Q201--TELEHEALTH SERVICES PLENTYWOOD MT

The Department of Veterans Affairs (VA) is issuing a presolicitation notice (Solicitation Number: 36C25926Q0065) for telehealth and medical support services in Plentywood, Montana. The Montana VA Health Care System requires these services to be provided off-site in a private hospital, office, or clinic environment to eligible Veterans residing primarily in Daniels, Lincoln, Richland, Roosevelt, Sheridan, and Silver Bow counties. The contractor will be responsible for furnishing all personnel to perform these services within the city limits of Plentywood, MT. The response deadline for this solicitation is November 20, 2025, at 12:00 PM Mountain Time. The contracting office is located in Greenwood Village, CO, and the point of contact is Syreeta Newsuan (syreeta.newsuan@va.gov).

The Montana VA Healthcare System (MTVAHCS) Infection Prevention and Control Plan for FY2023 outlines its comprehensive strategy to prevent, identify, and control infections across its extensive network, including inpatient beds, outpatient clinics, and specialized centers. The plan details the program's structure, clinical authority, and the responsibilities of its qualified staff, including a Master's-prepared and board-certified Infection Preventionist. Key initiatives include annual risk assessments, a strategic plan with goals for influenza vaccination and hand hygiene, and a robust surveillance program aligned with CDC guidelines. The plan emphasizes collaboration with various committees and external health authorities, adherence to regulatory compliance, and specific measures for environmental control, equipment sterilization, and construction safety. It also sets detailed objectives for reducing healthcare-associated infections and improving patient and staff education.

The Montana VA Health Care System policy (MCP 11-27-148) outlines comprehensive procedures for communicating test results to both providers and patients. The policy mandates that critical test results be directly communicated to the ordering practitioner within one hour. Abnormal results requiring action must be communicated to patients within seven calendar days, while normal results must be communicated within fourteen days. Exceptions for delayed communication, such as sensitive diagnoses, require documentation. The document details responsibilities for various personnel, including the Director, Chief of Staff, Service Chiefs, and diagnostic/ordering practitioners, in ensuring timely and accurate communication. Specific procedures for laboratory, pathology, radiology (including critical exams like ectopic pregnancy), nuclear medicine, echocardiogram, EKG, and mammogram reporting are outlined, including protocols for business and after-hours communication to various providers (e.g., MOD, ED physician) and documentation requirements in the Computerized Patient Record System (CPRS). The policy also defines key terms and includes attachments for critical values and reporting algorithms.

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VHA Directive 1330.01(7) outlines the comprehensive healthcare services for women Veterans, ensuring access to medically necessary services across all VHA sites. Key updates include clarified requirements for Women's Health Primary Care Providers (WH-PCPs) and Women's Health Medical Directors, merged privacy and security appendices, and amendments regarding planning, design, construction standards, and the removal of blanket exclusions for abortion counseling. The directive emphasizes assigning women Veterans to WH-PCPs and WH-PACTs, with a goal of 85% assignment. It details various models for delivering primary care, special considerations for appointment times, panel sizes, and chaperone requirements. Additionally, it mandates preventive care, including breast and cervical cancer screening, with strict protocols for results notification and tracking. The directive also covers gender-specific specialty care, including gynecology, pregnancy testing, and maternity/newborn care, highlighting the importance of integrated, high-quality, and sensitive care for women Veterans.

The Montana VA Health Care System established an Anticoagulation Management Program (MCP 11-27-526) to personalize patient care and reduce harm from anticoagulants. This policy, effective April 15, 2022, aligns with VHA Directive 1108.16(1) and outlines responsibilities for various healthcare professionals, including the Anticoagulation Program Manager, Physician Champion, Clinical Pharmacy Specialists, and nurses. The program covers procedures for managing warfarin, direct oral anticoagulants (DOACs), and injectable anticoagulants for both outpatients and inpatients. Key aspects include individualized dosing, rigorous laboratory monitoring, peri-procedural management, patient education, and a comprehensive quality assurance framework to track outcomes, manage complications, and ensure adherence to treatment plans. The goal is to prevent thromboembolic events while mitigating bleeding risks, with a recertification date set for April 30, 2027.

The document outlines the

The Montana VA Health Care System's Policy 118-20-255 outlines guidelines for Point-of-Care Testing (POCT) to ensure compliance with VA, state, and federal regulations, including CLIA '88. Only trained and competent personnel, assessed annually, may perform POCT. The policy mandates quality control for all CLIA-waived tests, requiring acceptable results and proficiency testing participation at least twice yearly. POCT results are used for screening and treatment decisions. Responsibilities are detailed for individuals performing POCT, the Ancillary Testing Coordinator (ATC), and the Chief of Pathology, covering competency, quality control, technical oversight, method selection, and quality management. Accurate test results depend on adherence to procedures, sample collection, and QC, with all test systems meeting POCT quality assurance standards. This policy ensures standardized, high-quality POCT within the VA Montana health care system.

The document outlines a federal government Request for Proposal (RFP) process, focusing on detailed requirements for proposals across various categories. It includes specific codes and classifications such as '((' and '(((' for different types of services or goods, indicating a structured approach to procurement. Key sections address general proposal guidelines, specific service requirements, and evaluation criteria, emphasizing compliance with federal standards. The RFP also lists numerous categories, ranging from administrative services to technical and material provisions, each with associated codes and page references. This comprehensive document serves as a guide for potential contractors to understand the scope, submission process, and expectations for participating in government contracts.

The Department of Veterans Affairs (VA) Network Contracting Office 19 is soliciting proposals for Long Term Telehealth Services for the Montana VA Health Care System. This Fixed Price, Indefinite Delivery/Indefinite Quantity (FP-IDIQ) contract, with a base period from January 1, 2026, to December 31, 2027, and four one-year options, seeks to provide off-site telehealth and medical support to eligible veterans. The contractor must supply all personnel, including Telehealth Clinical Technicians, and ensure they meet specific staffing, licensing, and credentialing requirements. The services, reimbursed on a Per Member Per Month (PMPM) basis, will be delivered as Other Outpatient Services (OOS) Community Based Outpatient Clinics in Plentywood, MT. The solicitation details administrative data, invoice procedures, and mandatory contractor registrations, emphasizing adherence to VA and VHA policies for quality and patient care. The maximum award for the contract, including all options, is $949,900.00.