Yale Community Based Outpatient Clinic

The Department of Veteran Affairs intends to solicit for Community-Based Outpatient Clinics (CBOCs) for providing Primary Care and Mental Health Services in a private hospital, office or clinic environment to veterans primarily residing in Sanilac County; Macomb County; and St. Clair County, Michigan. The result of this solicitation will be a Firm Fixed Priced capitated rate contract from the date of contract award to September 30 with 4 option years. This acquisition will use the streamlined acquisition process as provided by FAR Part 15, Contract by Negotiation. This procurement is anticipated to provide a single award to the quote providing the best value to the Veteran Affairs (VA).



The Contractor shall be responsible for protecting all Contractor personnel furnishing services. To carry out this responsibility, The Contractor shall provide or certify that the following is provided for all contract staff providing services under the resultant contract:



- Workers' compensation

- Professional liability insurance

- Health examinations

- Income tax withholding, and

- Social security payments



Major duties to perform:





Contractor performing Primary Care and Mental Health services shall provide a continuum of care from prevention to diagnosis and treatment, to appropriate referral and follow-up. The Contractor shall provide CBOC services solely dedicated to veterans regardless of gender or age. Those patients needing specialty or follow-up care shall be referred to VA. Contractor's CBOC must have the necessary professional medical staff, diagnostic testing and treatment capability, and referral arrangements needed to ensure continuity of health care. The Contractor shall be responsible for meeting or exceeding VA and TJC (or equivalent) standards. The hours of operation for services rendered will be Monday - Friday from 8:00 am to 4:30pm, with one weekday clinic extending to 6:00pm as well as a one Saturday clinic per month. The extended weekday clinic and monthly Saturday clinic will be determined by JDDVAMC. Primary Care services will provide a continuum of care from prevention to diagnosis and treatment, to appropriate referral and follow-up. Those patients needing specialty or follow-up care shall be referred to JDDVAMC. Primary Care services include longitudinal outpatient medical care for the purposes of prevention and detection of disease and subsequent management of medical conditions, for veterans deemed eligible. The care will be provided by primary care providers who may be general practitioners or general internists or their authorized designees. The proposed CBOC, at a minimum, shall provide one standard of care that must be consistent, safe and of high quality. Additionally, the proposed CBOC is expected to comply with all relevant VA policies and procedures, including those related to quality, patient safety and performance. The CBOC must be poised to respond quickly to VA policy and procedure changes. If requested or required by either the government or the Contractor, the Contractor will work closely with the Contracting Officer and COR to modify the contract expeditiously, in order to limit the impact on the clinic's veterans and ensure consistency with the care provided by the VA's other Primary Care Clinics.