G004--Emergency Residential and Case Management Services- VA New Jersey Health Care System- Health Care for Homeless Veterans (HCHV) Program

Amendment / Modification

• The due date and time for receipt of quotes has been extended from June 15, 2026, to June 30, 2026, at 16:30 ET.

• The deadline for submitting questions regarding the solicitation has been established as June 12, 2026, at 16:30 ET. Questions received after this date and time will not be considered.

• Item 11 (This item only applies to amendments of solicitations) has been updated to reflect the extended quote receipt date and time.

• Offerors must acknowledge receipt of this amendment by completing items 8 and 15 and returning one copy with their quotes.

• The deadline for submitting questions is now June 12, 2026, at 16:30 ET.

• The deadline for submitting quotes is now June 30, 2026, at 16:30 ET.

Form / Attachment / Pricing Sheet

This document, "D.11 KEY PERSONNEL.xlsx", is an attachment related to RFQ 36C24226Q0118. It is intended to capture information about key personnel proposed for the contract.

The spreadsheet contains columns for:

• Name
• Position/Title
• Hours/Shifts (for this contract)
• Description of Qualifications, Professional Background/Degree

Bidders are required to complete this form to identify and provide qualifications for the key personnel they intend to assign to this contract. This information is crucial for the government's evaluation of the proposed team's capabilities and suitability for the requirements of the opportunity.

Form / Attachment / Pricing Sheet

This document is Attachment D.10, an Incident Report form for the VA New York / New Jersey Health Care Network's HCHV Contract Program. It is to be completed and submitted to the VISN Homeless Care Line Manager, COTR, and Contracting Officer within 24 hours of an incident.

• Fields for reporting basic incident details: Name of Veteran, Social Security #, Agency/Facility, Contract #, Date of Incident, Time of Incident, Location of Incident.
• Checkbox options for Type of Incident, including Death, Fire, Drug/Police Raid, Suicide/Suicide Attempt, 911 Call, Medical Emergencies, Psychiatric Emergencies, Sexual Assault, Violence (veteran vs. others, veteran vs. staff, others vs. veteran), Abusive Behavior (veteran vs. staff, staff vs. veteran), Accidents, and Medication Problems (not sent, incorrect, missing, adverse reaction).
• Space for a "Description of the Incident" including circumstances, witnesses, and outcomes.
• Sections for "Action(s) taken by HCHV Contract Provider" and "Action(s) taken by HCHV Coordinator."
• Fields for "Follow-Up Required," "Name of VA Staff Contacted," and "Report Completed By" details.
• Instructions for filing a copy of the report.

This form is an attachment to the solicitation and outlines the required incident reporting procedures for the HCHV Contract Program. Bidders should understand this reporting requirement as it may impact contract performance and administrative processes.

Form / Attachment / Pricing Sheet

This document, "D.9 MEDICATION REVIEW FORM," is a checklist used for evaluating an organization's medication management, monitoring, and storage practices. It is intended to be completed by the appropriate discipline(s) involved in the HOMES project.

The form is divided into three main sections:

• Medication Management: Assesses procedures related to prescribing, administering, and dispensing medications, including record-keeping, written procedures for storage and disposal, information provided to individuals, training, physician reviews, and handling of "as needed" doses.
• Medication Monitoring: Evaluates practices for secure storage and controlled access to medications brought into a program, including record-keeping, secure storage areas, checks for expiration dates, adherence to manufacturer recommendations, and staff knowledge of medications.
• Individual Storage: Assesses the safety and security of self-administered medications stored by residents, including adherence to facility policies and secure storage methods.

The form also includes a section for "Inspection Deficiencies & Corrective Actions" to document any "NO" responses on the checklist, the corrective actions taken, and the date of compliance. It concludes with a final approval statement for facility placement of veterans.

This form serves as a critical compliance and quality assurance tool. Bidders responding to opportunities that involve healthcare services, residential facilities, or direct care for veterans should understand these medication handling and storage requirements. The checklist outlines specific procedural and documentation standards that a facility must meet. Failure to meet these standards, as indicated by "NO" responses, requires documented corrective actions and may impact the overall inspection outcome. Understanding this form helps bidders tailor their proposals to demonstrate compliance with these essential medication safety protocols.

Form / Attachment / Pricing Sheet

This document is Attachment D.8, a "Request for Extension of Per Diem" form for the VA New York / New Jersey Health Care Network's Health Care for Homeless Veterans (HCHV) Contract Residential Care program. It is used by contractors to request an extension of per diem payments for a veteran beyond the standard limit.

