Request For Information Off-Site Per-Procedure Chronic Dialysis Services Sioux Falls VA Health Care System
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This is a Request for Information (RFI) announcement only. This is not a solicitation. The purpose of this RFI is to gain knowledge of current market conditions relative to NAICS 621492, Kidney Dialysis Centers with a size standard of $38.5 Million. The Department of Veterans Affairs (VA), Network Contracting Office 23 on behalf of the Sioux Falls VA Health Care System, Sioux Falls, South Dakota, is seeking to identify any vendors capable of providing Off-Site Per Procedure Chronic Dialysis Services. The anticipated contract will be a firm-fixed price contract for a one year base, plus four one-year options.
Scope: The Sioux Falls VA Healthcare System requires contractual Acute Dialysis services to provide services to eligible beneficiaries. Please reference the example schedule of services listed on page 2 for the exact requirement of this contract.
Respondents are not limited to SDVOSB and/or VOSB vendors, all sources are encouraged to respond. The VA is seeking to identify all potential sources. Responses to this Sources Sought must include the following information:
Company Name, Address, Contact Person Name, Phone Number, Fax Number, email address(es), DUNS number and company website.
Socio-Economic Status of business (example: SDVOSB, VOSB, etc.)
What medical services does your company primarily provide?
Are you, or have you previously provided Acute Dialysis services to any federal treatment facility? If so, please provide contract number(s) for the previous three (3) years.
Will your company enter into a joint venture or other relationship in order to provide this service?
Responses to this RFI market survey must be in writing and emailed to charles.morin@va.gov. No telephone responses will be accepted, however you may call Charles Morin at 651-293-3035 with questions regarding this RFI. Responses must be received no later than 3:00 pm Central, October 16, 2018. No solicitation documents are available at this time. This RFI is to acquire information only. Vendors interested in providing an offer will have the opportunity to respond to a Request for Proposal that shall be published separately at a later date.
SCHEDULE OF SERVICES
The Contractor shall provide Off-Site Chronic Hemodialysis and Peritoneal Dialysis (PD) Services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Sioux Falls VA Health Care System (VAHCS), 2501 W. 22nd Street, Sioux Falls SD 57105. The Contract will be effective for a base period of one (1) year and include four (4) one-year option periods.
Services to be provided at the contractor-owned facility (facility ownership exempt in community nursing home setting). Contract prices as negotiated herein shall be honored at all contractor-owned facilities. The Centers for Medicare & Medicaid Services, Current Procedural Terminology (CPT), shall be used to identify the procedures and services performed.
All-inclusive Rates. The contractor shall be reimbursed a single, fixed fee/per treatment, all-inclusive rate. Exceptions to the per treatment rate include:
Nephrologist services (this is billed on separate line item in schedule of items.
Pre-authorized non-routine drugs
Pre-authorized medically necessary laboratory testing and blood transfusion products/services.
NOTE:
These exceptions are reimbursed at the current Medicare rate as of the date of service and are not included under this contract. Services rendered will be paid outside of this contract by other means, i.e., fee basis.
Contractor is required to maintain medical justification in the VA beneficiary s community dialysis medical record for the separate billings of those services not included in the per treatment rate excluding nephrologists billings.
Contractor is required to submit medical justification (fax, mail) along with the required medical claim information for issuance of payment.
Comprehensive, all inclusive, Per Treatment Pricing . The Contractor will bill each episode of care on a per treatment price basis which is an all-inclusive rate to include all equipment, facility, nursing, technical personnel, professional services (social work, dietary, etc.), supplies, lab tests, and drugs that are necessary to furnish dialysis treatment in an outpatient setting. The need for any additional services must be documented by the Contractor in the patient s medical record and be reflected in the billed ICD9-CM diagnosis code. The Contractor will not be reimbursed for any test or medical services that are not identified in this contract without prior authorization by designated VA personnel.
Contractor must follow current Medicare guidelines for treatment. If Medicare changes their guidelines for treatment as well as additional services, the Contractor will adopt and implement such guidelines.
Location of Services. Below is a listing of geographic locations the VA currently has patients receiving dialysis treatments with estimated patient volumes in those locations.
