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This is a REQUEST FOR INFORMATION NOTICE for market research purposes only to determine the availability of potential businesses with capabilities to provide the services described below.  Potential ... This is a REQUEST FOR INFORMATION NOTICE for market research purposes only to determine the availability of potential businesses with capabilities to provide the services described below.  Potential offerors are invited to provide feedback via e-mail to Fallyn Defae at Fallyn.Defae@va.gov . Responses will be used to determine the appropriate acquisition strategy for a potential future acquisition. The Contractor shall furnish all personnel to provide services necessary to perform onsite Dental Assistant and Dental Hygienist Services to eligible beneficiaries of the Department of Veterans Affairs Medical Center, VA Portland Health Care System, Seattle, Washington. The contractor s dental assistants shall have successfully completed a 1-year dental assistant program accredited by the American Dental Association s commission on Dental Accreditation (CODA) www.ada.org/en/coda. The contractor s dental hygienists shall have an Associate Degree or higher in an accredited dental hygiene program. This program must be accredited by the American Dental Association s Commission on Dental Accreditation (CODA) www.ada.org/en/coda. The contractor s dental hygienist must be currently licensed to practice as a dental hygienist with a full, current, and unrestricted license in a State, Territory, or Commonwealth of the United States, or the District of Columbia. Potential contractors shall provide, at a minimum, the following information to Fallyn Defae at Fallyn.Defae@va.gov : 1) Company name, address, point of contact name, phone number, e-mail address, and company s Dun and Bradstreet number (DUNS). All companies wishing to do business with the federal government must be registered at https://www.sam.gov/ ; there is no charge. 2) Is your firm eligible for participation in one of the following small business programs? If so, please indicate the program. Anticipated North American Industry Classification System (NAICS) code is 561320, Temporary Help Services; the largest a firm can be and still qualify as a small business for Federal Government programs is no larger than $30.0 Million under NAICS code 561320. _____ Small Business (SB) _____ Service Disabled Veteran Owned Small Business (SDVOSB) registered and verified in the VetBiz.gov VIP database (https://www.vip.vetbiz.va.gov/). _____ Veteran Owned Small Business (VOSB) registered and verified in the VetBiz.gov VIP database (https://www.vip.vetbiz.va.gov/). _____ HUBZone _____ Small Business 8(a) _____ Small Disadvantaged Business (SDB) _____ Women-Owned (WO) Small Business _____ Other (please specify) 3) Please comment on how you charge for onsite Dental Assistant and onsite Dental Hygienist services (e.g., you charge per patient, per procedure, per CPT code [please tell us which CPT codes], other.) 4) If you were awarded a contract, how many days after contract award until your company could begin onsite Dental Assistant and Dental Hygienist services? A Background Investigation and Credentialing process must be completed prior to any physician start date. 5) The DRAFT Performance Work Statement (PWS) follows. What information do you need to know from the VA that is not included in the PWS? 6) Provide a brief Capability Statement (less than 5 pages) with enough information to determine if your company can meet the requirement. The Capabilities Statement for this Request for Information is not expected to be a Request for Quotations, Request for Proposals or Invitation for Bids, nor does it restrict the Government to an ultimate acquisition approach, but rather the Government is requesting a short statement regarding your company s ability to provide the services listed above. Any commercial brochures or currently existing marketing material may also be submitted with the Capabilities Statement. Submission of Capabilities Statement will assist our office in tailoring the requirement to be consistent with industry standards. The capabilities will be evaluated solely for the purpose of determining to Set-Aside for the Small Business (SB) Community or to conduct as an Unrestricted Procurement. Other than small businesses may respond to this notice in the event the market does not indicate SB interest. This Sources Sought Notice is for information and planning purposes only and is not to be construed as a commitment by the Government. The Government will not pay for information solicited. Respondents will not be notified of the results of the evaluation. All interested contractors should notify this office via email by October 18, 2021, 10AM PST. Submit response and information to: Fallyn Defae, Department of Veterans Affairs, Fallyn.Defae@va.gov . Thank you for your participation. Performance Work Statement for Onsite Dental Assistant and Dental Hygienist Services GENERAL: Services Provided: The Contractor shall provide Dental Assistant and Dental Hygienist Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Seattle VA Medical Center (SVAMC). Place of Performance SVAMC 1660 S. Columbian Way Seattle, WA 98108 American Lake VA 9600 Veterans Drive Tacoma, WA 98493 Mount Vernon CBOC 307 S. 13th Street, Suite 200 Mount Vernon, WA 98274 Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority. Policy/Handbooks: VHA Handbook 1100.17: National Practitioner Data Bank Reports: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 VHA Handbook 1100.18 Reporting and Responding To State Licensing Boards: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 VHA Handbook 1100.19 Credentialing and Privileging: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 VHA Directive 1192.01: Seasonal Influenza Prevention Program: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472 VHA Directive 1220: Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures In Any Clinical Setting: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365 VA