Inactive

A change has been attached via revised PWS. The sources sought notice has also been revised to close on 3 Mar 23. Please provide technical capabilities, socio-economi status (SDVOSB, 8a, SDB, Small, l... A change has been attached via revised PWS. The sources sought notice has also been revised to close on 3 Mar 23. Please provide technical capabilities, socio-economi status (SDVOSB, 8a, SDB, Small, large business etc...) and active SAM registration with expiration date. Below is the Performance Work Statement: NORTHERN CALIFORNIA VA HEALTH CARE SYSTEM HEALTH CARE FOR HOMELESS VETERANS (HCHV) CONTRACTED EMERGENCY RESIDENTIAL SERVICES (CERS) EMERGENCY HOUSING BACKGROUND Ending homelessness among Veterans was established as a national priority by the Department of Veterans Affairs in November 2009 at the National Summit on Ending Veterans Homelessness. In June 2010, the U.S. Interagency Council on Homelessness (USICH) released Opening Doors: Federal Strategic Plan to Prevent and End Homelessness, which is fully aligned with this goal. Eliminating Veteran Homelessness remains one of three Agency Priority Goals for in VA’s Strategic Plan. The Health Care for Homeless Veterans (HCHV) program is an essential and critical part of VHA, providing a gateway to VA and community-based supportive services for eligible Veterans who are homeless. HCHV programs provide outreach services; care, treatment, and rehabilitative services, including case management services; and therapeutic transitional housing assistance under 38 U.S.C. 2032 in conjunction with Work Therapy under 38 U.S.C. 1718. The program uses Contracted Residential Services (CRS) in community locations to engage homeless Veterans who have been underserved. Many of these Veterans would benefit from a shelter program but will not avail themselves of these services without the encouragement of outreach workers. PROGRAM DESCRIPTION The HCHV CERS Program exists to provide a means of removing homeless Veterans from the street or habitation unfit for humans and placing them in community-based, residential environments with sufficient supportive services to meet their basic needs and ultimately, facilitate the improvement of their overall health status and housing situation. The National Institute for Medical Respite Care has described Medical Respite Care as acute and post-acute care for people experiencing homelessness who are too ill or frail to recover from an illness or injury on the streets or in a shelter, but who do not require hospital-level care. Unlike “respite” for caregivers, “medical respite” is short-term residential care that allows individuals experiencing homelessness the opportunity to rest, recover, and heal in a safe environment while accessing medical care and other supportive services. Medical respite care is offered in a variety of settings including freestanding facilities, homeless shelters, motels, and transitional housing. In order to provide high quality clinical care, the VA shall require the contractor to have a minimum of one staff who is either a registered nurse or nurse practitioner 35 hours a week, such as seven hours a day on weekdays. Nursing care is necessary for Veterans who have some type of unstable or uncontrolled medical issue, such as congestive heart failure, uncontrolled diabetes, newly diagnosed diabetes or cancer, pre-surgery of knee or hip, wound care, post heart attack, or something of similar level of oversight need. The goal is to facilitate the process or reconnecting the Veteran to care. This program will provide Medical Respite level care including case management services to homeless Veterans and be located in Sacramento County California (See PWS Addendum 1 Zip Codes) and will be for between 3 and 12 beds for men and women (starting with 5 beds). The program should have a minimum establishment of one-year in the required zip codes. Period of performance begins August 1st, 2023. B.1. HCHV CERS Program characteristics: B.1.1. Targets and prioritizes homeless Veterans who are eligible for VA health care, and are transitioning from chronic literal street homelessness, Veterans being discharged from institutions, and Veterans who recently became homeless and require safe and stable living arrangements while they seek permanent housing B.1.2. Seeks to reduce barriers to immediate placement B.1.3. Does not require any length of sobriety or abstinence from alcohol or other drugs as a condition of admission B.1.4. Provides safe, secure, and wheelchair accessible housing as well as supportive services. B.1.5. Lengths of Stay typically range from 30 to 90 days with the option to extend based on clinical need. B.1.6. Veterans are expected to meaningfully engage their case managers and available Programming B.1.7. Emphasis is placed on achieving placement in permanent housing or longer term residential programs that offer path to increased housing stabilization at the time of program exit, and reducing negative exits due to rule violations or other avoidable circumstances. B.2. House Rules and Expectations B.2.1. Rules focus on staff and resident safety: No buying or selling of alcohol or drugs in the facility No use of illicit drugs in the facility No sexual activity between residents No violence or threats of violence Honor nightly curfew