AMENDMENT 2 75R60123R00001.pdf

(x)

75R60123R00001 x x copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT 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 you desire to change an offer already submitted , such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

Rockville MD 20857

OAMP

5600 Fishers Lane, Room 14W26B Management and Policy Office of Acquisition

HHS/HRSA/OO/OAMP

Rockville MD 20857

OAMP

5600 Fishers Lane, Rm 14W26B Management and Policy Office of Acquisition

HHS/HRSA/OO/OAMP

04/04/20230002

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

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

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

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

03/01/2023

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

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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

ORDER NO. IN ITEM 10A.

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

JIMMY K. HUPALAR

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

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

AMENDMENT 2: This is a Request for Proposal (RFP) for the National Hansen's Disease Program (NHDP) utilizing Federal Acquisition Regulation (FAR) Part 15 under NAICS 621999 - All Other Misc Ambulatory Health Care Services.

This amendment revises the document "Vendor Questions Responses" to add questions #85-87, and the Solicitation Section Reference for Question 1. The due date for proposals and past performance questionnaires remains the same, May 1, 2023, at 2:00 pm ET.

Attachments:

Attachment J - Vendor Questions Responses (revised)

Continued ...

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

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75R60123R00001/0002

CONTRACT SPECIALIST:

Anne Stephan

Email AStephan@hrsa.gov

Phone: 240-463-9761

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

Attachment J Revised - Govt Responses to Questions about HRSA solicitation Number 75R6012300001 National Hansen’s Disease Program Ambulatory Care Centers Contracts

Question # Solicitation Section Page # Vendor Question Government Response

1 Section G.5 Page 17 Key Personnel - in our clinic the Project Director is the Physician and the RN is the Business Manager. Will that be a problem in the RFP? Please clarify

The Government cannot evaluate whether combining positions will be a problem prior to receipt of the proposal.

Please note that the Solicitation has the project director as a separate position from the physician/provider and nurse to ensure that: (a) contract administration tasks are sufficiently staffed; (b) deliverables are submitted according to the schedule of deliverables; (c) personnel meet the minimum qualifications for each position; (d) the proposed number of hours and hourly rates are appropriate, fair and reasonable for each position. The Offeror's proposal including personnel, management/staffing plan and labor costs will be evaluated according to the evaluation criteria in Section M.

2 Section L.1.2 Page 41 Technical, Section 508, Past Performance and Business proposals shall be submitted separately and clearly labeled?

Please clarify.

Offerors shall submit a separate PDF file for each volume of their proposal (Technical, Section 508, Past Performance, Business Proposal) as stated in Section L.1.2. Excel spreadsheets shall also be submitted for the business proposal volume.

3 Section L.4.3 Page 45 Technical Proposal shall not exceed 70 pages. The subcontracts are 20 pages each (3 subcontracts). Please clarify.

Subcontracts will not be counted towards the page limit.

4 Section L.5 Page 46 one for each personnel (Physician and RN)?

One VPAT shall be submitted for each Offeror; not per person.

5 Section L. 6 Page 47 we utilize CPARS. Do we emailed on 04/06/2023 or 04/17/2023?

The due date for past performance questionnaires was extended to May 1, 2023.

6 Attachment F NDA one for each personnel (Physician and RN)?

A signed non-disclosure agreement is required for each staff member working on this contract.

Question # Solicitation Section Page # Vendor Question Government Response

7 Attachment B - QASP Task 3.7 Community Outreach and Education (2 activities per year) the Inspection Method frequency is quarterly and the QASP score is annually? Please clarify.

The Community Outreach and Education activities shall be reported quarterly to verify that the contractor completed the task as required in the Statement of Work. They will be assessed and scored annually to rate the contractor's compliance.

8 Attachment 1 Cost Proposal

Optional Tasks - travel and medical co-payments are not included? Please clarify.

Patient Travel Reimbursement is a required task (see Task 5).

Third Party Reimbursement or Medical Co-payments is a required task (see Task 6). These are no optional tasks.

9 SOW Task 2 Page 3 A kick-off meeting will occur - this meeting will take place after the award has been granted?

A kick-off meeting will occur within two weeks of the effective date of the contract during the base period only.

