DOCUMENT
Q -- Community Care Network (CCN) RFP Posting - Amendment 13
- Notice Date
- 5/26/2017
- Notice Type
- Amendment 13
- NAICS
- 524114
— Direct Health and Medical Insurance Carriers
- Contracting Office
- Department of Veterans Affairs;VA Denver Acquisition & Logistics Center;(003A4D);555 Corporate Circle;Golden CO 80401-5621
- ZIP Code
- 80401-5621
- Solicitation Number
- VA79116R0086
- Response Due
- 11/18/2016
- Archive Date
- 3/31/2017
- Point of Contact
- David Little, , laura Arscott,
- E-Mail Address
-
David.Little@va.gov, Laura.Arscott@va.gov
(David.Little@va.gov, Laura.Arscott@va.gov)
- Small Business Set-Aside
- N/A
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/VA/VADDC791/VADDC791/VA79116R0086/listing.html)
- Document(s)
- Amendment 13
- File Name: VA791-16-R-0086 A00013 VA791-16-R-0086 A00013.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533324&FileName=VA791-16-R-0086-A00013000.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533324&FileName=VA791-16-R-0086-A00013000.docx
- File Name: VA791-16-R-0086 A00013 VA791-16-R-0086 CONFORMED 5-26-2017.pdf (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533325&FileName=VA791-16-R-0086-A00013001.pdf)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533325&FileName=VA791-16-R-0086-A00013001.pdf
- File Name: VA791-16-R-0086 A00013 Attachment A Rev 2 VA Enrollees by County and Closest SC FY16Q4.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533326&FileName=VA791-16-R-0086-A00013002.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533326&FileName=VA791-16-R-0086-A00013002.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment B QUALITY ASSURANCE SURVEILLANCE PLAN QASP.doc (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533327&FileName=VA791-16-R-0086-A00013003.doc)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533327&FileName=VA791-16-R-0086-A00013003.doc
- File Name: VA791-16-R-0086 A00013 Attachment BA Rev 3 QASP.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533328&FileName=VA791-16-R-0086-A00013004.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533328&FileName=VA791-16-R-0086-A00013004.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment C Rev 1 QPR Template .docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533329&FileName=VA791-16-R-0086-A00013005.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533329&FileName=VA791-16-R-0086-A00013005.docx
- File Name: VA791-16-R-0086 A00013 Attachment D Rev 1 MPR Template.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533330&FileName=VA791-16-R-0086-A00013006.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533330&FileName=VA791-16-R-0086-A00013006.docx
- File Name: VA791-16-R-0086 A00013 Attachment E Rev 2 Summary Demand Data.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533331&FileName=VA791-16-R-0086-A00013007.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533331&FileName=VA791-16-R-0086-A00013007.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment F Rev 2 Projected Active Veterans.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533332&FileName=VA791-16-R-0086-A00013008.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533332&FileName=VA791-16-R-0086-A00013008.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment G Rev 1 CCN Healthcare Services Network Quality and Performance Criteria Template.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533333&FileName=VA791-16-R-0086-A00013009.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533333&FileName=VA791-16-R-0086-A00013009.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment H Rev 2 Eligibility Verification and Enrollment Data Exchange.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533334&FileName=VA791-16-R-0086-A00013010.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533334&FileName=VA791-16-R-0086-A00013010.docx
- File Name: VA791-16-R-0086 A00013 Attachment I Rev 1 Prior Authorization Lists.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533335&FileName=VA791-16-R-0086-A00013011.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533335&FileName=VA791-16-R-0086-A00013011.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment IA Rev 1 Dental Services Prior Authorization Exception List.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533336&FileName=VA791-16-R-0086-A00013012.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533336&FileName=VA791-16-R-0086-A00013012.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment J Rev 1 Example Medical Documentation Inclusions.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533337&FileName=VA791-16-R-0086-A00013013.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533337&FileName=VA791-16-R-0086-A00013013.docx
- File Name: VA791-16-R-0086 A00013 Attachment K Case Management Standards of Practice.pdf (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533339&FileName=VA791-16-R-0086-A00013014.pdf)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533339&FileName=VA791-16-R-0086-A00013014.pdf
- File Name: VA791-16-R-0086 A00013 Attachment M Urgent - Emergent Drug Formulary.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533340&FileName=VA791-16-R-0086-A00013015.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533340&FileName=VA791-16-R-0086-A00013015.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment N Rev 1 CCN DME-O and P Request Form SAMP.pdf (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533341&FileName=VA791-16-R-0086-A00013016.pdf)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533341&FileName=VA791-16-R-0086-A00013016.pdf
- File Name: VA791-16-R-0086 A00013 Attachment O Rev 1 VA MOU ISA 2016.12.22.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533342&FileName=VA791-16-R-0086-A00013017.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533342&FileName=VA791-16-R-0086-A00013017.docx
- File Name: VA791-16-R-0086 A00013 Attachment P DAS Gateway and eCRUD Service Information.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533343&FileName=VA791-16-R-0086-A00013018.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533343&FileName=VA791-16-R-0086-A00013018.docx
- File Name: VA791-16-R-0086 A00013 Attachment Q DAS Gateway ICD.doc (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533344&FileName=VA791-16-R-0086-A00013019.doc)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533344&FileName=VA791-16-R-0086-A00013019.doc
- File Name: VA791-16-R-0086 A00013 Attachment R DAS eCRUD ICD.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533345&FileName=VA791-16-R-0086-A00013020.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533345&FileName=VA791-16-R-0086-A00013020.docx
- File Name: VA791-16-R-0086 A00013 Attachment S Rev 1 CC Data Flow Diagram.pptx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533346&FileName=VA791-16-R-0086-A00013021.pptx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533346&FileName=VA791-16-R-0086-A00013021.pptx
