The Department of Veterans Affairs is soliciting proposals for the amendment to the IDIQ contract titled "Q402--FY25 12/1 (HOLD) IDIQ Brookfield of Cascadia 648" in Portland, Oregon. This amendment outlines critical changes to the pricing and rate determination processes, specifying that the Geriatrics & Extended Care (GEC) and VA Central Office (VACO) will publish annual Medicare Benchmark rates, while also clarifying Medicaid rates and allowances for case mix within the Performance Work Statement (PWS). The services sought are vital for providing skilled nursing care, ensuring compliance with updated pricing structures, and maintaining transparency in federal contracting. Interested contractors should acknowledge receipt of the amendment and adhere to submission protocols, with inquiries directed to Contract Specialist Brian Stephen at Brian.stephen@va.gov or 253-888-4938, or Jeremiah Middleton at Jeremiah.Middleton2@va.gov.