36C24926R0007.docx

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Q522--Other - VISN 9 Tele-Radiology Contract - VISN Replacement base+4 requirement
Solicitation number
36C24926R0007
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This is a solicitation document for VISN 9 Tele-Radiology Services issued by the Department of Veterans Affairs Network Contracting Office 9. The VA seeks a contractor to provide Board Certified or Board Eligible teleradiology physician services to five medical centers: James H. Quillen VA Medical Center, Lexington VAMC, Louisville VAMC, Memphis VAMC, and TVHS VAMCs at Murfreesboro and Nashville. The contract is a Firm Fixed Price (FFP) Indefinite Delivery/Indefinite Quantity (IDIQ) contract with a five-year base term plus a six-month option period, with task orders issued as needed. The total contract minimum is $100,000 and maximum is $45,000,000 over all ordering periods. Services include diagnostic plain films, computed tomography, CT angiography, magnetic resonance imaging, ultrasound, nuclear medicine, and positron emission tomography (PET CT) interpretations.

The contractor must provide 24/7/365 availability for stat, urgent, and routine exam interpretations, with routine exams completed within 24 hours, STAT exams within 45 minutes, and stroke protocol CTs within 30 minutes of image availability at the VA Trusted Internet Connection Gateway. All contract physicians must maintain current, unrestricted medical licenses; board certification in diagnostic radiology or nuclear medicine; VA credentialing and privileging; professional liability insurance ($1,000,000 per person/$3,000,000 per occurrence); and workers' compensation insurance. The contractor is responsible for secure data transmission via FIPS-compliant encryption, Health Level Seven (HL7) interface integration with VA VistA systems, a web-based portal for exam management, and backup communications during data telecommunications loss. The offer due date is August 5, 2026, at 10:00 a.m. CST. Award is anticipated for March 1, 2026, with performance beginning the same date. Evaluation factors include technical capabilities (clinical and technical), business operations (experience, recruiting, staffing, key personnel, quality control), past performance (minimum three references), SDVOSB/VOSB participation, and price.

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File Type Posted
36C24926R0007 0004.docx DOCX document
36C24926R0007 0003.docx DOCX document
36C24926R0007 0002.docx DOCX document
D.3 - CONFLICT OF INTEREST CERTIFICATION STATEMENTR1.pdf PDF
36C24926R0007 0001.docx DOCX document
RFQ 36C24926R0007 Questions and Answers.docx DOCX document
D.5 - Past Performance Survey-QuestionnaireR1.docx DOCX document
D.3 - CONFLICT OF INTEREST CERTIFICATION STATEMENT.pdf PDF
D.2 - CONTRACTOR CERTIFICATION IMMIGRATION AND NATIONALITY ACT OF 1952 AS AMENDED.pdf PDF
D.5 - Past Performance Survey-Questionnaire.docx DOCX document
D.4 - VHA Teleradiology Handbook.docx DOCX document
D.1 QASP TELRADIOLOGY CONTRACTORS.docx DOCX document
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36C24926R0007

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

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

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

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

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C24926R0007 4-8 -202 Ramona Bonness 615-225-5843 5-8 -2026 10:00 am

CST

Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129 X X 621111 $16 Million N/A X

SEE SCHEDULE- VISN WIDE SERVICES

Lexington, Louisville, Memphis, Mountain Home, and TVHS Facilities

90C Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 1639 Medical Center Parkway Suite 204 Murfreesboro TN 37129

90C FSC e-Invoicing Payment http://www.fsc.va.gov/fsc/einvoice.asp Invoice Setup Information 1-877-489-6135 Invoice must be submitted electronically

Setup 1-877-489-6135 See CONTINUATION Page VISN 9 Teleradiology Services to be performed at the contractor's location in accordance with the price schedule on page and the performance work statement beginning on page See CONTINUATION Page Task orders to be issued separately X Carol Franklin Contracting Officer Table of Contents

