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What Hospices Need to Know to do Business with VA

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Presentation on theme: "What Hospices Need to Know to do Business with VA"— Presentation transcript:

1 What Hospices Need to Know to do Business with VA
Christine Cody, RCN, MSN Department of Veterans Affairs (114), 810 Vermont Ave. NW, Washington, DC Diane Jones, Project Administrator, HVP Program PO Box 844, Moorestown, NJ

2 Doing Business with the Federal Government
Get a Data Universal Numbering System (DUNS) number from Dun & Bradstreet Register with Central Contractor Registration (CCR)

3 DUNS NUMBER Unique 9-digit identification number provided by Dun & Bradstreet Free for all businesses required to register with the federal government for contracts or grants Each hospice location must have a separate DUNS number

4 How to request a DUNS number
On-line application D&B DUNS Numbers for US Government Contractors & Grantees Call (866)

5 Central Contractor Registration (CCR)
What is CCR Central vendor database for the federal government Maintains electronic payment information Allows VA to pay contractors and vendors such as hospice agencies Registration is free to vendors Annual renewal is required

6 Central Contractor Registration (CCR)
Why do hospices have register? Federal regulation Prerequisite to contracting with the government How do hospices register? Online registration at You must have your DUNS number to register

7 General information you need to register
DUNS number CAGE (Commercial and Government Entity) code If you do not have a CAGE code, one will be assigned to you after you register with CCR There is no fee to get a CAGE code Numbers and ID codes are as important for government contractors as social security numbers and birth dates are for individuals. Defining your business in the government’s terms will allow you to identify potential buyers for your products and services, sign up for buyer-vendor matching services and submit government bids and proposals. CCR registrants are required to submit detailed information on their company in various categories. Additional, non-mandatory information is also requested. The CCR Handbook defines and details specific informational requirements. The handbook also provides guidelines on how to obtain the information, if unknown. Categories of required and requested information include: General Information – Includes (but is not limited to) DUNS number, CAGE code, company name, Federal Tax Identification Number (TIN), location, receipts, and website address. WHAT IS A CAGE CODE? A CAGE Code is a five (5) position code that identifies companies doing or wishing to do business with the Federal Government. The format of the code is the first and fifth position must be numeric. The second, third and fourth may be any mixture of alpha/numeric excluding I and O. All positions are non-significant. WHY DO I NEED A CAGE CODE? The code is used to support a variety of mechanized systems throughout the government. The code provides for a standardized method of identifying a given facility at a specific location. The code may be used for a Facility Clearance, a Pre-Award survey, automated Bidders Lists, pay processes, source of supply, etc. In some cases, prime contractors may require their sub-contractors to have a CAGE Code also. HOW DO I GET A CAGE CODE? Supplement (DFARS) have been amended to require contractor registration in the DoD Central Contractor Registration (CCR) database prior to the award of any contract, basic agreement, blanket ordering agreement or blanket purchasing agreement unless the award results from a solicitation issued on or before May 31, Having a CAGE Code alone is no longer sufficient to qualify a contractor to do business with DoD. Parts 204, 212, and 252 of the Defense Federal Acquisition Regulation. All CCR registrants are validated through the CAGE system. If you have a CAGE Code, it will be identified and applied to your Trading Partner Profile (TPP). If you do not have a CAGE Code, and are a U.S.* company, one will be assigned to you. You can register in CCR at https://www.bpn.gov/ccr/scripts/index.html or call for assistance at * Non- U.S. companies CAGE code information WHO ASSIGNS AND MAINTAINS CAGE CODES? The Defense Logistics Information Service (DLIS) in Battle Creek, MI is the only authorized source of CAGE Codes. IS THERE A FEE FOR CAGE CODES? No. At this time, there are no associated subscription charges related to the assignment/maintenance of CAGE Codes. return blue arrow

8 General information you need to register
Company name Federal Tax Identification Number Location Receipts Website address Numbers and ID codes are as important for government contractors as social security numbers and birth dates are for individuals. Defining your business in the government’s terms will allow you to identify potential buyers for your products and services, sign up for buyer-vendor matching services and submit government bids and proposals. CCR registrants are required to submit detailed information on their company in various categories. Additional, non-mandatory information is also requested. The CCR Handbook defines and details specific informational requirements. The handbook also provides guidelines on how to obtain the information, if unknown. Categories of required and requested information include: General Information – Includes (but is not limited to) DUNS number, CAGE code, company name, Federal Tax Identification Number (TIN), location, receipts, and website address.

9 Other information you need to register
Organization or business type Small Business Administration defined socioeconomic characteristics NAICS (North American Industry Classification System) code 62160 (hospice care services, in home) (hospice, inpatient care) * Corporate Information – Includes (but is not limited to) organization or business type and SBA-defined socioeconomic characteristics. * Goods and Services Information – Includes (but is not limited to) NAICS code, SIC code, Product Service (PS) code, and Federal Supply Classification (FSC) code. * Financial Information – Includes (but is not limited to) financial institution, American Banking Association (ABA) routing number, account number, remittance address, lock box number, automated clearing house (ACH) information, and credit card information. * Point of Contact (POC) Information – Includes (but is not limited to) the principal and alternate points of contact and the electronic business, past performance, and government points of contact. * Electronic Data Interchange (EDI) Information* – Includes (but is not limited to) the EDI point of contact and his or her telephone, , and physical address. (*Note: EDI Information is optional and may be provided only for businesses interested in conducting transactions through EDI.) Users will be unable to submit their registration online unless all the mandatory information is provided.

