R418--Guardianship Service for VA Maine Health Care System 402-26-3-7290-0047

tes are being requested, and a written solicitation document will not be issued. This solicitation is issued as an RFQ. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2025-06. The associated North American Industrial Classification System (NAICS) code for this procurement is 541110, with a small business size standard of $16 Million. The FSC/PSC is R418. The Department of Veterans Affairs Network Contracting Officer 01 is seeking to purchase the supplies or services described in the following the Performance Work Statement.� This is a� combined synopsis/solicitation� notice synopsizing a solicitation to satisfy the requirements of FAR 5.201 and 5.203. All interested parties should register via SAM.gov interested vendors list. It is the responsibility of the offeror to monitor and download amendments from SAM.gov Federal Business Opportunities, which may be issued to this solicitation. In accordance with FAR 52.204-7, FAR 2.101, and VAAR 802.101, prospective firms must be registered in SAM (www.sam.gov), and in VetCert (Veteran Small Business Certification (sba.gov)) databases prior to award. (Note: In accordance with Public Law 109-461, 38 USC 8127, and NDAA 2021, all vendors claiming Small Business status in accordance with the Veteran's First Contracting Program must be VERIFIED by the Small Business Administration (SBA)). Also, to qualify for a VA contract, vendor must be vendorized by completing Form 10091 at URL� � https://www.cep.fsc.va.gov/ .� Offerors should carefully follow instructions included in 52.212-1 and for evaluation criteria specified in 52.212-2. Pricing should be identified for the Price/Cost Schedule.� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � Interested persons may contact the Contracting Specialist via email at Paula.Doerfler@va.gov. regarding this procurement.� The determination to conduct a competitive procurement based on responses to this notice is solely within the discretion of the Contracting Officer.� Description: This solicitation is set aside for: Service-Disabled Veteran Owned Small Business (SDVOSB). The Department of Veteran Affairs, VISN 1, NCO 1, on behalf of the VHA Maine Healthcare System, (VHAMEHCS) is seeking to purchase services for legal representation for the filing and disposition of guardianship cases where a Veteran lacks the capacity to speak on their own behalf and there is no legal decision maker that can make decisions necessary for the Veterans care and well-being. All interested companies shall provide quotations for the following: Guardianship Service: Line Item Description Quantity Unit Price Total Price Performance Work Statement (PWS) Guardianship, Special Proceedings regarding Healthcare Proxies 1) BACKGROUND The VHA Maine Healthcare System (VHAMEHCS) is seeking legal representation for the filing and disposition of guardianship cases where a Veteran lacks the capacity to speak on their own behalf and there is no legal decision maker that can make decisions necessary for the Veterans care and well-being. VHAMEHCS is an integrated healthcare system comprised of a main hospital campus: Togus Medical Center, and 6 community-based outpatient clinics (CBOC). VHAMEHCS is the tertiary care facility for VISN 1 and provides services for Veterans of Maine. The main health care services are outpatient, impatient, extended care and telehealth care. It is one of the missions of the VHA Maine Healthcare System to serve the Veteran through the delivery of timely quality care by staff who demonstrate outstanding quality service. Our key business drivers are quality, financial integrity, patient satisfaction, and employee satisfaction. Implementing this contract will enable us to better serve at risk Veterans and provide appropriate care in the right location, at the right time and in the least restrictive setting, and enable excellence in customer service, decreased length of stay, decreased health risks associated with hospitalization, and decreased healthcare costs for the Veteran and facility, therefore improving the ability to meet our mission. Many veterans lack the capacity to make healthcare decisions and efforts are made by the medical center to educate Veterans and families on advance care planning and to establish health care agent documentation. When necessary, a provider will activate health care agent documentation. However, many veterans have been identified to lack the social resources of family or close friends to serve in this vital role: because of serious mental illness, adult orphan status and families who are reluctant or unable to engage in the probate court system but would otherwise act on their family member s behalf if guardianship legal processes are coordinated and executed by VHAMEHCS in conjunction with the contractor. The medical center must have the ability to petition the court system to establish a decision maker to obtain informed consent for the purpose of routine and emergency decisions related to care (tests, surgeries, DNR/DNI status or forced administration of psychotropic medications against the patient or surrogate s preferences) and discharge planning (placement and payment/payor sources) needs. This requires the establishment of guardianship and in some instances conservatorship for the purpose of treatment and discharge planning needs. Establishing a designated decision maker is necessary for healthcare providers to provide care. 2) OBJECTIVE VHAMEHCS is committed to providing Veterans with high quality health care in the most appropriate and least restrictive care setting including those who lack capacity to speak on their own. 3) DEFINITIONS a. Conservatorship. A type of guardianship where a person who is appointed by a court to manage the estate of a protected person. b. Health Care Agent. A health care agent (HCA) is a person selected by the patient and named in a Durable Power of Attorney for Health Care (DPAHC) to make health care decisions on the patient s behalf if, or when, that individual cannot do so. In VHA, an HCA is first in the hierarchy of surrogate decision makers and is authorized to make decisions about all types of health care on the patient s behalf. (See VHA Handbook 1004.02 and Department of Veterans Affairs (VA) Form 10-0137, VA Advance Directive: Living Will and Durable Power of Attorney for Health Care (DPAHC)). c. Legal Guardian. A legal guardian is a person appointed by a court of appropriate jurisdiction to make decisions, including medical decisions, for an individual who has been judicially declared to be incompetent. The appointment may be of limited duration. Under VHA policy, legal guardians have the same authority to make health care decisions as any surrogate authorized under VHA policy. NOTE: Financial or other types of limited guardianship do not always include the authority to make health care decisions. d. Special Proceeding regarding Healthcare Proxies. A petition to the court filed for the purpose of i. Affirm a health care proxy ii. Remove a health care agent iii. Override a health care agent s decision iv. Determine the validity of the health care proxy Guardianship, Special Proceedings regarding Healthcare Proxies referred to throughout this document may refer to any of the following state specific definitions and actions.