DOCUMENT
Q -- Request For Information Off-Site Per-Procedure Chronic Dialysis Services Sioux Falls VA Health Care System - Attachment
- Notice Date
- 10/2/2018
- Notice Type
- Attachment
- NAICS
- 621492
— Kidney Dialysis Centers
- Contracting Office
- Department of Veterans Affairs
- Solicitation Number
- 36C26319Q0018
- Response Due
- 10/16/2018
- Archive Date
- 11/15/2018
- Point of Contact
- Charles J Morin
- E-Mail Address
-
4.2149<br
- Small Business Set-Aside
- N/A
- Description
- 4 Page 4 of 4 This is a Request for Information (RFI) announcement only. This is not a solicitation. The purpose of this RFI is to gain knowledge of current market conditions relative to NAICS 621492, Kidney Dialysis Centers with a size standard of $38.5 Million. The Department of Veterans Affairs (VA), Network Contracting Office 23 on behalf of the Sioux Falls VA Health Care System, Sioux Falls, South Dakota, is seeking to identify any vendors capable of providing Off-Site Per Procedure Chronic Dialysis Services. The anticipated contract will be a firm-fixed price contract for a one year base, plus four one-year options. Scope: The Sioux Falls VA Healthcare System requires contractual Acute Dialysis services to provide services to eligible beneficiaries. Please reference the example schedule of services listed on page 2 for the exact requirement of this contract. Respondents are not limited to SDVOSB and/or VOSB vendors, all sources are encouraged to respond. The VA is seeking to identify all potential sources. Responses to this Sources Sought must include the following information: Company Name, Address, Contact Person Name, Phone Number, Fax Number, email address(es), DUNS number and company website. Socio-Economic Status of business (example: SDVOSB, VOSB, etc.) What medical services does your company primarily provide? Are you, or have you previously provided Acute Dialysis services to any federal treatment facility? If so, please provide contract number(s) for the previous three (3) years. Will your company enter into a joint venture or other relationship in order to provide this service? Responses to this RFI market survey must be in writing and emailed to charles.morin@va.gov. No telephone responses will be accepted, however you may call Charles Morin at 651-293-3035 with questions regarding this RFI. Responses must be received no later than 3:00 pm Central, October 16, 2018. No solicitation documents are available at this time. This RFI is to acquire information only. Vendors interested in providing an offer will have the opportunity to respond to a Request for Proposal that shall be published separately at a later date. SCHEDULE OF SERVICES The Contractor shall provide Off-Site Chronic Hemodialysis and Peritoneal Dialysis (PD) Services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Sioux Falls VA Health Care System (VAHCS), 2501 W. 22nd Street, Sioux Falls SD 57105. The Contract will be effective for a base period of one (1) year and include four (4) one-year option periods. Services to be provided at the contractor-owned facility (facility ownership exempt in community nursing home setting). Contract prices as negotiated herein shall be honored at all contractor-owned facilities. The Centers for Medicare & Medicaid Services, Current Procedural Terminology (CPT), shall be used to identify the procedures and services performed. All-inclusive Rates. The contractor shall be reimbursed a single, fixed fee/per treatment, all-inclusive rate. Exceptions to the per treatment rate include: Nephrologist services (this is billed on separate line item in schedule of items. Pre-authorized non-routine drugs Pre-authorized medically necessary laboratory testing and blood transfusion products/services. NOTE: These exceptions are reimbursed at the current Medicare rate as of the date of service and are not included under this contract. Services rendered will be paid outside of this contract by other means, i.e., fee basis. Contractor is required to maintain medical justification in the VA beneficiary s community dialysis medical record for the separate billings of those services not included in the per treatment rate excluding nephrologists billings. Contractor is required to submit medical justification (fax, mail) along with the required medical claim information for issuance of payment. Comprehensive, all inclusive, Per Treatment Pricing. The Contractor will bill each episode of care on a per treatment price basis which is an all-inclusive rate to include all equipment, facility, nursing, technical personnel, professional services (social work, dietary, etc.), supplies, lab tests, and drugs that are necessary to furnish dialysis treatment in an outpatient setting. The need for any additional services must be documented by the Contractor in the patient s medical record and be reflected in the billed ICD9-CM diagnosis code. The Contractor