Q402--VISN 23 CNH Open and Continuous Medicare Solicitation Amendment 0002: COVID Vaccine Mandate, County List update, and other changes (see page 1 of Amendment). Period of Performance 05 March 2021 to 04 March 2022.

36C26320R0125 0002 Overview of Changes to Medicare Open and Continuous Nursing Home Solicitation This amendment implements the following revisions to the original solicitation: Updates the list of active Nursing Home needed counties in the addendum to section E.1, Instructions to Offerors (see pages 52-55), Adds FAR 52.223-99 at C.7 and VHA Supplemental Contract Requirements at C.8 as required by Executive Order 14042 (These clauses require Contractor to ensure that all of their personnel receive COVID-19 vaccinations. Please read C.7 and C.8 carefully to understand how this requirement works.), Implements formatting and spelling corrections throughout the document, Updates the NARA language at B.3, Clarifies that the minimum and maximum contract value will vary depending on each individual IDIQ (See B.4 #8 and C.3), Revises and clarifies the Instructions to Offerors at the Addendum to E.1. Due to the scale of the changes, this amendment effectively replaces the current Solicitation document and attachments issued most recently via Amendment 0001 on May 4, 2021. Please use this announcement as well as its revised Solicitation and attachments when submitting all proposals to the VA. Direct any questions regarding this amendment to Diana Rosier at [email protected]. See notice below for additional information. Amended Medicare Solicitation Notice: 36C263-20-R-0125 0002 The Department of Veterans Affairs, Veterans Health Administration, Network Contracting Office (NCO 23), St. Paul, Minnesota is soliciting proposals from Nursing Homes in the VISN 23 area which include the States of North Dakota, South Dakota, Minnesota, Wisconsin, Iowa, Illinois, and Nebraska to provide community nursing home services under Indefinite Delivery Indefinite Quantity Contracts (IDIQs). VA initially issued an open and continuous solicitation for this requirement on March 5, 2021. This solicitation is open through March 4, 2022. Proposals will be accepted at any time during this period, up to and including on March 4, 2022. Proposals shall be valid for 180 days from date of receipt. Interested offerors will be responsible for downloading copies of the solicitation (and any subsequent amendments) from that website, and no hard copies will be made available. The solicitation provides instructions to offerors about the proposal submission process. Offerors are encouraged to review the solicitation on the Contract Opportunities website (https://beta.sam.gov/search) and submit their proposal via email to the relevant point of contact as identified in the solicitation as soon as practicable. In accordance with FAR 52.204-7, System for Award Management (SAM), Nursing Homes must be registered in SAM. Nursing Homes must also register in the VIP database if applicable (VIP registration is required for Service Disabled Veteran Owned Small Businesses or Veteran Owned Small Businesses) under the applicable NAICS. Nursing Homes may obtain SAM information at https://www.sam.gov and Vet Biz information at https://www.vip.vetbiz.va.gov. To be eligible for award, Nursing Homes must be registered in the SAM database. Registration is free and potential offerors are encouraged to visit the SAM website as no IDIQs can be awarded to any offeror not registered in SAM. NAICS Code is 623110 (Nursing Care Facilities) with a Small Business Size Standard of $30.0M. The classification code is Q402. The solicitation will be issued for full and open competition. Multiple awards are anticipated and will be made on an as needed basis. See County list in the Instructions to Offerors section of the solicitation. All responsible sources must submit a proposal to be considered by VA. VA will only consider proposals from offerors who are licensed by their respective States and who are Medicare qualified. Placements will be made in contract nursing home facilities based on availability of facilities and the desires of the veterans and their respective families. Questions concerning this announcement should be directed to the Diana Rosier, Contract Specialist, at the following e-mail address: [email protected]. Please include the solicitation number (36C263-20-R-0125 0002) and Nursing Home name and location in the subject line. Contracting Office Address: Department of Veterans Affairs Network Contracting Office (NCO 23) 316 Robert Street. North, St. Paul, MN 55101. The following documents are attached to this announcement: 36C26320R0125 0002 Amended Medicare Nursing Home Solicitation Attachment 1, Quality Assurance Surveillance Plan (QASP) Attachment 2, Wage Determinations: (note- only one of these will be attached to the final IDIQ) 2a: E-98 1973-0126, Rev. 64, 12 Dec 2020 (For Nursing Homes outside of Wyoming) 2b: E-98 1973-0130, Rev. 60, 21 Dec 2020 (For Nursing Homes within Wyoming) Attachment 3, RUGs IV and III Description Attachment 4, Medicare Pricing Schedule