1605C3-24-R-00009.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

CAS

S-4307 200 Constitution Ave, NW Customer Acquisition Services US Department of Labor

OWCP DC NAT SHIP CODE 16. ADMINISTERED BYCODE

X

X

621999

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORCAS

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

06/21/2024 05:00 P.M. ES

05/30/2024

215-446-3707Emily Pyatigorsky (No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

1605C3-24-R-00009

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 113 1638-DAO-24-NAT-0077OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

Washington DC 20210

TELEPHONE NO.

17a. CONTRACTOR/

WASHINGTON DC 20210

ROOM S3524

200 CONSTITUTION AVE, NW

US DEPARTMENT OF LABOR

15. DELIVER TO

Washington DC 20210 S-4307 200 Constitution Ave, NW Customer Acquisition Services

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$20.5

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

US Department of Labor

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

The U.S. Department of Labor (DOL) has a requirement for Nurse and Vocational Rehabilitation Case Management Services (NVRS) on behalf of Office of Workers' Compensation Programs (OWCP) in accordance with the tasks outlined in the Performance Work Statement (PWS).

The Government anticipates awarding a single award fixed priced contract from this solicitation.

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

Broderick Morris

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Questions pertaining to this RFP are due by 5:00

EST on 06/07/2024 by email to Emily Pyatigorsky at Pyatigorsky.Emily@dol.gov with a copy to

Broderick Morris at Morris.Broderick@dol.gov.

Proposals are due per block 8 on this form.

Period of Performance: 08/29/2024 to 08/28/2029

0001 Triage Nurse Closure Report

Product/Service Code: Q401

0002 FN Regular Report

Product/Service Code: Q401

0003 FN Site Visit Report

Product/Service Code: Q401

0004 FN Travel GSA Milage Charge

Product/Service Code: Q401

0005 FN Other Direct Expenses

Product/Service Code: Q401

0006 SECOP Prep Packet

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

113 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 113

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

1605C3-24-R-00009

Product/Service Code: Q401

0007 RC Regular Report

Product/Service Code: Q401

0008 RC Site Visit Report

Product/Service Code: Q401

0009 Vocational Rehabilitation Plan

Product/Service Code: Q401

0010 RC Travel

IAW Federal Travel Regulation (FTR)

Product/Service Code: Q401

0011 RC Other Direct Expenses

Product/Service Code: Q401

0012 Longshore VR cases

Product/Service Code: Q401

1001 Triage Nurse Closure Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Period of Performance: 08/29/2025 to 08/28/2026

1002 FN Regular Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Period of Performance: 08/29/2025 to 08/28/2026

1003 FN Site Visit Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

4 113

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

1605C3-24-R-00009

Period of Performance: 08/29/2025 to 08/28/2026

1004 FN Travel GSA Milage Charge

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Period of Performance: 08/29/2025 to 08/28/2026

1005 FN Other Direct Expenses

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Period of Performance: 08/29/2025 to 08/28/2026

1006 SECOP Prep Packet

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Period of Performance: 08/29/2025 to 08/28/2026

1007 RC Regular Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Period of Performance: 08/29/2025 to 08/28/2026

1008 RC Site Visit Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Period of Performance: 08/29/2025 to 08/28/2026

1009 Vocational Rehabilitation Plan

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Period of Performance: 08/29/2025 to 08/28/2026

1010 RC Travel

IAW Federal Travel Regulation (FTR)

(Option Line Item)

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

5 113

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

1605C3-24-R-00009

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Period of Performance: 08/29/2025 to 08/28/2026

1011 RC Other Direct Expenses

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Period of Performance: 08/29/2025 to 08/28/2026

1012 Longshore VR cases

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2025

Product/Service Code: Q401

Period of Performance: 08/29/2025 to 08/28/2026

2001 Triage Nurse Closure Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Period of Performance: 08/29/2026 to 08/28/2027

2002 FN Regular Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Period of Performance: 08/29/2026 to 08/28/2027

2003 FN Site Visit Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Period of Performance: 08/29/2026 to 08/28/2027

2004 FN Travel GSA Milage Charge

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Period of Performance: 08/29/2026 to 08/28/2027

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

6 113

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

1605C3-24-R-00009

2005 FN Other Direct Expenses

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Period of Performance: 08/29/2026 to 08/28/2027

2006 SECOP Prep Packet

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Period of Performance: 08/29/2026 to 08/28/2027

2007 RC Regular Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Period of Performance: 08/29/2026 to 08/28/2027

2008 RC Site Visit Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Period of Performance: 08/29/2026 to 08/28/2027

2009 Vocational Rehabilitation Plan

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Period of Performance: 08/29/2026 to 08/28/2027