Directive 1663: Health Care Resources Contracting Buying: https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 VHA Directive 1907.01: VHA Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 VHA Directive 2012-030 Credential of Health Care Professionals: https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=2815 Privacy Act of 1974 (5 U.S.C. 552a) as amended: http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm Definitions/Acronyms- Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern. ADA: American Dental Association www.ada.org AOD: Admitting Officer of the Day BLS: Basic Life Support CDC: Centers for Disease Control and Prevention CDR: Contract Discrepancy Report CEU: Certified Education Unit CME: Continuing Medical Education CMS: Centers for Medicare and Medicaid Services CODA: Commission on Dental Accreditation www.ada.org/en/coda Contracting Officer (CO) The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings. Contracting Officer s Representative (COR) A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken. COS: Chief of Staff CPARS: Contractor Performance Assessment Reporting System CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status. DEA: Drug Enforcement Agency ED: Emergency Department FSMB: Federation of State Medical Boards Full Time Equivalent (FTE): VA s definition for full time- working the equivalent of 80 hours every two weeks, 2080 hours per year. In calculating FTE, any hours not worked on national holidays shall not be included. HHS: Department of Health and Human Services HIPAA: Health Insurance Portability and Accountability Act HR: Human Resources ISO: Information Security Officer Medical Emergency - a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part. MOD: Medical Officer of the Day National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org Non-Contractor s provider(s) - any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors NP: Nurse Practitioner NPPES: National Plan and Provider Enumeration System PA: Provider Assistant PALS: Pediatric Advanced Life Support POP: Period of Performance PPD: Purified Protein Derivative PWS: Performance Work Statement Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual s license, based upon the individual s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific. QA/QI: Quality Assurance/Quality Improvement QM/PI: Quality Management/Performance Improvement QASP: Quality Assurance Surveillance Plan Veterans Health Administration (VHA): The central office for administration of the VA medical centers through throughout the United States. The VHA is located in Washington, D.C. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers in Michigan and Indiana. VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient s medical record and with the hospital information system. VetPro: a federal web-based credentialing program for healthcare providers. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA medical Center, for purposes of this contract, this term shall mean the Seattle VA Medical Center. Washington State Dental Association: www.wsda.org QUALIFICATIONS: Staff/Facility Credentialing and Privileging Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 referenced above. The Contractor is responsible to ensure that proposed provider(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any Contractor s provider(s) prior to obtaining approval by the SVAMC Professional Standards Board, Medical Executive Board and Medical Center Director. If a Contractor s provider(s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government. Technical Proficiency - Contractor s provider(s) shall be technically proficient in the skills necessary to fulfill the government s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Contractor s provider(s) and Contractor s provider(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC. Contractor s provider(s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for Contractor s provider(s) . Training (ACLS, BLS, EHR and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor s physician(s) as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor. Training Frequency Annual Hours Active Threat Training Government Ethics Prevention of Workplace Harassment/No Fear Act VA Core Values Training (ICARE Recommitment) VA Privacy and Information Security Awareness and Rules of Behavior VHA Privacy and HIPAA Focused Training ACLS/BLS Patient Safety Patient Abuse Patient Rights Prevention/Management of Disruptive Behavior/Violence Prevention Level I Suicide Prevention: Suicide Risk Management Training for Clinicians EHR VISTA Imaging Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for providers within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all Contractor s provider(s) . A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually. RUBELLA TESTING: Contractor shall provide proof of immunization for all Contractor s provider(s) for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all Contractor s provider(s) ; provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal. Conflict of Interest: The Contractor and all Contractor s provider(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document. Citizenship related Requirements: The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals; While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all E-Verify requirements consistent with Executive Order 12989 and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed Contractor s provider(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract. Non Personal Healthcare Services: The parties agree that the Contractor and all Contractor s provider(s) shall not be considered VA employees for any purpose. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.  