20342326N00001.pdf

Request for Information Pharmacy Services 20342326N00001

The purpose of this Request for Information (RFI) is to find capable vendors to support the Armed Forces Retirement Home of Washington, D.C. (AFRH-W) with Pharmacy Services in accordance with the attached draft Performance Work Statement (PWS). VENDORS MUST REVIEW THE ENTIRE REQUIREMENT AND SHALL ONLY

RESPOND IF FULLY CAPABLE OF SATISFYING ALL ASPECTS OF THE REQUIREMENT.

This is an RFI for market research purposes, and not a solicitation.

I. SCOPE SUMMARY (see DRAFT PWS for requirement details)

The Performance Work Statement (PWS) is to establish Pharmacy Services for AFRH-W to furnish all the necessary services, qualified personnel, material, equipment, and facilities, not otherwise provided by the Government as needed to perform the PWS.

II. ANTICIPATED PERIOD OF PERFORMANCE

The anticipated Period of Performance is April 1, 2026 – March 31, 2030.

III. ADDITIONAL DETAILS

NO SOLICITATION IS AVAILABLE. A request for more information, or a copy of the solicitation, will not be considered an affirmative response to this Request for Information. Telephone responses or inquiries to this Request for Information will NOT be accepted.

Fiscal Service will consider responses received no later than 2:00 PM EST, October 14, 2025, as submitted in writing to kaity.eaton@fiscal.treasury.gov and purchasing@fiscal.treasury.gov. Please reference "RFI - 20342326N00001 KE/PW" in the subject line.

Questions about this RFI will not be entertained, as a vendor pool is all that is being sought at this time. Questions and Answers will be fielded during the RFQ period in the future. Quotations will not be accepted at this time.

Qualified contractors must provide the following:

1. The name and location of your company, contact information, and identify your business size and socioeconomic category. Please ensure contact information includes the name of the point of contact, email address, and telephone number should the Government have questions regarding individual responses.

2. Any GSA contract or other vehicle your services are available through, including the schedule/GWAC number, NAICS Codes, and applicable SIN.

3. Submissions should include sufficient evidence clearly demonstrating a vendor’s capability.

Responding vendors shall provide a general capabilities statement that includes a description of their standard line(s) of business, information outlining their experience, along with a technical narrative addressing each specified requirement in the PWS.

Interested vendors are also encouraged to pay special attention to insurance requirements shown in sections 3 and 4 along with all other requirements shown in the PWS.

The following file extensions are not allowable and application materials/data submitted with these extensions cannot be considered: .bat, .cmd, .com, .exe, .pif, .rar, .scr, .vbs, .hta,, .cpl, and .zip files. Microsoft Office compatible documents are acceptable.

This notice does not restrict the Government to an ultimate acquisition approach. All firms responding to this notice are advised that their response is not a request that will be considered for contract award. All interested parties will be required to respond to any resultant solicitation separately from their response to this notice, should one be issued.

mailto:kaity.eaton@fiscal.treasury.gov mailto:purchasing@fiscal.treasury.gov

ARMED FORCES RETIREMENT HOME IN WASHINGTON, DC (AFRH-W)

PHARMACY SERVICES AND RELATED SERVICES

PERFORMANCE WORK STATEMENT (PWS)

1. BACKGROUND. The Armed Forces Retirement Home (AFRH) in Washington, DC is a Continuing Care Retirement Community (CCRC). In 1991, the AFRH became an independent Federal agency with the enactment the Defense Authorization Act, Public Law 101-501. This modern retirement community offers Residential Living, Independent Living Plus, Assisted Living, Long Term Care and Memory Support to our Nation's Veterans. Currently there are approximately 555 residents who live on the campus of the Washington, DC location, located at 3700 North Capitol Street, NW, Washington, DC 20011.

2. SCOPE. The AFRH has the requirement for Pharmacy Services for the residents of the AFRH. The contractor must also provide ancillary services required to abide by all state and federal standards and AFRH policies and Operational Instructions. The contractor shall be responsible for ensuring compliance with regard to Pharmaceuticals.

The contractor shall perform in accordance with the terms and conditions stated in this Performance Work Statement (PWS).

The period of performance shall be for one (1) twelve-month base period and four (4) 12-month option periods, from April 1, 2026 – March 31, 2030.

3. GENERAL DESCRIPTION

3.1. Resident Population. Resident population includes Long Term Care, Memory Support, Assisted Living, Independent Living Plus, and Independent Living. Total estimated population at the Washington Facility is highlighted below. There are no residents covered by Medicare Part A nor does AFRH receive reimbursement for Medicare Part A coverage. Estimated breakout of the population is:

Population Base

Period Option

Period 1 Option

Period 2 Option

Period 3 Option

Period 4 Long Term Care 36 36 36 36 36 Memory Support 24 24 24 24 24 Assisted Living 60 60 60 60 60 Independent Living 410 410 410 410 410 Independent Living Plus 25 25 25 25 25 Total: 555 555 555 555 555

The contractor shall be expected to meet the needs of the residents by providing accurate dispensing of medications. The current average age for population is 85. The average medication per individual is sixteen.

3.2. Resident Insurance. Approximately 80 percent of AFRH residents are covered by Tricare, and 95 percent of them are covered by Medicare Part D and Supplemental insurance/other health insurance (OHI). OHI is any health insurance received through an employer or private insurance program. Any OHI in addition to TRICARE coverage is considered to be the primary health insurance and shall be billed first. At the present time, TRICARE requires that services be requested through primary care physician in order for TRICARE to be billed for services. The contractor shall directly bill the resident's insurance company for reimbursement of services. Resident's insurance companies shall be responsible for payment of services. The Government shall not be responsible for payment and shall not be billed for these services.

3.3. Co-Payments. AFRH will be responsible for co-payments and services for those residents who do not have TRICARE or Other Third-Party Billing Services. The AFRH will identify to the contractor those residents for which AFRH is responsible for payment. (Approximately 10 residents).