2010 RC Travel

IAW Federal Travel Regulation (FTR)

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Period of Performance: 08/29/2026 to 08/28/2027

2011 RC Other Direct Expenses

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

7 113

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

1605C3-24-R-00009

Period of Performance: 08/29/2026 to 08/28/2027

2012 Longshore VR cases

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2026

Product/Service Code: Q401

Period of Performance: 08/29/2026 to 08/28/2027

3001 Triage Nurse Closure Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

3002 FN Regular Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

3003 FN Site Visit Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

3004 FN Travel GSA Milage Charge

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

3005 FN Other Direct Expenses

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

3006 SECOP Prep Packet

(Option Line Item)

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

8 113

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

1605C3-24-R-00009

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

3007 RC Regular Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

3008 RC Site Visit Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

3009 Vocational Rehabilitation Plan

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

3010 RC Travel

IAW Federal Travel Regulation (FTR)

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

3011 RC Other Direct Expenses

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

3012 Longshore VR cases

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2027

Product/Service Code: Q401

Period of Performance: 08/29/2027 to 08/28/2028

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

9 113

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

1605C3-24-R-00009

4001 Triage Nurse Closure Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Period of Performance: 08/29/2028 to 08/28/2029

4002 FN Regular Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Period of Performance: 08/29/2028 to 08/28/2029

4003 FN Site Visit Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Period of Performance: 08/29/2028 to 08/28/2029

4004 FN Travel GSA Milage Charge

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Period of Performance: 08/29/2028 to 08/28/2029

4005 FN Other Direct Expenses

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Period of Performance: 08/29/2028 to 08/28/2029

4006 SECOP Prep Packet

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Period of Performance: 08/29/2028 to 08/28/2029

4007 RC Regular Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

10 113

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

1605C3-24-R-00009

Period of Performance: 08/29/2028 to 08/28/2029

4008 RC Site Visit Report

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Period of Performance: 08/29/2028 to 08/28/2029

4009 Vocational Rehabilitation Plan

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Period of Performance: 08/29/2028 to 08/28/2029

4010 RC Travel

IAW Federal Travel Regulation (FTR)

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Period of Performance: 08/29/2028 to 08/28/2029

4011 RC Other Direct Expenses

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Period of Performance: 08/29/2028 to 08/28/2029

4012 Longshore VR cases

(Option Line Item)

(Anticipated Option Exercise Date) 08/25/2028

Product/Service Code: Q401

Period of Performance: 08/29/2028 to 08/28/2029

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Solicitation # 1605C3-24-R-00009

Nurse and Vocational Rehabilitation Case Management Services (NVRS)

B - Supplies or Services/Prices

B.1 General

The contractor shall furnish Nurse and Vocational Rehabilitation Case Management Services (NVRS) for the U.S. Department of Labor, Office of Workers’ Compensation Programs (OWCP), for the Division of Federal Employees Longshore and Harbor Workers' Compensation (DFELHWC).

B.2 Pricing Table

Attachment J.3 – Pricing Template – NVRS details the price schedule for the resultant contract. Attachment J.3. shall be used by the Contractor to submit its proposal.

C - Description/Specifications

PERFORMANCE WORK STATEMENT (PWS)

Office of Workers' Compensation Programs (OWCP), Division of Federal Employees,' Longshore and Harbor Workers’ Compensation

PART 1 GENERAL INFORMATION

1.1 Description of Services/Introduction

The Contractor shall provide all personnel, equipment, tools, materials, supervision, and other items and non-personal services necessary to provide Registered Nurse and Vocational Rehabilitation Counselors Case Managers for the Nurse Intervention Program and Vocational Rehabilitation Program for the Office of Workers' Compensation Programs (OWCP), Division of Federal Employees' Longshore and Harbor Workers’ Compensation (DFELHWC). Personnel, services, equipment, etc. shall be provided as defined in this Performance Work Statement (PWS), except as specified in section C-3 as Government-furnished property, the Contractor shall perform to the standards in the resultant contract.

