Q508--hematology/oncology-on-site-603

36C24924Q0405 SOURCES SOUGHT NOTICE

2

This is a Sources Sought notice. This is NOT a solicitation for proposals, proposal abstracts, or quotations. The purpose of this notice is to obtain information regarding the availability and capability of all qualified sources (small and other than small) to perform a potential requirement. The Department of Veterans Affairs, Network Contracting Office 9, hereby provides notice of its anticipated issuance of a Healthcare Service Contract to a qualified source. Based on responses received from this notice a determination will be made on the method used to solicit for proposals, proposal abstracts, or quotations. The anticipated period of performance shall consist of one (1) year beginning upon award for one year only. (See CLIN structure for anticipated need)

This requirement will provide Onsite Board Certified/Board Eligible Hematology/Oncology Physician(s) Services for beneficiaries of the Robley Rex Veterans Affairs Medical Center (VAMC) located at 800 Zorn Ave., Louisville, KY, 40206-1433.

THIS SOURCES SOUGHT NOTICE IS NOT A REQUEST FOR COMPETITIVE QUOTES/PROPOSAL. However, interested parties may identify their interest and capabilities by responding to this requirement no later than September 6, 2024 at 5:00 PM, Eastern Standard Time (EST).

Purpose and Objectives: Your responses to the information requested will assist the Government in determining the appropriate acquisition method. A determination not to compete this requirement based upon responses to this notice is solely within the discretion of the Government. Information received will normally be considered solely for determining whether to conduct a competitive procurement.

The Department of Veterans Affairs will NOT be responsible for any costs incurred by interested parties in responding to this notice. Only written responses will be considered. All responses from responsible sources will be fully considered. As a result of analyzing responses to this notice, the Government shall determine if a solicitation will be issued. Any prospective contractor must be registered in the System for Award Management (SAM) to be eligible for award.

Interested parties are encouraged to furnish information by email only with RESPONSE TO SOURCES SOUGHT NOTICE 36C24924Q0405 ONSITE BOARD CERTIFIED/BOARD ELIGIBLE HEMATOLOGY/ONCOLOGY PHYSICIAN(S) SERVICES in the subject line. All documents submitted, will not be returned. All interested parties shall submit clear and convincing documentation demonstrating their capabilities to satisfy the requirements listed within this notice to Contract Specialist, Samantha Shackelford by email at samantha.shackelford@va.gov. The capability documentation should include general information and technical background describing in detail, the prospective contractor's capabilities, any relative experience that will demonstrate your ability to successfully perform this requirement, your company s business size, Unique Entity ID, and primary point of contact.

Point of Contact: Samantha Shackelford, Contract Specialist e-mail noted above.

NAICS code: 621111 and SBA Sized Standard is $16M PSC Q508

NOTE: All respondents must be registered in the System for Award Management https://sam.gov

SCHEDULE OF SERVICES

The Contractor shall furnish all key personnel to provide services necessary to perform onsite Hematology Services to eligible beneficiaries of the Department of Veterans Affairs, Robley Rex Medical Center (hereinafter referred to as VAMC), located in Louisville, Kentucky. The Contractor s physician(s) care shall cover the range of Hematology services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by the American Society of Hematology http://www.hematology.org/Clinicians/Guidelines.aspx.

Place of Performance: Services shall be provided on site, VAMC Robley Rex Department of Veterans Affairs (VA) (also known as the Louisville VAMC) located at 800 Zorn Avenue, Louisville, KY 40206

pleting each CLIN for the base year and option years.

The Committee/Conference Attendance services CLIN will be billed per agreed daily rate; and therefore, is not billed per CPT code nor needs to be completed below.

Throughout the life of the contract the VA will pay the awarded firm fixed percentage of the Medicare rate effective at the time the service is provided by the Contractor.

This basis of the contractor s proposed fixed percentage of Medicare rate will be used by the Government for future pricing of additional codes/procedures and for reimbursement under the contract. The basis of estimate used for your fixed price, i.e., the way that your price is calculated, shall remain the same throughout the life of the contract and may be validated by post award audits.

The Offeror shall complete the attached price schedule for on-site services at the Robley Rex, VA Medical Center. No CLINS or codes should be left blank. If for some reason a code on the schedule has expired or is for any other reason unusable, offerors shall annotate the Price per Code block with N/A or otherwise notate the replacement code.

