Presolicitation Notice – Q– ADULT DAY HEALTH CARE SERVICES
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Notice Type: Presolicitation Notice
Posted Date:
Office Address:
Subject: Q-- ADULT DAY HEALTH CARE SERVICES
Classification Code: Q - Medical services
Solicitation Number: VA25814Q0733
Contact: Claude HumphreyContract Specialist 602-795-4339 [email protected] mailto:[email protected]
Description:
Phoenix VAMC
The
The
The solicitation will be available for download from http://www.fbo.gov. Interested Offerors will be responsible for downloading copies of the solicitation (and any subsequent amendments) from that website, for no hard copies will be made available. The solicitation will provide full information to Offerors about the proposal submission process. Prospective Offerors are encouraged to register their interest in the solicitation on the FBO website so that they are notified of the issuance of the solicitation and any amendments.
In accordance with FAR 52.204-7, System for Award Management, prospective Offerors must be registered in System for Award Management (SAM). Firms may obtain SAM information at https://www.sam.gov. To be eligible for award, Offerors must be registered in the System for Award Management database at https://www.sam.gov. Registration is free and potential offerors are encouraged to visit the SAM website and register as soon as possible to avoid delays so they may be considered for a contract award.
Contractors must also be registered with and maintain a Supplier Evaluation Risk Rating of Moderate or better with
The VA will only consider proposals from Offerors who are licensed by their respective States and who are
The provision at Federal Acquisition Regulation (FAR) 52.212-2 Evaluation - Commercial Items (
DESCRIPTION
This agreement shall be for a base plus 4 yearly option year periods, for no more than sixty (60) calendar months, commencing with the effective date indicated in block 3 of the SF1449, in accordance with FAR 16.7. This agreement may be terminated at any time with at least ninety (90) calendar days written notice by either party. The agreement is for an indefinite quantity of services, with no guarantee being made as to the number of beneficiaries who may require services or their length of stay. A contract is formed, in accordance with the terms and conditions of this agreement, when the
I.
This Basic Ordering Agreement (BOA) shall be conducted under the procedures of FAR Part 12 and FAR Part 13.5. Contractor is to provide, Under Authority Public Law 106-117 and 38 U.S.C. 1720, Adult Day Health Care (ADHC) Services to eligible beneficiaries for whom such care is specifically authorized by the
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v. Maricopa
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Contractors must have and maintain, for the life of the contract, current State Licensure to meet the requirements of this contract.
II. REQUIREMENTS
1. The purpose of providing ADHC is:
a. to enable functionally impaired individuals to reside in supportive home environments rather than in nursing home care facilities;
b. to facilitate the return of older veterans to their home and coordinate long term care there by reducing readmissions to hospitals and nursing homes;
c. to maintain the elder veteran at the highest level of functioning possible;
d. to improve the quality of life for the participants; and
e. to provide support for the family and other caregivers of elder veterans.
2. The Contractor shall provide medical services, nursing, social work services, assistance with activities of daily living, activity therapy, case management, nutrition service including meals and snacks, restorative care, and transportation.
3. Full attention shall be given to motivating and educating patients to achieve and maintain independence in 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.
4. The Contractor shall not maintain nor provide dual or segregated patient facilities which are segregated on the basis of race, creed, color or national origin. The Contractor shall neither require such segregated use by written or oral policies nor tolerate such use by local custom. The term "facilities" shall include but not be limited to rooms, wards, sections, eating areas, drinking fountains, and entrances, and other like areas.
5. The ADHC shall accept referral of and shall provide all services specified in this contract for any person determined eligible by the VA Chief Medical Director 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 ADHC Program warrants that subcontracting will not be resorted to as a means of circumventing this provision.
6. All medical records concerning the veteran's care in the ADHC will be readily accessible to the VA. Upon discharge or death of the patient, medical records will be retained by the ADHC contractor for a period of at least three years following termination of care. Patient records will 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 a minimum the following:
6.1 Admission record, including assessment and diagnosis
6.2 Physician orders
6.3 Treatment plan
6.4 Progress notes
6.5 Periodic evaluations
6.6 Discharge Summaries
6.7 Other usual and customary information pertinent to patient care
7. The beneficiary will be provided ADHC at the expense of VA for a period not in excess of that stated in the referral/Authorization form, unless an extension of the authorization is provided in writing by the placing VA facility.
