VA791-16-R-0086-A00018000.docx

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5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE

OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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:

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ 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 ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, 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.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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.

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

D. OTHER

BY

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) A00018 12-12-2017 Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden

CO

80401-5621 Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden

CO

80401-5621 To all Offerors/Bidders

VA791-16-R-0086

X X X The purpose of this amendment is to:

1. Open discussions for Region 4 only;

2. For Regions 1, 2, and 3, all offerors are requested to provide a proposal extension of 180 days from this amendment,

3. Amend the Data Rights language in Section B.4,

4. Amend the Price proposal submission instructions for CLINs XXX8 and XX10; and

5. Amend page limitations and define instructions for submission of revised proposals.

See attached pages for further details of all amended terms and conditions.

David F. Little Contracting Officer, CSAS

CONTINUATION PAGE

Summary of Changes The following terms and conditions are amended.

1. Section A.2 Schedule of Services CLIN XXX8 is deleted and replaced with:

CLIN XXX8, Home Infusion Therapy. Home Infusion Therapy services will be paid using the order of precedence listed in Section A.2, paragraph 8.

2. Section A.2.1, CLIN 1008 is deleted and replaced with:

CLIN
DESCRIPTION
UNIT
BASE
OPTION I
OPTION II
OPTION III
OPTION IV
OPTION V
OPTION VI
OPTION VII
1008
Home Infusion Therapy
Each
See CLIN 1001, 1006, or 1007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 1001, 1006, or 1007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 1001, 1006, or 1007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 1001, 1006, or 1007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 1001, 1006, or 1007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 1001, 1006, or 1007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 1001, 1006, or 1007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 1001, 1006, or 1007 as applicable in accordance with Section A.2, paragraph 8.

3. Section A.2.2, CLIN 2008 is deleted and replaced with:

CLIN
DESCRIPTION
UNIT
BASE
OPTION I
OPTION II
OPTION III
OPTION IV
OPTION V
OPTION VI
OPTION VII
2008
Home Infusion Therapy
Each
See CLIN 2001, 2006, or 2007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 2001, 2006, or 2007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 2001, 2006, or 2007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 2001, 2006, or 2007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 2001, 2006, or 2007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 2001, 2006, or 2007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 2001, 2006, or 2007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 2001, 2006, or 2007 as applicable in accordance with Section A.2, paragraph 8.

4. Section A.2.3, CLIN 3008 is deleted and replaced with:

CLIN
DESCRIPTION
UNIT
BASE
OPTION I
OPTION II
OPTION III
OPTION IV
OPTION V
OPTION VI
OPTION VII
3008
Home Infusion Therapy
Each
See CLIN 3001, 3006, or 3007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 3001, 3006, or 3007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 3001, 3006, or 3007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 3001, 3006, or 3007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 3001, 3006, or 3007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 3001, 3006, or 3007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 3001, 3006, or 3007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 3001, 3006, or 3007 as applicable in accordance with Section A.2, paragraph 8.

5. Section A.2.4, CLIN 4008 is deleted and replaced with:

CLIN
DESCRIPTION
UNIT
BASE
OPTION I
OPTION II
OPTION III
OPTION IV
OPTION V
OPTION VI
OPTION VII
4008
Home Infusion Therapy
Each
See CLIN 4001, 4006, or 4007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 4001, 4006, or 4007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 4001, 4006, or 4007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 4001, 4006, or 4007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 4001, 4006, or 4007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 4001, 4006, or 4007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 4001, 4006, or 4007 as applicable in accordance with Section A.2, paragraph 8.
See CLIN 4001, 4006, or 4007 as applicable in accordance with Section A.2, paragraph 8.

6. Section B.4 Data Rights paragraph 3 is amended to add the following:

With respect to Contractor’s provider reimbursement rates, in the event the contractor notifies the VA in writing of the proprietary nature of the rates, the VA agrees that it will not disclose such rates outside the federal government in connection with a competitive acquisition for same or similar services to the Community Care Network.