B.2.2. When possible, infractions are to be used to engage residents, not simply as grounds for service termination. Negative discharges will be monitored as a measure of program quality. B.2.3. Veterans are expected to engage programming and maintain communication with case managers at all times around matters relating to admission, stay, and treatment B.3. Admission Practices B.3.1. Staff will assist residents with admission forms and eligibility determination with VA B.3.2. Facility works to reduce barriers to admission: Accepts referrals throughout day if possible Flexibility with admission processes B.4. Admission Criteria B.4.1. Homeless Veteran B.4.2. Eligible for VA Health Care B.5. Overview of Types of Services Available to Residents B.5.1. Safe, Secure housing (includes shared laundry and restroom facilities) B.5.2. Three daily nutritious meals B.5.3. Case Management and Care Coordination Services B.5.4. Vocational Services B.5.5. Benefits Services B.5.6. Enhancement of Independent Living Skills B.5.7. Permanent/ Transitional housing search support PERFORMANCE WORK STATEMENT C.1. OBJECTIVE The Contractor shall provide emergency housing and supportive services for homeless Veterans in accordance with the HCHV CERS model requirements. Services are expected to consist of supportive, secure housing for homeless Veterans. The program places an expectation on the Veteran to engage in supportive case management services, and also on the contractor to provide expertise and guidance for improving housing stability to ensure a transition from homelessness to permanent, stable housing. Contractors must comply with all HCHV CERS requirements as identified below. C.2. HCHV CERS PROVIDER QUALIFICATIONS & CAPABILITY REQUIREMENTS C.2.1. Shall perform outreach or otherwise identifying and referring homeless Veterans with a desire to work on obtaining permanent housing, working increasing income, and stabilizing medical and mental health; C.2.2. Shall provide secure, separate housing and bathroom accommodations for males and females; common use of kitchen facilities and dining rooms is acceptable; C.2.3. Shall provide services twenty-four (24) hrs. a day for Veteran placements lasting up to ninety (90) days per Veteran. Extensions beyond initial ninety (90) days should be authorized in writing by VA Liaison; extensions beyond six (6) months must be prior- approved by the Social Work Service Contract Coordinator/ COR; C.2.4. Shall provide three daily nutritious meals and reasonable accommodation for special dietary needs; C.2.5. Shall offer a means for clients to wash their own clothes or otherwise tend to laundry; C.2.6. Shall provide secure, appropriate storage for both Veteran belongings and medication; C.2.7. Shall provide quality case management and treatment services that utilize a Recovery Model approach that includes elements of motivational interviewing, harm reduction, and critical time intervention ; C.2.8. Shall maintain a minimum of one staff member on site at all times to ensure appropriate response to matters involving Veteran safety; C.2.9. Shall provide a working phone line and ensuring reasonably prompt communication with the VA is possible at all times; C.2.10 Shall have a minimum of one staff who is either a registered nurse or nurse practitioner seven hours a day on weekdays. DIRECT VETERAN CLINICAL SERVICES: 60% of time involves direct service to Veterans C.3.1. Occupancy: The contractor will be responsible for ensuring that a minimally acceptable level of 80% occupancy (Preferred 90-100% occupancy) of HCHV CERS funded beds is maintained at all times through independent outreach efforts as well as by collaboration with VA. C.3.2 Care Planning: Contractor will engage the veteran in a collaborative assessment of needs, including barriers to stable housing, and create an initial plan of care to address those concerns within 14 days of admission. This plan is to be updated as needed throughout the Veterans episode of care. C.3.3. Case Management: Contractor will provide individual case management meetings at least 3 times per mo (preferably once per week) that focus, at a minimum, on: housing search and stabilization, increasing income, any necessary coordination of ongoing participation in care provided by VA/community medical and/or mental health care providers, and ongoing discharge planning. C.3.4. Exits to Independent Housing: The contractor is expected to promote a focus on achieving stable, independent housing for all Veterans referred for care; exits to permanent, independent housing will be monitored as an indicator of overall program quality utilizing data provided by the VHA Support Service Center’s Homeless Service Scorecard – the target rate for exits to this type of housing will be 55% or higher (Accepted 50% or higher). C.3.5. Negative Exits: The contractor is expected to facilitate Veteran completion of the HCHV CERS Program to the maximum extent possible, while still maintaining program integrity and safety; “Negative Exits,” which shall be defined as discharges involving Veterans being asked to leave the program due to rule violation or otherwise leaving the program without consulting program staff in any way, shall be monitored on a continuous basis utilizing data provided by the VHA Support Service Center’s