3.4. New Resident Screening. The AFRH shall be responsible for the initial screening of new residents to the

AFRH and for providing information to the contractor when necessary.

3.5. Professional Codes. The contractor shall be responsible for providing all pharmacy services following all prescribed dictates of their professional and licensure codes as prescribed by the resident's physician.

4. REQUIRED SERVICES

4.1. Insurance. The contractor shall be an approved provider and have a proven ability/record to bill Medicare, Tricare and other supplementary medical insurance. Resident insurance companies shall be responsible for payment of services. The Government is not responsible for payment and shall not be billed for these services except copayments and services for those residents not covered under Medicare, Tricare and other supplementary medical insurance.

The contractor shall provide assurances that AFRH will be the last payer for services not covered by the residents Medicare, Tricare and other supplementary medical insurance. The contractor shall have written policies and procedures that articulate specific procedures personnel shall follow when submitting initial and follow-up claims. Policies shall address the education and training requirements for billing and coding personnel; the risk areas for fraud, waste, and abuse; the integrity of the billing information system; the methodology for resolving ambiguities in the paperwork; and the procedure to ensure duplicate bills are not submitted in an attempt to gain duplicate payment. Specific attention shall be placed on the proper steps the coder will take if unable to locate a code for a documented diagnosis or procedure. The contractor's standards of conduct shall reflect a commitment to the highest quality health data submission, as evidenced by its accuracy, reliability, timeliness and validity. The contractor shall perform regular; periodic audits of AFRH billings by internal or external auditors who have expertise in Federal and State health care statutes, and Federal, State and private payer health care program requirements.

Insurance information and informed consent will be provided to the contractor by AFRH at the time services begin. AFRH will work with residents and/or conservator to ensure the residents fully understand that their private insurance will be billed for services. If the contractor experiences difficulties in obtaining insurance information, the contractor shall contact the Contracting Officer Representative (COR). In the case of a resident who is under a conservatorship, the AFRH will be responsible for providing insurance information and in assisting with informed consent, where applicable.

The contractor will bill flu shots to the residents' insurance and not AFRH. AFRH will notify the vendor when a resident is admitted to the hospital. In this circumstance the medication should be on hold and AFRH should not be billed when residents are not in the care of AFRH. The contractor shall provide a monthly detailed report including the insurance provider for every resident. AFRH will notify the contractor of any changes or deaths.

The vendor will provide a prompt update regarding all medications that cannot be delivered within a 24hr period. If the medication is on back order, the vendor must have a way to obtain and deliver the medication within 48hours (72hrs maximum).

4.2. Provide Pharmacy & Related Services as outlined in the Performance Work Statement (PWS).

4.3. Provide a monthly detailed report including the insurance provider for every resident.

4.4. Provide accurate billing services for Tricare and other Third-party payers for reimbursement of services.

4.5. Professional Codes. The contractor shall adhere to all requirements, regulations, and ethical practices, standards and Licensing requirements for pharmacy services in good standing under their regulatory agency or agencies. The contractor shall fulfill all necessary requirements for credentialing under the rules and regulations of the federal government and maintain licensure as appropriate for pharmacist(s) in good standing and registered in any state in the United States.

4.6. Dispensing Medication. Contractors are encouraged to submit alternative packaging so the supply on hand is minimized. (Unit dose is the preferred method of distribution.) The contractor shall deliver medications on an as needed basis. The contractor shall have a local back-up pharmacy, a consultant pharmacist on-call and/or emergency delivery of medications 24 hours a day. The contractor shall provide an acceptable timeframe for delivery of emergency medications for approval. The contractor shall use generic medications whenever possible.

4.7. Drug Regimens. The contractor shall have expertise in doing drug regimen reviews.

4.8. In-Service Training. The contractor shall have the ability and shall provide in-service staff training for drugs prescribed as requested by the Director of Nursing, Nurse Educator or Designee.

4.9. Drug Reviews/Medication Pass Reviews. The contractor shall perform periodic drug reviews and medication pass reviews at the Washington, D.C. facility. Drug reviews and medication pass reviews shall be conducted monthly at the beginning of contract performance. Drug reviews and medication pass reviews shall be in accordance with state, federal and AFRH requirements (monthly). Reports and any additional documentation as required should be provided upon completion of reviews or as requested by AFRH AND OR the COR of record.

4.10. Meeting Attendance. The contractor shall be able to attend the Pharmacy & Therapeutic Committee, which meets on a quarterly basis as scheduled. In addition, the contractor should be able to attend meetings on the unit, campus and committee levels as required by AFRH.

4.11. Formulary. The contractor shall have a current formulary targeted specifically to the geriatric resident.

4.12. Equipment Needs. The contractor shall supply each facility with adequate medication carts, as necessary

(estimated two (2) medication carts and one fax machine or computerized system per floor) to transmit prescription needs. The AFRH will determine the number of carts required based on the packaging system proposed by the contractor. (A 30-day supply of medication per resident may require more carts than being supplied with a 7-day or 14-Day supply). Serves as the POC to handle all equipment trouble shooting and internet issues and concerns. Replace and repair any equipment within 5 business days.

4.13. Software Needs (by way of a Subscription). The contractor shall supply each facility with adequate software that handles the functions 1-8 at a minimal below via Point Click Care software (Third Party).

1. Serve as the POC and handle trouble shooting tickets for each facility for the subscription.

2. Manage Security: Data base and assign security role.

3. Interdisciplinary Admission Process/Move-In Session: Document throughout the admission process, review of all processes with emphasis and demonstration on QADT, profile tab allergies, and completing initial diagnoses.

4. Order Entry and Training: Reconcile medications upon admission, update and enter new orders received and how to choose the correct order type and schedule.

5. Orders Management and Training: Reconcile medications upon admission, update and enter new orders received and how to choose the correct order type and schedule.

