RFQ_15-233-SOL-00853.pdf

15-233-SOL-00853

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDE

09/21/2015 SAM156841

1 32

Twinbrook Place, Suite 400 12501 Ardennes Avenue Rockville MD 20857

DHHS/PSC/AMS/DAM

Program Support Center

Program Support Center 5600 Fishers Lane Room 17-21

Rockville

MD 20852

301 443-2342Zipora Chepkoit

09/25/2015 1400 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

A Pilot Project Addiction Medicine With Project ECHO

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

RFQ 15-233-SOL-00853

SECTION 1. Supplies or Services/Prices

1.1. BRIEF DESCRIPTION OF SERVICES

The Department of Health and Human Services (DHHS) Substance Abuse and Mental Health Services

Administration (SAMHSA), requires the services of a contractor to develop urgently-needed capacity to detect and provide treatment for substance use disorder (SUD) in the primary care setting in order to improve treatment access and reduce overdose deaths.

1.2. TYPE OF ORDER

The government anticipates issuing a Firm Fixed Price Contract.

1.3. NONSEVERABLE SERVICES

The services specified in this contract (or line item) have been determined to be non-severable services - a specific undertaking or entire job with a defined end product of value to the Government.

1.4. NONCOMMERCIAL SERVICES

The services specified in this contract/order have been determined to be noncommercial

1.5. CONSIDERATION AND PAYMENT SCHEDULE (FFP)

The total fixed price of this contract/order is $______________. Payments shall be made upon the delivery and acceptance of each item listed in Section 2 in accordance with the following payment schedule:

Quoter shall quote a payment plan tied to deliverables. Reference Section 5.3.1

Example:

Deliverable Unit Price Total Price

Total Firm Fixed Price

SECTION 2. Description/Specifications

2.1. STATEMENT OF WORK

The Contractor shall furnish all of the necessary personnel, materials, services, facilities, (except as otherwise specified herein), and otherwise do all the things necessary for or incident to the performance of the work as set forth below:

2.1.1. Background

The Substance Abuse and Mental Health Services Administration (SAMHSA) is proposing a collaboration between

Project ECHO (Extension for Community Healthcare Outcomes) and The American Society of Addiction Medicine

(ASAM) to pilot the first demonstration of the ECHO model on a national scale with a national medical society for the treatment of addiction in primary care settings.

The ECHO model is a disruptive innovation that dramatically improves both capacity and access to care for common, complex diseases such as addiction. The Project ECHO model was developed in 2003 at the University of

New Mexico as a platform for both healthcare service delivery and research. It links expert inter-disciplinary teams with non-specialists (e.g., primary care providers) through virtual TeleECHO Clinics where specialists support the management of real patient cases and share their expertise with participants via mentoring, guidance, and feedback.

The specialist teams, typically located at an academic medical center, are joined simultaneously via easily accessible videoconferencing by participants in multiple practice settings and geographic areas for regularly scheduled clinics.

Participants present challenging clinical cases to the specialists and learn from specialist input, as well as by listening to other participants’ case presentations. The Project ECHO model is not “telemedicine” where specialists assume the care of the patient, but instead is a guided model aimed at practice improvement where the non-specialist retains responsibility for managing the patient, operating with increasing independence as their skills, confidence and self-efficacy grow.

The ECHO model has been replicated in more than 40 US-based academic medical centers for multiple chronic conditions including pain and addiction; by the Veterans Administration in 11 sites; as a Center for Medicare and

Medicaid Services innovation demonstration for complex patients; by the Department of Defense throughout the world; and in locations in Asia, Europe and South America.

ECHO’s Integrated Addictions and Psychiatry teleECHO clinic was established in 2005. Since 2008 nearly 1000 patient cases (SUD and mental health disorders) have been presented during the teleECHO clinic, and nearly 10000 hours of Continuing Medical Education (CME) or Continuing Education Unit (CEU) have been awarded for participation. A mean of 168 participants join the teleECHO clinic each year. Opioid Use Disorder has been the most commonly presented substance use disorder.

The American Society of Addiction Medicine (ASAM) is a professional medical society established in 1954 and dedicated to increasing access and improving the quality of addiction treatment, educating health care professionals and the public, supporting research and prevention, and promoting the appropriate role of physicians in the care of patients with addiction. ASAM’s over 3,300 members are physicians and associated professionals from all medical specialties, including a third from the generalist/primary care disciplines.

ASAM is an Accreditation Council for Continuing Medical Education (ACCME) accredited provider of continuing medical education and is a recognized leader in the planning and presentation of educational events in the addiction field. ASAM provides more CME on addiction-related topics than any other organization. In 2014 ASAM sponsored or co-sponsored 51 live and online educational activities (including journal-based CME) reaching 8,942 physicians and 3,918 non-physicians. In 2014, ASAM launched its Fundamentals of Addiction Medicine program

(The Fundamentals), a needs-based curriculum targeting primary care providers. The Fundamentals includes a range of content delivered in multiple formats (live, online) to engage learners to acquire new knowledge and skills to identify and treat patients with addiction in a range of primary care practice settings. ASAM has offered the 8-hour live course component of The Fundamentals in 2014 and 2015 reaching a total of 361 physicians and clinicians.

