R612--Insurance Discovery for the San Francisco Veterans Affairs Health Care System (SFVAHCS)

The Department of Veterans Affairs Veterans Health Administration (VA) is soliciting insurance discovery services for the San Francisco Veterans Affairs Health Care System (SFVAHCS) through Solicitation 36C26125Q0147. The primary objective is to hire a contractor to provide insurance discovery software and one part-time employee (20 hours/week) to identify active, inactive, and potentially eligible insurance coverage for VA beneficiaries through Medicaid, Medicare, and other health insurance programs. Key contract requirements include conducting beneficiary screening, researching coverage options, assisting with application processes, providing weekly status updates, and maintaining HIPAA compliance through a Business Associate Agreement. The contractor must provide on-site services Tuesday through Friday from 9:00 AM to 2:30 PM at the San Francisco VA Medical Center, with ad hoc telework capability. Proposals are due by January 15, 2025, at 10:00 AM PST, with the evaluation likely focusing on the contractor's ability to meet the specified service requirements and compliance standards.

The solicitation is a 100% set-aside for small businesses under NAICS code 524298 (All Other Insurance Related Activities) with a size standard of $30.5 million. The contract includes a base period from February 1, 2025, to January 31, 2026, with four one-year option periods potentially extending the contract through January 31, 2030. The place of performance is the San Francisco VA Medical Center, where the contractor will work closely with the Clinical Command Center and social workers to verify and assist with insurance coverage. Notably, the contractor is prohibited from billing insurance companies or taking billing actions on behalf of the VA. The wage determination document indicates that service contract employees will be subject to specific hourly wage rates and benefits, with a minimum wage of $17.20 per hour under Executive Order 14026. While specific award values are not explicitly stated, the contract scope suggests a focused, specialized service supporting veterans' healthcare insurance needs.