8. If the
9. The Contractor shall submit a properly executed HCFA or UB-04 claim form monthly for each VA funded participant to VA Fee Services for the purpose of claims processing.
10. Absences of the patient from the ADHC Program will not be reimbursable.
11. Payment made by the
III. ADULT DAY HEALTH CARE (ADHC) SERVICES
1. Activities: Therapeutic programming includes recreational services and leisure activities to meet the physical and social needs of the participants and is an integral part of each client's treatment program. The intent of these services is to provide a method for participants to use their time meaningfully during each session. These services and activities may include, but are not limited to, arts and crafts, music, TV and radio stimulation, physical exercise, books and magazines, games, field trips, and other appropriate activities.
2. Nutrition: The Contractor shall provide two (2) snacks, one (1) in the morning and one (1) in the afternoon, and one (1) hot lunch daily.
3. Special Diets/Feeding Needs: The Contractor shall provide special diets, enteral feeding, and cutting of food and/or hand feeding when required under the supervision of a registered dietitian.
4. Personal Care Assistance: The Contractor shall provide reminders and/or directions for continence care and stand-by assistance/supervision with personal care such as toileting, dressing, and bathing when needed.
5. Incontinence Care: The Contractor shall provide full assistance in toileting, catheter care, disposable undergarments, and changing/laundering of soiled clothing, as required.
6. Supervision: The Contractor shall provide a high degree of safety supervision for wandering/ambulating, and/or behavioral supervision for combativeness, agitation, aggression, withdrawal, etc.
7. Physical Transferring: The Contractor shall provide physical assistance/ human help or lifting for transferring in order to accomplish personal care, transportation, safety, incontinence care, etc.
IV. CLINICAL SERVICES
1. Nursing Services: The Contractor shall provide skilled nursing services to include medication administration (oral and injectables), necessary nursing treatments, and supervision of prescribed therapies (Oxygen, range of motion, etc.) In addition, the ADHC program will manage the patient plan of care while providing the patient's social and health needs. The ADHC must meet State Requirements for nursing services. There shall be at least one licensed registered nurse or licensed vocational nurse on duty during the main hours of operation to provide ongoing nursing assessments and skilled nursing care, as needed. There shall be sufficient nurses and/or Nursing Assistants (NA) to provide supportive nursing care and assistance in daily program activities. At a minimum, the facility must employ a full time licensed vocational nurse under the supervision of a registered nurse consultant. The registered nurse consultant must provide on-site consultation four hours per week. The ratio of direct service staff to clients shall be at least one staff person for every eight patients during provision of all covered services except during facility provided transportation.
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3. Social Services: Each Veteran referred for contracted services will have a VA Social Worker assigned for oversight requirements. General social services should be available as an integral part of the program to provide social assessments and appropriate counseling to participants and their caregivers.
4. Rehabilitation Services: Maintenance therapies shall be provided as part of the ongoing therapeutic program. All restorative therapies must be provided under the supervision of a qualified physical and/or occupational therapist on a consultative basis when indicated and or requested by the VA.
5. Nutrition Services: Nutrition services shall be provided, with the consultation of a Registered Dietician as necessary, to include counseling, regular meals, and special diets.
6. Recreation Services: As an integral part of the individual treatment program, recreational services shall be provided to meet the physical and social needs of the participants.
V. TRANSPORTATION
Contractor shall provide handicapped accessible transportation to/from client or caretaker's home or assist the veteran in securing community resources. If the facility employs a driver, the driver shall operate the facility's vehicle in a safe manner; maintain adult cardiopulmonary resuscitation (CPR) certification; and be capable of assisting individuals to board/exit the vehicle.
VI. AUTHORIZATIONS
This Basic Ordering Agreement (BOA) is established for providing VA beneficiaries community ADHC services in a Contractor furnished facility. The primary user of this agreement will be the
1. VA FORM 10-7078. Authorizations for ADHC services will be accomplished on a VA Form 10-7078, Authorization and Invoice for Medical and Hospital Services. Each authorization validity period will be from the initial effective date to disposition. Any extension to the original authorization validity period, regardless of the number of days, requires a new or updated VA Form 10-7078.