ASAM and Project ECHO have the opportunity to collaborate to leverage a proven model of teleECHO clinics and case based learning to strengthen primary care provider skills and competencies in treating addiction in their practices. This practical, applied model of learning will foster the implementation of addiction treatment in the practices of participating clinicians, and will move continuing medical education out of the classroom and into patient care. ASAM’s professional society leadership combined with the technology innovations demonstrated for

10+ years by Project ECHO are the unique ingredients for an innovative project to pilot technology assisted learning to improve care by primary care providers for their patients with addiction.

2.1.2. Objective

With the Affordable Care Act (ACA) and more recently the implementation of Mental Health Parity and Addictions

Equity Act (MHPAEA), SAMHSA has stressed the importance of primary care/behavioral health care integration.

The increased access and coverage to addiction and mental health services has also highlighted workforce shortages and the need to expand the number and improve the distribution of appropriately trained and competent primary care and behavioral health providers.

Integrating addiction treatment into primary care is also a priority for HRSA. SAMHSA and HRSA are collaborating on projects to define integration models in Federally Qualified Health Centers (FQHCs). HRSA is also focused on workforce training and expansion initiatives – particularly for primary care.

Primary care training on screening and intervening for patients with addiction is critical to address the morbidity and mortality associated with this disease. Addiction is the nation’s largest, preventable and most costly health problem.

Studies indicate that over 20% of patients seen by primary care physicians have a problem with alcohol or drugs.

The current opioid overdose epidemic with its growing mortality and associated co-morbidities (e.g., HIV, Hep C, etc.) has highlighted the significant need for an expanded workforce with the skills and confidence to apply evidence-based practices.

In spite of the documented co-morbidities and costs associated with untreated addiction, there are significant barriers to integration and meaningful workforce expansion. Clinicians receive minimal to no training on addiction screening and treatment. There is widespread misunderstanding of the disease, skepticism about the effectiveness of treatment, lack of time and resources in the face of competing priorities and lack of clinician confidence. These challenges have contributed to sub-optimal adoption of evidence-based practices further contributing to limited access to effective treatment. To meet the needs of the millions of individuals with addiction, it will be necessary to increase the skills and confidence of primary care providers to assure an adequate, well-trained and effective workforce.

The Project ECHO collaboration with ASAM was established to pilot a curriculum and recognition program to build addiction-related competency over time and by integrating technology-assisted training to address identified clinical gaps. Project ECHO’s documented experience in increasing the skills and confidence of primary care providers in treating patients with infectious diseases and prescribing buprenorphine make this a timely collaboration with significant potential in responding to a major public health crisis.

The target audience for the program includes primary care physicians, general psychiatrists, nurse practitioners, physician assistants and any other providers interested in enhancing their knowledge and skills in diagnosis and treatment of substance use disorders.

Completion of the curriculum will require that learners participate in at least 40 hours of live and online addiction-related CME including the following: (1) Fundamentals of Addiction Medicine Live Course that covers attitudes, knowledge and skills for primary care providers; (2) participation in a minimum of four two-hour TeleECHO

Clinics including presenting at least one case; (3) completion of a REMS course on safe ER/LA opioid prescribing

(either live or online); (4) completion of an 8-hour Buprenorphine waiver course (live, online, or blended) and (5)

Arora, Sanjeev, Thornton, Karla, et.al. Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care

Providers. New England Journal of Medicine. June 1, 2011.

http://echo.unm.edu/nm-teleecho-clinics/integrated-addiction-and-psychiatry-clinic/ completion of 13-14 hours of ASAM’s online CME on selected topics. When clinicians finish the curriculum requirements, they will receive recognition for completing the curriculum.

The pilot recognition program will target the 361 attendees of the 2014 and 2015 Fundamentals of Addiction

Medicine live courses. These course attendees are ideal candidates for this pilot because they represent the following:

a national sample of clinicians including 46 states and 6 other countries;

a mixture of clinicians including physicians (approx. 86%) and non-physicians (approx.14%) – with non-physicians including PhDs, RNs, APNs, PharmDs, FNPs, PMHNPs, etc.;

a diversity of physician specialties including family practice, internal medicine, psychiatry, and emergency medicine;

physicians who are not ASAM members (33%) but who are sufficiently interested in increasing their addiction knowledge and skills to pay course tuition, travel, hotel, and time away from their practices; and

Physicians who are ASAM members but who have not secured addiction specialty certification (53%).