Please see the SOW Task 2.1 which was updated.

10 SOW Task 4 Page 8-9 in case a patient develop peripheral neuropathy, there is no need to include a neurologist on the list?

Task 4, Multidisciplinary and Consultative Services, has a list of labor categories for referrals related to HD but it is not all inclusive. The contractor may use other specialists not on the list as long as it is for HD related care.

11 SOW Task 9 Page 13 NHDP Reporting Website - is this the Access program?

The NHDP Reporting Website will be a function of the Electronical Health Record (EHR) system. This system is in development and will replace the current Access data collection system.

12 SOW Task 9 (9.2.2) Page 14

e. Inactive (last sentence “A person in observation”). Is this classification kind of correlated to h. Observation? Please clarify.

Please see revised SOW. The definitions in Task 9.2.2, Classification of Clinical Status, was revised. The classification of "inactive" is defined in task 9.2.2 as : Inactive (IA) is a person who has completed a full regimen of antibiotics or reaction therapy with a minimum of one and maximum of three (3) years of observation.

13 SOW Task 9 (9.2.5) Page 15 Services performed during Visit - labs and education are not included on the list?

Task 9.2.5 refers to reportable services performed during a visit. Laboratory activities are not a reportable task. Task

3.5 for Patient Education is reportable under task 9.4.

14 SOW Task 9 (9.2.7) Page 15 Patient Outreach - are we doing home visit?

Home visits may be used as a method for Patient Outreach, see Task 9.2.7

15 none identified Copies of HD subcontracts to be emailed in both languages (English and Spanish) or just English?

Please submit subcontracts and all proposal documents in English.

16 none identified

Our actual contract has a six (6) months extension period from April 2023 to September 2023. The RFP on Section B.2 (a) Compensation Cost/price page 4 reads as follows: Base period (POP September 28, 2023 - March 27, 2024. Is it conflicting?

Please clarify.

There is no conflict. If a new contract is awarded, it would begin on 9/28/23.

Attachment A - SOW:

3.4 - Medication Management

Can clarifying language please be added to the Adult Medication Treatment Regimen? Proposed langauge included in red Italics: "The NHDP uses a different treatment regimen than the World Health Organization (WHO), see https://www.who.int/teams/control-of-neglected-tropical-diseases/leprosy/treatment. The following recommendations are based on the NHDP recommendations but the contractor is not bound to this guideline and may select a regimen substantiated by their clinical expertise and patient-specific factors ."

HD treatment guidelines provided in the SOW are the current recommendations from NHDP. The contractor is allowed to treat a patient according to its best practices and patient comfort level.

Attachment A - SOW:

Task 6. Third Party Reimbursement or Medical Co-payments

States "Medical co-payments and other remaining payments shall be paid by the contractor for all provider approved HD-related care without regard to the patient’s ability to pay" and goes on to cap reimbursement at $5,000. We have seen a significant increase in the number of new patients over the past few years, including quite a few who are out-of-state and therefore not eligible for financial assistance and us unable to assist with enrolling in their state's Medicaid. Can the cap language please be removed or clarification included on the cap being negotiable if the patient volumes and lack of coverage options justify it?

NHDP will not remove the $5,000 cap for this cost reimbursement line item. The contractor may request an increase in this line item from the Contracting Officer during the life of the contract if the justification and patient data supports the increase. All costs must be approved by a Contracting Officer in writing PRIOR to incurring the cost.

19 none identified Budget for RFP-can we submit budget to reflect the 4 ½ years or should it be for Option Year 1?

Proposals shall include a budget for each line item in Section B.2, Compensation Cost/Price, including the entire period of performance (base period of 6 months; 4 option periods of 12 months each and a 6 month extension option). Please see Section B for the price/cost breakdowns required. The total period of performance for all periods (if exercised) will be 5 years.

20 none identified 46 of 136 L.5 Volume II, Section 508/VPAT. Can you clarify what this is in layman’s terms?

Please refer to Section 508/VPAT instructions and the link https://www.hhs.gov/grants/contracts/contract-policies-regulations/hhsar/part-352-solicitation-provisions-contract-clauses/index.html#352.239-73 for more information.

