HCHV Medical Respite, Portland VAMC

Statement of Work (SOW) / Performance Work Statement (PWS)

This Performance Work Statement (PWS) outlines the requirements for a Medical Respite program to provide services to medically vulnerable Veterans experiencing homelessness, as part of the VA Portland Health Care System's (VAPORHCS) community-based Health Care for Homeless Veterans (HCHV) program. The program aims to offer care beyond traditional transitional housing, supporting Veterans transitioning from inpatient care or experiencing homelessness, to reduce the need for continued hospitalization or emergency services.

• Basic Services: Provide secure and sanitary respite housing (ADA-accessible dorm or single room, max double occupancy), access to onsite Primary Care and referrals, development of housing plans with referrals to transitional or permanent supportive housing, provision of basic necessities (hygiene supplies, clothing, food), case management for complex needs (health, housing, employment, benefits), and development of Veteran-centered discharge plans.

• Therapeutic and Rehabilitative Services: Includes Veteran-centered case management, medical case management, medication management, employment services, financial planning assistance, recovery support, permanent housing or transitional services assistance, and discharge planning focused on housing stability.

• Staffing Ratio: One full-time on-site case manager per 10 Veterans for special populations.

• Response Time: Same-day access when beds are available for referrals, Monday-Friday, 8 am-4:30 pm.

• Documentation: Comprehensive assessment within 7 business days of admission; progress notes reflective of treatment goals; case management efforts documented.

• Reporting: 30-day progress updates to VA COR; quarterly reports on program activities, veteran numbers, outcomes, etc.

• Performance Expectations: Consistent with VA National Scorecard metrics (e.g., HCHV2, Bed Occupancy > 80%, Length of Stay ≤ 90 Days).

• Period of Performance: Not explicitly stated, but initial stay is expected to be no longer than 90 days, with extensions granted by VA COR.

• Place of Performance: Facility must be located within 15 miles of the VA Portland Medical Center.

• Eligibility: Veterans must be enrolled and eligible for VA health care, homeless or at imminent risk of homelessness, and registered for VA services.

• Admissions: Referrals only from VA COR or designee; transparent admission process; risk reduction approach; no denial based on substance use, disability, income, gender, or legal history. Negative drug screens are not required for admission.

• Facilities: Must be accessible 24/7, clean, sanitary, equipped with first aid, have an evacuation plan, meet fire safety requirements (NFPA 101), and have ADA accessible units or a plan to accommodate ADA needs.

• Personnel: Qualified staff, 24/7 emergency coverage, criminal background checks for staff working with children, prohibition of hiring current/recent VA homeless program staff, and policy prohibiting staff-veteran relationships.

• Coordination: VA COR confirms eligibility, determines clinical appropriateness, coordinates placement, and reviews documentation. Contractor coordinates with VA COR for services and programs.

• Reporting: Immediate notification of adverse critical incidents to VA COR; written reports within 24 business hours.

• Billing: Submission by the 9th of each month; verification of attendance required.

• Rights: Protect Veteran rights and dignity, ensure safety, provide reasonable accommodations, and prevent discrimination.

Solicitation / RFP / RFQ

This is a combined synopsis/solicitation for commercial services, specifically a Request for Quote (RFQ) for Lodging for eligible beneficiaries for the Portland VA Medical Center. The government anticipates awarding five-year firm-fixed-price Multiple Award Indefinite Delivery Indefinite Quantity (IDIQ) Contracts. The procurement is for "Commercial Services" and constitutes the only solicitation; a written solicitation document will not be issued.

The core requirement is to provide Medical Respite Care Services for eligible beneficiaries at the Portland VA Medical Center. This includes:

• Secure respite housing (ADA-accessible dorm or single room).

• Primary care, basic necessities (hygiene supplies, clothing, food boxes).

• Dedicated access to health care, housing, and employment services.

• Case management for complex needs across health, housing, treatment, employment, and benefits.

• Tailored interventions for self-management and goal-setting.

• Support in making and keeping appointments with healthcare providers, including transportation.

• Access to substance use disorder treatment, Hepatitis C treatment, and specialized mental health care.

• Transition planning for permanent housing.

• Therapeutic and recovery services determined by a biopsychosocial intake assessment.

• The contractor will NOT be required to provide detoxification or other acute level treatment.

• Veterans served will be medically independent and able to perform all activities of daily living without personal assistance from homeless shelter staff.

• Contract Type: Firm-fixed-price, Multiple Award Indefinite Delivery Indefinite Quantity (IDIQ).

• Period of Performance: Five years, from 6/1/2026 to 5/31/31.

• Estimated Value: Not explicitly stated, but it's an IDIQ contract.

• Submission Instructions: Offers must be submitted to the POC listed (james.harris13@va.gov) by the specified date and time. Telephone calls will not be accepted.

• Evaluation Criteria: Offers will be evaluated based on Price and Past Performance. Technical and past performance, when combined, are equal to price.

• Key Deadlines: Offer Due Date is 05-13-2026 at 13:00.

• NAICS Code: 624229

• Small Business Size Standard: $19 Million

• Product Service Code (PSC): G004

• The acquisition is set aside for small business.

• The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC) 2025-06 Effective November 19th, 2025.

• Individually funded Task Orders will be issued by the NCO20 Contracting Office for each ordering period.