The VA North Texas Health Care system requires community based Outpatient clinic (CBOC))

The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17 seeks a contractor to operate a community-based outpatient clinic (CBOC) in Sherman, Texas serving Veterans primarily residing in Grayson County and surrounding counties, with proposals due September 30, 2026. The procurement is a Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside and is structured as a fixed-price indefinite-delivery indefinite-quantity (IDIQ) contract on a per-member-per-month capitation basis.

Place of performance is Dallas, Texas 75216, serving the Sherman CBOC location. The contractor must provide primary care, mental health, pharmacy, women's health, telehealth, and general diagnostic radiography (plain film X-ray only) services. The contractor furnishes all clinic-administered medications, vaccines, medical supplies, digital radiography equipment meeting DICOM and HL7 interoperability standards, facility maintenance, security systems, and telecommunications infrastructure. The VA provides certain services including outreach specialists, specific PACT team members, telehealth and EKG equipment, point-of-care testing supplies, and mental health injectables prescribed by VA providers.

Current billable enrollment is 4,466 Veterans with approximately 13,956 annual primary care encounters and projected growth to 6,678 enrollees by year nine. The contract structure comprises a one-year base period (December 1, 2027 through November 30, 2028) followed by nine 12-month option periods through November 30, 2037. The guaranteed minimum award is $581,175.00; the ceiling is $70,000,000.00. The contractor must maintain core primary care teamlet staffing ratios of 3 or greater full-time equivalents per primary care provider, operate extended hours as directed by VA, and meet staffing requirements across multiple disciplines including psychiatrists, physician assistants, nurse practitioners, nurses, and support personnel.

Evaluation criteria weigh technical approach and past performance capability against price. The NAICS code is 621498, All Other Outpatient Care Centers; the PSC code is Q201, Medical-Managed Healthcare. Service Contract Act prevailing wage rates apply per Wage Determination 2015-5255, Revision 29, effective May 13, 2026. Contractors must comply with FedRAMP security standards, VA telehealth operational manuals, suicide prevention protocols, medication reconciliation procedures, and environment-of-care assessment requirements. Organizational conflicts of interest certification and contractor rules of behavior acknowledgment are required. The contracting officer is Carlos Jaquez (915-341-4575, carlos.jaquez@va.gov).