Each of the components of the pilot curriculum and recognition program and the associated CME hours are described in greater detail below. Other than the live course, the other components of the pilot curriculum program are available free of charge thereby minimizing any additional out-of-pocket cost barriers to potential candidates.

Fundamentals of Addiction Medicine: Live Course (8 CME hours): The Fundamentals Live Course is a full-day program combining didactic lectures, case-based learning, and skills acquisition. The course curriculum covers seven topics including the following: (1) attitudes towards addictive disorders; (2) neurobiology of addictions; (3) SBIRT; (4) motivational interviewing; (5) diagnosing substance use disorders;

(6) developing a treatment plan; and (7) substance use disorder medications including those for alcohol use disorder (i.e., disulfiram, dicamprostate, and naltrexone), those for tobacco use disorder (i.e., combined nicotine replacement therapies, varenicline, and buproprion), and those for opioid use disorder (i.e., methadone, buprenorphine, and naltrexone). Participants take a knowledge assessment test prior to the course, complete an evaluation after the course including completing a change contract, which allows participants to identify two changes they would like to make in their own practice based on the knowledge and skills presented in the course and indicate their level of commitment to that change. Follow-up is conducted six months after the course to assess accomplishments and barriers associated with their proposed change contract. Participants are also offered additional resources (e.g., videos, screening tools, articles, etc.) to access after the course that link to the key topics in the curriculum including the following: (1) general overview of addiction (2) neurobiology of addiction; (3) screening and assessment; (4) motivational interviewing; (5) diagnosis and treatment planning.

TeleECHO Clinics (8 CME hours): will be a unique component of the recognition program. The ECHO model will be used to connect specialists with primary care providers. The contractor shall collaborate with

ASAM and the ECHO Institute at the University of New Mexico to develop a national Substance Use Disorder teleECHO clinic. By presenting challenging clinical cases to the specialists, primary care providers can participate in case-based learning and develop the skills and confidence to apply what they learn in their practices.

Clinicians will connect to the Tele-ECHO clinics via videoconferencing technology which will be accessed free-of-charge through a license provided by Project ECHO. This platform allows large numbers of participants to connect simultaneously for any one clinic. Access to the videoconference requires only a one-time software download. Participants may also elect to connect via telephone lines.

The national addiction experts will be trained by Project ECHO staff to assure productive interactions with clinician-learners. Each clinic will be two hours in length. The clinic will include an initial 30 minutes of didactic training follow by 90 minutes focused on clinical cases submitted in advance using a predetermined case submission form in de-identified format by clinician learners. The didactic topics will link to the needs-based topics that form the foundation for the Fundamentals curriculum and that are described in the previous section on the live course. During the clinic, the clinician-learner will briefly describe the clinical case and experts and other clinician participants will ask clarifying questions. The national clinical experts, pharmacist, counselor, and clinic facilitator will then offer practical advice for management of the clinical scenario, and will use the case as an opportunity to teach participants about underlying addiction principles, effective communication skills, and inter-disciplinary approach to care of patients with substance use disorder.

A schedule of the didactic topics and presenters will be posted ahead of time so that learners may choose to select their sessions. The clinics will be scheduled from 11am - 1pmCT/12 - 2pmET to accommodate the lunch hour in multiple time zones. Clinics will be offered weekly over a 4-month period, for a total of 12 teleECHO clinics overall. Learners will be able to claim up to 2 hours of CME for each Tele-ECHO clinic with the CME provided by the University of New Mexico. Participating in any set of 4 (four) Tele-ECHO clinics (including presenting at least one case during a clinic) constitute an educational event that can be applied toward obtaining recognition for completing the ASAM Fundamentals of Addiction Medicine curriculum.

ER/LA REMS Course (2-3 CME hours): is a program on safe prescribing of extended release long acting

(ER/LA) opioids based on the FDA curriculum that covers the following topics: (1) assessing patients for treatment with ER/LA opioid analgesic therapy; (2) initiating therapy, modifying dosing, and discontinuing use of ER/LA opioid analgesics; (3) managing therapy with ER/LA opioid analgesics; (4) counseling patients and caregivers about safe use of ER/LA opioid analgesics; (5) general and specific drug information for ER/LA opioid analgesic products. A range of providers are approved to provide training free of charge using the FDA curriculum. ASAM, as a member of the CO*RE collaborative, is an approved provider with online and live courses that provide 3 hours of CME. Numerous other providers offer this course with nursing, DO and PA accreditation available. Clinicians seeking to complete the curriculum would simply need to demonstrate that they had completed an ER/LA REMs course from an approved provider. ASAM would direct clinicians to a calendar of live and online courses to make their selection.

Buprenorphine Waiver Course (8 CME hours): In order to prescribe buprenorphine to treat opioid addiction, physicians need to take an 8-hour course from an approved provider. Interested clinicians can secure this training free of charge through the PCSS-MAT and a schedule of trainings is available on the PCSS-MAT website. Interested clinicians can also choose to secure the training completely online through ASAM’s partnership with CTI by paying a fee. In the summer of 2015, ASAM will also be offering a blended online program to meet the 8-hour course which will also require a modest registration fee. Clinicians would be informed of all of these options to meet this portion of the CME requirement for the curriculum completion.