Part I (Contractor Completion):

• Veteran's identifying information (Name, SSN)
• Agency/Facility and Contract Number
• Admission and 180th-day dates
• Reason(s) for the extension request
• Veteran's housing plan and expected departure date
• Contractor representative's name, title, signature, and date

**Part II (VA HCHV Coordinator/VA Liaison Completion):

• Confirmation of criteria met regarding extenuating circumstances, contractor's efforts, VA Liaison advisement, and therapeutic benefits.
• Concurrence with the request reasons.
• Recommendation to the Contracting Officer's Representative (COTR) for continued per diem payments.
• VA Liaison signature and date.
• COTR decision on granting permission for continuation of per diem, including the specific date if approved, and the date for the next review.
• COTR signature and date.

This form is crucial for contractors involved in the HCHV Contract Residential Care program. It outlines the specific process and documentation required to request an extension of per diem payments for veterans, detailing the information needed from both the contractor and the VA liaison/COTR for approval. Understanding this process is essential for managing veteran care and associated contract payments.

Form / Attachment / Pricing Sheet

This document, "D.7 INSPECTION PACKET," is an attachment to an RFQ (RFQ 36C24226Q0118) for the Health Care for Homeless Veterans Contracted Residential Services Programs. It serves as a comprehensive inspection checklist and review sheet for evaluating contracted residential service providers.

The packet includes detailed checklists and review sections for various aspects of provider operations, including:

• Medical Center Director Review and Approval: A section for the director to approve or disapprove veteran placement based on the inspection findings.
• VA Liaison Overview & Recommendation: Evaluates the provider's adherence to program regulations, staffing, service scope, billing, participant tracking, performance metrics, and facility safety.
• Inspection Team Members: Sections for various disciplines (Facilities Management, Nutrition and Food Services, Clinical Review, Law Enforcement and Physical Security, Medication Review) to assess compliance with operating standards.
• Inspection Deficiencies & Corrective Actions: A dedicated area within each discipline's section to document any "No" responses, detail deficiencies, outline corrective actions taken, and confirm resolution.
• Approval for Placement: A final determination on whether the facility is approved for veteran placement based on the checklist items.

Potential bidders for the Health Care for Homeless Veterans Contracted Residential Services Programs should review this packet to understand the specific operational standards, facility requirements, and performance metrics that will be assessed during inspections. This document outlines the criteria by which their services and facilities will be evaluated, directly impacting their ability to be approved and maintain contract compliance.

Amendment / Modification

This document is an amended transmittal sheet for VHA Directive 1162.04(1), "Health Care for Homeless Veterans Contract Residential Services Program." The amendments include:

• March 7, 2025 Amendment: Removed references to VHA Directive (from background paragraph 2.d. and references paragraph 9) to comply with EO 14168.

• February 22, 2022 Changes:

  • Removed requirements for HCHV Outreach Services, Coordinated Entry System (CES), and Community Resource and Referral Centers, as these are now covered in separate directives (VHA Directive 1162.08, 1162.03, respectively).
  • Updated definitions (paragraph 3).
  • Updated responsibilities for various roles including the HCHV National Program Director, VISN Homeless Coordinator, VA medical facility Director, VA medical facility Homeless Program Coordinator, VA medical facility HCHV CRS Liaison, Contracting Officer, and Contracting Officer's Representative (paragraph 5).
  • Added responsibilities related to auditing and documentation (paragraph 5).

• Background paragraph 2.d.

• References paragraph 9

• Definitions (paragraph 3)

• Responsibilities (paragraph 5)

This document is an amendment to a directive and does not directly impact proposal submission deadlines or requirements for a specific solicitation. It updates policy and responsibilities related to the HCHV CRS Program.

Form / Attachment / Pricing Sheet

This document is Attachment D.5, an "Emergency Housing Admission Referral Form." It is used to initiate a referral for emergency housing admission. The form requires specific information about the veteran being referred and their circumstances.

• Veteran Information: Includes personal details (name, DOB, race, gender), contact information, military service details (DD214/Statement of Military Service required), marital status, years of service, type and reason for discharge, identifying documents, language spoken, vehicle ownership, driver's license status, and health history (psychiatric, substance use, medical, allergies).
• Referral Details: Information on income, benefits, financial obligations, and any pending applications.
• Program Information: Fields for Program Name and Program Address.
• Contact Information: Details for the referral source and emergency contact.
• Required Documentation: Explicitly states that DD214 or Statement of Military Service is required. It also lists other potential identifying documents.
• Certification: A note states that all fields are required and falsifying information may disqualify the applicant from eligibility for services.
• Program Staff Use Only: A section for internal tracking of referral receipt, outreach, and admission scheduling.