SECTION A1
A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES1
SECTION B - CONTINUATION OF SF 1449 BLOCKS5
B.1CONTRACT ADMINISTRATION DATA5
B.2 PRICE SCHEDULE7
LIN ITEM INFORMATION8
B.3 Performance Work Statement Services42
B.4 VA INFORMATION AND INFORMATION SYSTEM SECURITY AND PRIVACY LANGUAGE FOR INCLUSION IN CONTRACTS, AS APPROPRIATE71
SECTION C - CONTRACT CLAUSES87
C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)87
C.2 52.216-18 ORDERING (AUG 2020)92
C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)92
C.4 52.216-22 INDEFINITE QUANTITY (NOV 2025) (DEVIATION)93
C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)93
C.6 VAAR 852.204-71 INFORMATION AND INFORMATION SYSTEMS SECURITY (FEB 2023)94
C.7 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023) (DEVIATION)102
C.8 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)103
C.9 SUPPLEMENTAL INSURANCE REQUIREMENTS104
C.10 VAAR 852.222-71 COMPLIANCE WITH EXECUTIVE ORDER 13899 (DEVIATION)(APR 2025)105
C.11 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (OCT 2019)105
C.12 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)106
C.13 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)106
FAR NumberTitleDate
52.203-16PREVENTING PERSONAL CONFLICTS OF INTERESTJUN 2020
52.203-17CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTSNOV 2023
52.204-9PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNELJAN 2011
52.204-13SYSTEM FOR AWARD MANAGEMENT MAINTENANCE
52.224-1PRIVACY ACT NOTIFICATIONAPR 1984
52.224-2PRIVACY ACTAPR 1984
52.227-14RIGHTS IN DATA—GENERALMAY 2014
52.228-5INSURANCE—WORK ON A GOVERNMENT INSTALLATIONJAN 1997
52.229-3FEDERAL, STATE, AND LOCAL TAXESFEB 2013
52.229-4FEDERAL, STATE, AND LOCAL TAXES (STATE AND LOCAL ADJUSTMENTS)FEB 2013
52.232-18AVAILABILITY OF FUNDSAPR 1984
52.237-3CONTINUITY OF SERVICESJAN 1991
852.201-70CONTRACTING OFFICER'S REPRESENTATIVEDEC 2022
852.203-70COMMERCIAL ADVERTISINGMAY 2018
852.204-70PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNELMAY 2020
852.219-74VA NOTICE OF TOTAL SET-ASIDE FOR VERIFIED VETERAN-OWNED SMALL BUSINESSESNOV 2022
852.219-76VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SUPPLIES AND PRODUCTS (DEVIATION)JAN 2023
852.232-72ELECTRONIC SUBMISSION OF PAYMENT REQUESTSNOV 2018
852.237-72CRIME CONTROL ACT—REPORTING OF CHILD ABUSEOCT 2019
852.237-74NON-DISCRIMINATION IN SERVICE DELIVERYOCT 2019
852.237-75KEY PERSONNELOCT 2019
852.239-73INFORMATION SYSTEM HOSTING, OPERATION, MAINTENANCE, OR USEFEB 2023
C.14 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (OCT 2025) ALTERNATE I (FEB 2000)107
C.15 MANDATORY WRITTEN DISCLOSURES114
SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS:115
D.1 QASP TELRADIOLOGY CONTRACTORS.115
D.2 - CONTRACTOR CERTIFICATION IMMIGRATION AND NATIONALITY ACT OF 1952 AS AMENDED.115
D.3 - CONFLICT OF INTEREST CERTIFICATION STATEMENT.115
D.4 - VHA TELERADIOLOGY HANDBOOK.115
D.5 - PAST PERFORMANCE SURVEY-QUESTIONNAIRE.115
SECTION E - SOLICITATION PROVISIONS116
E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (OCT 2025)116
E.2 ADDENDUM TO 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS119
INSTRUCTIONS TO OFFERORS121
NOTICE TO OFFERORS121
E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)122
E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (NOV 2025)125
E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)126
E.6 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED BY REFERENCE (JAN 2008)126
FAR NumberTitleDate
52.229-11TAX ON CERTAIN FOREIGN PROCUREMENTS—NOTICE AND REPRESENTATIONJUN 2020
852.209-70ORGANIZATIONAL CONFLICTS OF INTERESTOCT 2020
852.233-70PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTIONOCT 2018
852.233-71ALTERNATE PROTEST PROCEDUREOCT 2018
852.273-70LATE OFFERS(End of Provision)NOV 2021

E.7 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) 127

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1CONTRACT ADMINISTRATION DATA
(Continuation from Standard Form 1449, block 18A.)

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

Company Name:

Contact Person:

Title:

Address:

City/State/Zip: (9-digit zip) Overnight Mailing Address (if different from above):

(9-digit zip)
Phone & Fax No.:Phone:Fax:(include BOTH
numbers)

E-Mail:

Tax ID No.:

DUNS No.:

SAM UEI No:

b. GOVERNMENT:

Carol Franklin, Contracting Officer Department of Veterans Affairs Network Contract Activity - VISN 9 1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129 Overnight Mailing Address: Same as above Phone: (615) 225-5843;

E-Mail: carol.franklin@va.gov

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with FAR 52.232-33, Payment by Electronic Funds Transfer – Other than Central Contractor Registration.

3. INVOICES:

3. The Contractor shall accept payment for services rendered under this contract as payment in full and will not bill the veteran or his or her third-party insurer for any services covered under this contract or for additional services the VA pays the Contractor outside this contract.

3. See Performance Work Statement Section 6 for invoicing instructions.

1. GOVERNMENT INVOICE INQUIRIES: The Department of Veterans Affairs (VA Financial Service Center (FSC) is the designated agency payment office in accordance with the Prompt Payment Act (5 CSF Part 1315). For inquiries, the Contractor may contact the VA FSC via US Mail at the following mailing address:

Department of Veterans Affairs

FSC

P.O. Box 149971 Austin, TX 78714

Payments by the VA shall constitute full payment.

[End of Contract Administration Data]

ACKNOWLEDGMENT OF AMENDMENTS: The Offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO. DATE

B.2 PRICE SCHEDULE

Under the authority of Public Law 104-262 and 38 USC 8153, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to the Department of Veterans Affairs (VA) Medical Centers, James H. Quillen VA Medical Center (JHQ VAMC), Lexington VAMC, Louisville VAMC, Memphis VAMC, TVHS VAMCs at Murfreesboro and Nashville. The term of the contract shall be one five (5) year term, (with 5 annual ordering periods) from the award effective date plus a six-month option period that may be exercised by the VA in accordance with FAR 52.217-8.