2. VA INDIVIDUALS AUTHORIZED TO PLACE BENEFICIARIES. All authorizations must be initiated by and confirmed by the authorized Contracting Officer's Representative (COR) of which a copy of the authorization will be provided to the Contractor.
3. CHANGE TO THE BASIC ORDERING AGREEMENT. No individual or activity has authority to ADD, DELETE, CHANGE, MODIFY or TERMINATE this agreement other than the warrantied Contracting Officer.
VII. SPECIAL TERMS AND CONDITIONS
1. Referral and Acceptance of Clients: It is understood that veterans to be cared for under this contract, as referred by the Associate Chief of Staff, Geriatrics and Extended Care Product Line, or his/her designee, shall receive the ADHC services as a substitute for nursing home care. The purpose of providing ADHC services is to:
a. Facilitate the ability of impaired veterans to remain in their home and coordinate long-term care, thereby reducing readmission to hospitals and nursing homes.
b. Maintain the impaired veteran at the highest level of functioning.
c. Improve the quality of life for the participants among their peers.
d. Provide support for the family and other caregivers of older veterans.
2. Authorization For Extension of Services: A VA beneficiary may not be provided ADHC services at the expense of the STVHCS for a period in excess of that stated in the treatment plan received from the STVHCS,
3. Changes: Changes to this contract may be made only by written modification to this contract. The modification shall be prepared by the VA Contracting Officer and, prior to becoming effective, approved and signed by the Contractor.
VIII. CONTRACTOR REQUIREMENTS
The Contractor shall appoint a Program Manager at each Adult Day Health Care center covered by this contract) who shall be the Contractor's authorized representative for technical and administrative performance of all services required at that ADHC. Contractors are expected to accept or reject veterans within 24-hour of referral. Once the patient is accepted for placement, the patient will be admitted to the adult day care on the next business day or at the patient's convenience not to exceed one week from referral. If this time frame is exceeded the ADHC will notify the Program Coordinator who is designated as the Contract Official Representative.
All clinical concerns regarding this contract will be forwarded to the Program Coordinator who is designated as the Contract Official Representative.
Full attention shall be given to motivating and educating patients to achieve and maintain independence in activities of daily living. Every effort shall be made to keep patients ambulatory and to achieve an optimal level of self-care.
Patients who require more than the level of care safe for ADHC will not be admitted or retained. The ADHC staff will notify the VA for direction.
The ADHC shall not maintain nor provide dual or segregated patient facilities that are segregated on the basis of race, creed, color, national origin or medical condition (except as dictated by standard infection control procedures). The ADHC shall neither require such segregated use by written or oral policies, nor tolerate such use by local custom.
The ADHC shall provide all services specified herein for any VA patient, regardless of the race, color, religion, sex, national origin or medical condition of the person for whom such services are ordered. In addition, the ADHC warrants that subcontracting will not be resorted to as a means of circumventing this provision.
The ADHC shall allow reasonable visitation rights to family and to other persons who have a care-giving or significant relationship to the patient while the patient is attending ADHC.
It is agreed that duly authorized representatives of VA will provide follow-up visits to veterans placed on contract to ascertain 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 adult day care in any way of the responsibility for the daily care and medical treatment of the veteran.
The beneficiary will be provided adult day care at the VA's expense for a period not to exceed that stated in the treatment plan received from VA on admission. Extensions of an authorization must be provided in writing by the placing VA Facility ten working days prior to the expiration of the existing authorization.
Contractors providing care will:
a. Admit patients to ADHC processing all required paperwork.
b. Utilize the nursing process in assessing, planning and implementing and evaluating patient care.
c. Manage the adult day healthcare plan for the veteran assuring that such care meets or exceeds
d. The Contractor will coordinate the adult day health care, supervise its own staff and evaluate the care and services provided to each veteran on contract.
e. The Contractor will assure that adequate staffing is available for the provision of care to meet the needs of the veterans.
f. The Contractor assures that the discharge plan is developed using appropriate resources to meet the veterans' needs.
g. Required documentation. The following reports are required for the duration of the contract.
i. Telephone contact, with written notification to follow, will be made regarding any veteran on contract who experiences a sentinel event, death, major change in condition or reports abuse. Telephone contact will be made to the Program Coordinator for Contract Adult Day Health Care or the Administrative Officer of the Day during non-business hours.
ii. Any complaint made against the adult day care by the Veteran or his/her family will be forwarded to the contracting office within ten days of the complaint.
iii. A complete copy of the Annual State Survey Report and any other reviewing agency report, including any and all responses to identified deficiencies will be forwarded to the contracting office within fifteen (15) days of receipt by the contracting agency.
iv. A summary of quality management findings will be forwarded to the Contracting Office on a semi-annual basis (March and September) and submitted by the 15th of the following month.