1.2 Background

The OWCP is responsible for the administration of the Federal Employees' Compensation Act (FECA). The FECA provides medical benefits, wage- loss replacement, survivors' annuities, and other benefits to employees of the United States or their survivors when the employee is injured or dies in the course of employment. The OWCP, through the Office of Workers' Compensation Programs (OWCP), Division of Federal Employees,' Longshore and Harbor Workers’ Compensation (DFELHWC), coordinates the FECA program. The FECA program currently has twenty program offices around the country with staff directly responsible for processing and managing FECA claims. These staff, including Claims Examiners, oversee claims throughout the U.S. and its territories. The FECA program functional operations include adjudicating incoming claims to determine eligibility for compensation payments; managing claims in which eligibility has been established; determining wage-loss compensation payments for covered disability or death; and processing payments for allowed medical and vocational rehabilitation services incurred in the treatment of injured workers covered under the FECA.

The OWCP is also responsible for the administration of the Longshore and Harbor Workers' Compensation Act (LHWCA).

The management of disability claims begins as soon as a new claim is received indicating that the employee has lost time from work as a result of the injury or is disabled from his or her date of injury position. The FECA Claims Examiner (CE) is responsible for the overall actions and directions throughout the disability management process; however, medical management, rehabilitation, and the return-to-work effort consist of more than just CE intervention. To further OWCP/FECA and LHWCA program goals and objectives related to disability management, the OWCP implemented two (2) programs, as follows, which are administrated through the FECA Branch of Regulations and Procedures. The Nurse Intervention Program utilizes the services of the Contractor’s Registered Nurse Case Managers for two (2) purposes: To assist with identifying cases that may benefit from more intensive and/or immediate intervention during the early part of the disability period; and to assist with medical management of claims. The Vocational Rehabilitation Program utilizes the services of the Contractor’s Rehabilitation Counselors to assist with the provision of vocational rehabilitation services.

1.2.1 The OWCP Nurse Intervention Program (NIP)

The OWCP is committed to seeing that benefits for compensation and medical services are appropriately and timely provided. OWCP is also committed to assisting injured workers in obtaining a successful medical recovery and minimizing the period of disability from work. To that end, the program implemented Disability Management (DM) into claims processing through Quality Case Management (QCM). QCM is an initiative to intervene with injured workers (IW), employing agencies (EA), and medical providers as early as possible in the recovery process to assist in the facilitation of medical treatment plans and arrange for appropriate reemployment. The objectives of QCM are to take a series of purposeful actions to obtain medical care in a timely manner, to obtain timely work tolerance limitations, and to prevent cases from reaching the long-term disability roll; and has as its primary goal the medical recovery and reemployment of IWs who are in the beginning stages of disability.

To assist the CE in DM efforts, the OWCP incorporated the Nurse Intervention Program (NIP) into claims management. The OWCP NIP is an initiative to introduce the use of Contractor’s Registered Nurse Case Managers: Triage Registered Nurses (TN) and Field Nurses (FN).

Introducing the use of Contractor’s FNs and TNs during the early stages of disability to facilitate expedited medical care and recovery which can result in shortening the length and extent of disability from work. The NIP is designed as a proactive, collaborative partnership between the Contractor’s TN and/or FN, the FECA claims staff, medical providers, RCs, the EA, and the IW. FECA Staff Nurses (SN) oversee the NIP and act as a nursing resource and liaison for the claims staff, EAs, IWs, Contractor’s TNs, and FNs, and other OWCP stakeholders. The SN role is essential to establishing a cooperative, team approach to the DM process. The SN is in a unique position to facilitate the interactions and open communications between the CE and nurse Case Managers, which is a key element to the overall success of the NIP.

In addition to acting as a nursing resource and liaison, the FECA SN is also responsible for administering the policies and procedures of the OWCP NIP. The SN coordinates the Contractor’s FN assignments; monitors the nurses’ performance in correlation to both the contract specifications and the quality of services provided; and reviews work products for quality, completeness, timeliness and approval for payment. The FECA SN role of monitoring work product quality is not a substitute for the supervision of Contractor staff. The Contractor is ultimately responsible for Contractor’s FN performance requirements including but not limited to training, quality of work product, compliance with policy, procedure, proactive cost-efficient FN case management actions and reporting requirements (to include monthly regular/site visit reports and interim communications).

The Contractor FN will regularly communicate with the CE by telephone or written communication via upload to the DOL Disability Management Portal (DMP). The FECA SN monitors cases and will contact the Contractor FN when necessary to follow up on reporting and critical timeframes.

The Contractor FN can contact the FECA SN at any time by email or telephone. The CEs may contact the Contractor FN by email or telephone.

Any email correspondence must protect Personally Identifiable Information (PII) as directed under section 1.6.7 of this PWS. The SN will provide oversight of the program, provide FN guidance, and monitor contractor performance. The SN does not supervise, the Contractor shall be responsible for supervision of their own employees to ensure staff meets contract requirements.

