Inactive

VHAPM Part 806.3 Other Than Full and Open Competition (OFOC) SOP Request for Sole Source Justification Format >SAT Revision 09 Date: 09/10/2020 DEPARTMENT OF VETERANS AFFAIRS Justification and Approva... VHAPM Part 806.3 Other Than Full and Open Competition (OFOC) SOP Request for Sole Source Justification Format >SAT Revision 09 Date: 09/10/2020 DEPARTMENT OF VETERANS AFFAIRS Justification and Approval(J&A) For Other Than Full and Open Competition (>SAT} Acquisition Plan Action ID: 36C259-20-AP-4678, CNH Heritage Park Healthcare and Rehabilitation, VA Salt Lake City Health Care System RPOW JOFOC Acquisition Plan Action ID#: 2020-11-24T14:55:43 Contracting Activity: Department of Veterans Affairs, Network Contracting Office 19 (NCO19), 6162 South Willow Drive, Greenwood Village, CO 80111. This action is funded by a 1358. Therefore, there is no associated 2237. Organizational Activity: Department of Veterans Affairs, VISN 19, VA Salt Lake City Health Care System, 500 Foothill Drive, UT 84148. Nature and/or Description of the Action Being Processed: This procurement is for the establishment of a sole source Firm-Fixed Price Indefinite Delivery Contract (IDC) for community nursing home (CNH) services for the VA Salt Lake City Care system to Heritage Park Healthcare and Rehabilitation, located in Roy, UT. This will be a 5-year IDC (60 Months). The period of performance will be 1 August 2021 through 31 July 2026. Description of Supplies/Services Required to Meet the Agency's Needs: The CNH will provide all facilities and services to support short and long-term care for Veterans. These services include rehabilitation, nursing, and clinical care in accordance with the performance work statement. The current contract 36C259 l 9D0065 expires on 31 July 2021. Heritage Park Healthcare and Rehabilitation has met all requirements under VA policy/directive established by the Office of Geriatrics and Extended Care. Additionally, they are certified under Centers for Medicare and Medicaid Services (CMS) and licensed by the State of Utah. The total estimated value of this requirement is $8,638,710.00. The total estimated value of this contract is $8,638,710.00, and the estimated value of the 52.217-8 option, if exercised, would be $868,371.00. OFOC SOP Revision 09 Or inalDate:03/22/11 Page 1 of 5 OFOC SOP Revision 09 Original Date: 03/22/11 Revision 09 Date: 09/10/2020 Page 2 of 5 VHAPM Part 806.3 Other Than Full and Open Competition (OFOC) SOP Request for Sole Source Justification Format >SAT Statutory Authority Permitting Other than Full and Open Competition: 41 USC §3304(a)(l), as implemented by FAR 6.302-1 (a)(2). (X) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per FAR 6.302-1; ( ) (2) Unusual and Compelling Urgency per FAR 6.302-2; ( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per FAR 6.302-3; ( ) (4) International Agreement per FAR 6.302-4 ( ) (5) Authorized or Required by Statute as FAR 6.302-5; ( ) (6) National Security per by FAR 6.302-6; ( ) (7) Public Interest per by FAR 6.302-7; Demonstration that the Contractor's Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority): Currently, there is ten (10) Veterans being treated and housed at the Heritage Park Healthcare and Rehabilitation facility under an existing IDC-CON. Heritage Park Healthcare and Rehabilitation nursing home facility meets VA standards for quality of care to provide care and treatment to Veterans. They have consistently provided quality care to our Veterans. In accordance with FAR 6.302-1, this requirement for community nursing homes services will be sole sourced to Heritage Park Healthcare and Rehabilitation facility. In addition, as stated in paragraph 6 below, no responses were received from any potential offerors regarding the sources sought notice issued for this procurement. The Veteran at this facility cannot be moved without causing a disruption in the continuity of care and undue stress to both the Veteran and family. The relocating of Veteran is not in accordance with VA policy/directive established by the Office of Geriatrics and Extended Care. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable: A source sought was posted on 26 October 2020 thru 6 November 2020. No responses were received from any potential offerors regarding the sources sought notice. A search of the Medicare Nursing Home Compare website https://www.medicare.gov/n ursinghomecomp are/search.htmlresulted in 14 Community Nursing Home within the zip code of 84067, where the current CNH is located. The VA Vendor Information Page (Vet Biz) was used to determine if potential offerors exist who would be able to provide the services required. However, the site failed to produce any results for Roy, UT. The VA CNH Program Coordinator should review the Medicare.gov Nursing Home Compare scores of any new Community Nursing homes that are to be considered potential participates for a VA contract. These new thresholds are based on the Medicare Nursing Home Compare scores. While some VA CNH Medical Centers may opt to conduct these inspections. The current COVID-19 pandemic has seen a number of CNH's impacted by the virus and has caused limited visits to these facilities. In accordance with the VHA Office of Community Care Field Guidebook, a new CNH participate would be eligible for VA contract without a waiver, if they have an 3-5 overall Stars, 2 Overall Stars and 4-5 Quality Measures Stars. As part of the acquisition process, a CNH must provide a current state license, insurance and a copy of the state inspection. These documents are provided to the CNH Program coordinator for review and evaluation. The CNH Review Team will review all the documents, and the Medicare Nursing Home Compare scores. Upon review, the CNH Coordinator VHAPM Part 806.3 Other