Loren Data's SAM Daily™

FBO DAILY ISSUE OF AUGUST 01, 2011 FBO #3537
DOCUMENT

Q -- Inpatient/Outpatient Svcs - Attachment

Notice Date

7/30/2011
 

Notice Type

Attachment
 

NAICS

622110 — General Medical and Surgical Hospitals
 

Contracting Office

Department of Veterans Affairs;VA Sierra Pacific Network (VISN 21);VA Northern California HealthCare System;5342 Dudley Blvd. Bldg 98 (90/CCA);McClellan CA 95652-1012
 

ZIP Code

95652-1012
 

Solicitation Number

VA26111RQ0457
 

Response Due

7/25/2011
 

Archive Date

9/23/2011
 

Point of Contact

Nandini Johnson
 

Small Business Set-Aside

N/A
 

Description

This is a combined synopsis/solicitation for commercial services prepared in accordance with the format in FAR 12.6, with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. Solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-53 as corrected. This solicitation is unrestricted. The NAICS code is 622110, with a size standard of $34.0 million. Only electronic offers will be accepted. Offers are due to Nandini.Johnson@va.gov NLT 12:00 p.m. on July 25, 2011. For information regarding the solicitation you can e-mail me at the above address. SUPPLIES OR SERVICES AND PRICES/COSTS: Under the authority of Public Law 104-262 and 38 USC 8153 the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish eligible beneficiaries referred by the VA Northern CA Healthcare System, 10535 Hospital Way, Mather, CA 9655 at the contractor's place of business, the services and prices specified herein. PERIOD OF SERVICE: August 1, 2011 through July 31, 2012 INPATIENT MEDICAL AND SURGICAL SERVICES CLIN NO.DESCRIPTIONEst. No. Monthly CasesRATE 1.Inpatient Medical and Surgical Services shall be reimbursed at the current Medicare DRG Rate less the discount indicated.7 ______________% discount Base Rate:_____________* Estimated Monthly $____________ OUTPATIENT SERVICES CLIN NO.DESCRIPTIONEst. No. Monthly CasesRATE 2.Hospital-Based Medical and Surgical Services shall be reimbursed at the current Medicare Reimbursable Rate less the discount indicated.7 ______________% discount Conversion Factor: $_______** Estimated Monthly $____________ 3.Hospital-Based Professional Services (e.g., Radiologist, Pathologist, or other) shall be reimbursed at the current Medicarre RBRVS Rate less the discount indicated.12 ______________% discount Conversion Factor: $_______** Estimated Monthly $____________ INTERVENTIONAL RADIOLOGY CLIN NODESCRIPTIONQTYUNITUNIT COSTTOTAL COST 4.PICA 7CS$_________$___________ 5.Coronary Artery Bypass Graft (CABG) 7 CS $_________ $___________ 6.Cardiac Catherization 7 CS $_________ $____________ 7.TOTAL COST 4-6 $_____________ * Inpatient Medical and Surgical Services will be reimbursed at the straight Medicare DRG Base Rate which is current for the region including no additional pass throughs/outliers, e. g., capital costs or disproportionate share allowances. ** Outpatient hospital-based Medical and Surgical services shall be reimbursed at the current Medicare Reimbursable Rate. The current Medicare schedule, applicable to the service provided shall be utilized. STATEMENT OF WORK (Inpatient and Outpatient Services - Sacramento Market Area) 2. PURPOSE: The purpose of this contract is to provide medically necessary outpatient and inpatient medical, surgical, and obstetrical physician services for VA authorized admissions of eligible veterans at. This contract will be recognized as the primary non-Federal source for inpatient and outpatient medical services for VA authorized admissions at Sutter General Hospital and Sutter Memorial Hospital. 2.1 SERVICES: a. CONTRACTOR shall provide services as identified in the Statement of Work/Specifications and Special Requirements, as medically indicated and as the CONTRACTOR and its subcontractors are capable and licensed to provide to VA Beneficiaries, to the extent the VA Beneficiaries is entitled to such services as determined by VA. b. CONTRACTOR shall provide services only to those beneficiaries, who are referred by an authorized representative of VA. Prior to performing any services under this contract, CONTRACTOR shall obtain written authorization from VA. Services provided by the CONTRACTOR without prior written authorization from VA, will not be reimbursed under this contract, except as described in Special Contract Requirements. c. In performance of work, duties, and obligations, which CONTRACTOR agrees to perform under this contract, it is mutually understood that CONTRACTOR is at all times acting and performing as an independent contractor. VA shall neither have nor exercise any control or direction over the methods by which CONTRACTOR and its subcontractors perform its work. No other provision of this contract shall be interpreted to conflict with the intent of the parties that the legal status of the CONTRACTOR shall at all times be that of an independent contractor. d. The parties agree that CONTRACTOR is acting as an independent