Inactive

Pleased send in technical capability statement and memo of intent confirming that you can handle all aspects of the duties within the PWS. This pertains to skilled nursing homes .The contractor must h... Pleased send in technical capability statement and memo of intent confirming that you can handle all aspects of the duties within the PWS. This pertains to skilled nursing homes .The contractor must have an active SAM registration without any exclusions. Email POC at the listed contact info of addlene.williams@va.gov. Do not call, but use the email. CNH contracting Evaluation Criterion – NCHCS A regulated Skilled Nursing Facility in the state of California Medicare compare – minimum of an overall 3 star Able to provide 24 hour nursing care for assistance with Activities of Daily Living Able to provide skilled rehab services (PT/OT/ST/IV Antibiotics/Wound care) Offers and accepts patients with long-term care needs For mental health nursing homes: SNF-STP Offers and accepts patients, whom have a primary psychiatric issue and medical diagnoses requiring skilled nursing services. Offers and accepts patients with long-term care needs Provides mental health treatment in the form of medication management, daily programming aimed to modify behavior, provide specialized groups and activities designed to promote the highest level of functioning 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 IDIQ. The VA “Levels of Care” are defined in an attachment in Section B.2 of the solicitation and the IDIQ. VA is obligated only to the extent authorized placement of patients is made in accordance with this IDIQ. Any adjustments or modifications to this obligation require written preauthorization. Federal Acquisition Regulation (FAR) – Indefinite Delivery Indefinite Quantity Contract (IDIQ). In accordance with FAR 16.504, Indefinite Delivery, Indefinite Quantity Contracts, this is an IDIQ from the “Award Date” for a period of five years. 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, safety 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 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 minimum 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 a room or private room only if clinically indicated, meals, nursing care, and other services or supplies commensurate with the VA-authorized level of care, without extra charge. VA Authorizations. Authorization for nursing home care will be provided to the CNH and it will list the CNH’s DBA name, dates authorized (please note the end date is the date of discharge and non-payable) and the CNH’s Tax-ID. Authorization for nursing home care will be provided to the CNH on VA Form 10-7080. Each authorization validity period will be noted on the VA Form 10-7080 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 10-7080 and must be received prior to services being rendered. Medicaid/Medicare 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/Medicare categories of care using Resource Utilization Groups (RUG-IV) as a guide. As with Medicare, a description of the RUG-IV systems can be found in 42 CFR Parts 409, et al. RECORDS MANAGEMENT OBLIGATIONS A. Applicability This clause applies to all Contractors whose employees create, work with, or otherwise handle Federal records, as defined in Section B, regardless of the medium in which the record exists. B. Definitions “Federal record” as defined in 44 U.S.C. § 3301, includes all recorded information, regardless of form or characteristics, made or received by a Federal agency under Federal law or in connection with the transaction of public business and preserved or appropriate for preservation by that agency or its legitimate successor as evidence of the organization, functions, policies, decisions, procedures, operations, or other activities of the United States Government or because of the informational value of data in them. The term Federal record: includes VHA records. does not include personal materials. applies to records created, received, or maintained by Contractors pursuant to their VHA contract. may include deliverables and documentation associated with deliverables. C. Requirements Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation. In accordance with 36 CFR 1222.32, the Contractor shall maintain all records created for Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data. Respite Care: The purpose of this level of care is to provide temporary relief to the primary care giver to help the veteran to continue to reside in their primary residence for as long as possible. It is designed to accommodate referrals with minimum care needs. Patients with more complex care needs may not be appropriate for this level of care. Inpatient CNH respite reimbursement is provided at the VA’s discretion and must be pre-approved by a VA authorized official. Respite coverage is limited to 30 days per fiscal year. No extensions will be granted at any time. No exceptions to this clause and the restrictions noted below will be granted. No rehabilitation services , skilled services, 1:1 sitter or escort services, transportation services or ancillary services of any kind will be reimbursed during an episode of respite coverage . The cost of medications during respite stays will not be reimbursed . Patient medication issuance or costs must be managed between the patient and the nursing home prior to the patient’s respite admission. Inpatient respite discharge plans including discharge transportation must be pre-arranged between the patient/patient’s legal representative and the nursing home. The VA will not be responsible for uninsured respite stays beyond the 30-calendar days. CNH Hospice Coverage: Reimbursement for inpatient CNH hospice care requires pre-authorization. Approval will only be considered for established VA patients who meet hospice clinical criteria, are enrolled in hospice services, and in conjunction with VA provider review and concurrence. Reportable Events. VA requires CNHs to report to the CNH Coordinator at VA any of the following events within 24-hours or immediately the first business day after a weekend or holiday: Staffing/Ownership changes/Sentinel Events When there is a change of ownership of the CNH; When there is a change of the Nursing Home Administrator or other Department Head staff; Substantiated allegations of mistreatment, neglect, abuse or misappropriation of CNH Veterans or their property; A fall resulting in death or injury; Elopement resulting in a missing patient; Infectious outbreaks; Death or patient injury related to restraint (including side rails) use; or Death related to an unconfirmed or suspicious cause. A medication error resulting in patient illness or injury; Resident to resident or resident to staff altercations involving a CNH veteran resulting in any injury that is other than minor; Any time there is a substantiated complaint investigation conducted by a State oversight agency; Adverse events. Reporting shall include date of occurrence and patient disposition and outcome. When an adverse event occurs involving a CNH Veteran which is not determined to be a Sentinel Event (but that the State requires that the occurrence be reported to the State), such event is also to be reported to VA’s CNH Program Coordinator. Reporting shall include date of occurrence and patient disposition and outcome. Some adverse events, such as minor medication errors without catastrophic outcomes, are managed by the CNH. In the context of their quality improvement programs. It is not necessary for nursing homes to report such incidents to the CNH Program Coordinator. VA Actions Regarding Serious Quality of Care Deficiencies. In cases of serious deficiencies affecting the health or safety of veterans or in cases of continued uncorrected deficiencies, VA will take one or more of the following actions in accordance with the terms and clauses of the IDIQ and applicable procurement regulations: Increase VA staffing monitoring until the State survey agency clears the deficiency; Suspend placement of Veterans in the CNH; Remove or transfer Veterans under the IDIQ from the subject CNH; Not renew the IDIQ; and/or Immediately terminate the IDIQ. Routine Ancillary Services are included in the per diem reimbursement rate. The CNH will assume responsibility for providing ancillary care for veterans (e.g., Dentistry, Optometry, Podiatry, etc.).and is responsible for issuing all reimbursement to sub-contracted providers with the VA SNF reimbursement funds.