process, including a completed sample rental application for Veteran, income verification documents, identification, applicable subsidies, etc.

iii. Reviewing and applying to affordable permanent housing options and Permanent Supportive Housing (PSH) program offerings, and assisting Veterans with making appropriate inquiries and submitting completed referrals to permanent housing programs

iv. Conducting regular and individualized housing advocacy efforts, including transportation, assistance scheduling, meeting, and communicating with transitional housing programs, property managers and landlords, and engage in troubleshooting where referral, rental barriers or denials occur in the housing search process

All housing efforts by Contractor shall be documented in the chart clearly and timely and will be presented to VA Liaison and/or inspection team upon request.

Mere communication with Veterans regarding housing, without subsequent Contractor staff action and follow-up, shall not on its own meet the above requirements.

d. FINANCIAL PLANNING: Referral to and follow up on all potential financial resources the Veteran may be eligible for (e.g. SSI, SSDI, Food Stamps, VA NSC pension, VA Disability, General Assistance, etc.). Case Managers shall document all structured activities that support Veteran in developing a short- and long-term plan to understand and address their current financial situation and how to improve it. Financial planning efforts may be accomplished in group but preferably through one-on-one case management services as well. Financial planning activities appropriate to the Veterans individual circumstance shall be documented monthly.

e. EMPLOYMENT SERVICES: Referral to all relevant employment and training opportunities the Veteran is eligible for and interested in shall occur on a regular basis, as clinically indicated. Case managers shall document all structured activities that support each Veteran in applying for employment or training opportunities, as appropriate, based on needs of the Veteran, as identified in the

ICP.

f. RECOVERY and TOXICOLOGY SCREENING: Support for an alcohol/drug abuse-free lifestyle shall be provided in an environment conducive to social interaction and the fullest development of the resident’s rehabilitative potential.

Assistance to gain and to apply knowledge of the recovery process in an environment supportive of recovery models, including a focus on Harm Reduction, rather than strict abstinence, and supportive of a Housing First approach. Pursuant to these principles, drug testing may not be used to discharge or discipline a Veteran but may be used as a clinical intervention to modify behavior. The Contractor shall ensure that illicit drugs as defined by the federal government, drug paraphernalia, and alcohol are not permitted on the premises.

If urine toxicology screening is needed, the Contractor shall coordinate and pay the fees associated with an outside agency under the following standard certifications to include Centers for Medicare and Medicaid Services (CMS), Clinical Laboratory Improvement Amendments (CLIA) for clinical diagnostics, Drug and Alcohol Testing Industry Association (DATIA) for specimen collections, and Arizona Department of Public Safety for blood alcohol testing. It shall be the Contractor’s responsibility to facilitate transportation for the Veteran. If Veteran is acutely intoxicated, contract facility will contact emergency medical services.

g. OCCUPANCY: Contractor beds shall be maintained at an average minimum of an 80% occupancy rate but at a preferred rate of 90% as calculated based upon number of bed nights available per quarter. The contractor will be responsible for ensuring that a minimally acceptable level of 80% occupancy (Preferred 90% occupancy) of HCHV CRS funded beds is maintained at all times through independent outreach efforts as well as by collaboration with VA. If this rate is not consistently attained a Corrective Action Plan (CAP) shall be developed by the Contractor as part of the QASP and/or process improvement plan in consultation with the Contracting Officer and VA Liaison. Adjustments in contract funding may occur through modifications if occupancy is not maintained. Failure to maintain year to date occupancy rate at or above 80% may be grounds for immediate termination for convenience.

h. OUTREACH: Contractor will be responsible to engage in outreach in the community independently and/or in collaboration with Phoenix VA Homeless Programs Designee(s) at least two times per month. Contractors will maintain occupancy by engaging in outreach services and will be knowledgeable about outreach best practices generally accepted in the community.