6. Orders Administration Process (eMAR): Document administration of medications and treatments to residents, and how to reconcile supplies received from the pharmacy.

7. Orders Portal Management: Monitor and manage the Orders Portal, link supply messages, and reorder medications.

8. Manager's (Orders Portal Review, Dashboards, Reports): Conduct daily workflows to help manage compliance, alerts, and identify trends through review of the Dashboards, Portals and Reports.

4.14. Emergency Dispensing System. The contractor shall provide an emergency /back-up system (via an electronic dispense system). The contractor shall audit the electronic dispensing system every month to ensure compliance AND provide an accurate list of medications to the assigned COR of record.

4.15. Regulations. The contractor shall meet all state and federal regulations and AFRH policies.

4.16. Standards. This is not a personal service contract. However, the contractor, although in fact not a

Government employee, shall comply with Executive Order 1 122, May 8, 1965, "Prescribing Standards of Ethical Conduct for Government Officers and Employees," and shall also comply with regulations implementing this Executive Order. Additionally, the contractor shall comply with all safety practices, vehicle registration, speed limits and any other AFRH regulation and policy applicable to conduct patient care.

4.17. Pre-Authorizations. All pre-authorization forms must be completed by the contractor and not AFRH.

4.18. Project management.

• Contractor shall understand that this project manager position and or alternate shall at no time be vacant.

• Contractor shall understand that the COR is not responsible for managing daily operations of this contract/pharmacy.

• Contractor shall understand that the project manager and or alternate is responsible for the performance of the work of this contract/mailroom. This is the responsibility of a project manager and or alternate.

• A designated project manager and or alternate must be assigned to this contract.

• Contactor shall provide in writing the name and contact information of the full-time primary project manager and or alternate NLT 10 calendar days after contract award and or modifications and NLT 2 calendar days prior to any change in personnel, absence and sent to the COR, COR supervisor, and CO in accordance with this contract.

• The Project Manager or alternate shall have full authority to act on all contract matters related to daily operations of this contract/pharmacy.

• Contractor shall understand the agency COR will not backfill in the absent of a project management and or alternate of this contract/pharmacy.

5. DUTY HOURS. The contractor shall be available to provide services 24 hours per day, 7 days per week.

During reviews, surveys, and inspections by external groups or organizations (JC, CARF/CCAC, etc.), the contractor may be required to accommodate the reviews' schedules at the facility or via telephone conference (whichever is necessary).

6. AFRH RESPONSIBILITIES. AFRH nursing personnel will place orders for medications via fax or computerized medical ordering system. Nursing personnel will provide the necessary information to the contractor in order to ensure orders are filed in a timely manner.

7. SERVICES NOT COVERED BY MEDICARE/TRICARE/SUPPLEMENTAL INSURANCE WILL BE

PAID BY THE AFRH. Approximately 80 percent of AFRH residents are covered by TRICARE, and 95 percent of our residents are covered by Medicare, Medicare Part D, and Supplemental insurance/other health insurance (OHI). OHI is any health insurance received through an employer or private insurance program. Any OHI in addition to TRICARE coverage is considered to be the primary health insurance and shall be billed first.

Like TRICARE, Medicare is a federal entitlement, and cannot be dropped like other private health plans. While Medicare does pay before TRICARE, it is considered to be OHI. Each resident's Medicare and OHI will be billed first, TRICARE will pay last.

Services not covered by insurance will be covered by the AFRH. The contractor shall provide a list of the required services indicated above, not normally covered under insurance with their proposal for providing services. Co-insurance will be paid last by AFRH.

8. PERSONNEL QUALIFICATIONS. The contractor shall provide personnel having the following minimum levels of professional and technical experience. The specialized experience included as part of the required qualifications shall have been obtained in the fields of endeavor indicated by the following labor categories.

• Pharmacist(s) licensed in the State of contract performance (Washington, DC)

• Registered Nurse licensed in the State of contract performance (Washington, DC)

• Minimum of an RPI-I or Doctorate RPI-I degree from a nationally recognized college or university covering such degree in Pharmacy.

• The Registered Nurse must have an RN/BS degree.

• A current unrestricted pharmacy license to practice in the state/district of the United States where the services are being performed. The contractor shall be responsible for complying with all state, federal, local and AFRH requirements.

9. HEALTH REQUIREMENT. Contractor personnel performing services at AFRH under this contract shall be free of communicable disease. A purified protein derivative test for tuberculosis (PPD) shall be required. If the PPD is negative, a Chest X-ray shall not be required. If the PPD is positive, a Chest X-ray shall be required.

The contractor shall submit documentation of passed procedures. The contractor shall pay the expenses for all physical examination/tests required under the provisions of this contract.

10. LITIGATION PROVISION. If the contractor's health care providers who are providing services under this contract have pending litigation or administrative proceedings that may affect his or her licenses to practice pharmacy services or his/her standing as a fellow/member in a professional organization, full disclosure must be provided to the Contracting Officer within five (5) days upon his/her notification by the judicial or administrative form.

If it is determined by the medical legal review that the standard of care has not been met, or there is substantial evidence of negligence on the part of the contractor or Contractor's personnel, regardless of the final judicial decision, this contract may be terminated at the discretion of the AFRH.

11. INFORMATION SHARING. Sharing of resident medical information at AFRH shall follow all Health

Information Portability and Accountability (HIPPA) regulations. See Attachment A - HIPAA

REGULATIONS.

12. AFRH RULES & REGULATIONS. Contractor personnel visitation on site shall observe and comply with all rules and regulations prescribed by the installation authorities concerning fire, safety, sanitation, security, possession of firearms, or other lethal weapons. The CO or COR will provide copies of applicable local regulations or documents to the contractor upon request.

12.1 Employee Qualifications. The contractor's personnel performing work under this PWS shall remain employees of the contractor and shall not be considered employees of the Government. Contractor employees working under this contract shall be citizens of the United States and possess the ability to fluently read, speak, write and understand English.