ASAM Online CME (13 CME hours). ASAM offers 200+ hours of online CME, which presents lectures synchronized with presentation slides from a range of ASAM live courses. ASAM will identify selected sessions from its recorded live courses important for its target audience that link to The Fundamentals curriculum. In 2015 ASAM will also be adding 1-5 online modules for the Fundamentals program through its

Learning Management System (the ASAM e-Learning Center). Topics for the online modules will be determined based on a needs assessment and data from the 2014 and 2015 Fundamentals live courses to ensure that topics address the clinical gaps evident in the findings. Physicians and clinicians will be able to select 13 hours of the online CME identified as part of the pilot program to complete the curriculum requirements. All of this online CME will be made available on a complimentary basis.

2.1.3. Scope of Work

A. General Requirements

1) Independently, and not as an agent of the Government, the contractor shall furnish the necessary personnel, facilities, equipment, materials and supplies, and perform the work set forth below.

2) All work under this project shall be monitored by the Contract Officer Representative, (COR).

3) All reports and materials produced under this project shall be the property of the Federal Government. .

SAMHSA may utilize, print, or disseminate such material without further charge.

B. Specific Requirements

Task 1—Project Meetings and Work Plan:

a) Post Award (“Kick-off”) Meeting with COR

Within 14 calendar days after the award, the contractor shall meet with the Contractor Officer

Representative (COR) to discuss the requirements and deliverables of the purchase order. The Contractor shall provide the COR a tentative schedule for future regular meetings.

b) Meet or Confer Regularly with the Contract Officer Representative (COR)

It is anticipated that the contractor shall have meetings or conference calls with the COR no less than once monthly to discuss progress to date, issues requiring clarification, problems and trends in the work of the

Contractor. The Contractor shall contact the COR immediately should any urgent problems or issues arise.

Within 7 calendar days following each meeting with the COR and/or SAMHSA-designated subject matter experts for oversight, the Contractor shall draft a brief summary including action items, for approval of the

COR.

Task 2 – Marketing and Communications

Within 45 calendar days after the award, the contractor shall develop marketing and communications strategies and tactics to recruit participants from the American Society of Addiction Medicine (ASAM) 2014 and 2015

Fundamentals Courses to participate in the pilot recognition program. The marketing and communications will be designed to attract a national pool of candidates for the pilot and ensure their active engagement throughout the program. The Contractor shall develop web content to explain the pilot curriculum and recognition program, post information about the Tele-ECHO clinics (e.g., the clinic schedule, how to download software for clinics, procedures for submitting cases, how to claim CME) and provide links to CME programs to meet the curriculum completion requirements. The contractor shall produce a video about the Tele-ECHO clinics for inclusion in the web content. Once clinicians are recruited for the pilot, the contractor shall send out all email communications to the participants regarding the Tele-ECHO clinics (initial instructions, announcements of each month’s talk and session, solicitations for case presentations, etc.).

Task 3 – Tele-ECHO Clinics

The contractor shall begin the implementation of Tele-ECHO Clinics within 45 of OMB approval. The Contractor shall complete the following: (1) recruiting and training the national experts for the clinics; (2) scheduling the didactic content sessions; (3) holding the clinics; (4) providing the CME for each session; and (5) reporting attendance statistics for each clinic. The contractor shall provide IT support for each clinic and provide assistance with any technical problems and troubleshoot as needed. The contractor shall develop and submitting clinic performance measures, included the minimum number of participants, in the implementation and evaluation plan.

Task 4 – Evaluation

a) Implementation and Evaluation Plan

Within 60 working days of award, the contractor shall develop a draft implementation and evaluation plan outlining the sequence of work and major milestones to accomplish the work as stated in this contract. The implementation and evaluation plan shall describe how the project will be implemented, resources necessary for its implementation, recruitment of participants in the program, and establish evaluation goals.

Additionally, the plan should address evaluation questions, metrics, and methods the contractor shall utilize to assess success. The contractor shall design and conduct evaluation surveys to assess the following: (1) evaluation surveys related to participation in the Tele-ECHO clinics; and (2)an evaluation survey at the end of the entire curriculum that will assess the role of the teleECHO clinics in building participants’ skills and confidence. Additional surveys sent to participants who enrolled, but did not complete the pilot program, will seek to understand the barriers to completion and areas for improvement.

