Inactive

SOURCES SOUGHT DISCLAIMER THIS IS NOT A SOLICITATION AND NO CONTRACTS SHALL BE AWARDED FROM THIS NOTICE. No reimbursement will be made for any costs associated with providing information in response t... SOURCES SOUGHT DISCLAIMER THIS IS NOT A SOLICITATION AND NO CONTRACTS SHALL BE AWARDED FROM THIS NOTICE. No reimbursement will be made for any costs associated with providing information in response to this notice or any follow up information requested. SDVOSB and VOSB respondents are encouraged to provide proof of verification in VIP. Consistent with Public Law 109-461 (38 U.S.C. 8127 and 8128), the VA shall award contracts based upon competition restricted to SDVOSBs or VOSBs when a contracting officer has a reasonable expectation, based on market research, that two or more firms listed as verified in Vendor Information Pages database are likely to submit offers and an award can be made at a fair and reasonable price that offers best value to the United States. SOURCES SOUGHT DESCRIPTION This is NOT a solicitation announcement. This is an sources sought only. The purpose of this sources sought is to gain knowledge of potential qualified sources and their size classification relative to NAICS 623110. Responses to this sources sought will be used by the Government to make appropriate acquisition decisions. After review of the responses to this sources sought, a solicitation announcement may be published. Responses to this sources sought synopsis are not considered adequate responses for a solicitation announcement. A. DESCRIPTION, SPECIFICATIONS AND REQUIREMENTS Federal Acquisition Regulation (FAR) Indefinite Delivery Contract (IDC). In accordance with FAR 16.504, Indefinite-Quantity Contracts, this is an IDC for the time period from the Effective Date for one (1) base year with four (4) options to renew to be exercised at the sole discretion of the Government. There is no guarantee that option years will be exercised under the authority of FAR Clause 52.217-9, Option to Extend the Term of the Contract. As part of price evaluation, the Government will evaluate its option to extend services under the authority of FAR Clause 52.217-8, Option to Extend Services. The evaluation will assume that the prices for any option exercised under FAR 52.217-8 will be at the same rates as those in effect under the contract at the time the option is exercised. Services Rendered at VA Per Diem Rates. Upon acceptance of a VA patient by the CNH, if and when requested by the VA 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 in the Schedule of Items of this IDC. The VA Levels of Care are defined in Section 28 of the IDC. VA is obligated only to the extent authorized placement of patients is made in accordance with this IDC. Placement of non-VISN 15 Beneficiaries is not covered under this contract; see Section D, Attachment 4. Care and visits shall be at the same frequency and quality as that provided to non-VA (commercial) patients in the same CNH facility receiving the same or comparable level of care with the addition of VA-specific requirements outlined herein. Background/Introduction. The Community Nursing Home (CNH) program is a key component of the Veterans Health Administration (VHA) continuum of care. The Contractor agrees to provide in accordance with the terms and conditions stated herein to the U.S. Department of Veterans Affairs Truman VA Medical Center, in Columbia, MO at the prices specified in the section titled Schedule of Items of this IDC. Nursing home facilities in the CNH program shall cooperate with VA staff in referral of appropriate veterans for care and accept veterans of which they have the capability/capacity to care. The term, facilities, shall include but not be limited to rooms, wards, sections, eating areas, drinking fountains, entrances, and other like areas. VA shall have the right to inspect the CNH 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. Requirements General. Nursing home facilities in the CNH program shall ensure that care meets the health needs and promotes the maximum well-being of VA patients. Nursing home care will be furnished to ensure the total medical, nursing, and psychosocial needs of VA beneficiaries. All nursing home facilities in VA s CNH program must have current Center for Medicare and Medicaid Services (CMS) certification (Medicare and/or Medicaid) and a State nursing home license. VA developed quality of care standards utilizing CMS inspection criteria that are followed by VA in its selection of nursing homes which includes exclusionary criteria on which the CNH is evaluated. See VHA Handbook 1143.2, VHA Community Nursing Home Oversight Procedures (June 4, 2004) a copy of which is available at: http://www.va.gov/vhapublications/publications.cfm?pub=2. VA often has a particular need for specialty care services in the CNH program. The VA requires CNHs to have bed capacity to ensure their ability to take referrals when requested. The CNH also must be able to accept VA referrals in a timely fashion (ideally within 24 hours of request). Provider visits will be available at the rate of one (1) visit per month. Laboratory, x-ray, and other special services will be available to VA patients as needed. In addition, the care provided