12.2 National Agency Check (NAC). All Contractor employees are required to undergo background security investigations to ensure suitability for employment with a Federal entity. At a minimum, criminal background checks shall be conducted for Maryland, the District of Columbia, Virginia and any state where the prospective employee has resided for at least seven years. The contractor shall provide the COR and CO a security investigation summary for each Contractor employee working on AFRH. The Government is authorized to restrict access, if a Contractor employee is identified as a potential threat to the health, safety, general welfare, or operational mission of AFRH and its residents.

12.3 Background Checks. Successful adjudication of a Public Trust Position Background Check is applicable to

Contractors Public Trust position. These positions have the potential for adverse impact on either integrity and/or efficiency of the mission. High-Risk positions have the potential for moderate to serious impact on the organization's mission. These positions do not require a security clearance, but they do require a background investigation to determine an employee's suitability to occupy the position. Public Trust positions require the completion of Standard Form (SF) 85P, Questionnaire for Public Trust Positions.

Contractor personnel shall be free of any felony convictions and any misdemeanor convictions that are directly related to the performance of security related duties. Examples include but are not limited to assault/battery, domestic violence, fraud swindles, drug violations, or criminal offense, which pose a risk to the safety and security of the AFRH.

12.4 Replacement of Contractor Employees for Security Reasons. The government retains the right to request removal of the contractor's employees, regardless of prior clearance or background investigation (BI) adjudication status, whose actions clearly conflict with the interest of the Government. Upon the determination by the CO that a Contractor employee should be removed. The contractor must remove the contractor's employee immediately after notification and shall provide replacement within five days. New hires or substitutions of employees are subject to the same BI requirements.

12.5 Employee Badges/Parking. Contractor employees shall visibly display Government furnished identification badges on their person in accordance with the AFRH procedures. All Contractor employees shall comply with parking procedures published for the AFRH. Contractor employees shall return identification badges, keys, and parking and vehicle IDs to the AFRH security immediately upon termination of employment or completion of the contract.

12.6 Motor Vehicle Traffic Regulations. Contractor employee's operating motor vehicles, at AFRH shall possess a valid driver's license. Driver and vehicle permits, licenses, registrations and proof of insurance shall be maintained in the vehicle at all times, and made available upon request. Contractor employees shall comply with the District of Columbia laws requiring seat belts be worn at all times. Contractor employees shall adhere to the posted speed limits. Speed limits on AFRH grounds are 15mph unless otherwise posted.

Only 5mph is permitted when AFRH residents are present. Contractor employees driving a motor vehicle on AFRH grounds cannot use a cell phone unless the vehicle is safely parked, or the driver is using a hands-free device.

12.7 Conflict of Interest. The Contractor shall not employ off-duty COR's or other Government employees if such employment would create a conflict of interest or be contrary to the policies contained in conflict of interest directives utilized by the AFRH and its entities.

12.8 Non-Payment for Additional Work. Any additional services or a change to work specified which may be performed by contractor, either at its own violation or at the request of any individual other than a duly appointed CO, except as may be explicitly authorized in the contract, will be done at the financial risk of the contractor. Only a duly appointed CO is authorized to bind the Government to a change in specifications, contract terms, or conditions.

13. QUALITY CONTROL. The contractor shall establish and maintain a Quality Control Program (QCP) to ensure the work performed conforms to contract requirements. The contractor shall submit the QCP with their proposal for review and approval. The Performance Requirements Summary (PRS, see 15. below), establishes performance thresholds that are the minimum requirements for acceptable performance of tasks required of this PWS. The contractor's QCP shall also address methods for remedying poor performance.

14. QUALITY ASSURANCE. The COR will monitor the contractor's performance under this contract using the quality assurance procedures specified in the Government's Quality Surveillance Plan (QASP). The QASP will be modified after contract award and review/acceptance of the contractor's QCP to ensure both plans are mutually supportive.

15. PERFORMANCE REPORTS AND MEETINGS. The Contractor shall supply the Government monthly reports to the COR to ensure satisfactory performance in accordance with the PWS. These reports shall include remedies for any issues that arise throughout the each month for a total of 12 reports per year. Additionally, the Government and Contractor representatives shall meet either on site or via telephone conferencing, as mutually agreed-to by the Government and the Contractor at a min of once a month.

16. MANAGEMENT. The Contractor shall manage the total effort associated with the services contained herein and must ensure adequate and timely completion of work. Management includes: planning, scheduling, cost accounting, report preparation, establishing and maintaining records, and quality control. The Contractor shall ensure satisfactory performance of the required work.

17. STATUS REPORTS. The Contractor shall submit monthly status reports to the COR in regards to task

(required services) 4-9 in the PWS.

18. PERFORMANCE REQUIREMENTS SUMMARY (PRS). The contractor service requirements are summarized into performance objectives that relate directly to the mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

19. METHODS OF SURVEILLANCE. – Random Inspection. This method employs a “spot check” style of inspection and may be adjusted, based on quality trends. The Government retains the right to inspect all requirements of the contract. Unacceptable performance will be recorded and the Contractor shall be required to correct the unacceptable condition within a 24-hour time period. If the Contractor does not correct the unacceptable condition within 24-hours, the COR will notify the Contracting Officer who will take appropriate administrative action for unacceptable performance.

20. METHODS OF SURVEILLANCE. – Customer Complaints. The COR will validate all customer complaints. The CO will make final determination on the validity of customer complaint(s) in cases of disagreement between the COR and the contractor. Validated customer complaints will be rectified within 24 hours. If the contractor fails to recognize a valid customer complaint, the CO will take appropriate administrative action. Government-caused complaints/defects shall not negatively impact the Contractor’s performance evaluation. Validated customer complaints and all COR periodic surveillance documentation will be used to support contractor performance ratings in the Contractor Performance Assessment Reporting System

(CPARS).

