Intraoperative Neurophysiologic Monitoring (IONM) Services

This presolicitation notice from the Department of Veterans Affairs (VA) Network Contracting Office (NCO) 15 is for Intraoperative Neuromonitoring (IONM) Services Contract for the Kansas City, MO VAMC. This is an information-only notice, not a request for proposals, and no contract will be awarded from it. The VA anticipates a firm, fixed-price requirement with a base period and four one-year option periods. The solicitation will be a Service-Disabled Veteran-Owned Small Business Concern (SDVOSBC) Set-Aside, with NAICS code 621399 and a small business size standard of $10M. The anticipated solicitation date is April 10, 2026. Interested parties are responsible for the complete performance of the technical aspects of IONM services.

This government file is a Request for Proposal (RFP) from the Department of Veterans Affairs, Network Contracting Office (NCO) 15, for Intraoperative Neurophysiologic Monitoring (IONM) Services for the Kansas City VA Medical Center. The contractor will provide qualified IONM services and instrumentation, including both on-site Electro Neurophysiologic Technologists and remote Neurologists, to support surgical procedures 24/7, 365 days a year. Key requirements include specific certifications for personnel (e.g., CNIM for technologists, ABPN for neurologists), extensive credentialing and privileging processes, adherence to strict patient safety and infection control standards, and compliance with various federal regulations like HIPAA and the Privacy Act. The contract outlines performance standards, quality assurance measures, and detailed responsibilities for both on-site and remote personnel, emphasizing data integrity, communication protocols, and the provision of all necessary equipment by the contractor. The performance period includes a base year and four option years, with services provided during and outside normal business hours.

The Department of Veterans Affairs (VA) is seeking proposals for Intraoperative Neurophysiologic Monitoring (IONM) services at the Kansas City VA Medical Center (KCVAMC). This solicitation, 36C25526Q0259, outlines requirements for qualified neurologists and electro neurophysiologic technologists to provide 24/7 on-site and remote monitoring. Services include various evoked potential modalities and require adherence to VA, Joint Commission, and national healthcare standards. Key aspects include strict credentialing, licensing, and certification requirements for personnel, compliance with patient safety and data privacy regulations (HIPAA, HITECH, FIPS 140-2), and comprehensive quality assurance. The contractor must supply all necessary equipment and ensure continuous service, even during off-hours and holidays. The contract spans a base year and four option years, with detailed pricing for services rendered during and outside normal business hours. This RFP emphasizes the need for high-quality, real-time neuromonitoring to support surgical procedures at the KCVAMC.

This amendment to Solicitation 36C25526Q0259 for Intraoperative Neuromonitoring (IONM) Services provides crucial clarifications for potential offerors. It addresses questions regarding the scope of work, including an estimated annual volume of 75-90 cases with an average duration of 4-5 hours. The document details the surgeon specialties currently utilizing IONM (ENT, Vascular, Neurosurgery) and specifies that services are not required for emergencies or after-hours. It also confirms that personnel will report for cases as needed, rather than remaining on-site full-time. Notably, this is a new requirement with no current contract, and the Department of Veterans Affairs hopes to award the contract by September 15, 2026. The amendment ensures all terms and conditions of the original solicitation remain in effect.

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Attachment D.6 is a Past Performance Questionnaire (PPQ) for Solicitation Number 36C25526Q0259, issued by the Department of Veterans Affairs. Its purpose is to gather information to establish the performance history of an offeror. The questionnaire requires evaluators to rate a contractor's performance across various criteria using a five-point scale: Outstanding, Above Average, Satisfactory, Marginal, and Unacceptable. Key areas of evaluation include compliance with contract requirements, accuracy of reports, appropriateness of personnel, technical expertise, ability to meet schedules, flexibility, reliability, responsiveness to technical directions, and notification of problems. Additionally, it asks about the issuance of cure notices or terminations, customer satisfaction, and whether the evaluator would award another contract to the offeror. Completed questionnaires are to be emailed to stephen.showers@va.gov.

The Department of Veterans Affairs (VA)

The Quality Assurance Surveillance Plan (QASP), Solicitation Number 36C25526Q0259, outlines the Department of Veterans Affairs' systematic approach to evaluating contractor performance. This living document details monitoring methods, responsibilities of the Contracting Officer (CO) and Contracting Officer's Representative (COR), and documentation procedures. Key performance standards include patient access, patient safety, licensing, medical records, privacy, and billing, each with specific acceptable quality levels and surveillance methods. Performance is rated using CPARS guidelines (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory), and any deficiencies require written documentation and corrective action plans from the contractor. The QASP emphasizes fair and objective evaluations to ensure contractual compliance and safeguard government interests.

The document outlines the Organizational Conflicts of Interest (OCI) provision (VAAR 852.209-70) for healthcare contracts, specifically Solicitation #36C25526Q0259 for Interoperative Neuromonitoring Services. Its main purpose is to prevent unfair competitive advantages and ensure impartiality. Offerors must submit a statement detailing any past, present, or planned financial, contractual, or organizational interests, or actual/potential OCIs for themselves, consultants, and subcontractors. They can also propose mitigation strategies. The Contracting Officer will assess this information, and if an unmitigable OCI exists, the Offeror may be disqualified or a waiver sought. Nondisclosure or misrepresentation can lead to contract termination. Appendix A provides a certification form for contractors to declare no conflicts or to attach a detailed statement of any identified conflicts and mitigation plans.

This document outlines the Contractor Certification for compliance with the Immigration and Nationality Act of 1952, as amended, for federal contract 36C255226Q0259. Contractors providing services to Department of Veterans Affairs patient referrals must certify their adherence to all related immigration laws and regulations enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor. Key requirements include not knowingly employing or subcontracting with illegal aliens or foreign nationals in violation of their immigration status. Contractors must also comply with all "E-Verify" requirements as per Executive Order 12989 and applicable Federal Acquisition Regulations. Failure to comply can result in the prohibition of non-compliant foreign nationals from working on VA-related services and may lead to contract termination for breach. The Contractor is also obligated to obtain similar certifications from its subcontractors. The certification warns that false statements may lead to prosecution under 18 U.S.C. 1001.