NOTE: Changes to the contract can only be made by a written modification which is executed by the Contracting Officer.

PRICING INSTRUCTIONS:

Contractor shall complete the Schedule of Services for the all ordering periods. Proposals shall identify for each line item AN ALL-INCLUSIVE RATE.

ORDERING INSTRUCTIONS:

Orders: This is a Firm Fixed Price (FFP) Indefinite Delivery/Indefinite Quantity (IDIQ) contract. Task orders shall be issued “as needed” during the term of the contract as determined by the Contracting Officer. Each task order shall have an established period of performance. Individual task orders shall not exceed a 12-month period.

TASK ORDER PROCEDURES:

a. The task orders shall specify the estimated quantities of each line-item number required during the period of performance, the place of performance, and method of payment for the order. Additionally, all task orders shall reference the parent contract number and shall comply with FAR Clauses 52.216-18 and 52.216-19.

b. The contractor shall initiate work when directed by a task order issued by the contracting officer. No work under any task order shall be performed unless specifically authorized by the contracting officer. Approval of a task order shall not constitute approval to exceed any item listed in the contract or general provisions of the contract. The total dollar amount of task orders shall not exceed the overall maximum order limitation provided in FAR Clause 52.216-19 (b)(2). The contractor shall not exceed the estimated task order amount or change the task order without prior written approval of the Contracting Officer.

c. Task order prices shall be fixed price as per the schedule of services. The unit price is an all-inclusive price. If the contract period of performance is extended using FAR Clause 52.217-8, the specified rates under this clause will be those rates in effect under the contract each time an option is exercised under this clause.

d. In the event the Contractor is unable to fulfill the task order requirements for whatever reason; the Government reserves the right to fulfill its need outside of this contract. A written confirmation from the contractor indicating the inability to fulfill the task order is immediately required. The quantity of cases ordered on the unfilled task order will be applied to the minimum quantity. The Government’s right to fulfill its need outside of this contract does not waive its right to the issuance of a cure notice nor does it wave it’s right to terminate for default.

Total Contract Minimum $100,000.00 and Total Contract Maximum $45,000,000.00

LIN ITEM INFORMATION

LIN ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
ESTIMATED QUANTITY
UNIT
UNIT PRICE
ESTIMATED

TOTAL

AMOUNT

0.00
EA
__________________
__________________

0001 PF Diagnostic Plain Films Contract Period: Base Ordering Period 1 POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q522 - Medical - Radiology