- File Name: VA791-16-R-0086 A00013 Attachment T Rev 4 Incentive Plan.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533347&FileName=VA791-16-R-0086-A00013022.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533347&FileName=VA791-16-R-0086-A00013022.docx
- File Name: VA791-16-R-0086 A00013 Attachment TA Rev 3 Incentives Disincentives Factor Summary.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533348&FileName=VA791-16-R-0086-A00013023.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533348&FileName=VA791-16-R-0086-A00013023.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment U Rev 3 Data Specification.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533349&FileName=VA791-16-R-0086-A00013024.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533349&FileName=VA791-16-R-0086-A00013024.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment V MVI Identity Management Data Specification.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533350&FileName=VA791-16-R-0086-A00013025.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533350&FileName=VA791-16-R-0086-A00013025.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment W Rev 2 Update with Scheduling Care Coordination.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533351&FileName=VA791-16-R-0086-A00013026.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533351&FileName=VA791-16-R-0086-A00013026.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment X Rev 1 Dental Volumes by Station.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533352&FileName=VA791-16-R-0086-A00013027.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533352&FileName=VA791-16-R-0086-A00013027.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment Y Rev 1 Tier 2 Call Volume Estimates.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533353&FileName=VA791-16-R-0086-A00013028.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533353&FileName=VA791-16-R-0086-A00013028.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment Z Rev 1 Station Category of Care Provider Zip Unique.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533354&FileName=VA791-16-R-0086-A00013029.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533354&FileName=VA791-16-R-0086-A00013029.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment AA Rev 1 Uniques by Rurality by Station FY15.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533355&FileName=VA791-16-R-0086-A00013030.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533355&FileName=VA791-16-R-0086-A00013030.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment AB Pharmacy 14 Day Fills FY15.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533356&FileName=VA791-16-R-0086-A00013031.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533356&FileName=VA791-16-R-0086-A00013031.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment AC No Shows FY15 CHOICE Only.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533357&FileName=VA791-16-R-0086-A00013032.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533357&FileName=VA791-16-R-0086-A00013032.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment AD Rev 1 Dialysis Rurality Uniques Visits BDOC by Zip.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533358&FileName=VA791-16-R-0086-A00013033.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533358&FileName=VA791-16-R-0086-A00013033.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment AE VA National Formulary January 2017.xls (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533359&FileName=VA791-16-R-0086-A00013034.xls)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533359&FileName=VA791-16-R-0086-A00013034.xls
- File Name: VA791-16-R-0086 A00013 Attachment AF Home Infusion by Station FY15.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533360&FileName=VA791-16-R-0086-A00013035.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533360&FileName=VA791-16-R-0086-A00013035.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment AG FY 15 Urgent vs Emergent Care.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533361&FileName=VA791-16-R-0086-A00013036.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533361&FileName=VA791-16-R-0086-A00013036.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment AH Rev 1 Scheduling and Comprehensive Care Coordination Estimated Volumes.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533362&FileName=VA791-16-R-0086-A00013037.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533362&FileName=VA791-16-R-0086-A00013037.xlsx
- File Name: VA791-16-R-0086 A00013 Attachment AI Rev 1 CCN Scheduling Return Reason Codes.pdf (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533363&FileName=VA791-16-R-0086-A00013038.pdf)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533363&FileName=VA791-16-R-0086-A00013038.pdf
- File Name: VA791-16-R-0086 A00013 Solicitation Attachment 1 - Past Performance Data Sheet Rev 2.doc (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533364&FileName=VA791-16-R-0086-A00013039.doc)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533364&FileName=VA791-16-R-0086-A00013039.doc
- File Name: VA791-16-R-0086 A00013 Solicitation Attachment 2 - Past Performance Questionnaire.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533365&FileName=VA791-16-R-0086-A00013040.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533365&FileName=VA791-16-R-0086-A00013040.docx
- File Name: VA791-16-R-0086 A00013 Solicitation Attachment 3 - Small Business Subcontracting Plan Template.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533366&FileName=VA791-16-R-0086-A00013041.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533366&FileName=VA791-16-R-0086-A00013041.docx
- File Name: VA791-16-R-0086 A00013 Solicitation Attachment 4 - Subcontracting opportunities - CCN Regions 1-4 Rev 1.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533367&FileName=VA791-16-R-0086-A00013042.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533367&FileName=VA791-16-R-0086-A00013042.xlsx
- File Name: VA791-16-R-0086 A00013 Solicitation Attachment 6 - Appointment Scheduling and Comprehensive Care Coordination.pdf (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533368&FileName=VA791-16-R-0086-A00013043.pdf)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533368&FileName=VA791-16-R-0086-A00013043.pdf
- File Name: VA791-16-R-0086 A00013 RFP Questions Final.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533369&FileName=VA791-16-R-0086-A00013044.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533369&FileName=VA791-16-R-0086-A00013044.xlsx
- Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
- File Name: VA791-16-R-0086 A00013 VA791-16-R-0086 A00013.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3533324&FileName=VA791-16-R-0086-A00013000.docx)
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- SN04523856-W 20170528/170526234235-90c083cceda9da88c76756600ef018d1 (fbodaily.com)
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