Homeless Service Scorecard – the target rate for these types of exits will be 20% or less (Accepted 25% or less). C.3.6. Environmental Checklist: The vendor will allow VA liaison to conduct unannounced site visits at a minimum of 4 times in a fiscal year, which includes, but is not limited to: inspecting the program facility, ensuring that there are no health code or safety violations, inspecting the meds storage area/rm, and ensuring that Vets are provided with 3 meals a day plus snacks, have adequate bedding, and storage for their belongings. Per diem funds assist homeless vets by helping to offset operating costs to ensure the availability of supportive housing and service centers tasked with furnishing outreach, rehabilitative services, vocational counseling and training, and transitional housing assistance. Code of Federal Regulations 38 § 61.30. C.4. ADMINISTRATIVE SERVICES: 40% of time does not involve direct service to Veterans C.4.1. Determination of Eligibility: The contractor is responsible for determining Vet eligibility for placement into HCHV CERS Bed. A Veteran must be homeless and eligible for VA health care in order to be considered for admission to any CERS Program. Failure to establish eligibility prior to admission may result in denial of payment for services provided to ineligible Veterans. C.4.2. Release of Information: The contractor shall ensure that a signed VA Release of Info (ROI) is obtained for any Veteran being admitted to an HCHV CERS Bed and placed into individual case record. C.4.3. Individual Case Records: The contractor will maintain an individual case record for each referred Veteran. Case records must be maintained in security and confidence as required by the Confidentiality of Alcohol and Drug Abuse Patient Records (42 CFR part II) and the Confidentiality of Certain Medical Records (38 USC 7332), and in accordance with the Health Insurance Portability and Accountability Act (HIPAA: Pub. Law. 104–191). Records should contain at a minimum: Reason for referral; pertinent demographic information; copies of any medical prescriptions/orders issued by physicians; case management/treatment notes; any critical incident reports; and a final summary that include reason(s) for leaving, the Vets known future plans, and follow-up locator info, if available. C.4.4. Homeless Management Information System (HMIS) Data Reporting: Vets served thru VA’s HCHV CERS program must have client level data entered into the local Community Continuum of Care’s (CoC) HMIS. Data entered must include, at a minimum, the Universal Data Elements from the 2010 HMIS Data Standards. C.4.5. Daily Census Sign-In Sheet: The contractor is responsible for collecting Vet participant signatures on a daily census sign-in sheet to verify attendance in the program. This data is to be provided to the VA Liaison on a daily basis in order to ensure effective monitoring of bed utilization. C.4.6. Incident Reporting: The contractor shall notify the VA immediately when any adverse critical incident involving a Vet admitted to the program occurs. Critical Incidents shall include: Falls, Elderly/Dependent Adult Abuse or Neglect, Sexual Assault, Fire (Vet Involved), Medical or Mental Health Emergency (911 Calls), Hospitalization, Suicidal ideation or attempt, Homicidal ideation, Assault (of other residents or Staff), Death, Infectious Control Concerns (Bed Bugs, TB, etc.), Observation/ Possession of Weapons, During normal business hrs, the identified VA Liaison, HCHV Coordinator or COR should be contacted immediately by phone to report such an incident; if the incident occurs after hrs, the local VA Facility Administrator on Duty (AOD) should be notified, also by phone. A written report to the VA Liaison and/or COR should follow within 24 business hrs. The report should list known precipitating factors or triggers. Contractor shall maintain a copy of all critical incident reports in the involved Veteran’s individual case record. C.4.7. Extension Requests: The contractor is responsible for ensuring that all requests for extension of services beyond the initially authorized service period of 90 days are reviewed and approved in writing by the VA Liaison (or Social Work Service Contract Coordinator/ COR for requests exceeding six (6) months). C.4.8. Satisfaction Surveys: When requested, the contractor will be responsible for administering, collecting, and delivering to VA Liaison a survey of the Veterans experience in the program. C.4.9. Discharge Reporting: The contractor is responsible for notifying the identified VA Liaison (or designee) within 24 business hrs. that a discharge has occurred, and for providing a written report of discharge that contains the specific data required by the Northeast Program Eval Center (NEPEC) for documentation of discharge in the Homeless Operations and Management Evaluation System (HOMES) within 48 business hrs. D. DELIVERABLES D.1. QUALITY CONTROL BUSINESS PLAN: The contractor shall submit a Quality Control Business Plan that supports the program objectives and associated tasks. The CO shall review and comment as necessary to ensure that contract goals are met. D.2. STAFFING AND SERVICE PLAN: The contractor shall provide a detailed staffing and service plan. Plan should demonstrate that sufficient professional personnel are