21 none identified Past Performance Questionnaires: Who should be filling these out? Vendors that we use or someone else? Please clarify.

Past performance questionnaires shall be completed by the customers of Offerors.

22 none identified Page limit on Volume. We were informed that there is a page limit for Volume-Technical proposal at 70 pages. Is there a limit for the other Volumes?

According to section L.4.3 of the Solicitation, there is a 70 page limit for the Technical Proposal (not including subcontracts). There is no page limit on the other volumes.

23 none identified 3 of 40

Task 3.1 Eligibility for Service – Can the following verbiage be added that patient referrals should be made by a physician or licensed healthcare professional prior to coming in for health care services?

No, NHDP does not plan on changing this language in the SOW. Ruling out HD as a diagnosis is a required task (see Task 3.1).

24 none identified 12 of 40 Task 5.1 Patient Travel Reimbursement - Will the NHDP provide screening questions to help determine patient need and financial ability for travel and hotel reimbursement?

NHDP is currently developing a social determinants of health screening tool that can be used to assess patient needs. This tool will be posted on the NHDP Website when available.

The contractor is encouraged to use screening tools that are widely available online.

25 none identified

If the NHDP will not provide screening questions/measures to assist the contractor in determining patient eligibility for travel and/or hotel reimbursement, will the NHDP honor the contractor’s final decision to deny such reimbursement based on the contractor’s assessment of the patient’s need and financial ability?

NHDP will evaluate patient travel issues on a case by case basis and determine if decisions are well justified.

26 none identified 14 of 40 Task 9.2.1 (i) – Disability – Does assistance through local, state or federal programs for disability include Medicaid, SSD?

Local, state, or federal programs for disability include SSDI (federal); public housing, rental assistance, subsidized housing, disability vouchers, job training, healthcare program (to include Medicaid), educational programs -https://www.usa.gov/disability-programs

27 none identified Will there be any further guidance for completing the RFP?

Please check SAM.gov regularly for any changes to the solicitation.

L.6 Volume III - Past Performance

The solicitation states: The completed questionnaire shall be submitted no later than the closing date for receipt of proposals to be directed to: AStephan@hrsa.gov by April 6, 2023, 2:00PM EST. Please confirm the deadline for questionnaires has also been extended to 4/17

See response to question #5.

29 L.1.4 41 the solicitation states: Each page shall be numbered and each volume shall be tabbed to correspond to the table of contents. The volumes don't acknowledge a Table of Contents requirement. Please confirm one is required and, if so, for which volumes

Section L.4.2 of the Technical Proposal Instructions and Section L.7 of the Business Proposal Instructions were updated to include the requirement for a "table of contents."

L.6 Volume III - Past Performance the solicitation states: Offerors shall submit a total of three (3) past performance references for the technical proposal where the Offeror was the prime contractor or subcontractor for relevant work completed within the past 5 years as required by this solicitation. Are we only able to submit references for completed contracts, or may we also submit references for contracts awarded wtihin the past 5 years, but are still active?

References from active contracts are welcomed.

31 Attachment D 102 This is included as an attachment, but not included as a requirement under a volume. If required with the proposal submission, please confirm under which volume.

Please include Attachment D with your Technical Proposal Volume.

32 Section L7 49 the solicitation states: The subcontracting plan will be a prospective forecast of the types and amount of subcontracting theOfferor anticipates conducting under future task order awards. Is an IDIQ contract contemplated, with issuance of Requests for Task Order Proposals?

The words, "task order," were deleted from L7. No IDIQ contract is contemplated. Contract will be stand alone contracts.

33 Section L.7.5 49 Goals are outlined for all small business types, excluding veteran-owned; what is the percentage requirement for VOSB?

L.7.5 was revised. Veteran-Owned Small Business (VOSB) was deleted. The only veteran category is Service-Disabled Veteran-Owned Small Business. Also, section L.7.3 was revised to correspond with L.7.5.

34 Overall Is there a template that can be used to respond to this RFP? If not, should we use the same format from our 2018 submission?