The contractor's satisfactory re-performance of services shall be at no additional cost to the Government and shall not remove the status of the validated customer complaint as it applies to the performance thresholds in the PRS.

21. PERFORMANCE EVALUATION. This contract is subject to a performance evaluation to be placed in the contract file at the end of each contract period and at contract completion.

Task# Required Service Performance Standard Monitoring Method

Incentive/ Disincentive

4.1. Provide updates regarding

any medications that cannot be delivered within a 24hr period and must obtain and deliver the medication within 48hours (72hrs maximum).

99 Percent Perform services in accordance with the Performance WorkStatement

Monthly Inspection

Positive or Negative Past Performance Evaluation

4.2. Provide Pharmacy &

Related Services as outlined in the Performance Work Statement (PWS).

99 Percent Perform services in accordance with state, federal & AFRH standards (National error rate is less than 1%. )

Monthly Inspection

Positive or Negative Past Performance Evaluation

4.3. Provide an accurate

monthly detailed report including the insurance provider for every resident.

12 of 12 Months Monthly Inspection

Positive or Negative Past Performance Evaluation.

4.4. Provide accurate billing

services for Tricare and other Third-party payers for reimbursement of services

99 Percent Perform services in accordance with the Performance Work Statement

Monthly Inspection

Positive or Negative Past Performance Evaluation

4.5. Professional Codes, The

Contractor shall fulfill all necessary requirements for credentialing under the rules and regulations of the federal government and maintain licensure as appropriate for pharmacist(s) in good standing and registered in any state in the United Sates.

99 Percent Perform services in accordance with the Performance Work Statement

Monthly Inspection

Positive or Negative Past Performance Evaluation

4.6. Dispensing Medication, Submit alternative packaging so the supply on hand is minimized (Unit dose is the preferred method of distribution) The contractor shall deliver medications on as as needed basis. The contractor shall have a local back- up pharmacy, a consultant pharmacist on-call and /or emergency delivery of medications 24 hours a day. The contractor shall provide an acceptable timeframe for delivery of emergency medications for approval.

99 Percent Perform services in accordance with the Performance Work Statement

Monthly Inspection

Positive or Negative Past Performance Evaluation

4.7. Drug Regimens, In

Service Training, Drug Reviews/Medication Pass Reviews, Meeting Attendance, Formulary.

The reviews, regimens, in-service training outlined in 4.7, 4.8 and 4.9. are to be delivered electronically.

The reports shall meet the requirements as outlined in each section above.

The Staff shall attend and participate in the In-service Training described in 4.8.

99 Percent Perform services in accordance with the Performance Work Statement

Monthly Inspection

Positive or Negative Past Performance Evaluation

4.12. Equipment Needs;

Emergency Dispensing System; Regulations, Standards AND Pre Authorizations.

The Contractor shall supply each facility with adequate medication carts, the equipment shall meet all the requirements outlined in 4.12.

The Emergency Dispensing Systems shall meet all the requirements

99 Percent Perform services in accordance with the Performance Work Statement

Monthly Inspection

Positive or Negative Past outlined in 4.14.

The Contractor shall meet all state and federal regulations and AFRH policies.

All pre-authorization forms must be completed by the contractor and not the AFRH staff.

4.13. Software Needs (by way

of a Subscription). The contractor shall supply each facility with adequate software that handles the functions 1-8 at a minimal in the PWS via Point Click Care Software (Third Party).

99 Percent Perform services in accordance with the Performance Work Statement

Monthly Inspection

Positive or Negative Past

CONTRACT DOCUMENTS, EXHIBTS, AND ATTACHMENTS

ATTACHMENT A - HIPAA Agreement ATTACHMENT B - Pricing Sheet ATTACHMENT C - Technical Exhibit Wage Grade Determination ATTACHMENT D - Estimated Workload Data

Attachment B: Wage Pricing

13-1082 Project Management Specialists Analyze and coordinate the schedule, timeline, procurement, staffing, and budget of a product or service on a per project basis. Lead and guide the work of technical staff. May serve as a point of contact for the client or customer. Excludes "Management Occupations" (11-0000), "Logisticians" (13-1081), "Meeting, Convention, and Event Planners" (13-1121), and "Production, Planning, and Expediting Clerks" (43-5061).

Illustrative examples: Design Project Management Specialists , Movie Project Management Specialists https://www.bls.gov/soc/2018/major_groups.htm file:///fiscalad.treasury.gov/...%20Services/1.%20PRE%20SOL/PWS,%20SOW,%20SOO/Wage%20Determination%20%23%2015-4281.txt[9/25/2025 7:54:40 AM]

"REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2015-4281 Daniel W. Simms Division of | Revision No.: 34 Director Wage Determinations| Date Of Last Revision: 07/08/2025

Note: Contracts subject to the Service Contract Act are generally required to pay at least the applicable minimum wage rate required under Executive Order 14026 or Executive Order 13658.

|If the contract is entered into on or |Executive Order 14026 generally applies to | |after January 30, 2022, or the |the contract. | |contract is renewed or extended (e.g., |The contractor must pay all covered workers | |an option is exercised) on or after |at least $17.75 per hour (or the applicable | |January 30, 2022: |wage rate listed on this wage determination,| | |if it is higher) for all hours spent | | |performing on the contract in 2025. | |If the contract was awarded on or |Executive Order 13658 generally applies to | |between January 1, 2015 and January 29,|the contract. | |2022, and the contract is not renewed |The contractor must pay all covered workers | |or extended on or after January 30, |at least $13.30 per hour (or the applicable | |2022: |wage rate listed on this wage determination,| | |if it is higher) for all hours spent | | |performing on the contract in 2025. |

The applicable Executive Order minimum wage rate will be adjusted annually. Additional information on contractor requirements and worker protections under the Executive Orders is available at www.dol.gov/whd/govcontracts.

