Q505--Gastroenterology Physician Services

Amendment / Modification

This amendment to Solicitation 36C26326Q0204 provides questions, answers, and clarifications regarding the procurement of gastroenterology physician services for the Central Iowa VA Health Care System.

• The amendment addresses specific questions related to incumbent providers, key personnel resume submission, eligibility of staffing firms, SAM registration for NAICS 621111, workload and billing for physician hours, and hourly rate expectations across contract periods.

• The solicitation closing date and time remain unchanged at 10:00 AM CT on December 22, 2025.

• Offerors are required to acknowledge receipt of this amendment by signing and returning one copy with their quote.

Amendment / Modification

This document is an amendment to Solicitation 36C26326Q0204. The specific changes are detailed in the attached document titled "Solicitation Amendment 36C26326Q0204 0001".

Not specified in the provided text, refer to the attached amendment document for details.

Not specified in the provided text. Bidders should review the attached amendment for any potential impact on proposal deadlines, requirements, or evaluation factors.

Solicitation / RFP / RFQ

This document is a Quality Assurance Surveillance Plan (QASP) that outlines the systematic method the government will use to evaluate contractor performance for a stated contract. It details what will be monitored, how monitoring will take place, who will conduct it, and how efforts and results will be documented. The QASP is a "living document" and may be revised.

The QASP defines performance standards and requirements for the contractor, which are listed in Section 6. These include:

• Provider Quality Performance: Ensuring 100% of care is provided within clinical standards.

• Qualifications of Key Personnel: All contractor physicians must be board certified or eligible.

• Scope of Practice/Privileging: Physicians must perform within their individual scopes of practice/privileging 100% of the time.

• Patient Access: Physicians must be on time and available to perform services 98% of the time.

• Patient Safety: All patient safety incidents must be reported using the VA Patient Safety Reporting System immediately (within 24 hours).

• Maintains licensing, registration, and certification: Updated licensing, registration, and certification must be provided as they are renewed, and information kept current.

• Mandatory Training: All required training must be completed on time per facility policy.

• Privacy, Confidentiality and HIPAA: Contractor's physicians must comply with all laws, regulations, policies, and procedures relating to Privacy, Confidentiality, and HIPAA.

• The document identifies the Contracting Officer (CO) and Contracting Officer's Representative (COR) with their contact information.

• It also outlines the CPARS ratings (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory) that will be assigned based on performance metrics.

• Surveillance methods include Direct Observation, Periodic Inspection, Validated User/Customer Complaints, and Random Sampling.

• Performance will be evaluated against the defined standards and acceptable quality levels.

• The QASP itself requires acknowledgement and acceptance by both the COR and the Contractor.

Not explicitly detailed in this document.

• The document includes sections on Contract Discrepancy Reports (CDRs) and Contractor Certification regarding Immigration and Nationality Act, Organizational Conflicts of Interest, and Rules of Behavior for IT usage.

Solicitation / RFP / RFQ

This is a combined synopsis/solicitation for commercial products and services for Gastroenterology Physician Services. The Department of Veterans Affairs, Central Iowa VA Health Care System is seeking these services.

• Gastroenterology physician services.

• The Performance Work Statement (PWS) is included within the RFQ.

• Contract Period of Performance: February 1, 2026, to December 31, 2026.

• Includes four 1-year options to be exercised at the Government’s discretion.

• This solicitation is issued as an RFQ. Quotes are being requested, and a written solicitation document will not be issued separately.

• Award will be based on a comparative evaluation of quotes in accordance with Simplified Acquisition Procedures (FAR 13).

• Comparative evaluation involves a side-by-side pairwise comparison of quotes.

• Options will be evaluated at the time of award.

• The award will be made to the response most advantageous to the Government.

• Responses should contain your best terms and conditions.

• Submission Deadline: December 5, 2025, 10:00 am Central Time.

• Submission Method: Via email to angela.stewart438@va.gov.

• Late submissions will be treated per FAR 52.212-1(f).

• Questions should be forwarded in writing via email to the Point of Contact.