Table: A1
Location
Type of Dialysis
Estimated Volume of Patients
Estimated Quantity of Treatments per year
Yankton SD
Hemodialysis
2 Hemodialysis Patients
312 Hemodialysis Patients
Sioux Falls SD
Hemodialysis, Peritoneal
7 Hemodialysis Patients
3 Peritoneal Patients
1100 Hemodialysis Patients
1092 Peritoneal Patients
Sioux City IA
Hemodialysis
3 Hemodialysis Patients
470 Hemodialysis Patients
Watertown SD
Hemodialysis
2 Hemodialysis Patients
312 Hemodialysis Patients
Huron SD
Hemodialysis
1 Hemodialysis Patient
156 Hemodialysis Patients
Brookings SD
Hemodialysis
2 Hemodialysis Patients
312 Hemodialysis Patients
Aberdeen SD
Hemodialysis
2 Hemodialysis Patients
312 Hemodialysis Patients
Spirit Lake IA
Hemodialysis
1 Hemodialysis Patient
156 Hemodialysis Patients
Worthington MN
Hemodialysis
3 Hemodialysis Patients
470 Hemodialysis Patients
Chamberlain SD
Hemodialysis
1 Hemodialysis Patient
156 Hemodialysis Patients
Spencer IA
Hemodialysis
1 Hemodialysis Patient
156 Hemodialysis Patients
The Sioux Falls VAHCS catchment area encompasses the following States and Counties:
South Dakota: Campbell, McPherson, Brown, Walworth, Edmunds, Day, Potter, Faulk, Spink, Clark, Codington, Grant, Deuel, Hamlin, Spink, Sully, Hyde, Hand, Beadle, Kingsbury, Brookings, Hughes, Lyman, Buffalo, Jerauld, Sanborn, Miner, Lake, Moody, Brule, Aurora, Davison, Hanson, McCook, Minnehaha, Tripp, Gregory, Charles Mix, Douglas, Hutchinson, Turner, Lincoln, Bon Homme, Yankton, Clay, and Union.
Iowa: Lyon, Osceola, Dickinson, Emmet, Sioux, O Brien, Clay, Plymouth, Cherokee, Woodbury.
Minnesota: Lac Qui Parle, Yellow Medicine, Lincoln, Lyon, Pipestone, Murray, Cottonwood, Watonwan, Rock, Jackson, Martin, Nobles.
GEOGRPAHPHIC AREAS CONTRACTOR HAS A FACILITY OR SATELLITE CLINIC. It is the VA s intent that any contractor offering services under this contract will honor the pricing proposed at any of their locations that are located in the catchment area of the state and counties listed above. Offerors submitting a proposal must offer all CLINS in the state if they offer pricing for that state. Contractors pricing offered will be honored at all contractor-owned facilities in the state they proposed pricing on.
Contractors offered pricing will be honored at all contractors locations listed below. Offeror to list the State/Location of the facility and/or clinic.
Contractor Facility Name
Contractor Facility Address
See table A1 above for estimated patient volumes for each geographic region. Estimated quantities will not commit the government to purchase any or all procedures estimated. Patients currently receiving treatments at a facility that is not under a contract, will be converted to the contract rate upon contract award.
The contract will contain one (1) base year and include four (4) one-year option periods. The Contracting Officer shall determine (based on an integrated assessment of each offeror s technical and price proposal) the individual proposals evaluated to be most advantageous to the Government.
BASE YEAR (8/1/2019 to 7/31/2020)
CLIN
SUB CLIN
DESCRIPTION
QTY
UNIT
UNIT PRICE
TOTAL PRICE
0001
Hemodialysis Treatment All Inclusive.
Contractor s Facility
Cost per patient, per treatment.
0001a
Location: South Dakota
2000
EA
0001b
Location: Iowa
782
EA
0001c
Location: Minnesota
470
EA
0002
Hemodialysis Treatment All Inclusive.
Home
Cost per patient, per treatment.
0002a
Location: South Dakota
5
EA
0002b
Location: Iowa
5
EA
0002c
Location: Minnesota
5
EA
0003
Peritoneal Dialysis Treatment - All Inclusive.
Cost per patient, per treatment.
0003a
Location: South Dakota
36
EA
0003b
Location: Iowa
10
EA
0003c
Location: Minnesota
10
EA
0004
Nephrologist Oversight
Cost per patient, per treatment.
CPT Code 90961
0004a
Location: South Dakota
200
EA
0004b
Location: Iowa
45
EA
0004c
Location: Minnesota
18
EA
0005
Nephrologist Oversight
Cost per patient, per treatment.
CPT Code 90960
0005a
Location: South Dakota
200
EA
Charles J Morin
Contract Specialist
612.344.2149
Charles.Morin@va.gov