See Table 1 for evaluation domains and method of evaluation.

b) Develop an OMB Clearance Packet

The contractor shall be solely responsible for ensuring compliance with and preparing, facilitating, and managing any necessary Office of Management and Budget (OMB) clearance materials, documents (for instance, “OMB package”) and processes related to fulfilling this requirement. Any portion of this project that requires but does not receive OMB or other clearance will not be implemented. The contractor shall be similarly responsible for ensuring compliance with and providing any information or documents related to fulfilling any other requirements and clearances (for instance, GPRA, Human Subject/Participant

Protection concerns). All necessary clearance packages shall be submitted to SAMHSA in draft form within 90 calendar days of the award. The COR will return written feedback to the contractor within 10 working days. The final OMB Clearance Packet shall be submitted to the COR for acceptance 10 working days after receiving the COR comments on the draft plan.

c) Project Evaluation Report

A comprehensive report on the project evaluation will be created and submitted 30 days prior to the end of the period of performance. The report will provide the following:

1. Information on the conduct of each of the teleECHO clinics:

Date that each teleECHO clinic was conducted

Topic of didactic presentation

Name of speaker for didactic presentation

Number of participants in teleECHO session

Professional credentials of participants (MD, DO, NP, etc)

Number of cases presented and discussed

Major topics discussed for each case presented on the teleECHO clinic

2. Evaluation responses related to each teleECHO clinic (see Table 1). This will include information on participants’ ratings of the value of the discussion of cases presented by them and the value of cases presented by others, and how these case discussions will impact patient care. It will include participants’ rating of the didactic presentation. It will include suggestions from participants regarding how to conduct the teleECHO sessions.

3. Evaluation of the entire teleECHO portion of The ASAM Fundamentals of Addiction Medicine

Recognition Program. This will include an assessment of the impact of case-based learning about

Substance Use Disorders on the participants’ confidence, self-efficacy, attitude toward treating SUD, rating of importance of treating SUD, plan to actually provide SUD treatment. It will also include their assessment of the teleECHO format as a learning platform and how it compares to other learning opportunities; their likelihood of future participation in teleECHO clinics related to Substance Use

Disorders; and their comfort in contacting teleECHO faculty for consultation and mentorship.

2.2. HHS SECTION 508 ACCESSIBILITY STANDARDS NOTICE (SEPTEMBER 2009)

This contract is subject to Section 508 of the Rehabilitation Act (the Act) of 1973 (29 U.S.C. 794d), as amended by the Workforce Investment Act of 1998, and the Architectural and Transportation Barriers Compliance Board

(Access Board) Electronic and Information Accessibility Provisions (36 CFR Part 1194). Section 508 of the Act requires that, unless an exception applies, all communications products and services that require a contractor or consultant to produce content in any format that is specifically intended for publication on, or delivery via, a federally owned or federally funded website permit the following:

(1) Federal employees with disabilities to have access to and use information and data that is comparable to the access and use of information and data by federal employees who are not individuals with disabilities.

(2) Members of the public with disabilities seeking information or services from a federal agency to have access to and use of information and data that is comparable to the access and use of information and data by members of the public who are not individuals with disabilities.

(Note: Information about Section 508 of the Act is available at http://www.section508.gov/. The complete text of

Section 508 can be accessed at http://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-section-508-standards/section-508-standards.)

Accordingly, regardless of format, all web content or communications materials specifically produced for publication on, or delivery via, HHS websites, including text, audio, or video, under this contract shall conform to applicable Section 508 accessibility standards. Remediation of any materials that do not comply with the applicable accessibility standards of 36 CFR Part 1194 as set forth herein shall be the responsibility of the Contractor.

The following Section 508 accessibility standards apply to the content or communications material identified in this

SOW or PWS:

Section 1194.22 Web-based Internet Information and Applications

Section 1194.24 Video and Multi-media Products

2.3. FAR 52.224-1 PRIVACY ACT NOTIFICATION. (APR 1984)

The Contractor will be required to design, develop, or operate a system of records on individuals, to accomplish an agency function subject to the Privacy Act of 1974, Public Law 93-579, December 31, 1974 (5 U.S.C. 552a) and applicable agency regulations. Violation of the Act may involve the imposition of criminal penalties.SECTION 3.

Packaging and Marking http://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-section-508-standards/section-508-standards http://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-section-508-standards/section-508-standards

3.1. Packaging and Marking

All information and deliverables shall be delivered to the address shown in Section 5.2.2 entitled - Place of Delivery

- and shall be marked as follows:

1. Name and address of the Contractor;

2. Contract Number; (to be provided at award)

3. Description of item contained therein; and

4. Consignee's name and address.

SECTION 4. Inspection and Acceptance

4.1. INSPECTION AND ACCEPTANCE

all work described in the SOW to be delivered under this contract is subject to final inspection and acceptance by the COR, who is responsible for inspection and acceptance of all services, materials, or supplies to be provided by the Contractor.

SECTION 5. Deliveries or Performance

5.1. PERIOD OF PERFORMANCE

The period of performance shall be for 12 months from date of award.