In addition, clear documentation for outreach activities must be made available to Liaison upon request during the QASP review.

i. DISCHARGE PLANNING: Permanent housing shall be the primary discharge goal for every Veteran. All Veterans shall have a discharge plan within one week of admission. Although discharge planning should have primary goals of permanent housing, referrals to lower levels of care may be based on the Veteran’s clinical needs and housing readiness. Transitional housing referrals may include VA GPD housing programs, community transitional housing programs, residential inpatient programs, and/or other Contracted Residential Services programs. The Contractor shall comply with all VA regulations regarding discharges and timeliness of reporting. Case Manager shall provide assistance with discharge planning for every Veteran and report all discharges via email within 24 business hours using a secured process (e.g. HOMES ID number or RMS encryption). The Contractor shall provide paperwork for discharging a Veteran from any HCHV program within 24 business hours from known discharge. Resources shall be coordinated for discharge to a successful community placement throughout the duration of the Veteran’s stay. A negative discharge for undesirable behavior is a committee decision that shall include the

VA Liaison prior to discharge. All Veterans scheduled for negative discharge based on behavior shall be offered an opportunity to meet with the treatment team and work to determine the most therapeutic alternative temporary housing option for Veteran. This does not include violations for safety reasons. Please note: Profanity does not in and of itself constitute to abuse and shall not exclusively be considered grounds for discharge. Any and all actual or threatened violence shall be grounds for discharge. Veterans may be discharged for safety reasons at any time. All negative discharges shall be subject to a full team debriefing, including VA Liaison, to look for opportunities for improvement.

All discharges are subject to the Contractor’s grievance procedures and must allow clients the opportunity to be represented by the VA Liaison in the grievance process. Reasonable efforts must be made to coordinate with the Liaison or designee in order to schedule an appeal.

j. GRIEVENCE PROCEDURES: Programs shall have an internal grievance process that Veterans can use to resolve conflicts within the program. Programs shall have written policies and procedures for resolving grievances, including a statement regarding the client’s right to request reasonable accommodation, and shall post them in a place conspicuous and be accessible to clients. In addition, each client shall receive a copy of the grievance policies and procedures, upon intake and upon receiving a warning or discharge notice.

k. INTAKE PACKETS: All Veterans shall receive an intake packet within 72 business hours of admission, which includes at minimum, the following information:

i. Description of the Contractor’s services

ii. Grievance policy

iii. Emergency procedures

iv. Rights and responsibilities

v. Reasonable accommodation

l. EXTENSIONS- All extensions beyond 90 days shall be requested in writing and approved by VA Liaison or designee.

m. MEDICATION MANAGEMENT: Medications and narcotics shall be properly stored, controlled, issued and recorded in compliance with physician’s orders.

Contractor shall establish procedures for ensuring Veterans’ confidentiality in the storage of and record keeping of medications. Medication Assisted Treatment (MAT) cannot be used to rule out Veterans’ participation in an HCHV Program.

This includes prescribed use of Vicodin, morphine, methadone oxygen, etc.

Reasonable accommodation for individuals in MAT shall be provided if the requested accommodation does not cause major financial or administrative commitments that would be considered an “undue burden.” Examples of reasonable accommodations include:

i. Arranging for the individual to take medication at their clinic, physician’s office, or another off-site location – when consistent with the individual’s treatment plan.

ii. Storing an individual’s MAT medication in a lock box in the program and having the individual be personally responsible for it.

iii. Arranging to have the housing facility keep MAT medications in a locked cabinet (Copies of Inspection Packet requirements relating to medication management are available upon request).

n. TIMELINESS OF RESPONSE: Contractor shall have a dedicated phone line for VA inquiries and referrals. Return calls from the program are expected within 4 hours during business hours Monday through Friday. This includes calls from VA Staff or the Liaison to the program.