States: District of Columbia, Maryland, Virginia

Area: District of Columbia Statewide Maryland Counties of Charles, Prince George's Virginia Counties of Alexandria, Arlington, Fairfax, Falls Church, Fauquier, Loudoun, Manassas, Manassas Park, Prince William, Stafford

**Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

01000 - Administrative Support And Clerical Occupations 01011 - Accounting Clerk I 21.83 01012 - Accounting Clerk II 24.50 file:///fiscalad.treasury.gov/...%20Services/1.%20PRE%20SOL/PWS,%20SOW,%20SOO/Wage%20Determination%20%23%2015-4281.txt[9/25/2025 7:54:40 AM]

01013 - Accounting Clerk III 27.41 01020 - Administrative Assistant 39.97 01035 - Court Reporter 29.26 01041 - Customer Service Representative I 17.59*** 01042 - Customer Service Representative II 19.19 01043 - Customer Service Representative III 21.54 01051 - Data Entry Operator I 19.11 01052 - Data Entry Operator II 20.85 01060 - Dispatcher, Motor Vehicle 25.71 01070 - Document Preparation Clerk 21.07 01090 - Duplicating Machine Operator 21.07 01111 - General Clerk I 20.12 01112 - General Clerk II 21.96 01113 - General Clerk III 24.65 01120 - Housing Referral Assistant 26.61 01141 - Messenger Courier 22.01 01191 - Order Clerk I 20.25 01192 - Order Clerk II 22.10 01261 - Personnel Assistant (Employment) I 22.42 01262 - Personnel Assistant (Employment) II 25.08 01263 - Personnel Assistant (Employment) III 27.95 01270 - Production Control Clerk 28.45 01290 - Rental Clerk 21.83 01300 - Scheduler, Maintenance 21.33 01311 - Secretary I 21.33 01312 - Secretary II 23.86 01313 - Secretary III 26.61 01320 - Service Order Dispatcher 22.98 01410 - Supply Technician 39.97 01420 - Survey Worker 22.94 01460 - Switchboard Operator/Receptionist 19.12 01531 - Travel Clerk I 22.65 01532 - Travel Clerk II 24.70 01533 - Travel Clerk III 26.66 01611 - Word Processor I 18.97 01612 - Word Processor II 21.29 01613 - Word Processor III 23.81 05000 - Automotive Service Occupations 05005 - Automobile Body Repairer, Fiberglass 29.21 05010 - Automotive Electrician 28.76 05040 - Automotive Glass Installer 27.09 05070 - Automotive Worker 27.09 05110 - Mobile Equipment Servicer 23.30 05130 - Motor Equipment Metal Mechanic 30.28 05160 - Motor Equipment Metal Worker 27.09 05190 - Motor Vehicle Mechanic 30.28 05220 - Motor Vehicle Mechanic Helper 21.32 05250 - Motor Vehicle Upholstery Worker 25.28 05280 - Motor Vehicle Wrecker 27.09 05310 - Painter, Automotive 28.76 05340 - Radiator Repair Specialist 27.09 05370 - Tire Repairer 21.12 05400 - Transmission Repair Specialist 30.28 07000 - Food Preparation And Service Occupations file:///fiscalad.treasury.gov/...%20Services/1.%20PRE%20SOL/PWS,%20SOW,%20SOO/Wage%20Determination%20%23%2015-4281.txt[9/25/2025 7:54:40 AM]

07010 - Baker 17.87 07041 - Cook I 20.40 07042 - Cook II 23.72 07070 - Dishwasher 17.70*** 07130 - Food Service Worker 17.41*** 07210 - Meat Cutter 22.13 07260 - Waiter/Waitress 18.48 09000 - Furniture Maintenance And Repair Occupations 09010 - Electrostatic Spray Painter 28.23 09040 - Furniture Handler 15.47*** 09080 - Furniture Refinisher 24.81 09090 - Furniture Refinisher Helper 18.38 09110 - Furniture Repairer, Minor 21.80 09130 - Upholsterer 21.85 11000 - General Services And Support Occupations 11030 - Cleaner, Vehicles 17.68*** 11060 - Elevator Operator 17.84 11090 - Gardener 25.16 11122 - Housekeeping Aide 17.84 11150 - Janitor 17.84 11210 - Laborer, Grounds Maintenance 19.16 11240 - Maid or Houseman 17.70*** 11260 - Pruner 18.28 11270 - Tractor Operator 23.02 11330 - Trail Maintenance Worker 19.16 11360 - Window Cleaner 18.70 12000 - Health Occupations 12010 - Ambulance Driver 24.09 12011 - Breath Alcohol Technician 31.01 12012 - Certified Occupational Therapist Assistant 40.02 12015 - Certified Physical Therapist Assistant 36.67 12020 - Dental Assistant 23.78 12025 - Dental Hygienist 52.41 12030 - EKG Technician 45.58 12035 - Electroneurodiagnostic Technologist 45.58 12040 - Emergency Medical Technician 24.09 12071 - Licensed Practical Nurse I 27.72 12072 - Licensed Practical Nurse II 31.01 12073 - Licensed Practical Nurse III 34.57 12100 - Medical Assistant 22.48 12130 - Medical Laboratory Technician 34.27 12160 - Medical Record Clerk 25.58 12190 - Medical Record Technician 28.61 12195 - Medical Transcriptionist 20.72 12210 - Nuclear Medicine Technologist 49.45 12221 - Nursing Assistant I 15.11*** 12222 - Nursing Assistant II 17.01*** 12223 - Nursing Assistant III 18.56 12224 - Nursing Assistant IV 20.83 12235 - Optical Dispenser 28.14 12236 - Optical Technician 23.50 12250 - Pharmacy Technician 21.90 12280 - Phlebotomist 23.72 12305 - Radiologic Technologist 41.51 file:///fiscalad.treasury.gov/...%20Services/1.%20PRE%20SOL/PWS,%20SOW,%20SOO/Wage%20Determination%20%23%2015-4281.txt[9/25/2025 7:54:40 AM]