0001AA

4,800.00
EA
__________________
__________________

0001 PF Diagnostic Plain Films -Lexington

POP Begin: 03-01-2026 POP End: 02-28-2027

0001AB

6,225.00
EA
__________________
__________________

0001 PF Diagnostic Plain Films - Louisville

POP Begin: 03-01-2026 POP End: 02-28-2027

0001AC

8,313.00
EA
__________________
__________________

0001 PF Diagnostic Plain Films - Memphis

POP Begin: 03-01-2026 POP End: 02-28-2027

0001AD

9,300.00
EA
__________________
__________________

0001 PF Diagnostic Plain Films -Mountain Home

POP Begin: 03-01-2026 POP End: 02-28-2027

0001AE

24,473.00
EA
__________________
__________________

0001 PF Diagnostic Plain Films -TVHS

POP Begin: 03-01-2026 POP End: 02-28-2027

0.00
EA
__________________
__________________

0002 All CT - Computed Tomography (Excluding LIN 0003 & 0004 Categories)

POP Begin: 03-01-2026 POP End: 02-28-2027

0002AA

4,500.00
EA
__________________
__________________

0002 CT Computed Tomography - Lexington

POP Begin: 03-01-2026 POP End: 02-28-2027

0002AB

840.00
EA
__________________
__________________

0002 CT Computed Tomography - Louisville

POP Begin: 03-01-2026 POP End: 02-28-2027

0002AC

3,826.00
EA
__________________
__________________

0002 CT Computed Tomography - Memphis

POP Begin: 03-01-2026 POP End: 02-28-2027

0002AD

450.00
EA
__________________
__________________

0002 CT Computed Tomography - Mountain Home

POP Begin: 03-01-2026 POP End: 02-28-2027

0002AE

5,482.00
EA
__________________
__________________

0002 CT Computed Tomography - TVHS

POP Begin: 03-01-2026 POP End: 02-28-2027

0.00
EA
__________________
__________________

0003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis

POP Begin: 03-01-2026 POP End: 02-28-2027

0003AA

3,600.00
EA
__________________
__________________

0003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis - Lexington VAMC

POP Begin: 03-01-2026 POP End: 02-28-2027

0003AB

612.00
EA
__________________
__________________

0003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis -Louisville

POP Begin: 03-01-2026 POP End: 02-28-2027

0003AC

7,504.00
EA
__________________
__________________

0003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis -Memphis

POP Begin: 03-01-2026 POP End: 02-28-2027

0003AD

235.00
EA
__________________
__________________

0003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis-Mountain Home

POP Begin: 03-01-2026 POP End: 02-28-2027

0003AE

4,066.00
EA
__________________
__________________

0003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis-TVHS

POP Begin: 03-01-2026 POP End: 02-28-2027

0.00
EA
__________________
__________________

0004 CT Angio Abdominal Aorta & Lower Extremities

POP Begin: 03-01-2026 POP End: 02-28-2027

0004AA

120.00
EA
__________________
__________________

0004 CT Angio Abdominal Aorta & Lower Extremities-Lexington

POP Begin: 03-01-2026 POP End: 02-28-2027

0004AB

327.00
EA
__________________
__________________

0004 CT Angio Abdominal Aorta & Lower Extremities - Louisville

POP Begin: 03-01-2026 POP End: 02-28-2027

0004AC

760.00
EA
__________________
__________________

0004 CT Angio Abdominal Aorta & Lower Extremities - Memphis

POP Begin: 03-01-2026 POP End: 02-28-2027

0004AD

30.00
EA
__________________
__________________

0004 CT Angio Abdominal Aorta & Lower Extremities - Mountain Home

POP Begin: 03-01-2026 POP End: 02-28-2027

0004AE

2,130.00
EA
__________________
__________________

0004 CT Angio Abdominal Aorta & Lower Extremities - TVHS

POP Begin: 03-01-2026 POP End: 02-28-2027

0.00
EA
__________________
__________________

0005 Magnetic Resonance Imaging

POP Begin: 03-01-2026 POP End: 02-28-2027

0005AA

1,560.00
EA
__________________
__________________

0005 Magnetic Resonance Imaging - Lexington

POP Begin: 03-01-2026 POP End: 02-28-2027

0005AB

258.00
EA
__________________
__________________

0005 Magnetic Resonance Imaging - Louisville

POP Begin: 03-01-2026 POP End: 02-28-2027

0005AC

1,044.00
EA
__________________
__________________

0005 Magnetic Resonance Imaging - Memphis

POP Begin: 03-01-2026 POP End: 02-28-2027

0005AD

60.00
EA
__________________
__________________

0005 Magnetic Resonance Imaging - Mountain Home

POP Begin: 03-01-2026 POP End: 02-28-2027

0005AE

2,816.00
EA
__________________
__________________

0005 Magnetic Resonance Imaging - TVHS

POP Begin: 03-01-2026 POP End: 02-28-2027

0.00
EA
__________________
__________________

0006 US Ultrasound

POP Begin: 03-01-2026 POP End: 02-28-2027

0006AA

36.00
EA
__________________
__________________

0006 US Ultrasound - Lexington

POP Begin: 03-01-2026 POP End: 02-28-2027

0006AB

3.00
EA
__________________
__________________

0006 US Ultrasound - Louisville

POP Begin: 03-01-2026 POP End: 02-28-2027

0006AC

420.00
EA
__________________
__________________

0006 US Ultrasound - Memphis

POP Begin: 03-01-2026 POP End: 02-28-2027

0006AD

30.00
EA
__________________
__________________

0006 US Ultrasound - Mountain Home

POP Begin: 03-01-2026 POP End: 02-28-2027

0006AE

1,140.00
EA
__________________
__________________

0006 US Ultrasound - TVHS

POP Begin: 03-01-2026 POP End: 02-28-2027

0.00
EA
__________________
__________________

0007 NM Nuclear Medicine

POP Begin: 03-01-2026 POP End: 02-28-2027

0007AA

30.00
EA
__________________
__________________

0007 NM Nuclear Medicine - Lexington

POP Begin: 03-01-2026 POP End: 02-28-2027

0007AB

10.00
EA
__________________
__________________

0007 NM Nuclear Medicine - Louisville

POP Begin: 03-01-2026 POP End: 02-28-2027

0007AC

36.00
EA
__________________
__________________

0007 NM Nuclear Medicine - Memphis

POP Begin: 03-01-2026 POP End: 02-28-2027

0007AD

0.00
EA
__________________
__________________

0007 NM Nuclear Medicine - Mountain Home

POP Begin: 03-01-2026 POP End: 02-28-2027

0007AE

0.00
EA
__________________
__________________

0007 NM Nuclear Medicine - TVHS

POP Begin: 03-01-2026 POP End: 02-28-2027

0.00
EA
__________________
__________________

0008 PT Positron Emission Tomography (PET CT)

POP Begin: 03-01-2026 POP End: 02-28-2027

0008AA

0.00
EA
__________________
__________________

0008 PT Positron Emission Tomography (PET CT) - Lexington

POP Begin: 03-01-2026 POP End: 02-28-2027

0008AB

10.00
EA
__________________
__________________

0008 PT Positron Emission Tomography (PET CT) - Louisville

POP Begin: 03-01-2026 POP End: 02-28-2027

0008AC

0.00
EA
__________________
__________________

0008 PT Positron Emission Tomography (PET CT) - Memphis

POP Begin: 03-01-2026 POP End: 02-28-2027

0008AD

10.00
EA
__________________
__________________

0008 PT Positron Emission Tomography (PET CT) - Mountain Home

POP Begin: 03-01-2026 POP End: 02-28-2027

0008AE

0.00
EA
__________________
__________________

0008 PT Positron Emission Tomography (PET CT) - TVHS

POP Begin: 03-01-2026 POP End: 02-28-2027

(ESTIMATED) SUBTOTAL BASE Order Period 1
$_________________
0.00
EA
__________________
__________________