5.2. DELIVERY REQUIREMENTS

5.2.1. Delivery Time

Pickup and delivery of items under this contract/order shall be accomplished between the hours of 8:30 a.m. and 4:00 p.m., Monday through Friday unless changed by mutual agreement between the COR and the contractor. No deliveries shall be made on Saturdays, Sundays, and days of government closure or Federal legal holidays found at: http://www.opm.gov/operating_status_schedules.

5.2.2. Delivery Address

US Department of Health and Human Service

Substance Abuse and Mental Health Services Administration

1 Choke Cherry Road, 7-1024

Rockville, MD 20850

5.3. REPORT(S)/DELIVERABLES AND DELIVERY SCHEDULE

The contractor shall submit all required report(s)/deliverables in accordance with the following schedule: All reports shall reference and cite the contract/order number.

5.3.1. Delivery Schedule

Task Deliverable Timeline

Task 1—Project Meetings and Work Plan

Task 1.a Post Award Meeting 14 calendar days after award

Tentative Meeting Schedule

Meeting Summary Meeting Summary, including action items within 7 working days of the meeting.

Task 1.b Regular meetings with the COR Monthly/Ongoing

Post-Meeting Notes Meeting Summary, including action items within 7 working days of each meeting.

Task 2 – Marketing and Communications

Task 2 Marketing and Communication materials submitted to COR

45 calendar days after award

Task 3 – Tele-ECHO Clinics

Task 3 Begin implementation of Tele-ECHO

Clinics

Within 45 calendar days of OMB approval

Schedule and hold didactic content session

Within 45 calendar days of OMB Approval;

monthly after the 1 st session.

Tele-ECHO clinic attendance statistics Monthly upon implementation of the clinics; Within

15 days after each tele-ECHO clinic

Provide CME credit documentation to session attendees

Within 15 days after each tele-ECHO clinic

Task 4 – Evaluation

Task 4.1 Evaluation and Implementation Plan Within 60 calendar days after the award date

Task 4.2 OMB Clearance Packet Within 90 calendar days after the award date.

Task 4.3 Project Evaluation Report 30 days before the end of the period of performance http://www.opm.gov/operating_status_schedules

SECTION 6. Contract Administration Data

6.1. AUTHORITIES OF GOVERNMENT PERSONNEL

Notwithstanding the Contractor's responsibility for total management during the performance of this contract, the administration of this contract will require maximum coordination between the Government and the Contractor. The following individuals will be the Government's points of contact during the performance of this contract:

6.1.1. Contracting Officer

Name: Robert Bowman

Address: 12501 Ardennes Avenue, Suite 400 Rockville, MD 20857

Phone: (301) 443-0705

Email: Robert.Bowman@psc.hhs.gov

All communications pertaining to contractual and/or administrative matters under this contract shall be sent to:

6.1.2. Contract Specialist

Name: Zipora Chepkoit

Address: 12501 Ardennes Avenue, Suite 400, Rockville, MD 20857

Phone: (301) 443-2342

Email: Zipora.Chepkoit@psc.hhs.gov

6.1.3. Contracting Officer's Representative

Name: TBD

Address: TBD

Phone: TBD

Email: TBD

Note: The Contracting Officer is the only individual authorized to modify the contract.

6.2. CONTRACTING OFFICER'S REPRESENTATIVE (COR) AUTHORITY

(a) Performance of work under this contract must be subject to the technical direction of the Contracting Officer's

Representative identified above, or a representative designated in writing. The term "technical direction" includes, without limitation, direction to the contractor that directs or redirects the labor effort, shifts the work between work areas or locations, fills in details and otherwise serves to ensure that tasks outlined in the work statement are accomplished satisfactorily.

(b) Technical direction must be within the scope of the specification(s)/work statement.

The Contracting Officer's Representative does not have authority to issue technical direction that:

(1) Constitutes a change of assignment or additional work outside the specification(s)/statement of work;

(2) Constitutes a change as defined in the clause entitled "Changes";

(3) In any manner causes an increase or decrease in the contract price, or the time required for contract performance;

(4) Changes any of the terms, conditions, or specification(s)/work statement of the contract;

(5) Interferes with the contractor's right to perform under the terms and conditions of the contract; or

(6) Directs, supervises or otherwise controls the actions of the contractor's employees.

mailto:Zipora.Chepkoit@psc.hhs.gov

(c) Technical direction may be oral or in writing. The Contracting Officer's Representative shall confirm oral direction in writing within five work days, with a copy to the Contracting Officer.

(d) The contractor shall proceed promptly with performance resulting from the technical direction issued by the

Contracting Officers, Representative. If, in the opinion of the contractor, any direction of the Contracting Officers, Representative, or his/her designee, falls within the limitations in (b), above, the contractor shall immediately notify the Contracting Officer no later than the beginning of the next Government work day.

(e) Failure of the contractor and the Contracting Officer to agree that technical direction is within the scope of the contract shall be subject to the terms of the clause entitled "Disputes."