Please follow the instructions in the Solicitation and ensure that your proposal contains all required information and documentation. The 2018 submission may have had different requirements.

Do we need to create a subcontracting plan for an award less than $750k

No, a subcontracting plan is not required if the total amount of the award including the Base Period, Option Periods 1-4, and 6 month extension will be less than $750,000.

36 Attachment A, 3.3 4

3.3 Laboratory tests show that a baseline QuantiFERON-TB Gold is a required. Can an alternate IGRA (i.e, Tspot) be utlized instead of QFT?

Yes

37 Attachment A, 3.4 5

Solicitation states that immunologically competent patients should be treated with the NHDP treatment guidelines and the regimen table shows the once-montly RMM regimen. Please clarify if this regimen is required, or if HD clinicans may consider other regimens as per the NHDP Manual?

See response to question #17

38 Attachment A, 3.7 7

Community Outreach and Education: the solicitation requires the offeror provide monthly education activities that "go beyond the normal practice of informing patients about their health…" Please clarify what that looks like for a HD clinic that may see 10-12 patients/year. This requirement appears to be in addition to the two community outreach activities required each year, so the question is what does monthly reporting of patient education beyond routine patient education look like?

What is a reasonable number of hours is recommended?

Examples of Community Outreach and Education have been provided in the solicitation. The contractor may use its best judgement to determine method and length of activities based on patient needs and contractor capabilities.

39 Attachment A, 9 13 Will the reporting system be a NBS (NEDSS -based system)?

No, the NHDP reporting system is an Electronic Health Record (EHR) that is under development. NHDP is currently exploring a data use agreement with CDC that may be used to lower the burden of reporting requirements in the future.

40 Attachment A, 9 13 Are sub-contractors required to have access to the reporting system?

Subcontractors who perform any of the reportable tasks in the SOW will need to access the NHDP reporting system.

41 Attachment A, 9 13

Under Task 9, reporting requirements include submitting encounters and surveillance forms to the NHDP using the Reporting Website. Please clarify reporting method. Are reports to be submitted using the Hansen's Disease Surveillance form?

Can you clarify if the Access Database will be required for reporting bi-monthly or if that requirement will change? Will Access database still be used?

The Surveillance form is a separate deliverable from the reports. NHDP is developing a new reporting tool that will replace the Access database. However, the current Access database bimonthly reporting tool may be required until the new reporting tool is operational.

42 Section L 43

For the technical approach, it requries that the offeror provide a copy of the facilities' most recent healthcare survey, copy on an approved State Application for Licensure, a copy of the certification demonstrating…accreditation. Are these 3 separate documets or will a letter by Joint Commission stating the certification suffice?

A letter from Joint Commission is sufficient.

43 Section F.5 11 & 12

The table outlines all reporting activities. Should the Hansen's Disease Surveillance Form, NHDP Annual Follow-up Form, etc.

include on the first page of each submission, 1) Contract number

2) Deliverable item number

3) Deliverable item delivery due date

4) Date of submission

Yes, deliverables should identify the contract information.

The information may be added to the subject line of the email. When the new reporting system is operational, vendors will be instructed on the new reporting process.

44 Section F.5 13 On page 13, it states, “Deliverables for Optional Tasks, (if exercised). What does, “if exercised" mean?

Please disregard since the Optional tasks were deleted from the SOW (see revised SOW).

45 Section F.5 13

For optional task, number 2 “Optional Task 1, Position Sensitivity Designations: background investigation(s) which is applied to one employee". What do you mean by background investigation? What sources should be used to do a background investigation?

Background checks and HRSA's personnel security systems, policies, and procedures seek to manage the risk of staff (permanent, temporary, or contract staff) exploiting, or intending to exploit, their legitimate access to an organization's assets or premises for unauthorized purposes.

This is done by conducting background investigations. HRSA conducts the background investigations. The contractors need to support the process and ensure their staff complete the process in a timely manner.

46 Section F.5 13

Clarification is needed on number 5, optional task 3 – unclear what is meant regarding Security requirements for GOCO and COCO – these are acronyms used throughout the document without an explanation. This row further states that security requirements for GOCO and COCO resources assessment and authorization package should be completed at least 30 days prior to the operational readiness review (ORR). What is an ORR? When is this typically done?