1001 PF Diagnostic Plain Films Contract Period: Ordering period 2 POP Begin: 03-01-2027 POP End: 02-29-2028

1001AA

4,896.00
EA
__________________
__________________

1001 PF Diagnostic Plain Films -Lexington

POP Begin: 03-01-2027 POP End: 02-29-2028

1001AB

6,350.00
EA
__________________
__________________

1001 PF Diagnostic Plain Films - Louisville

POP Begin: 03-01-2027 POP End: 02-29-2028

1001AC

8,479.00
EA
__________________
__________________

1001 PF Diagnostic Plain Films - Memphis

POP Begin: 03-01-2027 POP End: 02-29-2028

1001AD

9,300.00
EA
__________________
__________________

1001 PF Diagnostic Plain Films -Mountain Home

POP Begin: 03-01-2027 POP End: 02-29-2028

1001AE

24,962.00
EA
__________________
__________________

1001 PF Diagnostic Plain Films -TVHS

POP Begin: 03-01-2027 POP End: 02-29-2028

0.00
EA
__________________
__________________

1002 All CT - Computed Tomography (Excluding below listed)

POP Begin: 03-01-2027 POP End: 02-29-2028

1002AA

4,590.00
EA
__________________
__________________

1002 CT Computed Tomography - Lexington

POP Begin: 03-01-2027 POP End: 02-29-2028

1002AB

857.00
EA
__________________
__________________

1002 CT Computed Tomography - Louisville

POP Begin: 03-01-2027 POP End: 02-29-2028

1002AC

7,504.00
EA
__________________
__________________

1002 CT Computed Tomography - Memphis

POP Begin: 03-01-2027 POP End: 02-29-2028

1002AD

450.00
EA
__________________
__________________

1002 CT Computed Tomography - Mountain Home

POP Begin: 03-01-2027 POP End: 02-29-2028

1002AE

5,592.00
EA
__________________
__________________

1002 CT Computed Tomography - TVHS

POP Begin: 03-01-2027 POP End: 02-29-2028

0.00
EA
__________________
__________________

1003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis

POP Begin: 03-01-2027 POP End: 02-29-2028

1003AA

3,672.00
EA
__________________
__________________

1003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis - Lexington

POP Begin: 03-01-2027 POP End: 02-29-2028

1003AB

624.00
EA
__________________
__________________

1003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis -Louisville

POP Begin: 03-01-2027 POP End: 02-29-2028

1003AC

7,654.00
EA
__________________
__________________

1003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis -Memphis

POP Begin: 03-01-2027 POP End: 02-29-2028

1003AD

240.00
EA
__________________
__________________

1003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis-Mountain Home

POP Begin: 03-01-2027 POP End: 02-29-2028

1003AE

4,147.00
EA
__________________
__________________

1003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis-TVHS

POP Begin: 03-01-2027 POP End: 02-29-2028

0.00
EA
__________________
__________________

1004 CT Abdominal Aorta & Lower Extremities

POP Begin: 03-01-2027 POP End: 02-29-2028

1004AA

122.00
EA
__________________
__________________

1004 CT Abdominal Aorta & Lower Extremities-Lexington

POP Begin: 03-01-2027 POP End: 02-29-2028

1004AB

334.00
EA
__________________
__________________

1004 CT Abdominal Aorta & Lower Extremities - Louisville

POP Begin: 03-01-2027 POP End: 02-29-2028

1004AC

775.00
EA
__________________
__________________

1004 CT Abdominal Aorta & Lower Extremities - Memphis

POP Begin: 03-01-2027 POP End: 02-29-2028

1004AD

31.00
EA
__________________
__________________

1004 CT Abdominal Aorta & Lower Extremities - Mountain Home

POP Begin: 03-01-2027 POP End: 02-29-2028

1004AE

2,216.00
EA
