G099--Medically Enhanced Program

The Department of Veterans Affairs Southern Nevada Healthcare System intends to solicit offers for Health Care for Homeless Veterans (HCHV) Contract Emergency Residential Services (CERS) with Medically Enhanced Services in Clark County, Nevada, with a pre-solicitation response due August 21, 2026. No set-aside is used. The contract will fund a community-based residential facility providing 24/7 emergency housing, meals, and medically enhanced supportive services to homeless Veterans within Clark County, including the Las Vegas Valley Area.

The facility must deliver short-term residential care with single beds, linens, and storage; three nutritious meals daily plus snacks with medical and cultural accommodations; laundry services; and medication management support. Staffing requirements mandate a dedicated full-time, on-site licensed medical case manager (LVN, RN, or BSN) at a minimum ratio of one per 12 Veterans, plus 24/7 on-site staff trained in CPR, First Aid, and emergency protocols. All staff require annual training in crisis intervention, cultural sensitivity, de-escalation, suicide prevention, medication management, fair housing laws, ADA requirements, and harm reduction philosophy.

Case management services shall focus on intake assessments, individualized care service plans, weekly structured case management, housing search assistance including credit review and rental application support, financial planning, employment referrals, and transportation to medical appointments. The facility must pass NFPA inspection within 60 days of award, maintain 85 percent minimum occupancy (90 percent preferred), achieve discharge-to-independent-housing rates exceeding 55 percent, and maintain wheelchair accessibility for at least 50 percent of beds. The contractor will not provide detoxification or hospital-level care. Veterans cannot be denied admission based on abstinence length, active substance use, disability, income, gender, legal history, or domestic violence victim status. Performance metrics and HIPAA compliance, including data breach liquidated damages of $37.50 per affected individual, apply throughout the contract term.