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FBO DAILY - FEDBIZOPPS ISSUE OF MARCH 01, 2015 FBO #4845
DOCUMENT

Q -- Nursing Home Services - Attachment

Notice Date: 2/27/2015
Notice Type: Attachment
NAICS: 623110 — Nursing Care Facilities (Skilled Nursing Facilities)
Contracting Office: Department of Veterans Affairs;VISN 11 Network Contract Office;Illiana Health Care System;1900 E. Main St.;Danville IL 61832-5100
ZIP Code: 61832-5100
Solicitation Number: VA25115Q0181
Response Due: 3/16/2015
Archive Date: 5/15/2015
Point of Contact: Kevin Adkins
E-Mail Address: 4-4544<br
Small Business Set-Aside: N/A
Description: This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. Solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-78. The NAICS code is 623110, with a size standard of $27.5 million. This is being conducted as an unrestricted solicitation. The solicitation will start on the date this is posted and close on March 16, 2015 at 1PM EST. The Department of Veterans Affairs Richard L Roudebush VA Medical Center In Indianapolis, Indiana is seeking a contractor capable of providing Nursing Home Services in the Greensburg, Indiana Locality. Contractor must have a facility within a 5 Mile Radius of the Greensburg, Indiana City Limits. This solicitation requires registration with the System for Award Management (SAM) prior to award, pursuant to applicable regulations and guidelines. Registration information can be found at www.sam.gov. SUPPLIES OR SERVICES AND PRICE/COSTS This is a solicitation for a basic ordering agreement for the period of one year from the date of award with four (4) one (1) year options, in accordance with FAR 16.7. A contract is formed, in accordance with the terms and conditions of this agreement, when VA agrees to place a patient in the nursing home and the nursing home agrees to accept the patient. Upon acceptance by the contractor of beneficiaries of Department of Veterans Affairs (VA), all terms and conditions of this agreement shall apply during such time as a VA patient remains in that nursing home at the expense of VA. Upon acceptance of a VA patient by the nursing home, if and when requested by the Contracting Officer or authorized representative, the contractor shall furnish all supplies and services herein described, at the per diem rates for the levels of care specified below. VA levels of care are defined in Section D of this agreement. VA is obligated only to the extent authorized placements of patients are made under this agreement. RATE DETERMINATION The per diem rate is established by the current Medicaid rate for Medicaid approved nursing homes plus a fair market amount (percentage) to cover the cost of supplies, services, and equipment above that provided under Medicaid established by the local state Medicaid agency (SMA). Rates established after the effective date of this agreement will require a modification to the agreement. VA shall use Medicaid rates for room, board, and routine nursing care. For all levels of nursing care a percentage is added for routine ancillary services/supplies, such as drugs, nursing supplies, oxygen (occasional use), x-ray, laboratory, physician visits, and rental equipment. Special equipment, e.g. clinitron bed, is/are not considered routine ancillary services (and may be provided by the VA). Drug costs which comprise more than eight and one-half percent (8.5%) of the per diem rate are generally not considered routine ancillary supplies (and may be provided by the VA). Rehabilitation therapies shall be provided as a distinct level of care. Hospice Care and Dialysis are not included in the rate. VA or other payers shall be used for Hospice and Dialysis, as determined by the veteran with VA approval. ORAL MEDICATIONS Oral medications, which comprise more than 8.5% of the per diem rate on a monthly basis, are excluded from that rate. High drug costs shall be determined or priced using the Average Wholesale Price (AWP) of the drugs plus a transaction fee of 3% per month. All calculations shall be made on a monthly basis. When a high cost drug patient is identified, VA staff must be advised promptly to establish an appropriate course of action, which shall include the provision of the medications by VA. ANCILLARY COSTS Ancillary cost are pre-approved costs for supplies or services not identified as included in the all-inclusive rate or any other pre-authorized rate or schedule or payment for items or services provided under this agreement. Ancillary costs such as medications, special equipment, rehabilitation therapies, shall not be added to any invoice without written permission of the VA medical center placing the veteran. If permission is received, the nursing home must also submit the physician's order for the medication/supply, the dispensing log, the supplier and the cost charged by the supplier to the nursing home, and what the nursing home is charging the VA. PRICE/ COST SCHEDULE Description of Care- See Section D.1 Department of Veterans Affairs (VA) Community Nursing Home Program Level of Care-Descriptions Description of Care Per Diem Rate VA Reduced Physical Function$___________________ VA Impaired