employed to carry out the policies, responsibilities, and services required under this contract. The Contractor must identify each person functioning as “Key Personnel” under this contract, and provide the VA with a description of the services to be provided by each person. The Contractor shall assign to this contract personnel that by education and/or training (and, when required, certification or licensure) are qualified to provide the services required by this PWS. Contractor may be required to supply a resume(s) summarizing relevant skills and experience of any/all key personnel upon request. Minimum Key Personnel requirements are as follows: D.2.1. One administrative staff member, or designee of equivalent professional capability (w/the authority to make decisions regarding the facility and residents, or w/contact info for an offsite administrator in case of emergency), on duty on the premises or providing awake supervision of residents and staff 24 hrs a day, 7 days a week. D.2.2. Sufficient case management/counseling personnel to provide direct services to Vet residents. Case managers should have some training and experience working with homeless individuals; experience working with individuals dealing with chronic medical, mental health and substance abuse problems is highly desirable. Staff working with Veterans should be able to assess, anticipate, and effectively refer Veterans experiencing crises for additional support as appropriate. D.2.4. At least one staff or security member with CPR certification on site and available in an emergency during each shift, 24 hrs per day. The contractor shall provide resumes for any proposed substitutions of key personnel, at least 15 days proposed date of substitution. substitution is to occur. The Contracting Officer shall notify the contractor within fifteen (15) calendar days after receipt of all required information if the VA is able to accept the proposed substitute key personnel. Temporary substitutions of key personnel shall be permitted in accordance with the contractor’s contingency plan. The contractor’s contingency plan to be utilized if personnel leave contractor’s employment or are unable to continue performance in accordance with the terms and conditions of the resulting contract should be submitted to CO as a part of proposal package. The CO is the ultimate authority on acceptable length for temporary substitution of key personnel. The VA reserves the right to refuse or revoke acceptance of any key personnel if personal or professional conduct, or lack of required skills or experience jeopardizes patient care or interferes with the regular and ordinary operation of the facility and the HCHV CERS Program. D.3. DOCUMENTATION OF SUPPORTIVE SERVICES: The Contractor shall provide written doc constituted by the individual Veteran case record that verifies the provision of all supportive services required under this contract for each Veteran participant. D.4. CARE PLAN: The written plan of care shall be completed and entered into the individual Veteran case record no later than day 14 days after being admitted to the program. D.5. CRITICAL INCIDENT REPORTS: Written critical incident reports must be submitted to the VA Liaison within 24 business hours (VA Liaison/AOD to be notified immediately or as soon as possible when incidents occur). D.6. EXTENSION REQUESTS: Written requests for extension are due prior to the 90th day when its anticipated the Veteran will require additional time beyond the initially authorized service period, and prior to the expiration of the initial and any and all subsequent future extension authorizations. D.7. DISCHARGE REPORTS: The HOMES Exit form shall be completed and submitted to the VA Liaison within 48 business hours (VA Liaison to be notified within 24hrs of discharge). D.8. SATISFACTION SURVEYS: When Vet Resident surveys are being provided by VA to the program to give to Veterans, completed surveys are to be returned to the VA Liaison at the end of each month. D.9. DAILY CENSUS SIGN-IN SHEET: The daily census sign-in sheet should be provided to the VA Liaison daily; weekend or holiday sign-in sheets are to be provided to the VA Liaison the on the next business day. D.10. INVOICES: The monthly invoice is computed at the daily rate multiplied by the total number of beds occupied by Veterans at midnight each night of the given month. Invoices should first be submitted to the VA Liaison for approval and signature by the 5th of the month immediately following the billing period in question. Once approved, invoices are to be submitted through the Tungsten Network (Electronic Invoicing System) by the 10th of the month immediately following the billing period in question.; all electronic invoices submitted should be accompanied by invoice bearing VA Liaison signature for reference of certifying official. (For additional information, Reference: VAAR 852.273-72 Electronic Submission of Payments pg. 23. and FAR 52.232-33 Payments by Electronic Funds Transfer—System for Award Management pg.27.) .D.11. QUARTERLY PERFORMANCE REPORT: The contractor shall provide the COR with a written report detailing program data and activities on a quarterly basis. The report should contain, at minimum, the following information: Total Number of Veterans Served Occupancy rate Percent