• This solicitation is set-aside for Small Businesses.

• NAICS Code: 621111 (Offices of Physicians).

• Small Business Size Standard: $16 million.

• Product/Service Code (PSC): Q505 (Medical - Gastroenterology).

• The solicitation document and incorporated provisions and clauses are effective through Federal Acquisition Circular 2025-06.

• FAR provisions 52.212-1 and 52.212-2 apply and are detailed in the attached solicitation document.

• FAR clause 52.212-4 applies and is included in the attached solicitation document.

• Defense Priorities and Allocations System (DPAS) does not apply.

• Referenced attachments: Solicitation 36C26326Q0204 and Solicitation Section D Attachments 36C26326Q0204.

Solicitation / RFP / RFQ

This solicitation is for Gastroenterology physician services to support the Central Iowa VA Health Care System. The government is procuring these services to provide care to VA beneficiaries.

• Provision of onsite Gastroenterology physician services.

• Services must meet or exceed currently recognized national standards as established by the American College of Physicians-Internal Medicine and the American College of Gastroenterology.

• Physicians must be Board Certified by the American Board of Internal Medicine (ABIM) in Internal Medicine and currently certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) or equivalency.

• Physicians must have at least 2 years of experience in Gastroenterology at the physician/NP level.

• Compliance with all VA privacy and security requirements, including specific training (e.g., HIPAA, Infosec).

• Adherence to specific infection control measures, including tuberculosis testing, immunizations, and other required screenings.

• Physicians must possess current, full, and unrestricted licenses to practice medicine.

• Physicians must not have had any license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action, or denied upon application.

• Physicians must be credentialed and privileged according to VHA directives.

• Physicians must be technically proficient and able to speak, understand, read, and write English fluently.

• Mandatory training requirements include ACLS/BLS, Active Threat Training, EHR, Government Ethics, and others as specified.

• Physicians must comply with standard infection control measures, including tuberculosis testing, immunizations, and other required screenings.

• Physicians must have a current DEA certificate.

• Physicians are prohibited from referring VA patients to their own practice.

• Physicians shall not perform inherently governmental functions.

• Physicians must provide discharge education and follow-up instructions.

• Physicians shall participate in quality improvement meetings and staff meetings.

• Physicians shall complete appropriate QM/PI documentation.

• Physicians shall follow patient safety and infection control standards, reporting incidents promptly.

• Physicians must maintain licensing, registration, and certification.

• Physicians must complete all required training on time.

• Physicians must comply with privacy, confidentiality, and HIPAA regulations.

• Physicians must be aware of and comply with all laws, regulations, policies, and procedures relating to Privacy, Confidentiality, and HIPAA.

• Physicians must not have any breaches of privacy or confidentiality.

• Physicians must be registered in SAM.gov.

• Physicians must not be on the HHS OIG List of Excluded Individuals/Entities.

• Physicians must not be listed on the FASC-prohibited list.

• Physicians must not provide or use covered telecommunications equipment or services.

• Physicians must not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services.

• Physicians must not deliver any FASC-prohibited unmanned aircraft system.

• Physicians must not operate a FASC-prohibited unmanned aircraft system on or after December 22, 2025.

• Physicians must not use Federal funds to procure or operate a FASC-prohibited unmanned aircraft system on or after December 22, 2025.

• Physicians must not conduct any restricted business operations in Sudan.

• Physicians must not engage in any activities for which sanctions may be imposed under section 5 of the Iran Sanctions Act of 1996.

• Physicians must not knowingly engage in any transaction that exceeds $15,000 with Iran's Revolutionary Guard Corps or any of its officials, agents, or affiliates.

• Physicians must not export any sensitive technology to the government of Iran or any entities or individuals owned or controlled by, or acting on behalf or at the direction of, the government of Iran.

• Contract Type: Firm-fixed price.

• Period of Performance: Base period from 02/01/2026 to 12/31/2026, with four one-year option periods.

• Estimated Value: Not explicitly stated, but the solicitation is for commercial products and services.