Cognition$___________________ VA Clinically Complex $___________________ VA Special Care $___________________ VA Extensive Services Group $___________________ VA Rehabilitation Group$_ ________________ VA Rehabilitation plus Extensive Services Group$___________________ VA Ventilator-Dependent$___________________ VA Special Bed Dependent$___________________ ? DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK B.1. This Basic Ordering Agreement shall be conducted under the procedures of FAR Part 12 and FAR Part 13.5. The nursing home shall ensure that care meets the health needs and promotes the maximum well-being of VA patients. Nursing home care shall be furnished to ensure the total medical, nursing, and psycho-social needs of VA beneficiaries. Physician visits, laboratory, X ray, and other special services for VA patients shall be at the same frequency as that provided to other patients at the nursing home receiving the same or comparable level of care. In addition, the care provided shall include room, meals, nursing care, and other services or supplies commensurate with the VA authorized level of care, without extra charge. The per diem rate(s) established in this BOA shall include the cost of medical care, drugs, laboratory, x ray, and other special services authorized by VA, unless otherwise specifically excepted. B.2. Full attention shall be given to motivating and educating patients to achieve and maintain independence in the activities of daily living, to the maximum extent possible. Every effort shall be made to keep patients ambulatory and to achieve an optimal level of self-care. B.3. Veterans receiving care under this agreement, who begin to require acute hospital care, shall be readmitted to an appropriate VA facility, as determined and authorized by the VA. When such admission is not feasible because of the nature of the emergency, it is agreed that hospitalization in a non-Federal facility shall be accomplished provided VA authorization is obtained. VA authorization must be obtained as soon as possible and shall be obtained within 72 hours of admission to the non-Federal facility. If hospitalization of a non-emergency nature is required, it is agreed that readmission to a VA facility shall be accomplished as soon as the patient's condition is sufficiently stabilized to permit admission to VA. B.4. If a veteran is re-hospitalized from the nursing home, the nursing home and VA facility shall arrange to hold a bed in reserve, when such a decision is in the best interest of the patient and the VA. The number of covered bed hold days shall be determined by VA on a case-by-case basis, but shall not exceed the number of bed hold days allowed by state Medicaid regulations. Payment shall follow state Medicaid regulations. The VA facility shall include payment for these "bed hold" days only when the conditions above are met. B.5. the VA facility shall approve leave days (days away from the nursing home) for long-term placements. The leave must be part of a therapeutic plan and approved by VA. Leave days at VA expense are limited to 6 days per calendar year. Payment shall follow state Medicaid regulations. Exceptions shall be approved by the VA facility director or designee. B.6. Patients receiving care under this contract, who begin to require more than the level of care authorized by VA, shall be readmitted to an appropriate VA facility, as determined and authorized by VA. When such admission is not feasible because of the nature of the emergency, it is agreed that hospitalization in a non-Federal facility shall be accomplished provided VA authorization is obtained. VA authorization must be obtained within 72 hours of admission of the patient to a non-Federal facility. If hospitalization of a non-emergency nature is required, it is agreed that readmission to a VA Medical Center shall be accomplished as soon as the patient's condition is sufficiently stabilized to permit admission to VA. B.7. In the event a VA beneficiary receiving nursing home care under this BOA dies, the nursing home shall within 48 hours notify the VA office authorizing admission and immediately assemble, inventory, and safeguard the patient's personal effects pending further guidance by VA. B.8. It is agreed that VA shall have the right to on-site reviews of the nursing home and all appurtenances by authorized VA representative(s) to ensure that acceptable standards are maintained and that the necessary care to maintain the well-being of the patient is rendered. B.9. The nursing home shall accept referral of and shall provide all services specified in this BOA for any person determined eligible by the VA Under Secretary for Health or his/her designee, regardless of the race, color, religion, sex, or national origin of the person for whom such services are ordered. In addition, the nursing home warrants that subcontracting shall not be resorted to as a means of circumventing this provision. B.10. It is agreed that duly authorized representatives of VA shall provide follow up supervision visits to veterans placed to assure the continuity of care and to assist in the veteran's transition back to the