Q201--Q201- Final Clarification of Answers to Questions

Please see attachments S05- Vendor Questions2 and S02- 36C26223R0053 0002

RFQ- 36C26223R0053

Vendor s Questions

Is the Medical Director required to be onsite?

No

Is a physician required to be onsite during all hours of operation?

No, can be a mid-level provider (NP, PA)

Regarding section 2.4.4, Discipline Specific 5: PC-MHI, A mix of the following disciplines shall be selected to meet the PCMHI FTE ratio performance standard and PCMHI service requirements. With a clinic of 675-685 Primary Care Patients, the FTE requirements for PCMHI are less than one full-time position. Does the VA have a preference for how the Contractor staffs the PCMHI position? Could the VA clarify if any of the specific disciplines listed under 2.4.4 are required?

It is stated that the only required is the PCHMI and listed are the options of degree.

How is the quantity of PCMH patients determined? Based on average data come approximately 15 to 20% of overall enrollees. Are there PCMH vesting visits?

No

Regarding section 2.8, how many synchronous and/or asynchronous encounters are anticipated per year at the Espanola CBOC?

ASKING OCC, will post answer by 11/24/2023 4pm PDT.

Does the current site meet the solicitation requirements? (exam rooms, meeting spaces, telehealth requirements, on stage off stage, etc.)

Yes

Are the on-stage/off-stage design features of the PACT Space Module Design Guide required? If on-stage/off-stage design is not required, will it be evaluated more favorably than a clinic that does not include on-stage/off-stage design?

It is strongly suggested that the design features are followed; however, Contractor s design of space will be evaluated on how it best supports accessibility and the PACT model of care. For any buildout/construction that might be required to prepare space for performance of this contract

Will the VA provide the lab specimen tubes?

Only if there is a specific VA directive that dictates a specific manufacturer or design for a certain type (style of tube, test ect.)

Regarding Paragraph 4.8.11.16, would the VA be willing to provide Well Women s Health Services Supplies, including Thin Prep Pap Test, Pap Smear Collection Kits, Cytobrushes, as well as the IFOBT kits? In our experience, these supplies are difficult for the contractor to procure.

It is possible as a point of negotiation and depending on the number/size of the Women s health panel in the specific clinic.

Please provide the number of billable enrollees on the most current invoice for the last 3 consecutive months?

August (680); September (694); October (678)

Can the government confirm who (contractor or government) will provide social worker support?

Contractor will provide social worker

Can the government please extend the submission deadline by two weeks?

No, all proposals are due December 7th, 2023 by 4:00 PM PDT.

What is the anticipated award for this procurement?

Mid-January

Will the government provide a centrifuge for the lab?

No

Please advise if the women s health room may count also as a regular exam room?

Up to contractor so long as the primary purpose is women s health

Will the VA provide a list of all VA staff that require an office at the CBOC, including what type and size of office (if any)

Yes

Who is responsible for courier services VA or contractor?

Contractor

Does the VA or the Contractor pay for the urgent/emergent medications filled at the local pharmacy?

VA does

Will the VA please confirm if VA will provide the phone circuit and physical phones?

No to be provided by contractor as typically provided by local phone service/utility

The government s mental health CLINS in the solicitation appears to be greatly inflated compared to the current enrollment. Why does the government project this number will more than double within the first year of the contract? Please indicate where the inflated number was referenced or seen.

The PCHMI is based of 15 to 20% of PMPM

What is the minimum billable quantity for primary care and mental health?

650

Is this care for abortion or abortion counseling limited to a VA staffed provider through consult from the CBOC provider?

The care would be initiated through the VA Women s Health program. The evaluations would be based on their recommendations.

If VA is providing a telederm imager, will this VA staff member be co-located in the CBOC with contractor staff?

Yes

Is this position provided by VA?

No this is provided by the contractor

4.3.2 and 4.3.2 estimates about five traveling vet visits per month. Is this accurate?

Yes

4.10.12 EKG will be provided at cost to contractor. What is the total cost to the contractor? Approximately $14k

Does the government require a Women s Health Exam Room in addition to the procedure room?

Yes

Please list all VA staff that will be onsite at the clinic and the approximate number of days per week they will be there.

FTE: 1.0 to 2.0 (TCT) based on panel size, normal clinic hours

Will the government be doing site visits prior to award? If so, how much advance notice will the contractor be given?

Yes minimum 5 business days

Please list the vaccines the contractor is responsible for purchasing and provide information on how many of each vaccine were used at the clinic in the past year.

All, except for COVID as of 11/21/2023

21/2023. Subject to change.

For the proposal, we do not see a subfactor for location information (address, floor plans, etc.). Please confirm?

Confirmed. Please reference PACT Space guidelines

Does the VA have additional preferences on square footage minimum requirement, included furniture, and locations or number of electrical & data drops?

Yes

Does the VA have additional preferences on square footage minimums, included furniture, or sinks included in any/all the telehealth rooms?

Yes

Does the VA have preference to include TCT office? No only the rooms the equipment is in. If so, what is the square footage minimum requirement, included furniture requirements, and what locations or number of electrical and data drops are to be included in the office? Outlined in space plan

How many offices should be provided for Mental Health staff? One per provider What is the size minimum requirement and furniture requirements?

Outline in space plan

Will the government add price realism language to the current solicitation? In order to prevent contractors from deliberately underbidding this contract?

No, are not required.

Does the government wish to have a staffing plan from the contractor in the proposal?

Yes

Does the government want the contractor to provide information on candidates that will staff the clinic? Not necessary

If so what information? N/A

Would you suggest we could bid exclusively on the mental health services? Or should we offer to sub to the organization that wins the contract?

Offer to Sub

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Please see attachment S02- 36C26223R0053 Espanola CBOC_