At the end of each Specialty Area Section, the Offeror must enter a Percent of Medicare that the proposed price represents. The Percent of Medicare entry is extremely important since the contract award will be at that rate. Throughout contract administration, all codes reasonably considered to be included under the specialty areas will be considered in scope. The total extended price figure will be used only to determine the total estimated contract cost for the base and all option periods. The rationale for this approach is that codes and pricing change over time and an award based on Percent of Medicare accounts for those changes. At the end of each CLIN, extended pricing for all cells will be totaled and entered the box entitled Total Extended Cost All Cells .

Indicate source for CMS rate proposed Center for Medicare & Medicaid Services, https://www.cms.gov/medicare/physician-fee-schedule/search Indicate the offeror s CMS practice expense (PE) designation for the rate proposed: (facility; non-facility; or VA facility):

For clarification:

Facility Rate (i.e. hospital)

Non-Facility Rate (i.e. Outpatient Clinic)

VA Facility Rate Should be utilized when work is performed at the VAMC because it excludes the Practice Expense (PE) RVU from the CPT Cost. The Practice Expense (PE) RVU represents the costs of maintaining a practice including rent, equipment, supplies and non-physician staff costs. The VA Facility Rate is the Work RVU and Malpractice (MP) RVU based on the appropriate locality. Â

The Contractor shall propose a minimum of four (4) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

One FTE is defined by VA as a minimum of 80 hours every two week per year and does not include holidays.

The offeror is instructed to edit the number of sub-line item number (SLIN) to correspond with the number of key personnel submitted for the line item number (LIN). Affiliate Offerors shall include the title of the personnel submitted. Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SLINs if adding or removing Key Personnel.

The offeror is instructed to include all other than certified price and cost information supporting the proposed price as directed in Instructions to Offerors addendum to 52.212-1 and Section D - Contract Documents, Exhibits, or attachments.

The Contractor shall propose a minimum of four (4) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

Period of Performance: One (1) Year from Time of Award

**CPT rates to be used for outpatient workload

CLIN No.

CPT Code

Description

Est. Qty

CMS Unit Cost

Est.Total Annual Cost

0001

98966

PHONE E/M PHYS/QHP 5-10 MIN

5

Â

Â

0002

98967

PHONE E/M PHYS/QHP 11-20 MIN

1

Â

Â

0003

99201

OFFICE O/P NEW LOW 1-14 MIN

3

Â

Â

0004

99202

OFFICE O/P NEW LOW 15-29 MIN

30

Â

Â

0005

99203

OFFICE O/P NEW LOW 30-44 MIN

26

Â

Â

0006

99204

OFFICE O/P NEW MOD 45-59 MIN

87

Â

Â

0007

99205

OFFICE O/P NEW MOD 60-74 MIN

10

Â

Â

0008

99212

OFFICE O/P EST SF 10-19 MIN

82

Â

Â

0009

99213

OFFICE O/P EST LOW 20-29 MIN

235

Â

Â

0010

99214

OFFICE O/P EST MOD 30-39 MIN

1150

Â

Â

0011

99215

OFFICE O/P EST HI 40-54 MIN

115

Â

Â

0012

99241

PROB FOCUS OFFICE CONSULTATION

2

Â

Â

0013

99242

EXPAND PROB FOCUS OFFICE CONSULTATION

4

Â

Â

0014

99243

DETAILED OFFICE CONSULTATION

2

Â

Â

0015

99244

MOD COMPLEX- OFFICE CONSULTATION

68

Â

Â

0016

99245

HIGH COMPLEX- OFFICE CONSULTATION

27

Â

Â

0017

99441

PHONE E/M PHYS/QHP 5-10 MIN

24

Â

Â

0018

99442

PHONE E/M PHYS/QHP 11-20 MIN

30

Â

Â

0019

99443

PHONE E/M PHYS/QHP 21-30 MIN

325

Â

Â

LIN

SLIN

Description

Qty.