IX. QUALIFICATIONS:
1. Accreditation: The Contractor shall be licensed as an Adult Day Health Care facility by the state of
2. Compliance: The Contractor's ADHC facility shall meet all Federal, State, and local laws, regulations, and codes pertaining to health and safety such as those regulating:
1. Construction, maintenance, and equipment.
2. Sanitation and waste management.
3. Buying, dispensing, safeguarding, administering, and disposing of medications and controlled substances.
3. VA Standards: The Contractor's ADHC facility shall meet the VA standards for Adult Day Health Care (ADHC) Services as promulgated in 38 CFR Part 17.51c through 17.51e.
4. License: The Contractor's ADHC facility shall be licensed to operate as such in compliance with the
5. Liability: See VAAR Clause 852.237-7,
6. Personnel: Personnel employed by the Contractor to perform the ADHC services covered by this contract shall be licensed and/or certified in a State, Territory, or Commonwealth of
7. Fire Laws: The Contractor's facility shall conform to the standards of the current
X. PERSONNEL POLICY:
1. Responsibility: The Contractor shall be responsible for protecting the personnel furnishing ADHC services under this contract and, thus, shall provide the following to carry out this responsibility:
a. Worker's Compensation
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c. Health Examinations
d. Withholding Income Tax
e. Social Security Payments
2. Non-VA Employees: The parties agree that such personnel shall not be considered VA employees for any purpose and shall be considered employees of the Contractor.
3. Staffing Requirements: The facility must observe the following staffing requirements:
1. One licensed registered nurse or licensed vocational nurse must be working on site during the main hours of operation to provide ongoing nursing assessments and skilled nursing care as needed. At a minimum, the facility must employ a full time licensed vocational nurse under the supervision of a registered nurse consultant. The registered nurse consultant must provide on-site consultation four hours per week.
2. There shall be sufficient nurses and/or nursing assistants to provide supportive nursing care and assistance in daily program activities. The ratio of direct service staff to clients shall be at least one staff person for every eight patients during provision of all covered services except during facility provided transportation.
3. The facility must employ a Director who works a minimum of 40 hours per week performing duties related to the provision of adult day care service.
4. The facility must employ an Activities Director at 40 hours a week responsible for planning and directing the daily program activities including physical fitness exercises and other recreational activities.
5. The facility must receive on site consultation at least four hours each month from a dietician. The dietitian consultant plans and/or reviews menus and must approve each snack and luncheon menu.
4. Points of contact (POC): The ADHC agency shall provide a Point of contact (POC) who shall be responsible for the performance of the work under this agreement. The POC shall have full authority to act for the ADHC agency on all matters relating to the daily operation of this agreement. The POC must be a health care provider performing in accordance with the terms and conditions of this agreement. An alternate may be designated, but the ADHC agency shall identify, in writing, those times when the alternate shall act as the POC. The ADHC agency shall identify the POC and alternate in writing to the SAVAHCS COR at the time submission of offer, and confirmed upon award of contract and upon the extension of each option period. The ADHC agency shall give written notification to the COR of those times when the alternate will act as the POC. In case of EMERGENCY, the POC must be available by telephone at all times (24 hours/7 days a week), Sunday through Saturday, including Federal holidays.
XI. PATIENT RECORDS/RECORD KEEPING SYSTEM:
1. Compliance: The Contractor shall maintain a record on each client to include a treatment plan, initial and periodic reevaluations, progress notes, and other usual/customary information included in client records according to state standards.
2. Access to Medical Records: All medical and administrative records concerning the patient's care in the ADHC program will be readily accessible to the
a. Admission identification record
b. Nursing assessment and treatment plan
c. Physician orders as required by state licensing requirements
d. Progress notes from nursing, dietary, and activity disciplines of patient response to ADHC services
e. Documentation whether or not individual patient has executed an advance directive.