This form is a required attachment for potential participants in an emergency housing program. Bidders seeking to understand the program's intake process or potentially fill out this form for a referred individual would find this document essential. It outlines the comprehensive information required for admission, indicating the program's focus on veteran well-being, health, and stability.

Form / Attachment / Pricing Sheet

This document provides the official U.S. Department of Labor wage determinations for various counties in New Jersey, as required by the Service Contract Act. It lists the minimum wage rates and fringe benefits for numerous occupations.

• Wage Determination Numbers: Specific numbers are provided for different county groupings (e.g., 2015-4183 for Bergen and Passaic Counties).
• Occupational Listings: Detailed lists of occupations with corresponding codes, titles, and minimum hourly rates.
• Fringe Benefits: Information on required fringe benefits, including Health & Welfare rates and provisions for paid sick leave (EO 13706), vacation, and holidays.
• Executive Orders: Notes on the applicability of Executive Orders 13706 and 13658 regarding paid sick leave and minimum wage.
• Conformance Process: Guidance on how to request authorization for additional classifications and wage rates not listed in the determination.

This document is crucial for bidders to understand the minimum labor costs associated with performing services under the contract. It ensures compliance with federal labor laws and helps in accurately calculating labor costs for proposals.

Form / Attachment / Pricing Sheet

This document, "D.3 PAST PERFORMANCE REFERENCES," is a form required for offerors responding to RFQ 36C24226Q0118. It is used to collect information about past performance to demonstrate an offeror's capability and experience.

• Offerors must provide three (3) past performance references for contracts that are similar in scope, size, and complexity, and that are either ongoing or completed within the last three years.
• For each reference, the following information must be included:
  • Contract Number
  • Aggregate Award Amount
  • Period of Performance
  • Name and address of the agency or company
  • Current Point of Contact (name, title, phone number, email address) who can provide feedback
  • A brief description of the contract demonstrating its relevance to the current requirement.

This form is critical for proposal preparation. It requires bidders to identify and detail relevant past projects. The references provided must be familiar with the contracts and able to answer questions regarding performance and adherence to requirements. Offerors are responsible for ensuring the contact information is current and valid.

Form / Attachment / Pricing Sheet

This document is Attachment D.2, a "Contractor Certification - Immigration and Nationality Act of 1952." It requires the contractor to certify compliance with all legal provisions related to non-immigrant foreign nationals working under contract or subcontract while providing services to Department of Veterans Affairs (VA) patient referrals.

• Certification of compliance with the Immigration and Nationality Act of 1952, as amended.
• Prohibition against knowingly employing, contracting, or subcontracting with illegal aliens or foreign nationals in violation of their status.
• Requirement to comply with "E-Verify" requirements consistent with Executive Order 12989.
• Agreement to obtain similar certifications from subcontractors.
• Fields for Signature, Date, Typed Name and Title, and Company Name.
• A warning that false, fictitious, or fraudulent certification may lead to prosecution under 18 U.S.C. 1001.

A completed copy of this certification is mandatory and must be included with the proposal response to be considered responsive. Failure to comply with the requirements outlined in this certification may result in the prohibition of the foreign national from working on the contract and may form the basis for contract termination.

Solicitation / RFP / RFQ

This solicitation is for "Emergency residential and case management services" for homeless Veterans as part of the Community Based Health Care for Homeless Veterans (HCHV) program. The services will be provided at the contractor's facility.

• Provide emergency residential housing and case management services for 30 homeless Veterans.

• Services include room and board, food/meals, laundry, and therapeutic/rehabilitative services.

• Case management includes psychosocial assessments, treatment planning, housing placement assistance, and coordination with VA and community resources.

• Facility must meet specific safety, sanitation, and accessibility standards, including ADA compliance for at least 33% of beds.

• Contractor must provide 24/7 staffing, including a full-time administrative staff member and a Director on-call.

• Specific training requirements for staff, including CPR, Privacy and HIPAA, and PMDB.

• The contract period is for a base period of October 1, 2026, through September 30, 2027, with four one-year option periods.

• The maximum total contract amount is $11,000,000.00.

• A guaranteed minimum order amount of $25,000.00 is specified for the base period.

• Services are priced as a per eligible Veteran, per day rate.

• Offers are due by June 15, 2026, at 16:30 EST.

• Quotes must be submitted electronically via email in PDF format.