The OWCP has found that nurse intervention is an integral part of the overall disability management of a claim. The best outcomes stem from an active team approach where the FECA Program, the Contractor’s nurse Case Managers, the EA, the IW, and the medical providers use all available tools to facilitate medical recovery and a sustainable return to work. Nurse intervention has proven successful at achieving the primary objective and fulfilling the goals of the FECA program in returning the IW to the work force, thereby limiting lost time from work, and preventing work- related injury cases from unnecessarily reaching the long-term disability rolls.

1.2.2 The OWCP Triage Registered Nurse (TN) Program

The Triage Registered Nurse Program was developed to assist the program with prompt adjudication and payment of benefits, early intervention in traumatic injuries, active case management, and prompt/appropriate return to work.

The Contractor’s TN is a Registered Nurse Case Manager who provides short-term, telephonic triage services. TN interventions assist the CEs in prioritizing adjudication efforts and in identifying cases in need of Contractor’s FN case management.

1.2.3 The OWCP Field Nurse (FN)

The Contractor’s FN is a Registered Nurse Case Manager, assigned to work directly with FECA IWs either in person/face-to-face or telephonic only, who assists in the management of disability claims by utilizing and providing specialized nurse case management skills, techniques, and knowledge in the context of the workers' compensation arena. The Contractor’s FN provides a comprehensive nursing assessment of the IW’s anticipated duration of disability from work, abilities, needs, and concerns as they relate to the response to, and recovery from a work injury; and in doing so, the Contractor’s FN then develops and implements a nursing case management plan to address those abilities, needs, and concerns. As part of this ongoing process, the Contractor’s FN evaluates the duration of disability from work and outcome of their interventions and makes necessary adjustments to the individual nurse case management plan as the IW's status changes throughout the Contractor’s FN phase of Disability Management (DM).

Early referral for Contractor’s FN intervention services is critical to ensuring successful DM. In person, or face-to-face Contractor’s FN intervention service, is recommended for the more severe or complex injury cases, in which, in person meetings with the IW, EA, and/or medical providers is beneficial in moving the case forward. In less complicated injury cases, the Contractor’s FN assignment may only require telephonic services.

FN assignment should occur as soon as possible after the injury occurs and the claim has been approved for a work-related injury. FN assignment should occur if the IW has not returned to work. While early intervention is the primary focus, Contractor’s FN assignments may occur at any point during the life of a claim when needed. For example, FECA Medical Benefits Examiners (MBEs) may require Contractor’s FN assistance regarding medication management or in facilitating an IWs assessment/treatment for medication overuse, misuse, or addiction.

1.2.4 The OWCP Vocational Rehabilitation (VR) Program

The purpose of vocational rehabilitation within the FECA/ LHWCA program is to support IWs in returning to work. The primary goals of the program are to minimize the IW’s lost time from work due to disability and to facilitate a return to gainful employment, thereby assisting the IW to become productive and self-supporting and also reducing Employing Agency costs by eliminating or reducing workers' compensation payments.

The emphasis of the FECA/ LHWCA program's vocational rehabilitation program is the early referral and evaluation of all IWs who need services;

effective case management to ensure that plans are efficient and of good quality; flexibility to provide the widest range of services from private and public rehabilitation agencies; preference for reemployment with the previous employer; and placement of IWs in jobs where disability does not prevent them from competing with non-disabled employees. The probability of effective rehabilitation resulting in the best return to work arrangement is greatly increased when such efforts begin as early as possible in the recovery process. As such, vocational rehabilitation may sometimes occur simultaneously with nurse intervention.

FECA/LHWCA CEs and Rehabilitation Specialists (RSs) carry out the vocational rehabilitation program with the assistance of Contractor’s Rehabilitation Counselors (RCs), private and public rehabilitation providers, physicians, and employers, so that eligible workers receive the rehabilitation services best designed to return them to suitable work, preferably with little or no loss of earnings. Under the FECA and LHWCA, both medical and vocational rehabilitation services can be funded in the return- to -work effort, as appropriate.

FECA/LHWCA program RSs serve as a rehabilitation resource and liaison for CEs, MBEs, nurses, EAs, IWs, and other stakeholders. In addition, the RS serves as the primary OWCP contact for the Contractor assigned RCs, administering the policies and procedures of the rehabilitation program, coordinating referrals, supervising case management, monitoring RC performance, and reviewing and approving rehabilitation reports for completeness and timeliness. The RS role is essential to establishing a cooperative, team approach to the DM process. The RS is in a unique position to facilitate the interactions and open communications between the CE and RC, which is a key element to the overall success of the vocational rehabilitation program.