Than Full and Open Competition (OFOC) SOP Request for Sole Source Justification Format >SAT Page4 of 5 OFOC SOP Revision 09 Original Date: 03/22/11 Revision 09 Date: 09/10/2020 will either provide a recommendation to contract or request a waiver from the VISN to contract with the CNH. A redacted J&A will be posted on Contract Opportunities. Determination by the Contracting Officer (CO) that the Anticipated Cost to the Government will be Fair and Reasonable: The Medicaid rates are used as the basis for pricing the CNH contracts. The Medicaid rates are established by each state based on the national average. The VA Geriatrics and Extended Care Office through the VHA PM and VA pulse publishes an annual maximum allowable percentage that are applied to each Resource Utilization Groups IV category. The RUGS IV category identify the different levels of treatment. The add-on percentages are added to the basic Medicaid rate then applied to each RUGS IV category. The Medicaid rate and the VA add-on percentage make up the per diem rate paid for each Veteran. The line-item structure will illustrate the different RUGS IV category and the add-on percentage and the total per diem rate for each level of care. After conducting research on the current Medicaid and RUGS IV rates, the CO has determined that the results are determined to be fair and reasonable when the add-on percentage agreed upon by both parties is at or under the maximum allowable percentage established by VA. The add-on percentages do not change through the life of the contract. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: As described in Section 6 above, a search of the Medicare Nursing Home Compare website https://www.medicare.gov /nursinghomecompare/search.html resulted in one (1) community nursing homes within the zip code of 84067 of Roy, UT where the current CNH is located. A sources sought was posted on October 26, 2020 and closed on November 6, 2020. No responses were received from the sources sought notice. The VA' s Vendor Information Page (Vet Biz) was used to determine if any potential Service-Disabled Veteran-Owned Small Business (SDVOSB) and Veteran-Owned Small Business (VOSB) offerors exist for this requirement However, the site failed to produce any results for Roy, UT. The results of the market research showed there is no other CNH that expressed interest. Based on the CNH program requirements, the Veterans preference is taken into consideration when selecting a CNH. The CNH selection is based on the Veterans' needs, proximity to home/residence and family. The VA CNH Program Coordinator is responsible for conducting market research. The CNH Coordinator will review the Medicare Nursing Home Compare score to determine if the CNH is eligible for a contract without a waiver. The current contract 36C25919D0065 expires on 31 July 2021 Any Other Facts Supporting the Use of Other than Full and Open Competition: There are ten (10) Veterans receiving care and treatment at this facility. These Veterans cannot be relocated due to continuity of care and medical complexity. This CNH is located near the families of the Veterans. Relocation of the Veteran would cause undue stress to the Veterans and family. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition: No other CNH expressed interest in this acquisition. The current contractor, Heritage Park Healthcare and Rehabilitation, 2700 W 5600 S, Roy, UT 84067 has expressed an interest to continue providing CNH services to the VA and continue in providing care and services to the Veterans. 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: There is currently one (1) facility capable of providing the rehabilitation, nursing and clinical care of the existing Veterans. Based on the CNH program requirements, the Veterans preference is taken into consideration when selecting a CNH based on the Veteran's needs, proximity to home/residence and family. The CNH Program attempts to inspect a sample of CNH's in the state to provide the Veterans with several choices. However, the selection of the CNH is determined on whether the CNH has the resources and program requirements available to meet the Veterans need. The contracting office and CNH Program office will continue to canvas the market for new CNH entrants capable of meeting program requirements. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief. adfaffdgsfgdfgdgdgdsfdgsfdg CNH Program Coordinator Facility: VA Salt Lake City Healthcare System Date' ' VHAPM Part 806.3 Other Than Full and Open Competition (OFOC) SOP Request for Sole Source Justification Format >SAT OFOC SOP Revision 09 Original Date: 03/22/11 Revision 09 Date: 09/10/2020 Pages of 5 Approvals in accordance with the VHAPM Part 806.3 OFOC SOP: Medina 748952 Contracting Officer or Designee's Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief. 12/16/2020 David J. Digitally signed by David J. Medina 748952 Date: 2020.12.16 10:59:08 -07'00' David J. Medina Contracting Officer Specialized 1 Branch Chief Network Contracting Office 19 Date One Level Above the Contracting Officer (Required over SAT but not exceeding $700:K): I certify the justification meets requirements for other than full and open competition. DANNY O. FREEMAN Digitally signed by DANNY O. FREEMAN 170000 12/21/2020 170000 Date: 2020.12.21 09:08:21 -07'00' Danny 0. Freeman Date Director of Contracting Network Contracting Office 19 V HA RPO HCA Review and Approval: I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and recommend approval (if over $68 million) or approve ($700K to $68 million) for other than full and open competition . CURTIS M. JORDAN 597130 Curtis M. Jordan Digitally signed by CURTIS M. JORDAN 597130 Date: 2020.12.21 10:31:45 -07'00' Date Executive Director, RPO West Head of Contracting Activity (HCA)