o. CRITICAL INCIDENT REPORTING: All critical incidents shall be reported as soon as possible and no later than 24 hours. This includes the following:

i. Falls with injury

ii. Assault (to Veteran or Staff)

iii. Elderly/Dependent Adult Abuse or Neglect

iv. Sexual Assault

v. Fire (Veteran Involved)

vi. Medical/Psychiatric Emergency (911 Calls)

vii. Hospitalization

viii. Suicide or Suicide Attempt

ix. Homicide

x. Death

xi. Infectious Control (COVID-19, TB, etc.)

xii. Active Substance Abuse

xiii. Observation/ Possession of Weapons

xiv. On-site arrest of a Veteran by law enforcement

4 DOCUMENTATION: The Contractor shall provide treatment and discharge planning reflecting a team assessment of medical, social and vocational needs and the involvement of the Veteran, VA staff and appropriate community resources in resolving problems and setting goals. An individual case record will be created for each referred Veteran. Case records shall be maintained in security and confidence as defined by the Confidentiality of Alcohol and Drug Abuse Patient Records (42 CFR part 2) and the Confidentiality of Certain Medical Records (38 USC 7332). Case records and data normally maintained and included in a medical record as a function of compliance with State or community licensing standards will be made available on a need-to-know basis to appropriate Department of USC Veterans Affairs staff members involved with the treatment program of the Veterans concerned. The Contractor shall comply with applicable requirements of the Confidentiality of Alcohol and Drug Abuse Patient Records (42 CFR Part II) and the Confidentiality of Certain Medical Records (38 7332). The files shall include:

i. Reasons for referral

ii. All essential identifying data relevant to the resident and his/her family including a socio-cultural assessment, weekly progress reports or notes, and documentation of any case management interventions or patient care conferences

iii. Medication Management/Monitoring- Copies of any medical prescriptions issued by physicians, including orders, if any, for medications to be taken.

Contractor must be in compliance with HCHV inspection requirements

iv. Nursing, Case management, and Mental Health notes written in a professional manner (i.e. SMART, SOAP, SNAP) will include the following: 1) A written and comprehensive Assessment, 2) Individual Care Plan 3) Financial Plan, 3) Discharge Plan, 4) documented progress and activity towards identified goals.

v. QASP Compliance Tool and all attendant supporting documentation demonstrating Contractor compliance with contract

vi. Final discharge summaries on each resident who leaves the program, to include reasons for leaving, the resident’s future plans, and follow-up locator information.

vii. Extension approval if relevant

viii. Waivers as appropriate

a. RECORDS AND REPORTS: The Contractor provides their own records placed under this contact accordance to their own business practice which is not part of VA medical records. The Contactor shall safeguard disclosure of protected health information under the provisions of the Health Insurance Portability and Accountability Act (HIPAA), and other regulations as defined by VA, federal and state laws and maintain a Business Associate Agreement (BAA) with the VA. The contract shall have a signed VA Form 10- 5345 or equivalent Health Insurance Portability and Accountability Act (HIPAA) authorization with “7332” disclosures prior to disclosures of Protect Health Information (PHI) to Contractor. Records and reports will be made available to appropriate VA staff members involved with the treatment program of the Veterans concerned. The clinical record maintained by the contract facilities shall include:

i. Veterans admission forms. All essential identifying data relevant to the resident and his/her family, including a socio-cultural vocational assessment.

ii. Data relevant to the Veteran’s admission to include the targeted goals for constructive changes which are to be attained during the residential rehabilitation episode, and the anticipated length of stay, if known.

iii. Copies of any medical prescriptions issued by physicians, including orders, if any, for medications to be taken.

iv. Treatment plan within three days of admission to be completed by assigned case manager.

v. Reports of periodic re-evaluation, to include any measures of movement toward rehabilitation goals, with focus on the attainment of self-help skills.

vi. Final summaries on each resident who leaves the program, to include a description of beneficial changes realized during the residential period, reasons for leaving, the resident’s future plans and follow up locator information.

b. RECORDS AND REPORTS CONT.