__________________
__________________

1004 CT Abdominal Aorta & Lower Extremities - TVHS

POP Begin: 03-01-2027 POP End: 02-29-2028

0.00
EA
__________________
__________________

1005 Magnetic Resonance Imaging

POP Begin: 03-01-2027 POP End: 02-29-2028

1005AA

1,591.00
EA
__________________
__________________

1005 Magnetic Resonance Imaging - Lexington

POP Begin: 03-01-2027 POP End: 02-29-2028

1005AB

263.00
EA
__________________
__________________

1005 Magnetic Resonance Imaging - Louisville

POP Begin: 03-01-2027 POP End: 02-29-2028

1005AC

1,065.00
EA
__________________
__________________

1005 Magnetic Resonance Imaging - Memphis

POP Begin: 03-01-2027 POP End: 02-29-2028

1005AD

61.00
EA
__________________
__________________

1005 Magnetic Resonance Imaging - Mountain Home

POP Begin: 03-01-2027 POP End: 02-29-2028

1005AE

2,930.00
EA
__________________
__________________

1005 Magnetic Resonance Imaging - TVHS

POP Begin: 03-01-2027 POP End: 02-29-2028

0.00
EA
__________________
__________________

1006 US Ultrasound

POP Begin: 03-01-2027 POP End: 02-29-2028

1006AA

37.00
EA
__________________
__________________

1006 US Ultrasound - Lexington

POP Begin: 03-01-2027 POP End: 02-29-2028

1006AB

3.00
EA
__________________
__________________

1006 US Ultrasound - Louisville

POP Begin: 03-01-2027 POP End: 02-29-2028

1006AC

428.00
EA
__________________
__________________

1006 US Ultrasound - Memphis

POP Begin: 03-01-2027 POP End: 02-29-2028

1006AD

31.00
EA
__________________
__________________

1006 US Ultrasound - Mountain Home

POP Begin: 03-01-2027 POP End: 02-29-2028

1006AE

1,186.00
EA
__________________
__________________

1006 US Ultrasound - TVHS

POP Begin: 03-01-2027 POP End: 02-29-2028

0.00
EA
__________________
__________________

1007 NM Nuclear Medicine

POP Begin: 03-01-2027 POP End: 02-29-2028

1007AA

31.00
EA
__________________
__________________

1007 NM Nuclear Medicine - Lexington

POP Begin: 03-01-2027 POP End: 02-29-2028

1007AB

10.00
EA
__________________
__________________

1007 NM Nuclear Medicine - Louisville

POP Begin: 03-01-2027 POP End: 02-29-2028

1007AC

37.00
EA
__________________
__________________

1007 NM Nuclear Medicine - Memphis

POP Begin: 03-01-2027 POP End: 02-29-2028

1007AD

0.00
EA
__________________
__________________

1007 NM Nuclear Medicine - Mountain Home

POP Begin: 03-01-2027 POP End: 02-29-2028

1007AE

3.00
EA
__________________
__________________

1007 NM Nuclear Medicine - TVHS

POP Begin: 03-01-2027 POP End: 02-29-2028

0.00
EA
__________________
__________________

1008 PT Positron Emission Tomography (PET CT)

POP Begin: 03-01-2027 POP End: 02-29-2028

1008AA

0.00
EA
__________________
__________________

1008 PT Positron Emission Tomography (PET CT) - Lexington

POP Begin: 03-01-2027 POP End: 02-29-2028

1008AB

10.00
EA
__________________
__________________

1008 PT Positron Emission Tomography (PET CT) - Louisville

POP Begin: 03-01-2027 POP End: 02-29-2028

1008AC

0.00
EA
__________________
__________________

1008 PT Positron Emission Tomography (PET CT) - Memphis

POP Begin: 03-01-2027 POP End: 02-29-2028

1008AD

10.00
EA
__________________
__________________

1008 PT Positron Emission Tomography (PET CT) - Mountain Home

POP Begin: 03-01-2027 POP End: 02-29-2028

1008AE

0.00
EA
__________________
__________________

1008 PT Positron Emission Tomography (PET CT) - TVHS

POP Begin: 03-01-2027 POP End: 02-29-2028

(ESTIMATED) SUBTOTAL Ordering Period 2
$_________________
0.00
EA
__________________
__________________