6.3. INVOICE SUBMISSION – NON COMMERCIAL

The Contractor shall submit invoices in accordance with the payment schedule noted at Section 1.5. A complete invoice with all required back-up documentation shall be sent electronically, via email, to:

1. Contract Specialist via DAM mailbox: pscsas.invoices@psc.hhs.gov.*

2. Contracting Officer’s Representative (COR):

3. Financial Management Service (FMS): psc_invoices@psc.hhs.gov.*

* No other non-invoice related documents (i.e. deliverables, reports, balance statements) shall be sent to the DAM and FMS mailboxes. Invoices Only.

The subject line of your email invoice submission shall contain the contract number, contract line item number, the order number, if applicable, and the number of invoices. The Contractor shall send one email per contract per month. The email may have multiple invoices for the contract. Invoices must be in the following formats: PDF, TIFF, or Word. No Excel formats will be accepted. The electronic file cannot contain multiple invoices; example, 10 invoices requires 10 separate files (PDF or TIFF or Word).

Invoices shall be submitted in accordance with the contract terms, i.e. payment schedule, progress payments, partial payments, deliverables, etc.

All calls concerning contract payment shall be directed to the COR.

In accordance with FAR 52.232-25 Prompt Payment, a proper invoice must include the following items:

(i) Name and address of the contractor.

(ii) Invoice date and invoice number. (Contractors should date invoices as close as possible to the date of mailing or transmission.)

(iii) Contract number or other authorization for supplies delivered or services performed (including order number and contract line item number).

(iv) Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed.

(v) Shipping and payment terms (e.g., shipment number and date of shipment, discount for prompt payment terms). Bill of lading number and weight of shipment will be shown for shipments on Government bills of lading.

(vi) Name and address of contractor official to whom payment is to be sent (must be the same as that in the contract or in a proper notice of assignment).

(vii) Name (where practicable), title, phone number, and mailing address of person to notify in the event of a defective invoice.

(viii) Taxpayer Identification Number (TIN) and Dun & Bradstreet Number (DUNS). The contractor must include its TIN and DUNS on the invoice.

(ix) Electronic funds transfer (EFT) banking information.

(A) The contractor must include EFT banking information on the invoice only if required by agency procedures.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the contractor must have submitted correct EFT banking information in accordance with the mailto:pscsas.invoices@psc.hhs.gov applicable solicitation provision (e.g., 52.232-38, Submission of Electronic Funds Transfer Information with Offer), contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer-System for Award

Management, or 52.232-34, Payment by Electronic Funds Transfer-Other Than System for Award

Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(x) Any other information or documentation required by the contract (e.g., evidence of shipment).

In accordance with OMB Memorandum, M-11-32, Agencies shall make payments to small businesses as soon as practicable, with the goal of making payments within 15 days of receipt of a proper invoice. If a small business contractor is not paid within this (15 day) accelerated period, the contractor will not be given a late-payment interest penalty. Interest penalties, as prescribed by the Prompt Payment Act, remain unchanged by means of this memorandum. All small businesses shall label all invoices as “Small Business.”

Additionally, in accordance with OMB Memorandum, M-12-16, all prime contractors are encouraged to disburse funds received from the Federal Government to their small business subcontractors in a prompt manner. To assist prime contractors in expediting contractor payments to small business subcontractors, Agencies shall, to the full extent permitted by law, temporarily establish an earlier, accelerated date for making agency payments to all prime contractors. Consistent with OMB Memorandum M-11-32 above, Agencies shall have a goal of paying all prime contractors within 15 days of receiving proper documentation. In an effort to support small business growth, drive economic activity and job creation, the Contractor is encouraged to accelerate payments to their small business subcontractors.

In accordance with the requirements of the Debt Collection Improvement Act of 1996, all payments under this order will be made by electronic funds transfer (EFT). The Contractor shall provide financial institution information to the Finance Office designated above in accordance with FAR 52.232-33 Payment by Electronic Funds Transfer –

System for Award Management.

https://www.acquisition.gov/far/current/html/52_232.html#wp1153462 https://www.acquisition.gov/far/current/html/52_232.html#wp1153351 https://www.acquisition.gov/far/current/html/52_232.html#wp1153375

SECTION 7. Special Contract Requirements

7.1. PROHIBITION AGAINST PERSONAL SERVICES

The Contractor shall not perform personal services under this contract. Contractor personnel are employees of the

Contractor or its subcontractors and are under the administrative control and supervision of the Contractor. A

Contractor supervisor must give all individual Contractor employee assignments and daily work direction. The

Government will not supervise or direct Contractor employees in the performance of their assignments. If at any time the Contractor believes that any Government action or communication has been given that would create a personal service relationship between the Government and any Contractor employee, the contractor shall promptly notify the Contracting Officer of this communication or action. The Contractor shall not perform any inherently-governmental functions under this contract. No Contractor employee shall represent or give the appearance that he/she is a Government employee, agent or representative. No Contractor employee shall state orally or in writing at any time that he or she is acting on behalf of the Government. The Contractor is responsible for ensuring that all employees assigned to this contract understand and are committed to following these requirements.

