Justification and Approval – Q– Sole Source Community Nursing Home Services
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Notice Type: Justification and Approval
Posted Date:
Office Address:
Subject: Q-- Sole Source Community Nursing Home Services
Classification Code: Q - Medical services
Solicitation Number: None Specified - Q'ole Source Community Nursing Home Services
Contact:
Description:
VA Capitol Health Care Network
VA Capitol Health Care Network
DEPARTMENT OF VETERANS AFFAIRSVISN 5
Justification and Approval
For
Other
1. Contracting Activity:
Requisition No. Funded/Paid thru VA Form 138, Obligation or Change in Obligation, in accordance with Volume II - Chapter 6
2. Nature and/or Description of the Action Being Processed:
Pursuant to Citations 41 U.S.C. 253(c)(1) and 38 USC the VA has a requirement which can only be reasonably met by a single supplier. Services at this time may be deemed to be available only from the original source in the case of a follow-on contract, when it is likely that award to another source would result in unacceptable delays in fulfilling the agency's requirement and substantial duplication of cost to the Government that is not expected to be recovered through competition.
is supporting the Baltimore VAMCHCS in meeting its strict requirements for placement of eligible veterans into a community nursing home facility.
The government anticipates award of a Basic Ordering Agreement for a total of sixty-(60) months, a base year with four (4) one-year options.
3. Description of Supplies/Services Required to Meet the Agency's Needs:
Award a sole source contract Future Car Northpoint of to provide community nursing home (CNH) services to Veterans and eligible beneficial.
(5)-Five Year Cost Estimate:
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. However, based on a typical usage rate of 1 veteran for 365 days, a reasonable
4. Statutory Authority Permitting Other than
FAR 6.302-1 and 41 U.S.C. 253(d)(1)(A): Only one responsible source and no other supplies or services will satisfy agency requirements.
5. Demonstration that the Contractor's Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority):
PL 88-450, PL 106-117 and 38 USC 1720 create the expectation that qualified veterans will receive
The CNH Program has two cornerstones: some level of patient choice in choosing a nursing home in close proximity to their home and family; and an approach to local oversight of CNHs consisting of annual reviews and monthly patient visits. Following this approach, the Baltimore VAMCHCS has established contracts in various areas throughout
The Contractor is to provide nursing home care in accordance with the VHA Community Nursing Home Procedures specified in VHA Handbook 1143.2. The facility has to meet all state licensing requirements including the state requirement pertaining to level of medical liability insurance.
6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable:
A notice of Intent to sole source will be published on FedBizOpps.
7. Determination by the Contracting Officer that the Anticipated Cost to the Government will be Fair and Reasonable:
Payment to the CNH is subject to the State Medicaid rates which change semi-annually; however, our agreement allows only an annual change to reduce administration.
8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted:
Research was conducted on a Limited Basis: Market research was performed finding there are several businesses in the same area as Future Care Northpoint that provide nursing home care. Market research for future agreements is dependent on the needs of the patients and resources of the VA Medical Center Health Care system which is customarily administer d by Social Work service
9. Any Other Facts Supporting the Use of Other than
Continuing service is critical to Veterans to sustain a quality of life at an acceptable level.
10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition:
None.
11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to Competition before Making subsequent acquisitions for the supplies or services required:
No other known CNH source has expressed interest in this action. The procurement action will be posted to the
Point of contact:
Contract Specialist
Link/URL: https://www.fbo.gov/notices/9eb0a70d2bea1788d48ff871ad0bc331
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