i. The Contractor, their personnel, and their Subcontractors shall be subject to the Federal laws, regulations, standards, and VA Directives and Handbooks regarding information and information system security as delineated in this contract.

ii. The Contractor shall make available to the VA, documentary information deemed necessary by the VA to conduct utilization review audits for the mandated national evaluation study as defined in Section 2 of Public Law 100-6; to verify quality of patient care, to assure confidentiality of patient record information, and to determine the completeness and accuracy of financial records.

iii. The Contractor shall work with the VA Case Manager and/or HCHV coordinator to complete any national reporting requirements.

iv. The Homeless Management Information System (HMIS) is a web-based software application that has been implemented to monitor and report progress of all Federal partners and communities in abolishing homelessness among Veterans. It will be used to collect data, report on trends, service utilization and performance being provided to homeless individuals and families. VA currently cannot release patient identifiable data to local Continuum of Care (CoC’s) facilities without a signed patient release. VA is working towards a blanket authority that will allow VA homeless programs to share the basic information. This will occur, though it may not be in time for this year’s “point-in-time” (PIT) count. A signed at patient release form should acknowledge that information shall be provided to the HMIS database for PIT.

5 RULES, POLICIES AND PROCEDURES: The Contractor shall have reasonable rules governing day-to-day life and activities in the facility. Such rules clearly inform Veterans of the obligations upon which their continued participation in the program depends and the consequences for non-compliance. Veterans shall be provided a copy of the rules at intake or upon Veterans request. In addition, Contractor shall post the rules in a location readily accessible to clients and visitors. These rules shall include detailed Patient Rights and the procedures that the Contractor has in place to protect the Veterans rights and dignity.

Veterans shall be permitted to exercise these rights without fear of reprisal. If requested, Contractor shall reasonably accommodate Veterans whose compliance with program rules is limited by the Veterans’ physical or mental disabilities, in accordance with the Americans with Disabilities Act, the Federal Fair Housing Amendments Act, Section 504 of the Rehabilitation Act, including those requirements covering reasonable accommodations for disabilities and the use of assistance animals, and the California Fair Employment and Housing Act of 1973 and all other applicable State or Federal laws. Contractor shall equally apply all rules, policies and procedures to Veterans, unless a Veteran has asked for a reasonable accommodation due to his/her disability.

a. PROCEDURES FOR NEGATIVE DISCHARGE OR SANCTION: Contractor must post rules in the Veterans Case Manager’s Office and provide Veteran with the rules which specify the reasons or conditions for which a Veteran may be sanctioned or discharged, including those behaviors which constitute gross misconduct and are grounds for immediate discharge from the program and those which would prompt a written warning if violated and potential discharge if violated repeatedly. Contractor shall describe the formal appeal procedures through which clients may appeal program regulations, sanctions or discharges. This information must be provided to clients in writing upon intake and must be clear and easily understandable by clients. This information will include:

i. Immediate contact with VA liaison

ii. Timely due process provisions which should include two warning notices for violations which do not result in immediate discharge prior to issuance of a discharge notice and an opportunity for a case conference after warning is issued to the client

iii. Notice of, and access to, formal appeal procedures

iv. Notice of the conditions or process for re-admission to the program.

v. Reasonable efforts to provide an appropriate referral to another facility or appropriate level of care as needed

vi. This does not apply to Veterans who are discharged for danger to self or others

D. ADDITIONAL CONTRACT REQUIREMENTS

1. PERSONNEL: The Contractor shall employ sufficient personnel to carry out the policies, contract responsibilities, and the program for the facility. Case management staff must have appropriate and commensurate coverage for staff using authorized and unauthorized leave (e.g. holidays, sick leave, family care, etc.). There must be, at a minimum, one staff member on duty on the premises or residing at the facility and available for emergencies 24 hours a day, 7 days a week. In addition, there is an expectation that there is an administrative/clinical Designee that will be available for consultation for emergencies 24 hours a day, 7 days a week. The Contractor shall assign personnel that are qualified through education, training, certification or licensure to provide the Basic Services and Supplemental Services outlined in this SOW.