2001 PF Diagnostic Plain Films Contract Period: Ordering Period 3 POP Begin: 03-01-2028 POP End: 02-28-2029

2001AA

4,994.00
EA
__________________
__________________

2001 PF Diagnostic Plain Films -Lexington

POP Begin: 03-01-2028 POP End: 02-28-2029

2001AB

6,476.00
EA
__________________
__________________

2001 PF Diagnostic Plain Films - Louisville

POP Begin: 03-01-2028 POP End: 02-28-2029

2001AC

8,649.00
EA
__________________
__________________

2001 PF Diagnostic Plain Films - Memphis

POP Begin: 03-01-2028 POP End: 02-28-2029

2001AD

9,676.00
EA
__________________
__________________

2001 PF Diagnostic Plain Films -Mountain Home

POP Begin: 03-01-2028 POP End: 02-28-2029

2001AE

24,962.00
EA
__________________
__________________

2001 PF Diagnostic Plain Films -TVHS

POP Begin: 03-01-2028 POP End: 02-28-2029

0.00
EA
__________________
__________________

2002 All CT - Computed Tomography (Excluding below listed)

POP Begin: 03-01-2028 POP End: 02-28-2029

2002AA

4,682.00
EA
__________________
__________________

2002 CT Computed Tomography - Lexington

POP Begin: 03-01-2028 POP End: 02-28-2029

2002AB

874.00
EA
__________________
__________________

2002 CT Computed Tomography - Louisville

POP Begin: 03-01-2028 POP End: 02-28-2029

2002AC

7,654.00
EA
__________________
__________________

2002 CT Computed Tomography - Memphis

POP Begin: 03-01-2028 POP End: 02-28-2029

2002AD

468.00
EA
__________________
__________________

2002 CT Computed Tomography - Mountain Home

POP Begin: 03-01-2028 POP End: 02-28-2029

2002AE

5,703.00
EA
__________________
__________________

2002 CT Computed Tomography - TVHS

POP Begin: 03-01-2028 POP End: 02-28-2029

0.00
EA
__________________
__________________

2003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis

POP Begin: 03-01-2028 POP End: 02-28-2029

2003AA

3,745.00
EA
__________________
__________________

2003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis - Lexington VAMC

POP Begin: 03-01-2028 POP End: 02-28-2029

2003AB

637.00
EA
__________________
__________________

2003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis -Louisville

POP Begin: 03-01-2028 POP End: 02-28-2029

2003AC

7,807.00
EA
__________________
__________________

2003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis -Memphis

POP Begin: 03-01-2028 POP End: 02-28-2029

2003AD

244.00
EA
__________________
__________________

2003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis-Mountain Home

POP Begin: 03-01-2028 POP End: 02-28-2029

2003AE

4,230.00
EA
__________________
__________________

2003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis-TVHS

POP Begin: 03-01-2028 POP End: 02-28-2029

0.00
EA
__________________
__________________

2004 CT Abdominal Aorta & Lower Extremities

POP Begin: 03-01-2028 POP End: 02-28-2029

2004AA

125.00
EA
__________________
__________________

2004 CT Abdominal Aorta & Lower Extremities-Lexington

POP Begin: 03-01-2028 POP End: 02-28-2029

2004AB

340.00
EA
__________________
__________________

2004 CT Abdominal Aorta & Lower Extremities - Louisville

POP Begin: 03-01-2028 POP End: 02-28-2029

2004AC

791.00
EA
__________________
__________________

2004 CT Abdominal Aorta & Lower Extremities - Memphis

POP Begin: 03-01-2028 POP End: 02-28-2029

2004AD

31.00
EA
__________________
__________________

2004 CT Abdominal Aorta & Lower Extremities - Mountain Home

POP Begin: 03-01-2028 POP End: 02-28-2029

2004AE

2,216.00
EA
__________________
__________________

2004 CT Abdominal Aorta & Lower Extremities - TVHS

POP Begin: 03-01-2028 POP End: 02-28-2029

0.00
EA
__________________
__________________

2005 Magnetic Resonance Imaging

POP Begin: 03-01-2028 POP End: 02-28-2029

2005AA

1,623.00
EA
__________________
__________________

2005 Magnetic Resonance Imaging - Lexington

POP Begin: 03-01-2028 POP End: 02-28-2029

2005AB

268.00
EA
__________________
__________________

2005 Magnetic Resonance Imaging - Louisville

POP Begin: 03-01-2028 POP End: 02-28-2029

2005AC

1,086.00
EA
__________________
__________________

2005 Magnetic Resonance Imaging - Memphis

POP Begin: 03-01-2028 POP End: 02-28-2029

2005AD

62.00
EA
__________________
__________________

2005 Magnetic Resonance Imaging - Mountain Home

POP Begin: 03-01-2028 POP End: 02-28-2029

2005AE

2,930.00
EA
__________________
__________________

2005 Magnetic Resonance Imaging - TVHS

POP Begin: 03-01-2028 POP End: 02-28-2029

0.00
EA
__________________
__________________

2006 US Ultrasound

POP Begin: 03-01-2028 POP End: 02-28-2029

2006AA

37.00
EA
__________________
__________________

2006 US Ultrasound - Lexington

POP Begin: 03-01-2028 POP End: 02-28-2029

2006AB

3.00
EA
__________________
__________________

2006 US Ultrasound - Louisville

POP Begin: 03-01-2028 POP End: 02-28-2029

2006AC

437.00
EA
__________________
__________________

2006 US Ultrasound - Memphis

POP Begin: 03-01-2028 POP End: 02-28-2029

2006AD

31.00
EA
__________________
__________________

2006 US Ultrasound - Mountain Home

POP Begin: 03-01-2028 POP End: 02-28-2029

2006AE

1,186.00
EA
__________________
__________________

2006 US Ultrasound - TVHS

POP Begin: 03-01-2028 POP End: 02-28-2029

0.00
EA
__________________
__________________

2007 NM Nuclear Medicine

POP Begin: 03-01-2028 POP End: 02-28-2029

2007AA

31.00
EA
__________________
__________________

2007 NM Nuclear Medicine - Lexington

POP Begin: 03-01-2028 POP End: 02-28-2029

2007AB

10.00
EA
__________________
__________________

2007 NM Nuclear Medicine - Louisville

POP Begin: 03-01-2028 POP End: 02-28-2029

2007AC

37.00
EA
__________________
__________________

2007 NM Nuclear Medicine - Memphis