will include room, meals, nursing care, and other services or supplies commensurate with the VA-authorized level of care, without extra charge. Duly authorized representatives of VA will provide quality oversight visits to veterans placed to assure continuity of care and to assist in the veterans transition back into the community. These visits do not substitute nor relieve the CNH in any way of the responsibility for the daily care and medical treatment of the veteran. The per diem rate(s) established in this IDC will include the cost of primary medical care, one (1) provider visit per month and needed consultation, drugs and routine supplies, laboratory, x-ray, and other special services authorized by VA, unless otherwise specifically excepted (see Schedule of Items in this IDC for details regarding per diem rates and coverage). Full attention shall be given to motivating and educating patients to achieve and maintain independence in the activities of daily living. Every effort shall be made to keep patients ambulatory and to achieve an optimal level of self-care. Termination of Services. VA reserves the right to remove any or all VA patients from the CNH at any time when it is determined to be in the best interest of VA or the patients without additional costs to the Government. VA Authorizations. Authorization for nursing home care will be submitted on VA Form 10-7078, Authorization and Invoice for Medical and Hospital Services. Each authorization validity period will be noted on the VA Form 10-7078 with a beginning and end date. Any extension to the original authorization validity period, regardless of the number of days, requires a new VA Form 10-7078. VA acknowledges that, depending on the availability of resources at specific IDC holder facilities at specific times, acceptance of a referral may be commercially impracticable for the IDC holder. In that event, the IDC holder may decline to accept an authorization. If the IDC holder has determined that space is not available and will not accept the veteran, the CNH program personnel will seek another IDC contract and an authorization will be issued when a match is found. Designated CNH program personnel will issue written authorizations for veterans to the IDC holder. In accordance with FAR 16.505(b)(2)(i)(A) or FAR 16.505(b)(2)(i)(B), VA has determined it is in the best interest of the veteran to place the individual order without further competition because the need for these services is sometimes urgent and providing the opportunity to all IDC holders or other vendors would result in unacceptable delays in fulfilling that need. Location primarily will be selected based on the veteran s needs and proximity to the veteran s home. Medicaid-Based Rates. The current State Medicaid rates may be used as a basis for determination of VA rates. The VA rate will include medical care, routine medications, laboratory, x-ray, therapy (ies), and other special services authorized by VA, unless otherwise specifically exempted. VA will contract for appropriate Medicaid categories of care using Resource Utilization Groups (RUG-IV) as a guide. As with Medicaid, a description of the RUG-IV systems can be found in 42 CFR Parts 409, et al.. Rate Determination. The per diem rate is established by the negotiated plus percentage per RUG IV category times the assigned facility state Medicaid rate for Medicare/Medicaid- approved nursing homes including the cost of supplies, services, and equipment above that provided under Medicare. Rates established after the Effective Date of this IDC will require a modification to the IDC. Negotiated plus percentages are effective through the life of the contract. The RUGS IV rates include room, board, and routine nursing care, rehabilitation therapy (including physical, speech and occupational therapy), respiratory therapy, oxygen therapy, medical and nursing supplies (including items such as urological and colostomy supplies), most oral medications, most items of durable medical equipment (excluding ventilators), x-rays, and routine laboratory tests (see Schedule of Items in this IDC for details on rates). Any additional requests for payment to the all-inclusive per diem rates must be pre-approved. The CNH s Minimum Data Set (MDS) Assessment for Medicare: The CNH s Minimum Data Set (MDS) assessment will be completed on the same schedule as the current Medicare MDS-Scheduled assessments, including close of therapy (COT) assessments. Classification changes will be approved by VA, dependent on projection for short-term or long-term residence, and adhering to the most current MDS frequency guidelines from Medicare. The applicable per diem rate will continue until the next assessment. This request should be submitted on the Level of Care Authorization Form provided to the facility. VA will make the determination whether classification changes require readmission to VA. VA staff will audit approximately 20% of the MDS assessments. The Level of Care classification and associated per diem rates will remain in effect for each placement until and unless one of the following events takes place: Re-hospitalization that may be associated with a change in level of care; Need for more intensive therapy; Significant change