12311 - Registered Nurse I 31.84 12312 - Registered Nurse II 38.95 12313 - Registered Nurse II, Specialist 38.95 12314 - Registered Nurse III 47.12 12315 - Registered Nurse III, Anesthetist 47.12 12316 - Registered Nurse IV 56.48 12317 - Scheduler (Drug and Alcohol Testing) 38.42 12320 - Substance Abuse Treatment Counselor 30.37 13000 - Information And Arts Occupations 13011 - Exhibits Specialist I 24.30 13012 - Exhibits Specialist II 30.10 13013 - Exhibits Specialist III 36.82 13041 - Illustrator I 25.90 13042 - Illustrator II 32.08 13043 - Illustrator III 39.23 13047 - Librarian 43.76 13050 - Library Aide/Clerk 21.22 13054 - Library Information Technology Systems 39.51 Administrator 13058 - Library Technician 24.49 13061 - Media Specialist I 28.52 13062 - Media Specialist II 31.90 13063 - Media Specialist III 35.55 13071 - Photographer I 24.22 13072 - Photographer II 27.09 13073 - Photographer III 33.55 13074 - Photographer IV 41.04 13075 - Photographer V 49.65 13090 - Technical Order Library Clerk 26.65 13110 - Video Teleconference Technician 30.84 14000 - Information Technology Occupations 14041 - Computer Operator I 27.25 14042 - Computer Operator II 30.48 14043 - Computer Operator III 33.99 14044 - Computer Operator IV 37.76 14045 - Computer Operator V 41.82 14071 - Computer Programmer I (see 1) 14072 - Computer Programmer II (see 1) 14073 - Computer Programmer III (see 1) 14074 - Computer Programmer IV (see 1) 14101 - Computer Systems Analyst I (see 1) 14102 - Computer Systems Analyst II (see 1) 14103 - Computer Systems Analyst III (see 1) 14150 - Peripheral Equipment Operator 27.25 14160 - Personal Computer Support Technician 37.76 14170 - System Support Specialist 41.82 15000 - Instructional Occupations 15010 - Aircrew Training Devices Instructor (Non-Rated) 41.82 15020 - Aircrew Training Devices Instructor (Rated) 50.59 15030 - Air Crew Training Devices Instructor (Pilot) 60.66 15050 - Computer Based Training Specialist / Instructor 41.82 15060 - Educational Technologist 48.91 15070 - Flight Instructor (Pilot) 60.66 15080 - Graphic Artist 39.60 file:///fiscalad.treasury.gov/...%20Services/1.%20PRE%20SOL/PWS,%20SOW,%20SOO/Wage%20Determination%20%23%2015-4281.txt[9/25/2025 7:54:40 AM]

15085 - Maintenance Test Pilot, Fixed, Jet/Prop 60.66 15086 - Maintenance Test Pilot, Rotary Wing 60.66 15088 - Non-Maintenance Test/Co-Pilot 60.66 15090 - Technical Instructor 32.56 15095 - Technical Instructor/Course Developer 39.83 15110 - Test Proctor 26.28 15120 - Tutor 26.28 16000 - Laundry, Dry-Cleaning, Pressing And Related Occupations 16010 - Assembler 20.03 16030 - Counter Attendant 20.03 16040 - Dry Cleaner 22.90 16070 - Finisher, Flatwork, Machine 20.03 16090 - Presser, Hand 20.03 16110 - Presser, Machine, Drycleaning 20.03 16130 - Presser, Machine, Shirts 20.03 16160 - Presser, Machine, Wearing Apparel, Laundry 20.03 16190 - Sewing Machine Operator 23.86 16220 - Tailor 24.82 16250 - Washer, Machine 20.99 19000 - Machine Tool Operation And Repair Occupations 19010 - Machine-Tool Operator (Tool Room) 31.46 19040 - Tool And Die Maker 38.21 21000 - Materials Handling And Packing Occupations 21020 - Forklift Operator 24.07 21030 - Material Coordinator 28.45 21040 - Material Expediter 28.45 21050 - Material Handling Laborer 19.81 21071 - Order Filler 18.01 21080 - Production Line Worker (Food Processing) 24.07 21110 - Shipping Packer 21.99 21130 - Shipping/Receiving Clerk 21.99 21140 - Store Worker I 19.08 21150 - Stock Clerk 22.91 21210 - Tools And Parts Attendant 24.07 21410 - Warehouse Specialist 24.07 23000 - Mechanics And Maintenance And Repair Occupations 23010 - Aerospace Structural Welder 46.69 23019 - Aircraft Logs and Records Technician 37.02 23021 - Aircraft Mechanic I 44.33 23022 - Aircraft Mechanic II 46.69 23023 - Aircraft Mechanic III 48.97 23040 - Aircraft Mechanic Helper 31.21 23050 - Aircraft, Painter 42.10 23060 - Aircraft Servicer 37.02 23070 - Aircraft Survival Flight Equipment Technician 42.10 23080 - Aircraft Worker 39.66 23091 - Aircrew Life Support Equipment (ALSE) Mechanic 39.66 I 23092 - Aircrew Life Support Equipment (ALSE) Mechanic 44.33

II

23110 - Appliance Mechanic 27.81 23120 - Bicycle Repairer 20.03 23125 - Cable Splicer 43.10 23130 - Carpenter, Maintenance 28.58 file:///fiscalad.treasury.gov/...%20Services/1.%20PRE%20SOL/PWS,%20SOW,%20SOO/Wage%20Determination%20%23%2015-4281.txt[9/25/2025 7:54:40 AM]