Prohibition Against Self-Referral: Contractor s provider(s) are prohibited from referring VA patients to contractor s or their own practice(s). Inherent Government Functions: Contractor and Contractor s provider(s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy. No Employee status: The Contractor shall be responsible for protecting Contractor s provider(s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract: Workers compensation Professional liability insurance Health examinations Income tax withholding, and Social security payments. Tort Liability: The Federal Tort Claims Act does not cover Contractor or Contractor s provider(s) . When a Contractor or Contractor s provider(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor s (or Contractor s provider(s) ) action or non-action shall be the responsibility of the Contractor and/or insurance carrier. Key Personnel: The number of Dental Assistant and the number of Dental Hygienist providers required to be available on a daily basis is three (3) each defined in paragraph Hours of Operation in this section. Dental Assistants shall: Education - Have successfully completed a 1-year dental assistant program accredited by the American Dental Association s commission on Dental Accreditation (CODA). Dental Hygienists shall: Education - Have an Associate Degree or higher in an accredited dental hygiene program. This program must be accredited by the American Dental Association s Commission on Dental Accreditation (CODA). Licensure - Must be currently licensed to practice as a dental hygienist with a full, current, and unrestricted license in a State, Territory, or Commonwealth of the United States, or the District of Columbia. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor s personnel due to sick leave, personal leave, vacations and additional coverage as required. In the event a scheduled contract employee is unable to complete an assigned shift, the contractor shall provide replacement coverage within 2 hours and notify the Contracting Office Representative (COR) at the SVAMC immediately of the schedule change. No Leave Pay is compensated by the government for any contractor s provider(s). Contractor s provider(s) are solely employed by contractor and shall adhere to contractor s Annual and Sick Leave provisos, as well as contractor s holiday pay and policies. Key Personnel shall receive a favorable adjudication through the federal background investigations and fingerprinting conducted through the Department of Veteran Affairs VHA Service Center Personnel Security Office (VSC Security). Individuals receiving less than favorable adjudication shall not be granted access or PIV badging and therefore will not be allowed inclusion as key personnel. Key Personnel shall receive a PIV badge as a contract provider prior to assumption of duties. Key Personnel are required to hold valid, unexpired badges at all times during active service. Key Personnel shall wear scrubs provided by the VA during clinic care. Scrubs are not to be worn outside of clinic. Scrubs are to be changed daily. Used scrubs shall be left with the VA at end of shift prior to leaving the facility in approved dirty linen receptacles available on-site. Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within 5 calendar day (s) after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least 2 business days prior to making any permanent substitutions. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 2 business days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor s provider(s) , s/he may request, without cause, immediate replacement of said Contractor s provider(s) .The CO and COR shall deal with issues raised concerning Contractor s provider(s) conduct. The final arbiter on questions of acceptability is the CO. Contingency Plan: Because continuity of care is an essential part of VAMC s medical services, The Contractor shall have a contingency plan in place to be utilized if the Contractor s provider(s) leaves Contractor s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract. VA HOURS OF OPERATION/SCHEDULING: VA Business Hours: Dental Clinic Schedule: Seattle: Monday through Friday 8:00 a.m. through 4:30 p.m. Due to the nature of the work, the Dental Assistant or Dental Hygienist may occasionally be required to stay later than 4:30 p.m., but if that would cause the Dental Assistant or Dental Hygienist to exceed 8 hours that day, contracted providers will not be requested nor required by VA staff to work additional time; there is no provision for pay beyond 40 hours per week. American Lake: Monday through Friday 7:00 a.m. through 3:30 p.m. Due to the nature of the work, the Dental Assistant or Dental Hygienist may occasionally be required to stay later than 3:30 p.m. , but if that would cause the Dental Assistant or Dental Hygienist to exceed 8 hours that day, contracted providers will not be requested nor required by VA staff to work additional time; there is no provision for pay beyond 40 hours per week. Mount Vernon CBOC: Monday through Friday 8:00 a.m. through 4:30 p.m. Due to the nature of the work, the Dental Assistant or Dental Hygienist may occasionally be required to stay later than 4:30 p.m. , but if that would cause the Dental Assistant or Dental Hygienist to exceed 8 hours that day, contracted providers will not be requested nor required by VA staff to work additional time; there is no provision for pay beyond 40 hours per week. The above times reflect a 30-minute break for lunch/personal time. The above times reflect a standard eight (8) hour workday. No provision is made for overtime pay or premium pay. Contracted providers are not to work more than 40 hours per week. Contracted providers will not be requested nor required by VA staff to work additional time. This contract calls for on-call temporary help. Contractor s provider(s) shall be available and present in clinic during normal clinic hours, per requested services and may be revised, as deemed appropriate for patient care by the Chief of Dental Services. Currently, normal clinic hours for each location are listed above. Patients must be seen by a Contractor s provider(s) on-site at each of the listed facility locations in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs: No holiday pay is compensated for any work provided by any contractor s provider(s) on these days. Contractor s provider(s) are solely empl...