• Evaluation factors include Technical Capability, Past Performance, SDVOSB/VOSB Status, and Price. Technical Capability is the most important factor, followed by Past Performance, then SDVOSB/VOSB Status, and finally Price.

• The Government reserves the right to award without discussions.

• This acquisition is set aside as UNRESTRICTED.

• NAICS code is 624221 with a size standard of $13.5 Million.

• The solicitation includes numerous FAR and VAAR clauses and provisions.

• Offerors must be registered in the System for Award Management (SAM).

• Past performance information is required and will be evaluated.

• Specific requirements for facility inspection, key personnel, and contractor responsibilities are detailed.

Solicitation / RFP / RFQ

This is a presolicitation notice for the VA New Jersey Health Care System's Health Care for Homeless Veterans (HCHV) Program. The VA is seeking a contractor to provide emergency residential housing and case management services to homeless veterans in Northern or Central New Jersey. The program aims to offer safe and stable living arrangements, support rehabilitation goals, and facilitate placement into permanent housing.

• Emergency residential housing and case management services.

• Supportive services including housing-specific care, mental health stabilization, substance use disorder treatment, independent living skills, vocational training, and employment services.

• Provision of room and board, laundry facilities, three meals daily plus snacks, computer/printing capabilities, internet access, hygiene supplies, and transportation.

• The facility must have an active residential treatment program and pass a VA inspection.

• The facility must be centrally located, near public transportation and employment areas.

• The facility must be located within specific New Jersey counties (Bergen, Elizabeth, Essex, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Sussex, Warren).

• The estimated period of performance is a base year with four one-year option periods.

• The NAICS Code is 624221 (Temporary Shelters) with a Size Standard of $13.5 Million.

• The requirement is being solicited as unrestricted.

• A formal Request for Quotation (RFQ) is expected to be available around May 14, 2026.

• No hard copies will be sent; the RFQ will be available for download.

• Questions must be submitted in writing via email to Danelle.Wassink@va.gov at least 10 business days before the RFQ closing date.

• Responses to inquiries will be incorporated into a written amendment.

• Verbal questions and phone calls will not be addressed.

• Offerors are responsible for checking the website for amendments.

• This requirement is being solicited as unrestricted.

• Contractors must be registered with the System for Award Management (SAM) prior to contract award.

• This is a presolicitation notice only and not a formal request for quotations or proposals.

• The government is not committed to awarding a contract.

• No solicitation or additional specifications are available at this time.

• Questions in response to this presolicitation notice will not be addressed.

Solicitation / RFP / RFQ

This is a pre-solicitation notice for emergency residential housing and case management services for homeless Veterans as part of the Health Care for Homeless Veterans (HCHV) Program at the VA New Jersey Health Care System. The contractor will provide safe and stable living arrangements and therapeutic services to VA health care eligible Veterans transitioning from homelessness, institutions, or in need of medical respite, while they seek permanent housing.

• Provide emergency residential housing and case management.

• Offer therapeutic services including mental health stabilization, substance use disorder (SUD) treatment, independent living skills enhancement, vocational training, and employment services.

• Provide room and board, laundry, three nutritious meals daily with snacks, computer/internet access, hygiene supplies, and transportation at no cost to the Veteran.

• Facility must have an active residential treatment program and pass a VA inspection prior to award.

• Facility must be centrally located, near public transportation, and near employment areas.

• Facility must be located within Northern or Central New Jersey in specific counties: Bergen, Elizabeth, Essex, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Sussex, Warren.

• Offerors must provide proof of facility ownership or a lease agreement and certificate of occupancy.

• The estimated period of performance is a base year with four one-year option periods.

• The solicitation is being issued as unrestricted.

• Request for Quotation (RFQ) is expected to be available on or about May 14, 2026.

• Questions must be submitted in writing to the Contracting Officer via email at Danelle.Wassink@va.gov at least 10 business days before the closing date.

• Responses to inquiries will be incorporated into written amendments posted on the website.

• Offerors are responsible for checking the website for amendments.

• NAICS Code: 624221 – Temporary Shelters

• Size Standard: $13.5 Million

• Contractors must be registered with the System for Award Management (SAM) prior to contract award.

• This is a pre-solicitation notice only and not a formal request for quotations or proposals.

• No solicitation or additional specifications are available at this time.

• Questions in response to this pre-solicitation notice will not be addressed.

• The contracting office ZIP code is 14810. The place of performance ZIP code is 07939-5001.

• Contracting Officer: Danelle Wassink, Danelle.Wassink@va.gov, 607-664-6337.