Unit

Unit Cost

Total

Annual Cost

0001

None

Board Certified Hematology/Medical Oncology Committee/Conference Attendance

132

Hours

KEY PERSONNEL

None

0001a

Board Certified Hematology/Medical Oncology Services

NAME: ____________

TITLE: ____________

Hours

None

0001b

Board Certified Hematology/Medical Oncology Services

NAME: ____________

TITLE: ____________

Hours

None

0001c

Board Certified Hematology/Medical Oncology Services

NAME: ____________

TITLE: ____________

Hours

None

0001d

Board Certified Hematology/Medical Oncology Services

NAME: ____________

TITLE: ____________

Hours

LIN No.

CLIN

Description

Qty.

Unit

Unit Cost

Total

Annual Cost

0002

None

Board Certified Hematology Medical Oncology Committee/ Conference Attendance

52

Hours

KEY PERSONNEL

None

0002a

Board Certified Hematology/Medical Oncology Services

NAME: ____________

TITLE: ____________

Hours

Performance Work Statement for Onsite Hematology / Medical Oncology Services

GENERAL:

Services Provided: The Contractor shall provide Board Certified Hematology/Medical Oncology Physician Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Robley Rex VA Medical Center in Louisville, Kentucky. The Contractor s qualified Hematology and Medical Oncology physician(s) shall provide outpatient services, with a minimum of (1) (6) hour clinic session and up to a maximum (3) (6) hour clinic session days per week as needed per VA requirements; each clinic with a maximum of (25) patient slots; one clinic day must be on Friday; focusing on general hematology-oncology including all sub-specialties and inpatient coverage as ad-hoc. Clinic session days will be negotiated and mutually agreed upon between Contractor and the VA Medical Center, to provide coverage for other Hematology/Medical Oncology outpatient clinics during times of staffing shortages or staff absences and valid emergencies as needed. Services will be coordinated through the assigned VA Hematology/Medical Oncology physicians. Services will be rendered at the Robley Rex Veterans Affairs Medical Center (VAMC), 800 Zorn Avenue, Louisville, KY 40206. Contract physicians shall meet or exceed currently recognized national standards as established by The Joint Commission (TJC), and the standards of the American Hospital Association (AHA). In addition, physicians shall comply with all Veterans Health Administration s (VHA) regulations and directives. The Contractor shall provide sufficient personnel who meet all requirements herein and who can be relied on to perform in strict accordance with the contract. The Contractor shall provide physicians who are competent, qualified, and adequately trained to perform assigned duties.

The Contractor shall be available to provide outpatient consultation services for the diagnosis and treatment of Hematologic and Medical Oncology diseases. Outpatient services should be offered as needed to meet demand, with a minimum of (3) 6-hour clinic sessions day per week; one clinic day will be on Friday; and a maximum of (3) 6-hour clinic sessions per week as need is identified by VA; each clinic with a maximum of (25) patient slots. It is expected that a provider will be designated for each clinic for the life of the contract to provide continuity of care, when possible, unless circumstances beyond their control necessitate a change. The goal is for all new appointments for outpatient services to be scheduled and seen within 28 days or sooner if clinically indicated. Follow-up clinic appointments are to be seen per established guidelines.

Committee/conference attendance is required in this contract, totaling 184 hours each year, to include the committees/conferences list with this contract.

The Contractor will provide outpatient consultation services for the diagnosis and treatment of Hematology/Medical Oncology diseases. Contractor staff will work with VA leadership in an advisory manner on tumor board and their composition to improve care for our veterans.

The following table below identifying the current demand for each diagnosis type:

Diagnosis

% Breakdown of each dx type demand

Blood Cancer

3.7%

Blood Disorder

44.4%

Bone

2.8%

Brain

0.9%

Breast

1.7%

Clotting Disease

1.7%

GI

4.5%

GU

1.7%

GYN

0.2%

Head & Neck

3.6%

Leukemia

3.8%

Liver

2.6%

Lung

9.7%

Lymphoma

9.4%

Melanoma

0.9%

Neuroendocrine

0.5%

Pancreas

0.7%

Prostate

4.9%

Sarcoma

0.4%

Skin

1.5%

Testicular

0.2%

Transplant

0.1%

Spinal

0.0%

Unknown Primary

0.0%

Grand Total

100.0%

END OF PWS (EXCERPT)

END OF SOURCES SOUGHT NOTICE