contractor and as such; its/their personnel shall not be considered VA employees for any purpose. CONTRACTOR and its subcontractors shall be exclusively responsible for its/their respective federal, state and local income taxes, gross receipts taxes, FICA, unemployment and disability benefits, and health examinations, professional liability insurance and Worker's Compensation obligations. Contractor shall be responsible for protecting its personnel furnishing services under this contract. The parties agree that employees of the CONTRACTORS shall not be considered VA employees for any purpose, but shall be employees of the CONTRACTOR. e. Services furnished under this contract may be required twenty-four (24) hours per day, three hundred sixty-five (365) days per year, including weekends and federal holidays and therefore, it is the CONTRACTOR'S responsibility for premium, weekend, or holiday pay for its personnel providing services under this contract. f. Contractor shall provide Healthcare Services, which may include, but are not limited to, those services and procedures identified in the Special Requirements Section. g. The quantities found in the Schedule of Items are estimated and provided for information only. These quantities are not intended to imply or guarantee that the VA will require any specific amount of services. VA will not be obligated to make payment for any specified amount of services, but will be required to make payment for those services actually provided by the CONTRACTOR in the quantities and of the quality requested by the VA. 2.3 PROFESSIONAL REVIEW, QUALITY ASSURANCE, AND UTILIZATION REVIEW ACTIVITIES. a. Services under this contract shall be subject to quality management standards consistent with the standards published by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). b. CONTRACTOR shall develop and maintain QI/QA programs in accordance with JCAHO policies. Outcome and process indicators will be used to measure, assess, and improve the quality of services provided to the Veterans. c. CONTRACTOR shall be responsible for furnishing quarterly, semiannual, and annual reports to the VA Quality Manager as identified below: i. Quarterly: QA reports reflecting mortality and morbidity statistics for all patients. It is preferred that VA referrals be stratified out, if stratification is possible. ii. Semiannually: Feedback reports to demonstrate performance. iii. Annually: Copies of all Quality Improvement and Quality Control Activities. It is preferred that VA referrals be stratified out, if stratification is possible. e. CONTRACTOR and its employees and subcontractors shall provide VA beneficiaries patients, referred by the VA under this contract, the same level of care as provided to other patients receiving care in the CONTRACTOR'S facility. VA beneficiaries will be included as a subset in all, appropriate, facility performance improvement, quality management or continuous monitoring. Monitoring shall include but not be limited to, infection control, mortality, morbidity, blood usage evaluations, medication use evaluations, physician profiles, utilization, admission appropriateness, and length of stay. Upon request, CONTRACTOR shall provide to the VA the results of data and oversight committee decisions, conclusions, recommendations, actions and follow-up concerning the data pertaining to Veterans referred by the VA for treatment at the CONTRACTOR'S facility. The VA will have the right to review all records, patient care areas, and programs utilized in the care of Veterans referred for treatment by the VA. VA staff will have a right to meet with and interview patients to ascertain perception of quality care. f. VA will have the right to make daily telephone or on-site visits for the purpose of conducting continued stay review, utilizing Interqual IS/SI criteria. All urgent and scheduled major procedures must have prior VA approval. If prior VA approval is not sought, the VA to determine the urgency and necessity of the treatment will perform a full retroactive review. If no pre-authorization of procedure is done, VA may not reimburse the CONTRACTOR dependent upon the outcome of the retroactive review. In addition, the Contracting Officer, or designee is authorized to review, by on-site review, through review of records or other reasonable manner, the quality of care rendered under the contract, to include review of the CONTRACTOR'S facility, patient records or other pertinent documentation. CONTRACTOR shall furnish and maintain adequate medical records to reflect accuracy with respect to claims submission, as well as quality and appropriateness of care. All records of medical and surgical services, supplies and business records shall also be subject to review by the Contracting Officer or designee. g. Peer Review Activities will be accomplished in accordance with Peer Review Evaluation Code 1157. h. Implanted Devices: All information required by the Safe Medical Devices Act of 1990, for the tracking of devices implanted during surgery will be included in the Veterans record when transferred or discharged. 