The VA North Texas Health Care system requires community based Outpatient clinic (CBOC))

The VA North Texas Health Care System is soliciting services for a Community Based Outpatient Clinic (CBOC) in Sherman, Texas, to deliver comprehensive outpatient healthcare to Veterans residing in Grayson County and surrounding areas under a Fixed-Price Indefinite-Delivery Indefinite-Quantity (IDIQ) contract set aside exclusively for Service-Disabled Veteran-Owned Small Businesses (SDVOSB). The contract has a one-year base period beginning December 1, 2026, with nine optional one-year renewal periods extending through November 30, 2036, and carries a guaranteed minimum value of $581,175 over the entire contract duration. All services must be provided at a private facility in Dallas, Texas, with performance potentially expanding to multiple locations, and are governed by a fixed Per Member Per Month (PMPM) pricing structure that includes all costs—such as build-out, start-up, and care for both assigned and unassigned patients—without separate billing for any ancillary visits. Contractors are required to staff a full primary care teamlet, ensure medical directors oversee operations, and meet strict access standards including completing new primary care appointments within 20 calendar days of the reference date. Physicians must be licensed in Texas, meet VA qualification standards, and hold prescriptive authority if serving as a Primary Care Provider. All contract performance is subject to detailed operational standards outlined in 17 incorporated attachments including the Quality Assurance Surveillance Plan, Radiology and Podiatry Service Agreements, Suicide Prevention and Mental Health Policies, Laboratory Manuals, and Telehealth Operations Guides. Contractor staff must comply with rigorous personnel security protocols, including Tier 1 background investigations under VA Directive 0710, HSPD-12 identity verification, and adherence to 5 CFR Part 731 fitness determinations. Medical liability insurance of $1 million per person and $3 million aggregate is mandatory, alongside workers’ compensation, health examinations, and tax/social security compliance. Clinical specimens must be labeled with complete patient identifiers including full name, Social Security number, collection date and time, collector initials, and order number, with strict prohibitions against multi-patient specimen bags and barcode obstructions, and deliveries must be made to the Dallas VA Medical Center under federal hazardous material transport regulations. Performance will be monitored quarterly via dashboards, annual Environment of Care rounds, and monthly documentation reviews, with ratings governed by CPARS; noncompliance may trigger equitable price reductions or termination. The Government retains full contract administration authority