in condition; or Classification changes may also occur based on a determination by VA. Primary Medical Coverage. The assigned CNH provider is the primary medical provider during the nursing home stay and is responsible for writing or approving admission and all other orders as soon as the veteran arrives at the CNH. The CNH provider is responsible for general medical care, urgent evaluation and intervention. Provider visits will be according to the Center for Medicare and Medicaid Services (CMS) guidelines. The assigned nursing home provider will provide timely care following the most current CMS guidelines; arranging 24/7 access for patient care; arranging easy access to VA staff for consultation; providing timely response to calls and arranging for timely provider back-up according to OBRA guidelines (42 CFR 483.40, OBRA Guidelines). Rehabilitation Criteria. All therapy provided under this IDC will be individual therapy, rather than group therapy, unless otherwise ordered by the authorizing VA facility. Therapy may require pre- approval by VA before services are provided. Medical Restorative criteria will be used for physical therapy, occupational therapy, and speech therapy. Therapy must be skilled, relate to safety and be restorative according to Medicare criteria. Description of Rehabilitative Therapy. The concept of rehabilitative therapy includes recovery or improvement in function and, when possible, restoration to a previous level of health and well-being. Therefore, evaluation, re-evaluation and assessment documented in the Progress Report should describe objective measurements which, when compared, show improvements in function, or decrease in severity, or justification for an optimistic outlook to justify continued treatment. Covered therapy services shall be rehabilitative therapy services unless they meet the criteria for maintenance therapy requiring the skills of a therapist. Evaluations/re-evaluations should consider the following: Establishment of treatment goals specific to the patient s disability or dysfunction and designed to specifically address each problem identified in the evaluation; design of a plan of care addressing the patient s disorder, including establishment of procedures to obtain goals, determining the frequency and intensity of treatment; continued assessment and analysis during implementation of the services at regular intervals; instruction leading to establishment of compensatory skills; selection of devices to replace or augment a function (e.g., for use as an alternative communication system and short-term training on use of the device or system); and patient and family training to augment rehabilitative treatment or establish a maintenance program. Education of staff and family should be ongoing. Emergency Care; Financial Responsibility; Advanced Directives. In emergencies, nursing home staff will utilize the 911 local emergency systems as for any resident. Advance directives or living wills shall be adhered to according to CNH physician s orders. When private hospitalization or emergency services are required, the patient, spouse, financial guardian or insurer is financially responsible. Service connected veterans may qualify for VA coverage of emergency care provided the VA Health Care System (VAHCS) is contacted by the private hospital provider within 72-hours of admission on the first business day following a weekend or holiday. This includes the cost of necessary transportation for such care. HIPAA Compliance. HIPAA compliance is required. The Contractor must adhere to the provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI). As required by HIPAA, the Department of Health and Human Services (HHS) has promulgated rules governing the security and use and disclosure of protected health information by covered entities, including the Department of Veterans Affairs (VA). In accordance with HIPAA, the Contractor may be required to enter into a Business Associate Agreement (BAA) with VA, but VACO has recognized CNH Facilities as an entity that does not require a BAA as long as they are conducting health care on VA s behalf. The CNH care program qualifies as a medical service, so no BAA is required. State Licensure; Access to CNH Quality of Care Reports (QASP Indicator #1). The CNH must maintain a current and unrestricted state license to operate as a skilled nursing facility. Changes in the status of the licensure will be immediately reported to the COR/Contracting Officer. VA will monitor the professional care and administrative management of services provided to VA beneficiaries under this IDC, through one or any combination of the following methods: reviews of State agencies reports; on- site inspection of the CNH by VA staff; and/or on-site monitoring of VA patients. The CNH shall provide VA with copies of all State agency reports when requested and cooperate fully with VA s quality improvement or quality assurance program functions relating to this IDC, including VA s on-site inspection and monitoring. The VA Contracting Officer shall make all final determinations as to the Contractor s reasonable cooperation with VA and compliance with these requirements. Acceptable Safety and Sanitation Practices. Acceptable safety and sanitation