RCs are contracted to work directly with FECA/LHWCA program IWs to facilitate rehabilitation services and reemployment. Working in conjunction with the FECA program RSs, CEs, and MBEs, the Contractor’s RC assists in enhancing the efficiency and efficacy of the vocational rehabilitation program, supporting claims personnel in their efforts to meet program goals and objectives as they relate to return to work and minimizing lost time from work due to disability. Contractor RC's primary communication is with the FECA RS. The FECA RS is the primary contact for the CE.

Reference the FECA/LHWCA Regulations and Standards, referenced below and as updated, are incorporated by reference:

https://www.dol.gov/agencies/owcp/FECA/regs/compliance/DFECfolio/FECA-PT8 https://www.dol.gov/agencies/owcp/FECA/regs/compliance/DFECfolio/FECA-PT7 https://www.dol.gov/agencies/owcp/FECA/regs/compliance/DFECfolio/FNHB-PT1 https://www.dol.gov/agencies/owcp/FECA/regs/compliance/DFECfolio/RCHB/part1

Reference Attachment J- DMP Overview additional information regarding DOL Disability Management Portal (DMP).

1.3 Objectives

To provide nationwide Nurse and Vocational Rehabilitation Case Management Services for the Nurse Intervention Program and Vocational Rehabilitation Program for OWCP. To provide all the personnel, tools, and supervision as directed by this PWS throughout the period of performance.

1.4 Scope

The services provided by the Contractor shall support the OWCP, FECA and/or LHWCA programs in maintaining the integrity and success of each program and facilitate the IW’s recovery and return to work, wherever feasible, in accordance with 33 USC § 944, 5U.S.C. 8103 and 8104.

This work involves the following:

1. Arrange for qualified and appropriate resources to make these services available for the FECA/LHWCA IW as provided in this PWS: Sections

1.6.8 for Key Personnel and Staffing Requirements.

2. Ensure timely case management from assignment to closure of services within the timeframes and to the specifications as provided in this PWS including, but not limited to:

a. Contractor’s RC services as provided in Section 5.4 of this PWS. Contractor’s RC services are provided telephonic or in person/fact-to-face, depending upon the needs of the case. RC services include but are not limited to: Making timely contact and initiating vocational rehabilitation services with IWs; coordination of vocational testing, development of vocational rehabilitation plans and facilitation of medical and vocational rehabilitation services; assisting the IW and all stakeholders with return to work goals through reemployment with the previous EA or with a new employer; assisting FECA program staff with determinations regarding the IW’s wage earning capacity as needed; closing assignments as directed; confirming that appropriate authorization is received prior to provision of services; and ensuring delivery of services in accordance with FECA/LHWCA program regulations and standards for timeliness and quality.

b. Contractor’s FN services as provided in Section 5.5 of this PWS. Contractor’s FN case management services are provided telephonic or in person/face-to-face, depending upon the needs of the case. Services provided include but are not limited to: Making contact and initiating nurse case management services with the IWs. Performing comprehensive nursing assessments and care plans to include anticipated duration of disability from work; obtaining medical records and documentation; facilitating and coordinating medical care/ needs with required contacts with the appropriate FECA staff, IW, EA, and medical provider(s), and OWCP’s Workers' Compensation Medical Bill Processing (WCMBP) portal; completing FN interventions, activities, outcomes, and recommendations; identifying cases suitable for a referral for a Second Opinion medical examination and/or referral to the Vocational Rehabilitation program and closing nurse case management services/assignments as directed. The FN shall also prepare cases for a referral for a Second Opinion medical examination upon request.

c. Contractor’s TN case management services as provided in Section 5.6 of this PWS. All Contractor’s TN services are telephonic only.

Services include performing initial TN assignment actions; making required contacts with the IW, EA, and medical provider(s); and following closure protocols within the timeframes and to the specifications provided.

3. Ensure provision of minimum IT requirements as described in 4.1 for use of the Government’s Current and all future IT systems, to include, but not limited to the FECA program’s Disability Management Portal (DMP), and OWCP’s WCMBP portal.

4. Ensure timely delivery of all pertinent case documents supplied by the FECA/LHWCA program to Contractor’s RCs, FNs, and TNs as required by this PWS.

5. Ensure timely submission of reports and other required documentation.

a. RC – 5.4 Task 3

b. FN – 5.5 Task 4

c. TN – 5.6 Task 5

6. Comply with applicable provisions of the Privacy Act of 1974 and otherwise ensure the security and confidentiality of IWs’ medical records and related materials entrusted to the custody of the Contractor, RC, FN, and/or TN.