7. Section E.2.3.2.1 is added as follows:

If requested by VA, Offerors shall provide the following Volume quantities for all proposal revisions:

VOLUME
VOLUME TITLE
NUMBER and TYPE OF ELECTRONIC COPIES
NUMBER OF HARD COPIES
I
Technical
1 Microsoft Word version with all changes tracked using Microsoft Word capability, 1 Adobe PDF with all changes accepted (i.e. conformed), and 1 Microsoft Excel file that contains current provide data.
8 individual copies of the track change Microsoft Word version and 5 individual copies of the conformed Adobe PDF version.
II
Past Performance
1 Microsoft Word version with all changes tracked using Microsoft Word capability and 1 Adobe PDF with all changes accepted (i.e. conformed)
1 copy of the track change Microsoft Word version and 1 copy of the conformed Adobe PDF version.
III
Socioeconomic Concerns
1 Microsoft Word version with all changes tracked using Microsoft Word capability and 1 Adobe PDF with all changes accepted (i.e. conformed)
1 copy of the track change Microsoft Word version and 1 copy of the conformed Adobe PDF version.
IV
Price
1 Microsoft Word version with all changes tracked using Microsoft Word capability and 1 Adobe PDF with all changes accepted (i.e. conformed)
1 copy of the track change Microsoft Word version and 1 copy of the conformed Adobe PDF version.

8. Section E.2.6.1. is amended to add:

If requested by VA, a cover letter for proposal revisions will be limited to 1 page, and must include, at a minimum, confirmation of the affirmations made in the original cover letter and the revised proposal validity date in accordance with Section E.1 52.212-1(c) Period of Acceptance of Offers.

9. Section E.2.8 is amended to add:

If requested by VA, the revised conformed Technical Volume has a page limit of 315 pages. This page limitation does not include the Microsoft Excel Addendum for the provider list. See Section E.2.3.2.1 for additional details regarding the number of electronic copies and hard copies for revised proposals.

10. Section E.2.9.8 is added as follows:

E.2.9.8. If requested by VA, the revised conformed Past Performance Volume is extended 2 pages beyond the past performance data sheets limitations of E.2.9.1 and the small business participation narrative limitation of E.2.9.5.

11. Section E.2.10.2 is amended to add:

If requested by VA, the revised conformed Socioeconomic Volume has a page limit of 14 pages.

12. Section E.2.11.1 is amended to add, “All content submitted in response to requests for other than certified cost or pricing data are excluded from the 20-page limit.”

13. Section E.2.11.2 is deleted and replaced with:

E.2.11.2 The Schedule of Services contains CLINs with varying pricing methodologies. Some CLINs and SubCLINs are already priced by VA. The Offeror must propose pricing for all non-prepriced CLINs (i.e. populate all cells within the Schedule in Sections A.2.1, A.2.2, A.2.3 or A.2.4), including all CLINs identified as optional, in the region for which it is proposing. The Offeror must use the American Dental Association (ADA), “CDT 2017: Dental Procedure Codes,” book/tool and submit a single price for all CDT codes, with the exception of those CDT codes listed in E.2.11.2.1, in the region for which it is proposing in Excel format compatible with Microsoft 2010. Offerors must provide pricing for the base year and all option periods for all non-prepriced CLINs in the region for which it is proposing. Failure to price the base and all option periods shall cause the offer to be rejected from further consideration.

14. Section E.2.11.2.1 is added as follows:

Offerors shall exclude the following CDT codes from its price proposal:

D0145
D5923
D7999
D0423
D5924
D8030
D0600
D5925
D8050
D1120
D5926
D8060
D1999
D5927
D8080
D2999
D5928
D8999
D3357
D5929
D9985
D3999
D5959
D9986
D4999
D5960
D9987
D5919
D5999
D9999
D5922
D6999
© Copyright 2016 American Dental Association
All Rights Reserved

15. Section E.2.11.3 is deleted and replaced with:

E.2.11.3 Specific to CLIN XXX8 - Offerors shall submit a Microsoft Excel file containing a list of Home Infusion Therapy services with the corresponding HCPCS or CPT code that do not currently have a Medicare reimbursement rate. Provide a default reimbursement rate (% of billed charges) for any Home Infusion Therapy services for which a reimbursement rate may not have been established by Medicare.

[End Summary of Changes]

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