7.2. RESTRICTIONS ON DISCLOSURE OF INFORMATION

Information made available to the contractor by the Government for the performance or administration of this effort shall be used only for those purposes and shall not be used in any other way without the written agreement of the

Contracting Officer.

The contractor agrees to assume responsibility for protecting the confidentiality of Government records, which are not public information. Each contractor or employee of the contractor to whom information may be made available or disclosed shall be notified in writing by the contractor that such information may be disclosed only for a purpose and to the extent authorized herein.

The contractor shall not use, disclose, or reproduce proprietary data that bears a restrictive legend, other than as required in the performance of this effort. Nothing herein shall preclude the use of any data independently acquired by the contractor without such limitations or prohibit an agreement at no cost to the Government between the contractor and the data owner which provides for greater rights to the contractor.

The Contractor agrees not to release or disclose, verbally or in writing, information pertaining to the results or findings of work (including data collection, analyses, draft or final papers and reports) for the period of this contract without first notifying the COR in writing at least 21 days prior to the release or disclosure. At a minimum, the notification shall include: (1) who or what is generating the request for advance information; (2) when and how project results/information would be released; and (3) what information would be released.

7.3. POST AWARD ORGANIZATIONAL CONFLICT OF INTEREST

a) General: The Contractor shall have programs in place to identify, report, and mitigate actual and potential conflicts of interest for itself, its employees, subcontractors and consultants. The existence of such programs and the disclosure of known actual or potential conflicts are material performance requirements of this contract.

b) Disclosure: The Contractor shall report all actual and potential conflicts of interest pertaining to this contract to the Contracting Officer, including those that would be caused by a contemplated modification to this contact or another contract. Such reports shall be in writing (including by email). Upon request, the

Contractor shall respond to a Contracting Officer's request for an OCI mitigation plan.

c) Resolution: In the event the Contracting Officer determines that a conflict of interest exists, based on disclosure from the Contractor or from other sources, the Contracting Officer shall take action which may include, but is not limited to, requesting a mitigation plan from the Contractor, terminating part or all of the contract, modifying the contract or obtaining a waiver in accordance with applicable law, including FAR

9.503 as applicable.

7.4. SERVICE CONTRACT ACT WAGE DETERMINATIONS

The Contractor is bound by the Wage Determination Number 2005-2103, Rev. 16, dated 7/14/2015 and all subsequent revisions made under this Wage Determination Number, issued by the U.S. Department of Labor, in accordance with the Service Contract Act of 1965, as amended (41 U.S.C. 351). The Contractor is put on notice that after performance begins, the Contractor is responsible for paying employees at least the applicable wage determination rate, if one exists, for the place of performance. The Department of Labor strictly enforces the Service

Contract Act for all employees covered by the Act.

The above referenced Wage Determination Number is for the Washington, DC, area. Service Contract Act Wage

Determinations can be found at http://www.wdol.gov/. If the place of performance, depending on contractor location, is not covered by this wage determination, the contractor can contact the Contract Specialist for additional wage determinations

7.5. HHSAR 352.242-70 – KEY PERSONNEL (JAN 2006)

The key personnel specified in this contract are considered to be essential to work performance. At least 30 days prior to diverting any of the specified individuals to other programs or contracts (or as soon as possible, if an individual must be replaced, for example, as a result of leaving the employ of the Contractor), the Contractor shall notify the Contracting Officer and shall submit comprehensive justification for the diversion or replacement request

(including proposed substitutions for key personnel) to permit evaluation by the Government of the impact on performance under this contract. The Contractor shall not divert or otherwise replace any key personnel without the written consent of the Contracting Officer. The Government may modify the contract to add or delete key personnel at the request of the Contractor or Government.

The following individuals shall be considered key:

Name Title

SECTION 8. Contract Clauses

8.1. FAR 52.203-99 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS (FEB 2015) (DEVIATION 2015-02)

(a) The Contractor shall not require employees or subcontractors seeking to report fraud, waste, or abuse to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

(b) The contractor shall notify employees that the prohibitions and restrictions of any internal confidentiality agreements covered by this clause are no longer in effect.

(c) The prohibition in paragraph (a) of this clause does not contravene requirements applicable to Standard Form

312, Form 4414, or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(d)(1) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing

Resolution Appropriations Act, 2015 (Pub. L. 113-235), use of funds appropriated (or otherwise made available) under that or any other Act may be prohibited, if the Government determines that the Contractor is not in compliance with the provisions of this clause.

(2) The Government may seek any available remedies in the event the contractor fails to comply with the provisions of…