practices shall be observed throughout the facility. The CNH will address employee and patient safety practices through staff orientation, training and adherence to related policy or procedures to provide a safe and clean environment. The building shall conform to the standards of the Life Safety Code (National Fire Protection Association Standard #101) in effect on the date of contract award. VA Staff Access to CNH Records (QASP Indicator #5). All medical records concerning the veteran s care in the CNH will be readily accessible to VA. Upon discharge or the death of a patient, medical records will be retained by the CNH for a period of at least five (5) 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, which includes at least the following: Nursing Home Clinical Record: The CNH must maintain clinical records on each veteran in accordance with accepted professional standards and practice. The clinical record must be complete, accurately documented, readily accessible, systematically organized, and legible. Clinical records must contain at a minimum: Sufficient information to identify the resident; A record of the veteran s assessments, including those assessments performed by services under the IDC with the CNH; The plan of care and services including medication administration, provided by CNH staff and services provided under the IDC with the CNH; Interdisciplinary progress notes to include effect of care provided, veterans response to treatment, change in condition, and changes in treatment; Medical practitioner orders which are signed and dated; Allergies; Person to contact in an emergency situation; Name of attending medical practitioner; and Advanced directives if available. Clinical Record Safeguards: The CNH must safeguard clinical record information against loss, destruction, or unauthorized use. If the CNH maintains a veteran s record by computer, electronic signatures are acceptable. If attestation is done on computer records, safeguards to prevent unauthorized access and to provide for reconstruction of information must be in place. Specialty Services. The CNH will assume responsibility for arranging specialty care for veterans (e.g., dental care, podiatry and ophthalmology). Levels of Care. Level of Care determinations are based on the VA Resource Utilization Groups (RUGS-IV) case-mix, the industry standard. A case-mix system categorizes patients into groups according to their level of care needs. RUGS-IV, like other case-mix systems, defines patients for clinical and reimbursement purposes. This classification system uses information from the MDS assessment to classify Skilled Nursing Facility (SNF) residents into a series of groups representing the residents relative direct care resource requirements. Respite Care: A veteran accepted for admission under Respite Care will receive the same level of care and at the same frequency as all other residents of the CNH facility. The rate for Respite Care reimbursement will be at the RUG/MDS determined VA per diem rate established in the current IDC pricing schedule. For Respite Care veterans, no rehabilitative related therapy evaluations or services will be granted unless specifically authorized in advance. When CNH policy allows, veterans should be permitted to provide medication from home for use during their stay. If not, only the amount of medication needed to cover their respite stay will be ordered from in-house pharmacy. The RUG-IV classification system has been divided into eight (8) major classification categories: Rehabilitation plus 101Extensive Services, Rehabilitation, Extensive Services, Special Care High, Special Care Low, Clinically Complex, Behavioral Symptoms and Cognitive Performance Problems, and Reduced Physical Function. The categories, except for Extensive Services, are further divided by the intensity of the resident s ADL needs. The Special Care High, Special Care Low, and Clinically Complex categories are also divided by the presence of depression. Finally, the Behavioral Symptoms and Cognitive Performance Problems and the Reduced Physical Function categories are divided by the provision of restorative nursing services. CLIN 0001A - Reduced Physical Function: Residents whose needs are primarily for support with activities of daily living and general supervision. Calculations identify residents who are receiving restorative nursing services as recorded on the MDS and include: urinary and/or bowel training program, passive and/or active range of motion, amputation/prosthesis, training, splint or brace assistance, dressing or grooming training, eating or swallowing training, transfer training, bed mobility and/or walking training, communication training. RUG-IV Group Codes: (PA1, PA2, PB1, PB2, PC1, PC2, PD1, PD2, PE1, PE2). CLIN 0001B - Behavioral Symptoms and Cognitive Performance: Residents satisfying the following two conditions: Having a maximum ADL dependency score of 5 or less. Having behavioral or cognitive performance symptoms, involving any of the following: difficulty in repeating words, temporal orientation, or recall (score on the Brief Interview for Mental Status <=9), difficulty in making self-understood, short term memory, or decision making (score on the Cognitive Performance