Q402--Open & Continuous for OBVAMC for Community Nursing Home Services in Louisiana, Arkansas, and Texas.

Statement of Work (SOW) / Performance Work Statement (PWS)

This Quality Assurance Surveillance Plan (QASP) outlines a systematic method for evaluating contractor performance for a stated contract, specifically related to Nursing Home Care.

This QASP details:

• What aspects of performance will be monitored.
• The methods for conducting monitoring.
• Who will conduct the monitoring.
• How monitoring efforts and results will be documented. It does not detail how the contractor performs the work, but rather how the Government will evaluate that performance.

The QASP establishes specific performance standards for Nursing Home Care, including:

• Providing VA with copies of all State/Federal licenses, certifications, and investigation reports upon request (100% standard).
• Cooperating in developing corrective action plans as outlined in the Performance Work Statement (100% standard).
• Notifying the VA of veteran hospitalizations within 72 hours and deaths within 24 hours or the first business day after a weekend/holiday (100% standard, 95% acceptable quality level).
• Notifying the VA of all reportable events and sentinel events within 24 hours or the first business day after a weekend/holiday (100% standard).
• Ensuring medical records are accessible and meet acceptable standards (100% standard).
• Ensuring invoices are timely and accurate (95%-100% acceptable quality level).

Not explicitly detailed in this document, but pertains to Nursing Home Care services.

• Government roles include Contracting Officer (CO) and Contracting Officer's Representative (COR) for technical administration and surveillance.
• Contractor representatives include a Program Manager and Other Contractor Personnel.
• Monitoring methods include direct observation, periodic inspection, user surveys, validated complaints, inspections, periodic sampling, random sampling, progress meetings, and analysis of progress reports.
• Performance documentation includes acceptable and unacceptable performance, with procedures for Contract Discrepancy Reports (CDRs) and corrective action plans.

Form / Attachment / Pricing Sheet

This document is a Wage Determination (No. 1973-0121, Revision No. 61) issued by the U.S. Department of Labor, Wage and Hour Division, under the Service Contract Act. It establishes the minimum wage rates and fringe benefits required for contracts subject to the Service Contract Act.

• Executive Order 14026: Applies to contracts entered into or renewed/extended on or after January 30, 2022. Requires a minimum wage of $17.75 per hour (or the listed wage rate if higher).
• Executive Order 13658: Applies to contracts awarded between January 1, 2015, and January 29, 2022, and not renewed or extended on or after January 30, 2022. Requires a minimum wage of $13.30 per hour (or the listed wage rate if higher).
• Applicable States: The wage determination covers multiple states including Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia.
• Occupational Listing: Lists specific occupations (Kitchen Helper, Laundry Worker, Maid/Porter, Nursing Aide/Orderly) with a base rate of $7.25/hour, but notes that workers may be entitled to higher rates under EO 14026 or EO 13658.
• Fringe Benefits: Includes Health & Welfare rates ($5.36/hour or $4.93/hour under EO 13706), Vacation (1 week after 1 year, 2 weeks after 2 years), and Holidays (minimum of seven paid holidays).
• Uniform Allowance: Details requirements for furnishing and maintaining uniforms, including reimbursement rates if applicable.
• Conformance Process: Outlines the procedure for requesting authorization of additional classifications and wage rates using Standard Form 1444 (SF-1444) if a required employee classification is not listed.

This document is critical for bidders to understand the minimum labor costs associated with performing the contract. Bidders must factor these wage and fringe benefit requirements into their pricing to ensure compliance with the Service Contract Act and applicable Executive Orders. Failure to comply can result in penalties. The document also provides details on how to handle unlisted job classifications through the conformance process.

Solicitation / RFP / RFQ

This solicitation is for a multi-award Indefinite Delivery Contract (IDC) for nursing home services for eligible Veterans. The services will be provided to the Department of Veterans Affairs Overton Brooks VA Medical Center (OBVAMC) in Shreveport, Louisiana.

• Furnish all supplies and services described in the Patient Driven Payment Model (PDPM) at VA per diem rates.

• Provide primary medical care, provider visits, specialty consultations, drugs, and routine supplies.

• Ensure care meets health needs and promotes maximum well-being of VA patients.

• Maintain current Center for Medicare and Medicaid Services (CMS) certification (Medicare and/or Medicaid) and a State nursing home license.

• Accept VA referrals in a timely fashion (ideally within 24 hours).

• Provide provider visits at a minimum of one per month.

• Offer laboratory, x-ray, and other special services as needed.

• Care includes room, meals, nursing care, and other services commensurate with the VA-authorized level of care.

• Cooperate with VA staff in referral of appropriate Veterans and accept Veterans for whom the facility has capability/capacity.

• Maintain a current and unrestricted state license to operate as a skilled nursing facility.

• Adhere to HIPAA compliance.

• Participate in VA's CNH Program with a three-star overall rating or a two-star overall rating with a four-star or greater quality measures score on CMS Nursing Home Compare.

• Contract Type: Indefinite Delivery Contract (IDC)

• Period of Performance: Up to five years from the date of award.

• Anticipated ordering periods:

  • 1st: 04/01/2025 - 09/30/2025
  • 2nd: 10/01/2025 - 09/30/2026
  • 3rd: 10/01/2026 - 09/30/2027
  • 4th: 10/01/2027 - 09/30/2028
  • 5th: 10/01/2028 - 09/30/2029
  • Last: 10/01/2029 - 03/31/2030

• Contract IDC Minimum: $500.00

• Contract IDC Maximum: $49,000,000.00

• Wage Determination: 1973-0121 REV 61 dated 12/23/2024 applies.

• Offers must be submitted by the due date and time specified in Block 8 of SF 1449.

• Electronic proposals should be submitted via email to aminisha.daniel@va.gov.

• Evaluation Criteria:

  • Factor 1: Technical (VA Nursing Home Inspection Team Evaluation Report, Medicare Star rating)
  • Factor 2: Past Performance (Medicare Star Rating previous five years, CPARS ratings)

• This acquisition is UNRESTRICTED.

• NAICS Code: 623110

• Size Standard: $34 Million

• Offerors must complete blocks 12, 17a, 17b, 30a, 30b of the SF 1449.

• Offerors must provide a completed Section B.1 Contract Administration Data, POC information, and sign the QASP from Section D.

• A copy of completed FAR Clause 52.212-3 Offeror Representations and Certifications—Commercial Items or a copy of the Annual Representations and Certifications record from SAM is required.

• Additional required documents include: State Nursing Home License, insurance certificate, State Assessment/Survey/Inspection reports, and completed fill-in clauses for 52.209-7.