Delaware Health
And Social Services
DIVISION OF MANAGEMENT SERVICES
			PROCUREMENT


          				DATE April 16, 2003 
  PSC#860				


INSTITUTIONAL MEDICARE PROVIDERSHIP
 
  
      FOR

      
       DIVISION OF PUBLIC HEALTH 

	
                         Date Due:	April 23, 2009                                     				
			11:00 AM


 ADDENDUM # 1

			PLEASE NOTE


			THE ATTACHED SHEETS HEREBY BECOME A PART OF THE 	
			ABOVE MENTIONED BID.



							________________________________
							SANDRA S. SKELLEY, CPPO
							PROCUREMENT ADMINISTRATOR
							(302)255-9291


							_____________________________
DEBORAH WIGGINS (302)223-1431 
 
 


INSTITUTIONAL MEDICARE PROVIDERSHIP
RFP # PSCO-860
Question and Answers from Pre-bid Meeting March 24, 2009


1.
Q:
Are all of the mandatory services listed in Section II (Scope of 
Services), Section A and Section B, limited to only those residents that 
are Medicare eligible, or is the expectation that a supplier is to provide 
all of these services to all of their residents in all four facilities?


A:
All services under this contract are limited to those residents that are 
Medicare eligible.  This is strictly a Medicare reimbursable contract.

2.
Q:
Would the use of independently contracted, local dieticians and 
registered nurses and pump maintenance staff to provide the services 
in Section II (Scope of Services) be prohibited by Section II.B, which 
states that the use of subcontractors “is not permitted”? Are you 
requiring that all personnel be employees of supplier?


A:
Section II, B; stated that the use of subcontractors “is not permitted.”’
After careful consideration, that section has been changed.”  The State 
will allow vendor to sub-contract services and vendor will be held 
responsible for assuring current certifications and/or licenses as 
appropriate.  

3.
Q:
Request to incorporate into the Scope of Services a preventative 
maintenance schedule or replacement of equipment schedule.


A:
Although it’s not part of the RFP, it would be viewed very favorably if a 
bidder incorporated a preventative maintenance plan or schedule in 
their bids.

4.
Q:
In Section II, Scope of Services, Enteral Feeding of the RFP, the 
supplier is required to monitor “metabolic, psychosocial, physical and 
physiologic parameters of nutritional status and organization of data” 
for those enteral residents determined by the medical staff.  Is the 
supplier’s dietician expected to examine the patients to obtain this 
information and data, or will the supplier’s dietician be given this 
information and data by the medical staff?


A:
The supplier is not expected to examine patients.  Information will be 
supplied by the medical/nursing staff.

5.
Q:
Is the requirement of in-facility time by a supplier provided dietician of 
two days per week per facility firm?  What if the number of Medicare 
eligible enteral patients does not require this minimum amount of 
time?


A:
Under Scope of Services, Section II, A.2. a:  Dietician will be utilized at 
the discretion of the facility.  This allows for discretion based on resident 
need.  
6.
Q.
Enteral services for non-medicare provider – Is it only Part B or also 
part A.  Who is the cost absorbed by?


A.
This Contract deals with Part B only.  Each facility conducts 
independent ordering and delivery of supplies for all other residents 
including Medicare Part A.  It is the responsibility of the provider to 
arrange for pick-up of products not covered by Medicare to avoid
absorbing cost.  Facilities are not to be invoiced for product or services 
not covered.

7.
Q.
Is someone currently providing services?


A.
Yes

8.
Q.
Are hours of service primarily during the daytime hours.


A.
Yes


RFP Changes: Section IA, page 11.

The Division of Public Health operates three Long Term Care facilities; all three will be 
considered for participation in the contract.  Specifically, the Governor Bacon Health 
Center (GBHC), located in Delaware City, DE has been added because the Center 
does have a resident population that may qualify for services under this contract. The 
following is the revised chart detailing numbers.



Enteral 
Feedings/
Electrical
Pumps
Urological
Supplies
(Catheters)
Ostomy
Supplies
Trachs
Wound 
Care
(Surgical 
Dressings)
DHCI
23
13
5
1
2
EPBH
8
8
3
2
8
GBHC
0
3
0
0
0
Stockley
28
0
1
3
0
DPC
8
0
0
1
0