Scale >=3), hallucinations, delusions, physical behavioral symptoms toward others, verbal behavioral symptoms toward others, other behavioral symptoms, rejection of care, or wandering. RUG-IV Group Codes: (BA1, BA2, BB1, BB2). CLIN 0001C - Clinically Complex: Residents receiving complex clinical care or have conditions requiring skilled nursing management, interventions or treatments involving any of the following: pneumonia, hemiplegia with ADL dependency score of 5 or more, surgical wounds or open lesions with treatment, burns, chemotherapy while a resident, oxygen therapy while a resident, IV medications while a resident, or transfusions while a resident. RUG-IV Group Codes: (CE2, CE1, CD1, CD2, CC2, CC1, CB2, CB1, CA2, CA1). CLIN 0001D - Special Care Low: Residents satisfying the following two conditions: Having a minimum ADL dependency score of 2 or more. Receiving complex clinical care or have serious medical conditions involving any of the following: cerebral palsy with ADL dependency score of 5 or more, multiple sclerosis with ADL dependency score of 5 or more, respiratory failure and oxygen therapy while a resident, tube feeding meeting intake requirement, ulcer treatment with two or more ulcers including venous ulcers, arterial ulcers or Stage II pressure ulcers, ulcer treatment with any Stage III or IV pressure ulcer, foot infections or wounds with application of dressing, radiation therapy while a resident, or dialysis while a resident. RUG-IV Group Codes: (LE2, LE1, LD2, LD1, LC2, LC1, LB2, LB1). CLIN 0001E - Special Care High: Residents satisfying the following two conditions: Having a minimum ADL dependency score of 2 or more. Receiving complex clinical care or have serious medical conditions involving any one of the following: comatose, septicemia, diabetes with insulin injections and insulin order changes, quadriplegia with a higher minimum ADL dependence criterion (ADL score of 5 or more), chronic obstructive pulmonary disease (COPD) with shortness of breath when lying flat, fever with pneumonia, vomiting, weight loss, or tube feeding meeting intake requirement, parenteral/IV feeding, or respiratory therapy. RUG-IV Group Codes: (HE2, HE1, HD2, HD1, HC2, HC1, HB2, HB1). CLIN 0001F - Extensive Services: Residents satisfying the following two conditions: Having a minimum ADL dependency score of 2 or more. While a resident, receiving complex clinical care and have needs involving tracheostomy care, ventilator/respirator, and/or infection isolation. RUG-IV Group Codes: shown in Price Schedule, Section B.4. CLIN 0001G-Rehabilitation: Residents receiving physical therapy, occupational therapy, and/or speech-language pathology services while a resident. RUG-IV Group Codes: (RUC, RUB, RUA) (RVC, RVB, RVA) RHC, RHB, RHA) (RMC RMB RMA) (RLB RLA). Therapy shall be individual rather than group therapy, unless ordered by the VA. If a beneficiary is not already placed under rehabilitation level of care VA authorization to upgrade is specifically required. Therapy must be skilled, related to safety and restorative per Medicare criteria including maintenance. Includes recovery or improvement in function and, when possible, restoration to a previous level of health and well-being. Evaluation and re-evaluations and assessment are documented in progress reports and should describe measurements for comparison showing improvements in function or decreases in severity, or justification for an optimistic outlook to justify continued therapy treatment. Evaluations and re-evaluations should consider establishment of treatment goals specific to the disability or dysfunction and designed to specifically address each problem identified in the evaluation; design of a plan of care addressing the beneficiary s disorder, including establishment of procedures to obtain goals, determining the frequency and intensity of treatment; continued assessment and analysis during implementation of the services at regular intervals; instruction leading to establishment of compensatory skills; selection of devices to replace or augment a function (e.g., for use as an alternative communication system and short-term training on use of the device or system); and beneficiary and family training to augment rehabilitative treatment or establish a maintenance program. Education of staff and family should be ongoing. i. CLIN 0001H - Rehabilitation Plus Extensive Services: Residents satisfying all of the following three conditions: Having a minimum activity of daily living (ADL) dependency score of 2 or more. Receiving physical therapy, occupational therapy, and/or speech-language pathology services while a resident. While a resident, receiving complex clinical care and have needs involving tracheostomy care, ventilator/respirator, and/or infection isolation. Also, see paragraph (g)(1-4(b)) above. RUG-IV Group Codes: (RUX, RUL) (RVX, RVL) (RHX, RHL) (RMX, RML) (RLX). Additional information on RUGS IV use for VA purposes can be acquired from the Contracting Officer in concert with the appropriate COR. Medications, including Prescription-Only and Prescribed Over the Counter (OTC), shall be administered during the course of care in accordance with the agreement and physician orders, and shall be documented in the medical