Please disregard. The Optional Tasks have been removed from this contract. Please see revised Statement of Work

(SOW).

47 Section F.5 13 For number 6, optional task 3, does asset management refer to IT hardware and software purchased using NHDP funds?

Please disregard. The Optional Tasks have been removed from this contract. Please see revised Statement of Work

(SOW).

48 Section F.5 13 Please explain number 7, optional task 3 – what is meant by a configuration scan report and that it should be done at least monthly or upon request.

Please disregard. The Optional Tasks have been removed from this contract. Please see revised Statement of Work

(SOW).

49 Section F.5 13 Please explain number 8, optional task 3 vulnerability management reports. What is a vulnerability management report which should be done weekly or upon request?

Please disregard. The Optional Tasks have been removed from this contract. Please see revised Statement of Work

(SOW).

50 Section F.5 13 Is number 10, optional task 4, HHS FedRAMP privacy and security requirements applicable to Texas?

Please disregard. The Optional Tasks have been removed from this contract. Please see revised Statement of Work

(SOW).

51 Section F.5 13 Is number 12, optional task 4, Agency assessment and authorization package applicable to Texas?

Please disregard. The Optional Tasks have been removed from this contract. Please see revised Statement of Work

(SOW).

52 Section F.5 13 For number 14, optional task 4.6 please describe what is an Incident and Breach Response Plan (IRP)

Please disregard. The Optional Tasks have been removed from this contract. Please see revised Statement of Work

(SOW).

53 Section H.5 (d) 20 Medical liability insurance: Can NHDP funds support a portion of this cost if included in the application?

The NHDP will not provide funding for medical liability insurance.

54 Section H.5 (d) 20 Medical liability insurance: If an agency is exempt, will the offeror be ineligible for NHDP funding?

Not enough information provided. The Offeror should explain and provide documentation of the exemption in their proposal so the Technical Evaluation Panel can evaluate.

55 L.1.2. 41

In L.1.2., it states volume 1 should include a statement indicating whether or not any exceptions are taken to the terms and conditions of the RFP as part of the proposal letter. Do you mean the statement should be stated in Vol 1 and also in the proposal letter?

Yes.

56 L.4.1 42 It states the proposal must stipulate that it is predicated upon all terms and conditions of the RFP. Question for NHDP: Should this be included in the proposal letter or only in volume 1?

Include the statement in the letter and vol. 1.

57 L.4.1 42 It states the proposal is firm for a period of at least 180 days.

Question: should this statement also be repeated in the proposal letter or only in volume 1?

Include the statement in the letter and vol. 1.

58 L.4.B.1 43

The proposal indicates, the most recent healthcare survey, Can you provide more clarification about the survey such as should the requestor be an outside entity? Do you have template of the type of questions that should be answered on a survey? I’m not quite clear on the ask.

The healthcare survey is based on the accrediting body that completes their facility’s survey, i.e. Joint Commission, AAAHC, etc.. The surveyor will verify any licensure, which in such case a letter of accreditation would be sufficient. No template of questons is available.

59 L.4.B.1 43 For facilities and equipment, Do you want all of the bulleted items? Or are there specific documents that are preferred?

Please respond to all of the bulleted items.

60 L.4.D 45 For L.4.D, second bullet it states include professional persons who will spend significant time on the contract. Question to NHDP: Please quantify significant time?

"Significant" was deleted from L.4.D. Please identify all professional persons who will be working on the contract.

61 L.5 46

For volume II – Section 508/VPAT – questions requested on the checklist is very technical, what support will NHDP provide to guide offerors how to present this information to their contracted entity. Also, is the checklist the only requirement for Volume II?

Offerors are expected to be able to prepare a proposal that meets the requirements in the Solicitation. Section 508/VPAT requirements are a part of this competitive requirement and will be evaluated according to Section M.6.

62 L.6 46 When submitting the CPARS, how do we access past assessment reports in sams.gov or should I use my saved copies from sams.gov?

SAM.gov has links to Customer Service at the bottom right of their website.