10 Other information you need to register
SIC (Standard Industrial Classification) code Personal care home, with health care Rest home, with health care Home health care services Product Service code Service code Q – Medical services FSC (Federal Supply Classification) code CCR registrants are required to submit detailed information on their company in various categories. Additional, non-mandatory information is also requested. The CCR Handbook defines and details specific informational requirements. The handbook also provides guidelines on how to obtain the information, if unknown. Categories of required and requested information include: Services Information – Includes (but is not limited to) NAICS code, SIC code, Product Service (PS) code, and Federal Supply Classification (FSC) code. * Financial Information – Includes (but is not limited to) financial institution, American Banking Association (ABA) routing number, account number, remittance address, lock box number, automated clearing house (ACH) information, and credit card information. Users will be unable to submit their registration online unless all the mandatory information is provided.

11 Other information you need to register
Financial Information Financial institution American Banking Association (ABA) routing number Account number Remittance address Lock box number Automated clearing house (ACH) information Credit card information CCR registrants are required to submit detailed information on their company in various categories. Additional, non-mandatory information is also requested. The CCR Handbook defines and details specific informational requirements. The handbook also provides guidelines on how to obtain the information, if unknown. Categories of required and requested information include: Services Information – Includes (but is not limited to) NAICS code, SIC code, Product Service (PS) code, and Federal Supply Classification (FSC) code. * Financial Information – Includes (but is not limited to) financial institution, American Banking Association (ABA) routing number, account number, remittance address, lock box number, automated clearing house (ACH) information, and credit card information.

12 Other information you need to register
Point of Contact information Principal and alternate points of contact Electronic business, past performance, and government points of contact Electronic Data Interchange (EDI) information EDI point of contact and contact information Optional – for businesses interested in conducting transactions through EDI * Point of Contact (POC) Information – Includes (but is not limited to) the principal and alternate points of contact and the electronic business, past performance, and government points of contact. * Electronic Data Interchange (EDI) Information* – Includes (but is not limited to) the EDI point of contact and his or her telephone, , and physical address. (*Note: EDI Information is optional and may be provided only for businesses interested in conducting transactions through EDI.)

13 Doing Business with the Government
Getting started can be very emotional! Once you have a DUNS number Update only if there are changes in your business Once you are registered with CCR Annual on-line re-certification

14 VA Policy Hospice and palliative care is a covered benefit for all enrolled veterans, all settings "VA must offer to provide or purchase hospice & palliative care that VA determines an enrolled veteran needs." CFR and 17.38

15 VA Hospice and Palliative Care Mission
To Honor Veterans’ Preferences for Care at the End of Life . . . . . . in all settings VA Paid and VA Referred Hospice VA Inpatient

16 VA Paid Hospice Care Average Daily Census FY04 – FY07
This graph demonstrates the growth of VA funded home hospice from FY 04 to 07. While most referrals for home hospice care are under the Medicare Hospice Benefit, VA-paid home hospice care average daily census continues to increase. This is due in part to the increase in Hospice-Veteran Partnerships and the Directors’ Performance Measure for VISNs to achieve a average daily census of 15 of VA-paid hospice patients. Average Daily Census FY04 – FY07

17 VA Purchasing Hospice Care
Purchased Home Health Care Services Handbook Contract and clinical staff at facility and VISN level jointly develop processes Broad array of home and community based care options Veteran’s preference for specific resources

18 Purchasing (cont’d) Services purchased from hospices that are licensed or otherwise state approved or certified by Medicare/Medicaid Purchasing options Basic Ordering Agreement – geographical area or low frequency of use Bid Contract best value approach price, quality, service area coverage Written agreements at facility, VISN, multi-VISN level

19 Statement of Work Purpose – purchase comprehensive package of bundled services at a per diem rate for eligible veterans Pricing – locally calculated Medicare Hospice Benefit rates as maximum $2/day for physician services beyond scope of routine hospice care Negotiated rates reflect fair market value for services

20 Statement of Work (cont’d)
Hospice responsibilities Services Hospice manages care plan Request level of care changes Contact VA to preauthorize inpatient admissions

21 Statement of Work (cont’d)
VAMC Procedures Approve referral VA physician certifies prognosis, encouraged to act as attending VA sets recertification time frame and processes Treatment issues identified and coordinated

22 Statement of Work (cont’d)
Communication/Coordination Liaisons – facilitate collaborative efforts, streamline communication, promote coordination of services Communication process – referrals, general information, physician, patient discharge, death Quality Improvement joint review of quality and appropriateness of services


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