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FBO DAILY - FEDBIZOPPS ISSUE OF AUGUST 02, 2014 FBO #4634
DOCUMENT

Q -- VISN 5 Primary Care - Attachment

Notice Date

7/31/2014
 

Notice Type

Attachment
 

NAICS

621111 — Offices of Physicians (except Mental Health Specialists)
 

Contracting Office

Department of Veterans Affairs;VAMC (512);VISN 5 - Contracting Officer;Boiler House Road, Building 101C;Perry Point MD 21902
 

ZIP Code

21902
 

Solicitation Number

VA24514R0214
 

Response Due

8/11/2014
 

Archive Date

8/26/2014
 

Point of Contact

Crystal Showell
 

Small Business Set-Aside

N/A
 

Description

Questions & Answer (Assembly I) VA245-14-R-0214 7/31/2014 Answers are Highlighted in Yellow "Application Submission oDo you have a preference for use of the SF 1449 or an alternate form of conveying the information requested in E.1 52-212-3? It would seem the requests for information are far beyond scope of the form 1449, so we would propose a separate document responding to the E.1 52-512-3 requirements. If so, should the 1449 also be completed with a "see Attachment O: Offer Letter"? "E.1 is to be presented in your technical package separate from the 1449. oIf we are to complete the SF 1449, could you clarify the below: "Contractor is instructed to complete section 17; what is "CODE" and "FACILITY CODE"? Is this meant to ask for address as well as telephone? "Do not be concerned with those two boxes. The only information needed from the contractor on the 1449 page is: Contractor's name, address, contact number, and DUNS. Also on the 1449, the contactor is to submit your cost in blocks 23, 24, and 26. Lastly, the Contractor is to sign and date at blocks 30a, b, and c. "Contractor is instructed to complete section 23 and 24; given that the contract is not for a discrete volume of services, is it sufficient to attach separate pricing proposal (CLIN)? The amount will depend on the actual services required to care for Veterans according to the medically necessary and appropriate care determinations made by Contractor. "On the 1449 page, please submit a cost per PT for an estimate of 1000 patients. You can be more detailed in your cost in your separate submission of cost based on the CPT Codes. "Records & Security oWill Contractor have access to any Medical Records of Veterans who initiate care at Contractor? It would seem cost-inefficient for non-VA primary care provider to repeat testing and services based on the need to establish a new baseline; provision of medical history would allow for Contractor not to order redundant testing, vaccination, etc. "It is preferred that the contractor has access to CPRS. This process will be established after contract award. oHow does the VA desire to receive electronic transfer of progress notes and medical records? "By Fax until the CPRS bridge is completed - after award. oSection B2. IT Contract Security describes a set of expectations with regard to Contractor access to VA Systems. It would not appear from this contract that Contractor would have such access, and thus these clauses seem irrelevant. Please explain the need for Contractor to access VA systems. "This will be explained after award to the successful offer if needed for this contract. This is standard VA language for these types of RFPs/Contracts. "Accordingly, does Contractor need to obtain background investigations? This would seem an undue burden on Contractor (page 12). "Yes the contractor will need to obtain a background investigation and Credentialing. "Termination oThere is no termination clause for the Contractor (whereas VA has immediate termination rights). What would happen should the Contractor reach capacity? "This is standard Federal Regulations. Government contracts do not come with a clause for termination for the contractor. If the contractor reaches capacity, that contractor will not receive any more referral/patients. The award will possibly/more than likely be multiple award contracts. "Scope of Services " oIf a bidder is not able to meet all requirements of the solicitation, does that automatically disqualify them? For example, radiology is not typically something that small community-based primary care providers do on-site. Nor is it something that is logical to subcontract, given that the VA Medical System has radiology in its system (presumably sufficient supply and cost-effective relative to sub-contracting). Similarly, the ability to provide Veterans with a choice of gender is not something all family practices can accommodate and might disqualify many bidders. "Radiology services are not a mandatory. However, if a Veteran prefers a choice of gender and the contractor is unable to accommodate, after award, the Veteran will be referred to another awardee or back to the VA. oIn B.5 3.1.1, there is some contradictory language: "Primary care providers must arrange referral back to the parent VAMC if services that were not previously authorized are required to include MRI, CT, any procedure that requires conscious sedation, unless the code is specifically listed in Attachment 3, Excepted Primary Care CPT-IV codes. CPT-IV codes listed in Attachment 3 do not require a request for additional services and are pre-authorized." o Does this mean that Attachment 3 are the only billable services that do not require pre-authorization? No What about common primary care procedures (e.g. removal of nail plate (11730), insertion of IUD (58300), removal of impacted earwax (69210), vaccine administration (various), etc.? Removal of Impacted Earwax and Vaccine Administration should not require prior authorization. If in question after award, you will need to contact the Contract Officer Representative (COR). "Capacity oCan we confirm expected volume of 1000 and describe the expected 'pace' of these referrals? (All within a week or a handful each day?) The pace of referrals for non-VA primary care is a major driver of whether a Contractor can meet the timeliness requirements (e.g. get visit scheduled within 5 days and hold visit within 30 days). "This cannot be confirmed, it is an estimate to establish the scope. The VA is considering multiple awards as specified in the RFP in order to alleviate this concern. oHow does a Contractor gain ability to prescribe at VA? Is there a set of steps that Contractor must be prepared to take? "Section 13.3.1 says "The Contractor may become an authorized prescriber by the parent VAMC to prescribe medications to be dispensed by VA" but does not explain how that happens / what is process. Later, in 13.4.1 it says "Prescriptions written by a non-VA provider in conjunction with a provider visit covered by VA, under the Non- VA Medical Care Program designation, are authorized to be filled by VA Pharmacy Service" which may imply that no special process is necessary for Contractor to be able to write prescriptions under the contract for fulfillment at VA Pharmacies. Please confirm whether Contractor has to take steps to be compliant. "The VAMHCS Pharmacy has a credentialing procedure. Will be explained in better detail during preaward conference. "Payment oThere is no explanation of how claims will be submitted or paid. Typically, practices submit electronically through an EMR and payment is issued as an EFT using an 835 electronic remittance form. "Website: http://www.fsc.va.gov/einvoice.asp "http://www.nonvacare.va.gov/edi.asp "Though a vendor may have been issued a vendor file previously, for this RFP, a vendor file will be established by the Contracting Officer for contractor or contractors that are selected for award, after an award letter is offered. "Is the $100,000,000 per occurrence amount listed in C.8 VAAR 852.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE section a typo? oYes, should be 1,000,000.00 - However, if the Contractor is an entity or a subdivision of a State that either provides for self-insurance or limits the liability or the amount of insurance purchased by State entities, then the insurance requirement of this contract shall be fulfilled by incorporating the provisions of the applicable State law.
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/VA/MaVAMC613/MaVAMC613/VA24514R0214/listing.html)
 

Document(s)

Attachment
 

File Name: VA245-14-R-0214 VA245-14-R-0214_3.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1541233&FileName=VA245-14-R-0214-005.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1541233&FileName=VA245-14-R-0214-005.docx

 

Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
 

Record

SN03444350-W 20140802/140731235005-3f31facb83e2471d1ec616ff5669a2f1 (fbodaily.com)
 

Source

FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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