community. It is understood that these visits do not substitute for nor relieve the nursing home in any way of the responsibility for the daily care and medical treatment of the veteran. B.11. All medical records concerning the veteran's care in the nursing home shall be readily accessible to VA. Upon discharge or death of the patient, medical records shall be retained by the nursing home for a period of at least three years following termination of care. Patient records shall be maintained in conformance with the Privacy Act of 1974 (5 U.S.C. 552a). A medical record shall be maintained for each patient that includes at least the following: B.11.1. Admission identification record. B.11.2. VA Form 10 1204, Referral for Community Nursing Home Care, or State-approved referral form. B.11.3. Admitting evaluation (including diagnosis by nursing home physician). B.11.4. Physician orders. B.11.5. Progress notes. The physician orders/notes shall be charted immediately after patient is seen. B.11.6. Special reports (laboratory, x ray, activity,). B.11.7. SMA Patient Assessment Form (****only if SMA level of care is used****). B.11.8. Minimum Data Set (MDS) information, provided to VA upon admission and every six months thereafter. The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: 1.TECHNICAL CAPABILITY Sub-factor A: Technical Capability: Provide the following information on each proposed contract provider: A. Provide relevant experience regarding the requirements of the Statement of Work. B. Provide Skills assessments, competencies and evaluation documenting performance C. Offeror's shall indicate which subcontractor, if any subcontractors will be used, and provide the necessary information for the subcontractor's personnel. Sub-factor B: MANAGEMENT CAPABILITY: Provide the following information detailing how the offeror will meet the requirements of the solicitation: A. Shall be certified under Title XVIII (Medicare or Title XIX (Medicaid) or have received special approval from Geriatrics and Extended Care Strategic Healthcare Group (GEC SHG). B. Must demonstrate and provide documentation showing proof of meeting all state licensing requirements including the state requirements pertaining to level of medical liability insurance (MLI). C. Shall demonstrate that it is in compliance with the most recent version of the Life Safety Code. 2.PAST PERFORMANCE 3.PRICE 4. SDVOSB/VOSB STATUS Technical and past performance, when combined, is significantly more important than price. Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). A written notice of award or acceptance of an offer mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. SUBMISSION OF PROPOSALS: The proposal shall be submitted via U.S.P.S regular mail, commercial overnight delivery or hand-delivered. The proposal shall be addressed to the office specified in the solicitation and shall show the time and date specified for receipt, the solicitation number and name and address of the offeror. It may also be emailed prior to the deadline for submission of offers to kevin.adkins@va.gov. Proposals shall be submitted as described below: If submitting via U.S.P.S. regular mail, commercial overnight delivery or hand-delivered, submit the proposal to the following address: Kevin Adkins VA Illiana Healthcare System 1900 East Main Street Building 102 Room 124C Danville, Illinois 61832 The selected Offeror must comply with the following commercial item terms and conditions, which are incorporated herein by reference: FAR 52.212-1, Instructions to Offeror's - Commercial Items, applies to this acquisition; FAR 52.212-3, Offeror Representations and Certifications - Commercial Items - the selected offeror must submit a completed copy of the listed representations and certifications; FAR 52.212-4, Contract Terms and Conditions - Commercial Items; FAR 52.212-5, Contract Terms and Conditions Required To Implement Statutes or Executive Orders-Commercial Items, paragraph (a) and the following clauses in paragraph (b): 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.225-13, 52.232-34. The full text of the referenced FAR clauses may be accessed electronically at https://www.acquisition.gov/far/.
Web Link: FBO.gov Permalink
(https://www.fbo.gov/spg/VA/DaVAMC550/DaVAMC550/VA25115Q0181/listing.html)
Document(s): Attachment; File Name: VA251-15-Q-0181 VA251-15-Q-0181_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1889524&FileName=VA251-15-Q-0181-000.docx); Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1889524&FileName=VA251-15-Q-0181-000.docx; File Name: VA251-15-Q-0181 S02 VA251-15-Q-0181.pdf (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1889525&FileName=VA251-15-Q-0181-001.pdf); Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1889525&FileName=VA251-15-Q-0181-001.pdf; Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
Place of Performance: Address: Grensburg Indiana; Zip Code: 47240
Record: SN03654667-W 20150301/150228000235-cce0b2132fe1e6ac39f65052e574e8a0 (fbodaily.com)
Source: FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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Q -- Nursing Home Services - Attachment