record indicating medication name, dosage and frequency of administration. The VA, at its discretion, may elect to provide all, some or none of the medications to the Contractor for the administration to beneficiaries. See Section B.4, Note 2 regarding packaging of VA-provided medications. The VA will provide a medications list, including dosage information, to the nursing home upon request for admission of the beneficiary. The nursing home, within 14 calendar days of admission, will return the list by fax to the VA Pharmacy1 with the Contractor s prices for each medication, at the doses indicated, to the VA. This list will include the name of the drug, dosage, dose(s) per day with cost quoted by the nursing home s pharmacy supplier. VA Pharmacist will be involved to coordinate which medications will be provided by the VA and which will require provision by the Contractor, if any. Where a High Cost Drug beneficiary is identified, at any time during a length of stay, the VA will establish an appropriate course of action, which may include the provision of the medications by VA or reimbursement to the Contractor, as stated above. 8.5% of the applicable Per Diem price is considered the Contractor s responsibility for medications not provided by the VA. Medications costs over this amount may be invoiced to the VA. The VA does not pay for anticipated medications quantities , or stockpiles, and payment shall be for administered medications only. Contractor physicians may recommend dosage or medications changes to existing prescriptions through coordination with the VA Physician, Pharmacist, VA s CNH Team Social Worker, Nursing, or COR staff. For VA-provided medications - refills must be ordered by the Contractor at least two (2) weeks prior to the need for the medication. For Contractor-furnished medications refills must be replenished in sufficient time to avoid outages. Exception to Medications. Regardless of any State Law, or other authorizing act, VA does not provide medical marijuana, nor will it pay for it to be provided by a non-VA entity. Marijuana is classified as a Schedule I drug under the Controlled Substances Act (21 U.S.C. 801 et al), and accordingly, possession of marijuana by Veterans, or others, while on VA property is in violation of VA Regulation and places them at risk for prosecution under the Controlled Substances Act. Reference 38 CFR 1.218(a)(7), and VHA Directive 2011-004 (January 31, 2011), a copy of which is available at http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2362. This applies to any drug or substance listed under Schedule I. Contractor must meet dietary and nutritional needs of the client following physician s diet orders. At least three meals or their appropriate nutritional equivalent shall be served daily at regular times, with not more than a 14-hour span between the evening meal and breakfast of the following day. This includes special diets and feeding provide special diets, enteral feeding, and cutting of food, including hand feeding when assistance is required. Contractor shall provide reminders or directions for continence care and stand-by assistance and supervision with personal care such as toileting, dressing, and bathing when required, including assisting with management of personal hygiene items such as toothbrush, shampoo, and similar inventories. Contractor shall provide full assistance in toileting, catheter care, disposable undergarments and similar incontinence supplies, and changing, including laundering of soiled clothing, as required. Contractor shall provide safety supervision for wandering, ambulating, including behavioral supervision for combativeness, agitation, aggression, and withdrawal as required. Contractor shall provide physical assistance, e.g. human help or lifting for transferring in order to accomplish personal care, transportation, safety, and incontinence care. The Department of Veterans Affairs (VA), VISN 15 Network Contracting Office, is seeking sources that can provide the following: It is the responsibility of the interested source to demonstrate to the government that the interested parties can provide the services that fulfill the homeless veteran services through a Contracted Emergency Residential Services (CERS) model of residential care requirement. If you are interested, and are capable of providing the sought out services, please provide the requested information as well as the information indicated below. Response to this notice should include company name, address, point of contact, size of business pursuant to the following questions: -Please indicate the size status and representations of your business, such as but not limited to: Service Disabled Veteran Owned Small Business (SDVOSB), Veteran Owned Small Business (VOSB), Hubzone, Woman Owned Small Business (WOSB), Large Business, etc.)? -Is your company considered small under the NAICS code identified under this Sources Sought? -Please submit your capabilities that show clear, compelling, and convincing evidence that you can meet the requirement described above. -Please provide your SAM Unique Entity Identification (UEI) number. Responses to this notice shall be submitted via email to Michael Carson at Michael.Carson1@va.gov. Teleph...