63 M 4.2 53

In section B, #2 it states to "describe the services which will need to be subcontracted to fulfill Task 2 of the SOW". Do you mean Task 3? If not, please elaborate on what you need to know regarding Task 2, as Task 2 is well-described regarding the kick-off meeting.

This evaluation criterion was revised to say Task 3.

64 General Question #1 Will all questions received from the applicants be combined and a response submitted to everyone?

Yes.

65 General Question #2 How will applicants be notified about the status of their application? Will it be posted in sams.gov? Or will an email be sent to the applicant?

Awards are posted on SAM.gov. Vendors submitting a proposal will be notified via email.

66 General Question #3 A page limit was not set for Volumes III & IV. I'm thinking these are primarily template driven, therefore, a page limit may not be needed. Is this assumption correct?

There is no page limit for volumes III and IV.

67 General Question #4 Can we be provided a fillable format of the attachments A-I?

If available and appropriate, fillable forms are uploaded to SAM.gov.

Attachment A - Statement of Work

PDF page

The NHDP uses a different treatment regimen than the WHO, see https://www.who.int/teams/control-of-neglected-tropical-diseases/leprosy/treatment. The following recommendations are based on the NHDP recommendations but the contractor is not bound to that guideline and may select a regimen substantiated by their clinical expertise and patient-specific factors

See response to question #17

Attachment I - Cost Proposal Template

PDF pages 128 to 136

Proposed Total for Optional Tasks. This is new, are the for future tasks? Do you need supporting documents backups for this Optional Tasks?

Please disregard. The Optional Tasks have been removed from this contract. Please see revised Statement of Work (SOW) and Cost Proposal Template.

70 Attachment F

HRSA

Contractor

NDA

“Access to privileged information from HRSA information technology systems is required in the performance of my official duties under Contract # XXXXX between the Health Resources and Services Administration employer (XXXXX)”.

What information should I write on the (HRSA) and my employer". What information should I write on the (XXXXX) regarding Contract and employer? Please clarify.

The NDA form will be completed at time of award, if an award is made. The Contract number will be provided at that time.

71 Section L.4.1 Page 42 "It must contain a statement to the effect that it is firm for a period of at least 180 days from the date of receipt by the Government". Please clarify.

Vendors shall include a statement in their proposal that the information in the proposal including cost/price are firm / will not change for at least 180 days from the time the proposal is received by the Government.

72 none identified The suspense date to submit questions is 03/22/2023. After After this date we won’t be able to submit any more questions?

Please clarify.

The vendor questions session is limited to allow time for the Government to research questions, develop answers, and post them on SAM.gov to ensure that all vendors receive the same information at the same tiime. Please follow instructions in Solicitation posting on SAM.gov.

73 Section 508 Page 11

Compliance Checklist/VPAT – One of the requirements of the RFP is the Section 508. In our case that we are providing medical services to HD patients, what is the connection? Is this focused on employees? In our actual contract, it was not a requirement for us when we submitted the HD 2018-2023 RFP.

Please clarify.

The VPAT is required for this procurement to ensure accessibility and usability by individuals with disabilities.

Compliance with these standards is mandatory for Federal agencies subject to Section 508 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794d). For more information, see https://www.access-board.gov/ict/ and the information in the Solicitation.

74 Section 508 Page 28-29

EIT Accesibility Notice – One of the requirements of the RFP is the Section 508. In our case that we are providing medical services to HD patients, what is the connection? Is this focused on employees? In our actual contract, it was not a requirement for us when we submitted the HD 2018-2023 RFP. Please clarify.

The VPAT is required for this procurement to ensure accessibility and usability by individuals with disabilities.

Compliance with these standards is mandatory for Federal agencies subject to Section 508 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794d). fore more information, see https://www.access-board.gov/ict/ and the information in the Solicitation.

75 Section F.7 Page 15 what is a Stop-Work Order?

Information on clauses can be accessed online via the Federal Acquisition Regulations at https://www.acquisition.gov/browse/index/far .

76 Section I.3 Page 24 it means that if we had prior Protest reports, those documents must be included in this RFP?

No. Clause FAR 52.233-2 is not about prior protests; it provides instructions on how to file a protest. Please see the FAR at https://www.acquisition.gov/far/part- 33#FAR_Subpart_33_1

77 Section I.4 Changes Page 26

e) Equitable adjustments is this related to a Modification/Solicitation form?