2.4 PROFESSIONAL LIABILITY: a. CONTRACTOR shall have and maintain professional liability coverage as required under VA Clause 852.237-7 contained in 52.212-4 Contract Terms and Conditions. 2.5 MAINTENANCE OF AND ACCESS TO RECORDS a. CONTRACTOR shall maintain such records and provide such information as mutually agreed by VA and CONTRACTOR. Such records shall be maintained for each VA beneficiary receiving medical and/or surgical services pursuant to this contract. b. CONTRACTOR shall maintain a standard hospital medical record in such form, containing such information, and preserved for such time(s) period(s) as required by the California Department of Health, the Medicare program, and the JCAHO. The original hospital medical records shall be and remain the property of the CONTRACTOR. VA shall have the right to inspect and review such records upon request. CONTRACTOR shall provide copies of Veteran records upon request by the VA, within five (5) business days. c. Medical Records shall include, but will not be limited to: emergency treatment and testing, admission history and physical, operative and procedure reports, diagnostic imaging records, anesthesia records, post-anesthesia care records, biopsy and pathology reports, recent laboratory and EKG, product information about any implanted devices, and all clinical progress notes for the course of the Veteran's hospitalization and/or treatment. 2.6 CONFIDENTIALITY OF MEDICAL RECORDS a. Medical records of VA beneficiaries for whom medical services are provided under this contract shall be subject to all other laws and regulations regarding confidentiality of patient records; provided, however, that CONTRACTOR shall disclose such information necessary to other authorized providers, to VA Utilization, Quality Assurance and other review committees or to governmental authorities as required by law or as otherwise required by this contract. b. Patient records for services provided by CONTRACTOR under this contract shall be governed by FAR clause 52.212-4 and addenda. Notwithstanding any other provisions of this contract, CONTRACTOR is restricted from making disclosures of VA beneficiary records, or information contained in such records, to which it may have access, except to the extent that CONTRACTOR has received explicit disclosure authority from the VA. c. The records referred to herein shall be and remain the property of CONTRACTOR and shall not be removed or transferred from Hospital, except in accordance with applicable laws and general hospital policies, rules, and regulations relating thereto. Subject to applicable federal confidentiality or privacy laws, VA may have access to such records at Hospital, during normal business hours, to inspect, review and make copies of such records. 2.7 CONTRACTOR/SUBCONTRACTOR QUALIFICATIONS a. CONTRACTOR represents that it is duly licensed by the Department of Health of the State of California to operate a hospital or Health Maintenance Organization, is a qualified provider under the Medicare program and is accredited by JCAHO or licensed by the Department of Corporations as a Health Maintenance Organization (HMO) and accredited by NCQA. b. CONTRACTOR shall maintain in good standing such license and accreditation and shall notify VA immediately should any action of any kind be initiated against the CONTRACTOR which could result in: i. the suspension or loss of such license; ii. the suspension or loss of such accreditation; iii. the imposition of any sanctions against the CONTRACTOR under the Medicare or Medicaid programs. c. CONTRACTOR shall furnish to the VA such evidence of licensure, Medicare qualifications, and accreditation as requested. d. CONTRACTOR shall develop and maintain written policies and procedures for credentialing, certification and continuing education for employees and/or subcontractors providing services under this agreement in accordance with JCAHO standards and/or NCQA standards. Competent, qualified, and experienced health care professionals who hold current licensure and/or certification from a State, Territory, or Commonwealth of the United States or District of Columbia for their specialty shall provide all services under this contract. Professional staff assigned to care for Veterans referred for treatment under this contract shall be state licensed and board eligible or board certified by the appropriate medical /professional standards. A copy of the current Medical Staff By-Laws, and any annual revisions, shall be submitted to the VA Quality Manager. 