a. Staff Training: Contractor shall provide at least one staff person on-site at all times who has had training and orientation on the following topics. Staff shall receive and document—at a minimum—one-time training per year on these subjects.

i. CPR

ii. First Aid

iii. Crisis intervention

iv. Cultural sensitivity and Diversity, Equity, and Inclusion

v. Sexual harassment

vi. Sensitivity to wider issues of homelessness

vii. Universal Precautions (disease transmission prevention)

viii. Elder/Dependent Adult abuse reporting laws

ix. Harm Reduction philosophy

x. Housing First

xi. Suicide assessment and prevention

xii. Medication management (for staff assigned to this duty)

xiii. State and Federal Fair Housing Law and ADA Requirements

xiv. Conflict resolution

xv. De-escalation and disruptive behavior management techniques

xvi. Search and Seizure/Probable Cause in the Shelter Setting

xvii. Conservatorship

xviii. Grave Disability Criteria

xix. Confidentiality and privacy requirements.

Contractor shall perform criminal background checks on all staff members. Contractors will agree not to hire staff members who are currently enrolled in a VA Homeless Program.

Contractor shall have a policy prohibiting staff from establishing sexual relationships with program clients.

The Contractor shall identify each person functioning as “Key Personnel” under this contract and provide to the VA a description of the services to be provided by such person, together with a resume summarizing that person’s relevant skills and experience.

During the first ninety (90) calendar days of contract performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. Within 14 days after substitutions necessitated by situations described above, the Contractor shall provide resumes for the substitute key personnel. For substitutions proposed by the Contractor after the initial 90 calendar day period, the Contractor shall provide resumes for the substitute personnel, together with any other additional information requested by the Contracting Officer, at least fifteen (15) calendar days before the substitution is to occur. The Contracting Officer shall notify the Contractor within fifteen (15) calendar days after receipt of all requested information if the VA refuses to accept the substitute key personnel. The VA reserves the right to refuse or revoke acceptance of key personnel if personal or professional conduct, or lack of professional skills or experience, jeopardizes patient care or interferes with the regular and ordinary operation of the facility.

Temporary substitutions of key personnel shall be permitted in accordance with the Contractor’s contingency plan. The Contractor’s contingency plan to be utilized if personnel leave Contractor’s employment or are unable to continue performance in accordance with the terms and conditions of the resulting contract must be submitted as part of the Contractor’s offer.

E. REFERRALS, ADMISSIONS AND ELIGIBILITY: Contractor shall utilize an admission process that includes written eligibility criteria that is fair, objective, and compliant with applicable State and Federal laws. Contractor shall provide verbal and written notification that is readily accessible to all individuals, upon request, of reasons for non-acceptance. The eligibility information must be made available to clients at intake and staff must provide answers to questions about the admission criteria and process. Contractors shall have formal appeal procedures through which clients may appeal unfavorable admission or eligibility decisions and a copy of the policy for appeals is to be given to the Veteran at screening or intake.

The VA is responsible for determining eligibility of Veterans prior to acceptance by the Contractor for services. After receipt of a Release of Information (ROI), a written pre-approval from VA Staff (hard copy, fax or e-mail are acceptable) shall be provided to the Contractor for each Veteran referred for services under the contract. If there is an urgent need to admit a Veteran and VA Staff is not available to provide a written approval in a timely manner a verbal approval is acceptable. Any admissions that occur without written/verbal approval must be verified by VA Staff within 24 business hours in order for the Contractor to receive payment for time spent prior to approval (e.g. admission after hours or during the weekend). Written documentation of eligibility verification, signed by an authorized VA Staff, shall be obtained by the Contractor as soon as possible for each Veteran referred for services under the contract for inclusion in the Veterans program file.