7. Ensure timely, secure transmission of information to the FECA program of pertinent documents supplied by Contractor’s RCs, FNs, and/or TNs via DMP upload, with the exception of billable work products which are submitted with associated billing/invoice to the approved bill pay portal (WCMBP or equivalent). Reference Section 1.6.14for billable work products definitions, service dates and due dates. Documents (other than billable work products) can be uploaded via the Employees’ Compensation Operations and Management Portal (ECOMP). Any mode of transmission should ensure consistency with the Privacy Act of 1974.

All Services shall be provided for FECA/LHWCA IW per annum. Reference Technical Exhibit 3-Estimated Annual Data, Estimated Annual Number of Referrals and FTE and Monthly Workload Data. The affected IWs reside within the U.S. and the U.S territories. Case files are in the custody of the FECA/LHWCA Program. Access to the case files will be provided after award.

1.5 Period of Performance

The contemplated period of performance is one (1) base period and four (4) option period of 12-months each. The period of performance reads as follows:

Base Period: August 29, 2024- August 28, 2025 Option Period 1: August 29, 2025- August 28, 2026 Option Period 2: August 29, 2026- August 28, 2027 Option Period 3: August 29, 2027- August 28, 2028 Option Period 4: August 29, 2028- August 28, 2029

The Government reserves the right to extend the term of the resultant contract at the prices set forth in Section B in accordance with the terms and conditions contained in clause 52.217-9 entitled, “Option to Extend the Term of the Contract”.

1.6 General Information

1.6.1 Quality Control (QC)

The Contractor shall develop and maintain an effective Quality Control Plan (QCP) to ensure services are performed in accordance with this PWS.

The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor’s QCP is the means by which the Contractor assures compliance with the requirements of the contract. As a minimum, the Contractor shall develop QCP that address the areas identified in Technical Exhibit 1, “Performance Requirements Summary”. The QCP shall be submitted to the Contracting Officer and Contracting Officer Representative (COR) within 30 calendar days of contract award. After acceptance of the QCP, the Contractor shall receive the Contracting officer’s acceptance in writing of any proposed change to his QCP.

1.6.2 Quality Assurance

The Government will monitor the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP).

This plan is primarily focused on what the Government must do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.6.3 Government Remedies- please see clauses section

The Contractor understands and agrees that timely and satisfactory performance of the services required under this Contract is essential to the health and welfare of OWCP claimants and to their ability to return to work, as well as to the effectiveness and efficiency of the Government agencies that employ them, and to the financial and operational integrity of OWCP programs.

In accordance with the inspection and acceptance provisions of FAR 52.212-4, Contract Terms and Conditions—Commercial Products and Commercial Services (Nov. 2023), except as otherwise directed by the Contracting Officer, the Contractor is required to reproduce/correct work products it delivers which do not conform to the requirements of the Contract, at no increase in Contract price. For any such nonconforming work products, whether identified by the Government or discovered by the Contractor, except as otherwise directed by the Contracting Officer, the Contractor shall immediately undertake corrective work and must complete any required reperformance, and resubmit the deliverable, within seven (7) calendar days of the rejection/request. In cases where the Contractor fails to correct the deficiencies within this timeframe, or where the Contracting Officer rejects the nonconforming deliverable having determined that repair or reperformance is not possible, the Government will incur damages in the form of additional costs, for which the Government may seek price reductions or other adequate consideration and remedies, including assessment of Liquidated Damages as provided below, claims for breach of contract damages, less than satisfactory ratings in the Contractor Performance Assessment Reporting System (CPARS), and other Government remedies.

1.6.3.1 – Liquidated Damages

The following liquidated damages are provided for this contract. See FAR Subpart 11.5.

The Contractor is required to deliver services under this Contract, as demonstrated by submitting the associated Billable Work Products, no later than the Due Dates set out throughout the PWS and Technical Exhibits which are referenced in the table below. If the Contractor fails to submit the Billable Work Products by the Due Date, the Contractor shall, in place of actual damages, pay to the Government liquidated damages, calculated as set out below. The Government represents to the Contractor, and the Contractor understands, that the liquidated damage amounts below reflect the Government’s reasonable conservative estimates, at the time of award, of the probable costs to the Government for delayed performance.

If the Government terminates this Contract in whole or in part for cause, the Contractor is liable for liquidated damages accruing until the Government reasonably obtains delivery or performance of similar supplies or services. These liquidated damages are in addition to excess costs of repurchase under the termination provision of this Contract.