of Veterans discharged to independent housing Percent of negative discharges (i.e. discharges due to rule violation, failure to comply with program requirements, or unexpected discharges without prior consultation with staff). Other information the contractor feels pertinent, such as: quality improvement projects, changes in staffing or business practices, systems or resource concerns, etc. DELIVERABLE TIME TABLE Deliverables Due Dates D.1. QUALITY CONTROL BUSINESS PLAN Due upon solicitation close date D.2. STAFFING AND SERVICE PLAN Due upon solicitation close date D.3. DOCUMENTATION OF SUPPORTIVE SERVICES: Completed Veteran case record due upon case close out; due to VA upon request only. D.4. CARE PLAN Due in Veteran case record by day 14; due to VA upon request D.5. CRITICAL INCIDENT REPORTS Due within 24 business hours of a critical adverse event involving a Veteran D.6. EXTENSION REQUESTS Due prior to the expiration of any authorized period of service D.7. DISCHARGE REPORTS Due within 48 business hours of Veteran discharge D.8. SATISFACTION SURVEYS Due at the end of each monthly service period D.9. DAILY CENSUS SIGN-IN SHEET Due daily D.10. INVOICES Due to VA Liaison by the 5th of the month immediately following the billing period in question; due in Tungsten Network (electronic billing system) by the 10th of the month immediately following the billing period in question. Figure D.11.1 E. REFERRALS E.1. The VA is capable in determining eligibility of Veterans prior to admission to contractor bed for services. The contractor is expected to work with identified VA Liaison or other designees to confirm eligibility; it is understood that payment for Veterans admitted without an initial determination of eligibility may not be authorized if the Veteran is found to be ineligible. E.1.2. A list of authorized VA ordering personnel, including primary identified VA Liaison, shall be made available to the contractor upon award of the contract. VA employees may be added or deleted from this list during the term of the contract at the discretion of VA. The contractor shall not deviate from the list of individuals authorized to approve admissions without an updated list. E.1.3. Referral constitutes authorization of an initial service period of up to 90 days (unless otherwise specified). F. ABSENCES AND CANCELLATION F.1. The Contractor shall notify VAMC of any absences from the facility. Absences of the patient from the facility in excess of forty-eight (48) hours will not be reimbursable except those with the prior approval of the VAMC coordinator. Should a patient referred to a residential treatment facility absent himself/herself in an unauthorized manner, payment for services for that Veteran to the contract facility would be continued for a maximum period of two days provided there is an active outreach attempt on the part of the contractor facility staff to return the Veteran to the residential treatment program and a strong likelihood that the patient will return. Management of Negative Exits will be an element of quality assurance review of this program. F.1.1. The VA will pay per diem up to a maximum of 48 consecutive hours for the unscheduled absence or 96 hours for scheduled absence of a Veteran under the following conditions: 1) Scheduled Absences: To receive payment, the absence must: a) Be pre-planned, consistent with and support the Veteran’s individual service plan, (e.g., family reunification, short term medical, substance use disorder, (SUD), or psychiatric treatment). b) Have the reason be documented in the individual Veteran’s case file, treatment record, or service plan. c) Not result in the bed being filled by the provider d) Not be for a break or vacation from treatment. e) Not be used for extended educational or employment circumstances. f) Not be used to create more than 4 consecutive days of absence. 2) Unscheduled Absences: To receive payment for an unscheduled absence: a) The provider must have evidence of active outreach to locate and reengage the Veteran and document the steps taken in the Veterans individual case file, treatment record, or service plan. b) The provider may not fill the bed. c) The Veteran must be discharged from the HCHV/CERS program if not located within 48 hours. 3) Inpatient Hospitalization: HCHV Low Demand Safe Haven (LDSH) programs target the population of hard-to-reach, chronically homeless Veterans with mental illness and many with SUDs who require additional supports to maintain treatment and housing. HCHV Contract Emergency Residential Services (CERS) programs established as medical respite or geriatric care programs also serve as a specific subset of Veterans with complex needs. The per diem payment may be made to an HCHV LDSH, medical respite or geriatric care provider if a Veteran requires inpatient medical or psychiatric treatment for a period of up to 7 days. The provider may not fill the bed during this time and should maintain contact with the HCHV/CERS Liaison and the Veteran if authorized. 