23140 - Carpet Layer 24.79 23160 - Electrician, Maintenance 36.28 23181 - Electronics Technician Maintenance I 35.18 23182 - Electronics Technician Maintenance II 37.35 23183 - Electronics Technician Maintenance III 39.32 23260 - Fabric Worker 29.06 23290 - Fire Alarm System Mechanic 31.36 23310 - Fire Extinguisher Repairer 26.78 23311 - Fuel Distribution System Mechanic 37.07 23312 - Fuel Distribution System Operator 28.53 23370 - General Maintenance Worker 26.68 23380 - Ground Support Equipment Mechanic 44.33 23381 - Ground Support Equipment Servicer 37.02 23382 - Ground Support Equipment Worker 39.66 23391 - Gunsmith I 26.78 23392 - Gunsmith II 31.14 23393 - Gunsmith III 34.80 23410 - Heating, Ventilation And Air-Conditioning 34.66 Mechanic 23411 - Heating, Ventilation And Air Contidioning 36.51 Mechanic (Research Facility) 23430 - Heavy Equipment Mechanic 34.05 23440 - Heavy Equipment Operator 29.25 23460 - Instrument Mechanic 37.03 23465 - Laboratory/Shelter Mechanic 33.05 23470 - Laborer 19.81 23510 - Locksmith 35.47 23530 - Machinery Maintenance Mechanic 33.73 23550 - Machinist, Maintenance 34.32 23580 - Maintenance Trades Helper 20.27 23591 - Metrology Technician I 37.03 23592 - Metrology Technician II 39.00 23593 - Metrology Technician III 40.91 23640 - Millwright 29.89 23710 - Office Appliance Repairer 24.28 23760 - Painter, Maintenance 24.00 23790 - Pipefitter, Maintenance 33.08 23810 - Plumber, Maintenance 31.42 23820 - Pneudraulic Systems Mechanic 34.80 23850 - Rigger 34.16 23870 - Scale Mechanic 31.14 23890 - Sheet-Metal Worker, Maintenance 30.59 23910 - Small Engine Mechanic 24.40 23931 - Telecommunications Mechanic I 37.06 23932 - Telecommunications Mechanic II 39.03 23950 - Telephone Lineman 45.15 23960 - Welder, Combination, Maintenance 28.87 23965 - Well Driller 32.07 23970 - Woodcraft Worker 34.80 23980 - Woodworker 26.78 24000 - Personal Needs Occupations 24550 - Case Manager 23.07 24570 - Child Care Attendant 17.20*** 24580 - Child Care Center Clerk 21.46 file:///fiscalad.treasury.gov/...%20Services/1.%20PRE%20SOL/PWS,%20SOW,%20SOO/Wage%20Determination%20%23%2015-4281.txt[9/25/2025 7:54:40 AM]

24610 - Chore Aide 17.91 24620 - Family Readiness And Support Services 23.07 Coordinator 24630 - Homemaker 23.07 25000 - Plant And System Operations Occupations 25010 - Boiler Tender 42.88 25040 - Sewage Plant Operator 32.51 25070 - Stationary Engineer 42.88 25190 - Ventilation Equipment Tender 30.19 25210 - Water Treatment Plant Operator 32.51 27000 - Protective Service Occupations 27004 - Alarm Monitor 29.26 27007 - Baggage Inspector 20.31 27008 - Corrections Officer 33.19 27010 - Court Security Officer 32.91 27030 - Detection Dog Handler 22.72 27040 - Detention Officer 33.19 27070 - Firefighter 32.62 27101 - Guard I 20.31 27102 - Guard II 22.72 27131 - Police Officer I 36.09 27132 - Police Officer II 40.11 28000 - Recreation Occupations 28041 - Carnival Equipment Operator 21.74 28042 - Carnival Equipment Repairer 23.76 28043 - Carnival Worker 17.22*** 28210 - Gate Attendant/Gate Tender 21.78 28310 - Lifeguard 16.92*** 28350 - Park Attendant (Aide) 24.36 28510 - Recreation Aide/Health Facility Attendant 17.78 28515 - Recreation Specialist 30.17 28630 - Sports Official 19.40 28690 - Swimming Pool Operator 27.63 29000 - Stevedoring/Longshoremen Occupational Services 29010 - Blocker And Bracer 35.81 29020 - Hatch Tender 35.81 29030 - Line Handler 35.81 29041 - Stevedore I 33.42 29042 - Stevedore II 38.01 30000 - Technical Occupations 30010 - Air Traffic Control Specialist, Center (HFO) (see 2) 52.72 30011 - Air Traffic Control Specialist, Station (HFO) (see 2) 36.35 30012 - Air Traffic Control Specialist, Terminal (HFO) (see 2) 40.04 30021 - Archeological Technician I 24.14 30022 - Archeological Technician II 27.00 30023 - Archeological Technician III 33.44 30030 - Cartographic Technician 33.44 30040 - Civil Engineering Technician 41.58 30051 - Cryogenic Technician I 37.04 30052 - Cryogenic Technician II 40.90 30061 - Drafter/CAD Operator I 24.14 30062 - Drafter/CAD Operator II 27.00 30063 - Drafter/CAD Operator III 30.09 30064 - Drafter/CAD Operator IV 37.04 file:///fiscalad.treasury.gov/...%20Services/1.%20PRE%20SOL/PWS,%20SOW,%20SOO/Wage%20Determination%20%23%2015-4281.txt[9/25/2025 7:54:40 AM]

30081 - Engineering Technician I 22.92 30082 - Engineering Technician II 25.72 30083 - Engineering Technician III 28.79 30084 - Engineering Technician IV 35.64 30085 - Engineering Technician V 43.61 30086 - Engineering Technician VI 52.76 30090 - Environmental Technician 31.79 30095 - Evidence Control Specialist 33.44 30210 - Laboratory Technician 29.01 30221 - Latent Fingerprint Technician I 37.63 30222 - Latent Fingerprint Technician II 41.56 30240 - Mathematical Technician 42.36 30361 - Paralegal/Legal Assistant I 25.58 30362 - Paralegal/Legal Assistant II 31.69 30363 - Paralegal/Legal Assistant III 38.77 30364 - Paralegal/Legal Assistant IV 46.90 30375 - Petroleum Supply Specialist 40.90 30390 -…