The Contractor will not be charged with liquidated damages when the delay in delivery or performance is beyond the control and without the fault or negligence of the Contractor as defined in the termination for cause provisions of this Contract.

Billable Work Products Report Due Date Liquidated Damages

FN Regular Report

Every report is due within 30 calendar days after the end date of the relevant Monthly Service Period. Any work product submitted after 30 calendar days is considered late and subject to liquidated damages.

$76.05 per every 15-calendar day period after the report is due, charged only at the end of the 15-day period, until a conforming report is submitted.

MAX: $228.15 after 45 calendar days.

FN Site Visit Report

Every report is due within 30 calendar days after the end date of the relevant Monthly Service Period. Any work product submitted after 30 calendar days is considered late and subject to liquidated damages.

$76.05 per every 15-calendar day period after the report is due, charged only at the end of the 15-day period, until a conforming report is submitted.

MAX: $228.15 after 45 calendar days.

RC Regular Report

Every report is due within 30 calendar days after the end date of the relevant Monthly Service Period. Any work product submitted after 30 calendar days is considered late and subject to liquidated damages.

$ 76.05 per every 15-calendar day period after the report is due, charged only at the end of the 15-day period, until a conforming report is submitted.

MAX: $228.15 after 45 calendar days.

RC Site Visit Report

Every report is due within 30 calendar days after the end date of the relevant Monthly Service Period. Any work product initially submitted after 30 calendar days is considered late and subject to liquidated damages.

$ 76.05 per every 15-calendar day period after the report is due, charged only at the end of the 15-day

Billable Work Products Report Due Date Liquidated Damages

Vocational Rehabilitation Plan

Every VR Plan is due within 150 calendar days following RC assignment. Any work product submitted after 150 calendar days without prior authorization of the Government is considered late and subject to liquidated damages.

$ 76.05 per every 15-calendar day period after the report is due, charged only at the end of the 15-day

The Liquidated Damages listed above are determined based on Government Staff Costs, those costs include only the effort of DOL personnel which will be needed to monitor, identify, address and correct the Contractor’s delays in performance. Additional costs beyond these are possible but have not been included in the calculation. There may be instances of delays where the Government may need to spend extraordinary efforts to correct the Contractor delays (incurring costs not reflected in the liquidated damages amounts below) in which case the Government may pursue actual damages in lieu of or in addition to liquidated damages.

o Liquidated Damages Calculation: ([X# of calendar days after due date a conforming billable work product is submitted] / 15 calendar days, rounded down to a whole number), multiplied by $76.05 Assessed Liquidated Damages o Below are some examples for calculating the Liquidated Damages for delayed billable work products:

Billable Work Product is delivered 14 calendar days after due date (44 calendar days after the end of the monthly service period)14 calendar days / 15 calendar days = 0.933 = 0 after rounding down * $76.05 = $0.00 in assessed damages.

Billable Work Product is delivered 20 calendar days after the due date (or 50 calendar days after the end of the monthly service period). 20 calendar days / 15 calendar days = 1.33 = 1 after rounding down * $76.05 = $76.05 in assessed damages Billable Work Product is delivered 35 calendar days after due date (65 calendar days after the end of the monthly service period)35 calendar days / 15 calendar days = 2.33 = 2 after rounding down * $76.05 = $152.10 in assessed damages

If a conforming billable work product has not been submitted within 60 calendar days after the due date (i.e., 90 calendar days after the end of the service period), submission of the billable work product will no longer repair the defect of the delayed performance and any future submission by the contractor will not be accepted and will not be paid for by DOL. The due date does not shift if the first/last day is on a holiday, weekend. Further, pursuant to PWS 1.6.3.1, DOL may seek actual damages from the contractor for its failure to perform the billable work product (including the impacts to the Government from the delay in return to work by the OWCP claimant).

Refer to Section 1.6.14 of the PWS for a detailed list of billable work products, their respective service periods and due dates, and Section 5 for respective performance requirements and Technical Exhibit 5 for examples of billable work products’ service periods and due date.

1.6.4 Recognized Holidays

The Contractor is not required to perform services on the following holidays:

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Juneteenth Day Christmas Day Independence Day

Or any other day designated by Federal Statute, Executive Order, or Presidential Proclamation. Reference the U.S. Office of Personnel Management (OPM) for the most recent information on approved Federal Holidays: https://www.opm.gov/policy-dataoversight/pay-leave/federal-holidays/#url=Overview.