4) Ineligible Veteran: When a Veteran is admitted into an HCHV/CERS program and found to be ineligible for HCHV/CERS, VA will pay for a maximum of 4 days from the day of admission to allow the provider and HCHV/CERS liaison time to locate and arrange alternate placement. F.2. The contractor may consider providing an authorized absence (or “pass”) for purposes that are expected to further the recovery goals of a Veteran (e.g., job-related absences, family visits, housing searches, medical, etc.). All requests for passes must be documented in writing in the Veterans individual case record. Authorized absences shall not exceed 48 hours in any given month for any single Veteran, unless otherwise approved by contractor and VA Liaison. F.3. VA reserves the right to remove any or all Veterans from the facility at any time without additional cost, when it is determined to be in the best interest of the Veteran or VA. G. CONDUCT G.1. The contractor shall comply with the principles listed in 38 CFR 17.707(b) to provide housing and supportive services in a manner that is free from religious discrimination. H. COMPLAINTS The identified VA Liaison and the Contracting Officer’s Representative (COR) will monitor the services being provided in all HCHV CERS Facilities. The contractor is expected to cooperate with VA Staff and COR by providing information and answering questions in a timely manner when requested. Contractor shall refer complaints received directly from Veterans to the identified VA Liaison or COR within 48 hours of complaint. All complaints received by the VA Liaison or COR will be immediately forwarded to the contractor and shall be investigated promptly. After investigation and clarification of disposition, the contractor shall respond to the VA Liaison or COR within five (5) working days or less with proposed resolution or plan for corrective action. The CO shall be notified in instances where the proposed course of action or response does not appear sufficient to resolve any given complaint. I. TRAVEL The contractor is expected to assist Veterans with arranging local transportation to scheduled meetings and appointments. The contractor is expected to help Veterans understand and learn how to utilize public transportation; this includes providing access to information and clarifying instructions necessary to effectively utilize public transit systems. If contractor and VA staff both determine that public transportation is not available, adequate, or appropriate for any Veteran, the contractor will be expected to assist the Veteran with identifying potential alternative modes of transport, however, under no circumstances is the contractor expected to provide transportation to a Veteran directly. J. FACILITIES J.1. General requirements: It is the responsibility of the Contractor to properly maintain its facilities and the VA shall have no responsibility for paying or reimbursing the Contractor for such expenses. The contract facility must: The contractor will be advised of the findings of the inspection team. If deficiencies are noted during any inspection, the contractor will be given a reasonable amount of time (typically 30 days) to take corrective action and to notify the Contracting Officer that the corrections have been made. A contract will not be awarded until noted deficiencies have been eliminated. Failure by the Contractor to take corrective action within the reasonable time provided will be reported to the VA Contracting Officer. If corrections are not made to the satisfaction of the VA, the Contracting Officer will be notified, and shall be the final arbiter on the necessary resulting consequences and action. All Department of Veterans Affairs inspection findings for residential facilities furnishing treatment and rehabilitative services to eligible Veterans shall, to the extent necessary, be made available to all government agencies charged with the responsibility of licensing or otherwise regulating or inspecting such institutions. K. CERTIFICATION & ACCREDITATION REQUIREMENTS Acquisition a service that involves the storage, generating, transmitting, or exchanging of VAI does not require system interconnection. *Doesn’t include Section 4: Info System Design and Development or Section 5: INFORMATION SYSTEM HOSTING, OPERATION, MAINTENANCE, OR USE NOTE: If a contractor’s system does not require C&A or a MOU/ISA but does need oversight then a CSCA would be appropriate. The CSCA was written specifically for VHA transcription services but there may be other times when this would also be applicable. If yes, include the VAAR Clause currently in eCMS and the appropriate language from Appendix C as determined by the ISO and PO as follows: Section 1: General Section 2: Access to VA Information and Info Systems Section 3: Custodial Language *Section 4: (If Applicable) Info System Design and Development *Section 5: Info System Hosting Section 6: Security Incident Investigation Section 7: Data Breach (indicate $37.50 per affected individual). Section 8: Security Controls Compliance Testing Section 9: Training GENERAL Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security. ACCESS TO VA INFORMATION AND VA INFORMATION SYSTEMS A contractor/subcontractor shall request logical (technical) or physical access to VA information and VA information systems for their employees, subcontractors, and affiliates only to the extent necessary to perform the services specified in the contract, agreement, or task order. All contractors, subcontractors, and third-party servicers and associates working with VA information are subject to th...