No. Please refer to https://www.acquisition.gov/browse/index/far for information on Federal Acquisition Regulations clauses and provisions.

SOW Optional Task #2 Requirements Involving Privacy Act Records who supplies the information requested on the following: SORN Name/Number Description of design, development, and/or operation work Records Disposition Instructions

Please disregard. The Optional Tasks have been removed from this contract. Please see revised Statement of Work

(SOW).

79 Attachment I Cost Proposal Template

Labor categories/Description - Number of Hours/Quantity and Hourly Rate/Unit Price applies to all the items? Please clarify

No. Some cost elements may be a percentage and not require the number of hours/quantity.

80 SOW Task 8 Page 13

NHDP Medical Professional Training and Education In the last sentence it reads as follows: "Perform one activity quarterly and provide the status of the activity as outlined in Task 7.

Reporting Requirements" Task 7 is Consultation/Referrals (Cost- Type Line Item) - Page 12 Should it be Task 9 Reporting Requirements (9.5) - NHDP Medical Professional Training and Education?

Please see revised SOW. Task 8 which was corrected to reference the correct Reporting Requirement task number.

81 none identified

Do we need to include the following Attachments in the RFP documents to be e-mailed to you? Attachment A – Statement of Work, Attachment B - Invoice Instructions, Attachment C CPARS Information Sheet, Attachment D – Disclosure of Lobbying Activities (does not apply to us), Attachment E - Past Performance Questionnaire (will use past CPARS evaluations), Attachment G - HHS SubContracting Plan Template - required if the estimated cost of the contract may exceed $750,000 ($1,500,000 for construction) (does not apply to us), Attachment B - Quality Assurance Surveillance Plan (QASP)

Attachments A SOW, B Invoice Instructions, C CPARS Information Sheet, H QASP do not have to be submitted with the proposal but will be included in the contract award, if an award is made. Attachments D Disclosure of Lobbying Activities and F NDA will be completed by Contractors prior to award, if an award is made. Attachment E Past Performance Questionnaire is submitted by the Offerors' customers. If CPARS reports are being submitted, then Offerors will include it in their proposals. Attachment G HHS Subcontracting Plan shall be submitted with the proposal if applicable.

82 Attachment A 1 Under Purpose, the requirement is for the vendor to diagnose HD. Can the vendor submit specimen to the NHDP for PCR testing to diagnose HD?

The contractor shall provide all service aspects of Task 1, which include initial pathology testing. NHDP Laboratory can provide initial PCR testing. Additionally, NHDP can provide confirmatory histopathology reviews as needed.

83 none identified

I am wondering if you have any suggestions on who should be listed as the Project Director? Our doctor retired and we have a new doctor starting in May/June 2023. Since the doctor is not currently on board yet, should we list someone else as the Project Director, perhaps our Department head or faculty that is covering the Hansen's clinic? Additionally, should the new doctor be added to the proposal now? or should she be added once she is on boarded?

We recommend including current and future staff that meet the evaluation criteria.

84 Cost Template Do you have the cost proosal template for the Hansen's disease solicitation in excel formate or do I need to fill it out in PDF?

No, the template is provided as a general guide to the cost elements needed.

Compensation Cost Price

We are working on the Compensation Cost/Price: Should the hourly rate be based on actual/current hourly rate of the key personnel? Or should be a county hourly rate?

Please see Section L.7 on business proposal instructions. The Offeror must submit a cost proposal fully supported by cost and pricing data.

Compensation Cost Price

Should the Base Period of Performance and the Option Period One to Four be the same cost?

No, the base period includes 6 months of costs and Option Periods 1-4 are for 12 months each; and then a 6 months extension option period. Most Offerors include an estimated inflationary cost of living increase in the cost/price for option periods.

Compensation Cost Price

Can we provide an estimate for the Option Period One to Four?

Proposals shall include final costs/prices for all contract years. Please complete Section B with final costs. Once the contract is signed, costs/prices are locked in.