3. Reports: The ADHC program shall submit a monthly report on the attendance, medical, functional, and psychosocial status of the beneficiaries receiving care under this contract. The report shall be sent to the Program Coordinator who is designated as the Contract Official Representative.
XII. CONTRACTING WITH PARTIES LISTED ON THE OIG LIST OF EXCLUDED INDIVIDUALS/ENTITIES:
In accordance with The Health Insurance Portability and Accountability Act (HIPAA) and the Balanced Budget Act (BBA) of 1977, the
Therefore, all offerors shall review the OIG List of Excluded Individuals/Entities on the
By signing the offer/bid, the Contractor certifies that he/she has reviewed the OIG List of Excluded Individuals/Entities and that the proposed candidate(s) and/or firm are not listed as of the date the offer/bid was signed.
XIII. ADMINISTRATIVE REQUIREMENTS AND PROCEDURES
1. Payment Terms And Conditions: As it is impossible to determine the exact or estimated amount which will be expended under this contract, it is understood that no obligation will be incurred by the
2. Invoices:
a. Submission of Invoices: The Contractor shall submit monthly, by the fifteenth (15th) calendar day of each month, an invoice for services performed under the contract during the previous month. One (1) payment shall be made per month. All invoices shall include the following information:
i. Name, address, telephone number, and tax identification number of Contractor.
ii. Invoice date.
iii. Contract number or other authorizations for payment.
iv. Number/dates of days billed; a daily attendance roster for each client must be submitted with billing.
v. Name and social security number of VA beneficiaries to who services were provided.
vi. *Unit rate, Total number of units attended, and total dollar amount.
vii. Invoices shall be submitted in arrears on a monthly basis.
viii. Original red copy of CMS 1500
*Unit Cost is the method of payment. A unit of authorized service is defined as half a day. One unit of service constitutes four hours of covered services provided by the ADHC facility. Five hours or more of service constitutes two units of service. Time spent in approved transportation provided by the ADHC facility shall be counted in the unit of service.
3. Billings in Full: Invoices submitted by the Contractor to the
XIV. DEPARTMENT OF VETERANS AFFAIRS RESPONSIBILITIES
1. Inspection:
a. Inspection Team: The
b. Deficiencies: If deficiencies are noted during any inspection, the Contractor will be advised of the inspection team's findings and given a reasonable time to take corrective action. Any deficiencies shall be documented and MUST be corrected within the timeframe specified by the inspection team. The Contractor will notify the Contracting Officer when correction(s) have been made. However, if inspection deficiencies are found prior to award of the contract, the contract shall not be awarded until noted deficiencies have been eliminated/resolved.
2. Follow-Up Supervision Visits: Duly authorized representatives of the
3. Evaluation: The
4. Payment: Payments made by the VA under this BOA constitute the total cost of ADHC services. No additional charges shall be billed to the beneficiary or his/her family. The Contractor shall not solicit contributions, donations, or gifts from patients or family members. The VA agrees to make payment on a timely basis for services rendered in accordance with the Payment provision and upon receipt of properly submitted invoices.
5. Termination of Services: The VA reserves the right to remove any or all VA patients from the ADHC program at any time, when it is determined to be in the best interest of the VA or the patient.
NOTE: Individual Non-award notifications will not be published. The SAOW/VISN 18 Contracting will publish an electronically consolidated notification via a Federal Business Opportunities Award Notice once all sites Basic Ordering Agreement (BOA) have been awarded; the award posting notice on the Federal Business Opportunity (FBO) Website (http://www.fbo.gov/), will serve as non-awardees official electronic notification of non-award.
Placements will be made in contract facilities based on availability of facilities and the desires of the veterans and their respective families. Because it is impossible to determine actual usage of any particular contract facility, the VA uses Basic Ordering Agreements with no guaranteed minimums.
All questions regarding this solicitation must be submitted in writing to the Contract Specialist:
NOTE: All questions must reference the RFQ # and Description of the project in the Header or Opening Statement.
Contracting Office Address:
777 E. Missouri, Suite 300
Point of contact:
Contract Specialist
602-795-4339
Link/URL: https://www.fbo.gov/spg/VA/PhVAMC/HMC/VA25814Q0733/listing.html
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