will not be reimbursed for any test or medical services that are not identified in this contract without prior authorization by designated VA personnel. Contractor must follow current Medicare guidelines for treatment. If Medicare changes their guidelines for treatment as well as additional services, the Contractor will adopt and implement such guidelines. Location of Services. Below is a listing of geographic locations the VA currently has patients receiving dialysis treatments with estimated patient volumes in those locations. Table: A1 Location Type of Dialysis Estimated Volume of Patients Estimated Quantity of Treatments per year Yankton SD Hemodialysis 2 Hemodialysis Patients 312 Hemodialysis Patients Sioux Falls SD Hemodialysis, Peritoneal 7 Hemodialysis Patients 3 Peritoneal Patients 1100 Hemodialysis Patients 1092 Peritoneal Patients Sioux City IA Hemodialysis 3 Hemodialysis Patients 470 Hemodialysis Patients Watertown SD Hemodialysis 2 Hemodialysis Patients 312 Hemodialysis Patients Huron SD Hemodialysis 1 Hemodialysis Patient 156 Hemodialysis Patients Brookings SD Hemodialysis 2 Hemodialysis Patients 312 Hemodialysis Patients Aberdeen SD Hemodialysis 2 Hemodialysis Patients 312 Hemodialysis Patients Spirit Lake IA Hemodialysis 1 Hemodialysis Patient 156 Hemodialysis Patients Worthington MN Hemodialysis 3 Hemodialysis Patients 470 Hemodialysis Patients Chamberlain SD Hemodialysis 1 Hemodialysis Patient 156 Hemodialysis Patients Spencer IA Hemodialysis 1 Hemodialysis Patient 156 Hemodialysis Patients The Sioux Falls VAHCS catchment area encompasses the following States and Counties: South Dakota: Campbell, McPherson, Brown, Walworth, Edmunds, Day, Potter, Faulk, Spink, Clark, Codington, Grant, Deuel, Hamlin, Spink, Sully, Hyde, Hand, Beadle, Kingsbury, Brookings, Hughes, Lyman, Buffalo, Jerauld, Sanborn, Miner, Lake, Moody, Brule, Aurora, Davison, Hanson, McCook, Minnehaha, Tripp, Gregory, Charles Mix, Douglas, Hutchinson, Turner, Lincoln, Bon Homme, Yankton, Clay, and Union. Iowa: Lyon, Osceola, Dickinson, Emmet, Sioux, O Brien, Clay, Plymouth, Cherokee, Woodbury. Minnesota: Lac Qui Parle, Yellow Medicine, Lincoln, Lyon, Pipestone, Murray, Cottonwood, Watonwan, Rock, Jackson, Martin, Nobles. GEOGRPAHPHIC AREAS CONTRACTOR HAS A FACILITY OR SATELLITE CLINIC. It is the VA s intent that any contractor offering services under this contract will honor the pricing proposed at any of their locations that are located in the catchment area of the state and counties listed above. Offerors submitting a proposal must offer all CLINS in the state if they offer pricing for that state. Contractors pricing offered will be honored at all contractor-owned facilities in the state they proposed pricing on. Contractors offered pricing will be honored at all contractors locations listed below. Offeror to list the State/Location of the facility and/or clinic. Contractor Facility Name Contractor Facility Address See table A1 above for estimated patient volumes for each geographic region. Estimated quantities will not commit the government to purchase any or all procedures estimated. Patients currently receiving treatments at a facility that is not under a contract, will be converted to the contract rate upon contract award. The contract will contain one (1) base year and include four (4) one-year option periods. The Contracting Officer shall determine (based on an integrated assessment of each offeror s technical and price proposal) the individual proposals evaluated to be most advantageous to the Government. BASE YEAR (8/1/2019 to 7/31/2020) CLIN SUB CLIN DESCRIPTION QTY UNIT UNIT PRICE TOTAL PRICE 0001 Hemodialysis Treatment All Inclusive. Contractor s Facility Cost per patient, per treatment. 0001a Location: South Dakota 2000 EA 0001b Location: Iowa 782 EA 0001c Location: Minnesota 470 EA 0002 Hemodialysis Treatment All Inclusive. Home Cost per patient, per treatment. 0002a Location: South Dakota 5 EA 0002b Location: Iowa 5 EA 0002c Location: Minnesota 5 EA 0003 Peritoneal Dialysis Treatment - All Inclusive. Cost per patient, per treatment. 0003a Location: South Dakota 36 EA 0003b Location: Iowa 10 EA 0003c Location: Minnesota 10 EA 0004 Nephrologist Oversight Cost per patient, per treatment. CPT Code 90961 0004a Location: South Dakota 200 EA 0004b Location: Iowa 45 EA 0004c Location: Minnesota 18 EA 0005 Nephrologist Oversight Cost per patient, per treatment. CPT Code 90960 0005a Location: South Dakota 200 EA
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- File Name: 36C26319Q0018 36C26319Q0018_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4616856&FileName=36C26319Q0018-000.docx)
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- File Name: 36C26319Q0018 36C26319Q0018_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4616856&FileName=36C26319Q0018-000.docx)
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