2.8 CONTRACT MODIFICATIONS: a. Any oral statement or representation by any representative of the Government, changing or supplementing the contract or any condition thereof, is unauthorized and shall confer no right upon CONTRACTOR or obligation upon VA. Furthermore, no interpretation of any provision of the contract, including applicable performance requirements, shall be binding on the VA unless furnished or agreed to, in writing, by the VA Contracting Officer or his/her designated representative acting within his/her delegated authority. b. The services described herein may be changed by written modification to this contract in accordance with the terms and conditions contained herein. All modifications shall be in writing and except where the VA reserves the right to issue a unilateral modification, shall have the written consent of both, an authorized representative of CONTRACTOR and the VA Contracting Officer. 2.9 BILLING/REIMBURSEMENT: All charges for physician services provided to VA authorized patients under this agreement shall be billed directly to VA. Outpatient facilities will agree to send a legible report within one week of the patient's initial visit. Documentation shall include the patient's name, social security number, CPT code(s) as appropriate, name of procedure(s)/ service(s), date of procedure(s)/service(s), and diagnosis. Inpatient facilities will agree to send legible reports including: History and Physical, ER notes (if applicable), all procedures/studies accomplished, Discharge Summary, progress notes, and other billing documentation as needed to support the claim with the UB and accompanying HCFAs within 30 days from date of discharge or transfer. Documentation shall include the patient's name, social security number, CPT code(s) as appropriate, name of procedure(s)/ service(s), date of procedure(s)/service(s), and diagnosis(es). Documentation shall be sent to: VA Northern California Health Care System Fee Service (04F) 201 Walnut Avenue Mare Island, CA 94592. NOTE: Failure to provide the initial consultation report and a treatment summary for each patient shall result in delay or non-payment of invoices. VA will reimburse the contractor for medically necessary services in accordance with the Prompt Payment Act upon receipt of clean claims. A clean claim is defined as a claim submitted on the appropriate form(s) having all notations necessary for processing the claim, accompanied by discharge notes. VA will reimburse the contractor according to a mutually agreed upon fee schedule which will remain in effect for the entirety of this contract. 3. SPECIAL REQUIREMENTS 3.1. OUTPATIENT SERVICES a. General: CONTRACTOR shall provide a full range of urgent and emergency outpatient services to Veterans referred by the VA Telecare Nurse or VA Attending Physician. Services provided to Veterans referred to by the VA shall include all professional and institutional services necessary for treatment of the Veteran's condition and normally considered a part of such care. b. Outpatient services may include brief emergency visits that may be required when a Veteran is treated by the CONTRACTOR and requires a follow-up visit during a weekend or holiday (when a VA facility is not open or available to provide necessary follow-up treatment). In such cases, CONTRACTOR may schedule the patient for a follow-up visit at Hospital. CONTRACTOR shall notify the VA Fee Clinician, by fax or telephone, the next business day following such treatment. c. Outpatient services provided herein will not normally include treatment for non-urgent or non-emergent medical conditions. d. Observation/24-Hour Short Stay: If after receiving emergency treatment, a patient requires observation in order to obviate the need for hospitalization, the CONTRACTOR may admit the patient for observation for up to twenty-three (23) hours for the purpose of monitoring the Veteran's condition. In such cases, CONTRACTOR shall be required to notify the VA Fee Clinician within twenty-four (24) hours. 3.2. INPATIENT MEDICAL AND SURGICAL SERVICES a. General: CONTRACTOR shall provide a full spectrum of urgent and emergent impatient medical and surgical services for which it is licensed and capable of providing, when authorized by VA. Such services shall include but are not limited to, all professional, technical and institutional services normally part of such care. 3.3. CARDIAC SURGERY a. General: When required, CONTRACTOR shall furnish the full spectrum of cardiac surgery and coronary angioplasty services, to Veterans who cannot be stabilized for transfer to a VA facility for treatment, who are referred by the VA Telecare Nurse or VA Attending Physician. b. Professional Staff: CONTRACTOR shall provide resumes of key personnel, i.e., personnel who will be involved in management, coordination and scheduling under this contract. The CONTRACTOR shall provide a list of all credentialed practitioners for all services. c. ICU Staffing: CONTRACTOR shall ensure that an adequate number of trained personnel are available to care for the Veteran after the surgical procedure. Veterans having an emergency catheterization or percutaneous angioplasty shall be cared for in an ICU or DCU with a nurse to patient ratio that is deemed appropriate, or as the situation warrants d. The determination as to whether a Veteran requires cardiac surgery or other emergent surgery or hospitalization shall be made after the CONTRACTOR assesses the Veteran and discusses the Veteran's condition with the VA Attending Physician, VA Medical Officer on Duty (MOD) or other authorized VA specialty consultant. If, for any reason, CONTRACTOR is unable to reach an authorized VA staff member for such consultation, CONTRACTOR shall treat the Veteran and notify the VA Attending Physician and VA Fee Clinician within 24-hours of the initial time of treatment or by the following business day. Surgical procedures shall be performed as expeditiously as the situation warrants. 