A list of authorized VA Staff for the contract shall be provided to the Contractor upon award of the contract. VA Staff may be added or deleted from the list during the term of the contract at the discretion of VA Contracting Officer. The Contractor shall be provided an updated list of authorized VA Staff whenever such changes are made.

It is understood that the Contractor will not be paid for care provided to a referred Veteran beyond the period authorized in the referral, unless an extension of the authorization is provided in writing by the VA.

The initial stay for a Veteran should be no longer than 90 days. Any extension of the stay after 90 days must be authorized by the VA Liaison or designee, provided that there is clear clinical indication and availability of funds. Approvals for extensions must be stored in the Veteran’s chart.

It is understood that the type of Veterans to be cared for under this contract will require care and treatment services over and above the level of room and board. It is also understood that Veterans may need more intensive case management than the general population. The level of intensity of services will be part of an ongoing conversation with the VA Liaison. To be eligible for placement in contract beds, all Veterans must be homeless or at imminent risk of becoming homeless and be eligible and registered for VHA services. Veterans shall be independent in Activities of Daily Living (ADLs) for admission eligibility. CRS services are not a substitute for long-term care or skilled nursing care. Contractors shall provide housing and or services to special Veteran populations, such as but not limited to the following:

medically compromised Veterans, severely mentally ill Veterans, Veterans who have abused drugs or alcohol for many years, and/or Veterans who have been involved with the legal system.

F. DENIAL OF SERVICES: Veterans shall not be denied entry to HCHV Contracted Residential

Services based solely upon length of current abstinence from alcohol or non-prescribed controlled substances, the number of previous treatment episodes, the time interval since the last program entry, the use of prescribed controlled substances, disability, income, gender, or legal history. This includes a Veterans status of being a victim of Intimate Partner Violence (IPV) and as such cannot be considered during the screening process. The screening process must consider each of these special circumstances and determine whether the program can meet the individual Veteran's needs while maintaining the program's safety, security, and integrity. All Contractors shall employ a harm reduction approach.

G. ABSENCES AND CANCELLATION: The Contractor shall notify the VA of unauthorized absences by a referred Veteran from the facility within 24 hours of Veterans absence. Should a Veteran absent himself/herself from the Contractor’s facility in an unauthorized manner, payment for services for that Veteran shall be continued for a maximum period of 72 hours, provided there is a documented active outreach attempt on the part of the Contractor’s staff to return the Veteran to the facility and there is a reasonable belief that the Veteran will return.

Management of program dropout rate will be an element of quality assurance review of this program.

VA reserves the right to remove any or all Veterans from the facility at any time, without additional cost, when it is determined to be in the best interest of the VA or the Veteran. This includes discharge from facility for ongoing bed bug infestation.

The Contractor shall notify the authorizing VA facility immediately when a medical emergency occurs that requires hospitalization of a referred Veteran. It is agreed that the Veteran will be admitted to the appropriate VA facility. When such admission is not feasible because of the nature of the emergency, it is agreed that hospitalization in a non-federal facility is acceptable. If hospitalization of a non-emergent nature is needed, it is agreed that admission to the appropriate VA facility will be accomplished promptly. The Contractor will make arrangements for admission and support the Veteran with any transportation issues that may arise to address the emergency.

The Contractor shall notify the authorizing VA Liaison or designee immediately of any incidents involving Veterans residing in the Contract Emergency Residential program. The Contractor shall notify the VA Liaison by telephone during the hours of 8:00am and 5:00 pm.

For all incidents that occur after normal business hours, the Contractor should notify the VA Liaison the following business day. The Contractor shall provide the VA Liaison and the COR with a copy of the incident report within 24 business hours. The Contractor shall maintain a copy of the incident report in the Veteran’s case record. Please see above in Basic Services for details regarding what constitutes Critical Incident Reporting.

H. CONTRACTOR STAFF CONDUCT/COMPLAINTS HANDLING: Contractor personnel shall be expected to treat referred Veterans with dignity…