Q201--MOLOKAI CBOC Utilization HCR PMPM Requirement

The Department of Veteran Affairs, Network Contracting Office 21 is conducting market research to identify potential sources capable of providing Community Based Outpatient Clinic (CBOC) services for the island of Molokai, Hawaii including: Clinical Space: One Office for primary care provider. Use of Two Exam Rooms for primary care provider Use of Four Common Rooms for VA Patients. Clinical Personnel: One Administrative Clerk/Receptionist Clinical Services: On-site administrative oversight and telehealth technical assistance. Provisions of office and clinical supplies to keep clinic in operation. Aseptic cleaning service of space. Physical Security Biohazard Disposal Services (e.g. Sharps) PLACE OF PERFORMANCE: The CBOC must be located on the island of Molokai, Hawaii The proposed NAICS Code is 621498, All Other Outpatient Care Centers All capable businesses are encouraged to reply. Responses shall include: 1. Business Name: 2. Point of Contact: 3. Phone Number: 4. E-mail Address: 5.

UEI Number: 6. CAGE Code: 7. Web Page URL: State whether your company is: A. HUB Zone Certified B. 8(a) Certified C. Small Business D. Woman Owned Small Business E. Small Disadvantaged Business F. Veteran Owned Small Business G. Service-Disabled Veteran Small Business H. Large Business I. Registered in System for Award Management (SAM) J. Does your firm have a GSA contract? a. If so, please provide GSA contract information (contract #, owner, business size) K. Please provide a statement as to whether your company is domestically or foreign owned (if foreign, please indicate the country of ownership). L. If not, does your firm offer a similar service? M. Is the site within the island of Molokai, Hawaii? This is a SOURCES SOUGHT announcement only. It is NOT a request for competitive quote/proposal or solicitation of offers. This notice is to assist the VA in determining sources only. This notice does not represent a commitment by the Government to pay for costs incurred in the preparation and submission of information or any other costs incurred as a response to this announcement. Inquiries will only be accepted in writing via email to april.gonzales@va.gov on or before 28 November 2023 by 03:00 pm PST (Pacific Standard Time). Responses forwarded via email must be in readable format such as PDF (shall not exceed 2MB or 5 pages). Do not embed any formulas or links to help ensure electronic data can be received.