• Offers must be submitted by 12/22/2025 at 10:00 am CST.

• Offers must include a signed SF 1449, completed price schedule, signed Conflict of Interest Memo, signed Immigration Certification, signed Quality Assurance Surveillance Plan (QASP), and Signed Contractor Rules of Behavior.

• Additional documentation for evaluation includes: Contingency Plan for emergency substitutions, Quality Control Plan, and for each professional/key personnel: listing of staff, CVs, copies of degrees/licenses/certifications, BLS/ACLS certifications, and malpractice/medical liability insurance certificates.

• Evaluation Factors (in descending order of importance):

  1. Technical Excellence (qualifications, experience, clinical skills, management/administrative capabilities, responsibility, past performance).
  2. Past Performance.
  3. Price.
  4. Veterans Involvement (SDVOSB/VOSB status and proposed use of SDVOSBs/VOSBs as subcontractors).

• Proposals must be submitted electronically via email to angela.stewart438@va.gov.

• This procurement is set aside for small businesses under NAICS code 621111.

• Offerors must have an active SAM.gov registration upon submission of an offer and award.

• The solicitation number is 36C26326Q0204.

• The solicitation issue date is 12-11-2025.

• The offer due date is 12-22-2025.

• The NAICS code is 621111 with a size standard of $16 Million.

• The contract will be administered by the Department of Veterans Affairs, Network 23 Contracting Office.

• Payment will be made via electronic funds transfer through the Tungsten Network.

• Offerors must acknowledge receipt of any amendments to the solicitation.

• The contract includes FAR clauses 52.212-1, 52.212-3, and 52.212-4. FAR 52.212-5 is attached.

• The contract includes VAAR clauses 852.211-76, 852.232-72, 852.237-70, 852.237-75, 852.242-71, and 52.252-2.

• Section D includes contract documents, exhibits, or attachments such as QASP, Organizational Conflicts of Interest, Contractor Certification, and Contractor Rules of Behavior.

• Section E includes solicitation provisions such as Instructions to Offerors and Representations.

• The evaluation of offers will be based on a comparative evaluation process, with best value expected.

• The government may accept other than the lowest price or most highly technically evaluated quote.

• The government may accept any item or group of items of an offer, unless the offeror qualifies the offer by specific limitations.

• The government may accept an offer (or part of an offer) without further action by either party.

• The offeror agrees to hold prices firm for 90 calendar days from the date specified for receipt of offers.

• Questions regarding the solicitation must be submitted via email to angela.stewart438@va.gov by 8:00 am Central Time on December 17, 2025.

• Procurement history can be researched at fpds.gov.

• Joint ventures must provide a certification from each SDVOSB joint partner.

• Offerors must submit pricing proposals separate from technical proposals.

• The offeror must not provide or use covered telecommunications equipment or services.

• The offeror must not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services.

• The offeror must not deliver any FASC-prohibited unmanned aircraft system.

• The offeror must not operate a FASC-prohibited unmanned aircraft system on or after December 22, 2025.

• The offeror must not use Federal funds to procure or operate a FASC-prohibited unmanned aircraft system on or after December 22, 2025.

• The offeror must not conduct any restricted business operations in Sudan.

• The offeror must not engage in any activities for which sanctions may be imposed under section 5 of the Iran Sanctions Act of 1996.

• The offeror must not knowingly engage in any transaction that exceeds $15,000 with Iran's Revolutionary Guard Corps or any of its officials, agents, or affiliates.

• The offeror must not export any sensitive technology to the government of Iran or any entities or individuals owned or controlled by, or acting on behalf or at the direction of, the government of Iran.

• The offeror must disclose any non-compliance with prohibitions in paragraphs (c) or (d) within 72 hours to the contracting office.

• Protests must be filed in accordance with FAR 52.233-2 and VAAR 852.233-70.

• Alternate protest procedures are available via VAAR 852.233-71.

• Solicitation provisions incorporated by reference are listed in Section E.9.

• Evaluation criteria are detailed in Section E.10.