Any of the above holidays falling on a Saturday or Sunday shall be observed on the date designated by the Federal Government. Observance of such days by Government personnel shall not be cause for additional period of performance or entitlement to compensation. If the Contractor’s personnel work on a holiday, the Government will not reimburse the contractor for holiday premium pay or other premium compensation.

1.6.5 Hours of Operation

https://www.opm.gov/policy-dataoversight/pay-leave/federal-holidays/#url%3DOverview https://www.opm.gov/policy-dataoversight/pay-leave/federal-holidays/#url%3DOverview

Contractor’s RC, FN, and TN shall establish their own hours as necessary to meet the Government’s requirements. The Contractor is responsible for providing contract case management and administration services between the hours of 8:00 am to 5:00 pm EST, Monday thru Friday except Federal holidays or when the Government is closed due to local or national emergencies. An emergency contact person shall be provided for FECA contract management in the event that communication is necessary after business hours or on weekends. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.6.6 Place of Performance

The work is to be performed throughout the United States, its possessions, territories, and trust territories. No contract staff will work in an OWCP location. The contract staff will work where the Contractor is located or in a location designated by the contractor.

The Contractor’s RCs and FNs must be available in sufficient numbers and geographically distributed as to cover IWs nationwide (including US Territories). Every effort should be made to assign a Contractor’s FN/RC within reasonable proximity to the community in which the IW resides to ensure the Contractor’s FN/RC is familiar with medical and vocational services and providers available in the area, as well as be able to provide in-person services should the need arise without a need to reassign the case to a new FN/RC. The FECA program considers a reasonable commuting distance to be within 50 miles one way to the community in which the IW resides.

Although FN/RC assignments are primarily telephonic and/or virtual, depending upon the needs of the case there may be a situation which requires an onsite visit. Therefore, it is important that the FN/RC is located within a reasonable proximity to the IW. RCs/FNs should be within a reasonable proximity to the IW whether telephonic or in person assignment. When the IW lives in a rural area the proximity to the IW may exceed the normal commuting distance requirement.

Note: Contractor’s TNs shall be provided in sufficient numbers to cover the services required and each associated task. In addition, TN services are telephonic only and prospective vendors shall only ensure places of performance are consistent with nurse licensing strictures.

** Medical professionals providing services for the NVRS requirement will be subject to the licensing requirements of the state(s) in which they are performing services. For example, if a Nurse intends to provide services in Florida and Kentucky, then the Nurse is required to meet the licensing standards of Florida and Kentucky. A FN compact license is acceptable. However, the provisions in this Section still apply. Every effort should be made to assign a Contractor’s FN/RC within reasonable proximity to the community in which the IW resides to ensure the Contractor’s FN/RC is familiar with medical and vocational services and providers available in the area, as well as be able to provide in-person services should the need arise without a need to reassign the case to a new FN/RC.

1.6.7 Security Requirements

Contractor personnel are required to conform to DOL's security and privacy requirements as described below:

1.6.7.1 Security Documentation

The Contractor shall comply with the Federal information security standards, DOL Computer Security guidelines and DOL Manual Series (DLMS). The Federal information security guidelines include, but are not limited to, the following:

1. Privacy Act of 1974 (5 U.S.C. § 552a)

2. OMB Circular No. A-130, Managing Information as a Strategic Resource, July 28, 2016

3. OMB Memorandum M-17-12, Preparing for and Responding to a Breach of Personally Identifiable Information, January 3, 2017

4. OMB Memorandum M-16-24, Role and Designation of Senior Agency Officials for Privacy, September 15, 2016

5. OMB Memorandum M-03-22, Guidance for Implementing the Privacy Provisions of the E-Government Act of 2002, September 30,

6. OMB Memorandum M-01-05, Guidance on Inter-Agency Sharing of Personal Data - Protecting Personal Privacy, December 20, 2000

7. OMB Memorandum M-00-13, Privacy Policies and Data Collection on Federal Web Sites, June 22, 2000

8. OMB Memorandum M-99-05, Instructions on Complying with President's Memorandum of May 14, 1998, "Privacy and Personal

Information in Federal Records,” January 7, 1999

9. DLMS 7 – Chapter 400 – Information Technology Security. To be provided as after award.

10. DLMS 7 – Chapter 1100 - Safeguarding Sensitive Data Including Personally Identifiable Information. To be provided as after award.

After award, OWCP will provide the Contractor with a copy of the presentation covering new user computer security training and a copy of the OWCP IT Rules of Behavior (ROB).