3.4. VETERAN PROGRESS: CONTRACTOR shall ensure that the VA Attending Physician or designee (Utilization Management), as appropriate, is informed on a daily basis, of the Veteran's condition and progress. CONTRACTOR shall also provide any other information necessary for the care of the Veteran after discharge or return to the VA or VA contract facility. CONTRACTOR and the VA Utilization Management shall evaluate admission and continued stay using Interqual IS/SI criteria. 3.5. ADVANCE DIRECTIVES: CONTRACTOR shall be responsible for notifying all VA beneficiaries treated under this contract of their rights pertaining to advanced directives. CONTRACTOR shall also be responsible for documenting such notification, as well as the Veteran's decision to implement or not to implement advance directives. 3.6. MATERNITY SERVICES: Maternity care shall be provided to VA beneficiaries with pre-authorization. Services provided shall include: a. Outpatient pregnancy testing. b. Labor and delivery care and; c. Post-partum care. d. Such services shall include only such medical care provided to the beneficiary, as authorized by VA and shall exclude any care required for the treatment of the newborn. (END OF SECTION) 4.1 OTHER CONTRACT REQUIREMENTS a. CARDIAC EMERGENT PROCEDURES: When necessary, CONTRACTOR shall attempt to stabilize emergent cardiac Veteran patients for transfer to a VA facility for further treatment. If possible, CONTRACTOR will seek consultation with a VA Cardiologist prior to advanced interventions (such as cardiac catheterization, PCTA and CABG). If a Veteran is treated without prior consultation, the VA may request a full retrospective review. b. DISCHARGE MEDICATIONS: After receiving emergency treatment or upon discharge from the CONTRACTOR'S facility, the Veteran shall be issued sufficient discharge medications to last until the Veteran's follow-up appointment at VA, or for the course of treatment, not to exceed 30 days. Routine medication refills will not be covered under the terms of this contract. CONTRACTOR shall be required to utilize the VANCHCS formulary when prescribing such medications. The VA Fee Clinician on a case-by-case basis, between the hours of 8:00 a.m. and 4:30 p.m., may approve medications that are not on the formulary, Monday through Friday. If a non-formulary item must be issued after hours or on weekends, approval should be requested from the VA Fee Clinician on the next business day following discharge. CONTRACTOR shall fax a list of the discharge medications to the VA Utilization Management on the day after discharge. c. CONSENT FOR TREATMENT: CONTRACTOR shall be responsible for obtaining written consent for treatment. The VA will assist in contacting the next of kin for consent in cases where the Veteran is incompetent or unable to sign the consent. e. VETERAN RECORDS: When Veterans are referred for treatment after hours, on weekends or Federal Holidays, the VA Telecare Nurse will have access to computerized portions of the VA patient record. The VA Telecare Nurse will fax available documents that are necessary for urgent or emergent treatment of the Veteran to the CONTRACTOR at the time of treatment. When a VA Attending Physician for hospital admission refers Veterans, the VA Transfer Coordinator will ensure all necessary patient records and/or lab results are forwarded to the CONTRACTOR prior to hospital admission. f. VETERAN FOLLOW-UP: The VA Telecare Nurse(s), Utilization Management or VA Transfer Coordinator will be responsible for Veteran follow-up, requesting copies of emergency room records, and scheduling patients for follow-up outpatient appointments within the VA. The VA will provide all follow-up care for Veterans treated by the CONTRACTOR under this contract with the exception of Brief ER visits as specified in Special Requirements, A 1 a, Outpatient Services. g. TRANSPORTATION OF PATIENTS: All costs associated with the transportation of Veterans to and from the CONTRACTOR'S facility will be the responsibility of the Veteran or VA with the exception of Air Transport. Air Transport will be billed separately and reimbursed by the VA. h. VETERAN TRANSFER: As soon as patients are stable for transfer, they may be transferred to VA or other lower level of care for continuing care. The VA Transfer Coordinator working with the CONTRACTOR'S discharge planner will coordinate patient transfers. i. AVAILABILITY OF SERVICES: Urgent and emergent services shall be available immediately. Emergent Surgery and Inpatient services shall be available from CONTRACTOR within one (1) hour of notification by the VA, seven (7) days per week, twenty-four (24) hours per day for the entire contract period. Any change in physician providers, or the availability or CONTRACTOR'S ability to provide a service shall be immediately reported via telephone to the VANCHCS Chief of Staff's office through the Contracting Officer at the VA. j. RE-OPERATION: Re-operation during the early post-operative period (Seventy-two (72) hours) for complications related to the initial procedure shall be included in the original charge. k. TERMINATION OF SERVICES: VA reserves the right to discontinue services being furnished by the CONTRACTOR to any Veteran, at any time when it is determined by VA to be in the best interest of the Veteran or the VA. l. VETERAN EXPIRATION: Should a patient referred by the VA expire while undergoing medical treatment at the hospital, the VA Attending Physician or Fee Clinician shall be notified the same day or next business day, with an explanation of the circumstances and probable cause of death. All pertinent medical records shall be furnished to the VA within forty-eight (48) hours of the patient's expiration. The CONTRACTOR shall notify the Medical Examiner when required by law to do so. The Physician, if appropriate, shall request an autopsy. The CONTRACTOR shall supply a copy of the autopsy or Medical Examiner's (Coroner's ) report to the VA Quality Management Office. m. PROSTHETIC ITEMS/HOME OXYGEN THERAPY: Non-surgical prosthetic items required upon discharge of a Veteran beneficiary treated by the CONTRACTOR will be provided by VA or by separate VA contractor. i. CONTRACTOR shall notify the Prosthetics and Sensory Aids Unit (PS&A) by telephone at least two (2) working days prior to discharge. CONTRACTOR shall then fax a written "Request for Prosthetic Services, Home Oxygen Prescription/Plan of Care" (for Home Oxygen) (Attached), to the PS&A Unit for processing. The request shall include a justification of need. ii. Request for Home Oxygen Therapy shall be completed by an M. D. In some instances, a patient discharged from CONTRACTOR'S facility will not be under the Clinic of Jurisdiction of VANCHCS. In such cases, VANCHCS P&SA Unit Staff will notify CONTRACTOR by telephone and will forward the VA Form 10-2431 to the appropriate VA Medical Facility for processing. n. ELIGIBILITY FOR TREATMENT: If a patient presents to Hospital after hours, on weekends or holidays, without prior authorization from the VA Telecare Nurse or Attending Physician, the CONTRACTOR may proceed with treatment, however, reimbursement by VA will be subject to verification of the patient's eligibility for treatment. In such cases, the CONTRACTOR shall notify the VA Fee Services Section within one (1) business day following treatment. If the VA Fee Services Section determines a patient is eligible for treatment, an authorization form will be faxed to the CONTRACTOR. If the VA determines that the patient is not eligible for treatment, any service provided by the CONTRACTOR will be reimbursed separately. In such cases, the VA Fee Services Section will notify the CONTRACTOR, and the VA will be responsible for billing the patient. Such a determination shall not be subject to interpretation or challenged by the CONTRACTOR. o.DISCHARGE SUMMARY REPORTS: Within forty-eight (48) hours of urgent or emergent treatment or discharge of a patient referred by VA, the CONTRACTOR shall forward one (1) copy of the discharge summary report to VA Utilization Management. One (1) copy of the discharge summary shall be faxed to the location of VA patient's follow-up care or shall accompany patient at the time of transfer (i.e., VA facility or lower level of care). The discharge summary shall include copies of all pertinent chart notes, test results, and other records related to the care of the patient. In addition, one (1) copy of the discharge summary shall accompany each invoice for services provided under this contract. (END OF SECTION)
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/VA/VANCHCS/VANCHCS/VA26111RQ0457/listing.html)
 

Document(s)

Attachment
 

File Name: VA-261-11-RQ-0457 VA-261-11-RQ-0457 INP OUT MED SVC.doc (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=225768&FileName=VA-261-11-RQ-0457-000.doc)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=225768&FileName=VA-261-11-RQ-0457-000.doc

 

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

Record

SN02516394-W 20110801/110730233326-a8926d6062068ad699a821937f49aad6 (fbodaily.com)
 

Source

FedBizOpps Link to This Notice
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