POP Begin: 03-01-2028 POP End: 02-28-2029

2007AD

0.00
EA
__________________
__________________

2007 NM Nuclear Medicine - Mountain Home

POP Begin: 03-01-2028 POP End: 02-28-2029

2007AE

3.00
EA
__________________
__________________

2007 NM Nuclear Medicine - TVHS

POP Begin: 03-01-2028 POP End: 02-28-2029

0.00
EA
__________________
__________________

2008 PT Positron Emission Tomography (PET CT)

POP Begin: 03-01-2028 POP End: 02-28-2029

2008AA

0.00
EA
__________________
__________________

2008 PT Positron Emission Tomography (PET CT) - Lexington

POP Begin: 03-01-2028 POP End: 02-28-2029

2008AB

10.00
EA
__________________
__________________

2008 PT Positron Emission Tomography (PET CT) - Louisville

POP Begin: 03-01-2028 POP End: 02-28-2029

2008AC

0.00
EA
__________________
__________________

2008 PT Positron Emission Tomography (PET CT) - Memphis

POP Begin: 03-01-2028 POP End: 02-28-2029

2008AD

10.00
EA
__________________
__________________

2008 PT Positron Emission Tomography (PET CT) - Mountain Home

POP Begin: 03-01-2028 POP End: 02-28-2029

2008AE

0.00
EA
__________________
__________________

2008 PT Positron Emission Tomography (PET CT) - TVHS

POP Begin: 03-01-2028 POP End: 02-28-2029

0.00
EA
__________________
__________________

3001 PF Diagnostic Plain Films

POP Begin: 03-01-2029 POP End: 02-28-2030

(ESTIMATED) Subtotal Ordering Period 3
$_________________

3001AA

5,094.00
EA
__________________
__________________

3001 PF Diagnostic Plain Films -Lexington Contract Period: Ordering Period 4 POP Begin: 03-01-2029 POP End: 02-28-2030

3001AB

6,606.00
EA
__________________
__________________

3001 PF Diagnostic Plain Films - Louisville VAMC

POP Begin: 03-01-2029 POP End: 02-28-2030

3001AC

8,822.00
EA
__________________
__________________

3001 PF Diagnostic Plain Films - Memphis

POP Begin: 03-01-2029 POP End: 02-28-2030

3001AD

9,869.00
EA
__________________
__________________

3001 PF Diagnostic Plain Films -Mountain Home

POP Begin: 03-01-2029 POP End: 02-28-2030

3001AE

25,971.00
EA
__________________
__________________

0001 PF Diagnostic Plain Films -TVHS

POP Begin: 03-01-2029 POP End: 02-28-2030

0.00
EA
__________________
__________________

3002 All CT - Computed Tomography (Excluding below listed)

POP Begin: 03-01-2029 POP End: 02-28-2030

3002AA

4,775.00
EA
__________________
__________________

3002 CT Computed Tomography - Lexington

POP Begin: 03-01-2029 POP End: 02-28-2030

3002AB

891.00
EA
__________________
__________________

3002 CT Computed Tomography - Louisville

POP Begin: 03-01-2029 POP End: 02-28-2030

3002AC

7,807.00
EA
__________________
__________________

3002 CT Computed Tomography - Memphis

POP Begin: 03-01-2029 POP End: 02-28-2030

3002AD

478.00
EA
__________________
__________________

3002 CT Computed Tomography - Mountain Home

POP Begin: 03-01-2029 POP End: 02-28-2030

3002AE

5,818.00
EA
__________________
__________________

3002 CT Computed Tomography - TVHS

POP Begin: 03-01-2029 POP End: 02-28-2030

0.00
EA
__________________
__________________

3003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis

POP Begin: 03-01-2029 POP End: 02-28-2030

3003AA

3,820.00
EA
__________________
__________________

3003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis - Lexington

POP Begin: 03-01-2029 POP End: 02-28-2030

3003AB

649.00
EA
__________________
__________________

3003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis -Louisville

POP Begin: 03-01-2029 POP End: 02-28-2030

3003AC

7,963.00
EA
__________________
__________________

3003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis -Memphis

POP Begin: 03-01-2029 POP End: 02-28-2030

3003AD

249.00
EA
__________________
__________________

3003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis-Mountain Home

POP Begin: 03-01-2029 POP End: 02-28-2030

3003AE

4,315.00
EA
__________________
__________________

3003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis-TVHS

POP Begin: 03-01-2029 POP End: 02-28-2030

0.00
EA
__________________
__________________

3004 CT Abdominal Aorta & Lower Extremities

POP Begin: 03-01-2029 POP End: 02-28-2030

3004AA

127.00
EA
__________________
__________________

3004 CT Abdominal Aorta & Lower Extremities-Lexington

POP Begin: 03-01-2029 POP End: 02-28-2030

3004AB

347.00
EA
__________________
__________________

3004 CT Abdominal Aorta & Lower Extremities - Louisville

POP Begin: 03-01-2029 POP End: 02-28-2030

3004AC

807.00
EA
__________________
__________________

3004 CT Abdominal Aorta & Lower Extremities - Memphis

POP Begin: 03-01-2029 POP End: 02-28-2030

3004AD

32.00
EA
__________________
__________________

3004 CT Abdominal Aorta & Lower Extremities - Mountain Home

POP Begin: 03-01-2029 POP End: 02-28-2030

3004AE

2,260.00
EA
__________________
__________________

3004 CT Abdominal Aorta & Lower Extremities - TVHS

POP Begin: 03-01-2029 POP End: 02-28-2030

0.00
EA
__________________
__________________

3005 Magnetic Resonance Imaging

POP Begin: 03-01-2029 POP End: 02-28-2030

3005AA

1,655.00
EA
__________________
__________________

3005 Magnetic Resonance Imaging - Lexington

POP Begin: 03-01-2029 POP End: 02-28-2030

3005AB

274.00
EA
__________________
__________________

3005 Magnetic Resonance Imaging - Louisville

POP Begin: 03-01-2029 POP End: 02-28-2030

3005AC

1,108.00
EA
__________________
__________________

3005 Magnetic Resonance Imaging - Memphis

POP Begin: 03-01-2029 POP End: 02-28-2030

3005AD

64.00
EA
__________________
__________________

3005 Magnetic Resonance Imaging - Mountain Home

POP Begin: 03-01-2029 POP End: 02-28-2030

3005AE

2,988.00
EA
__________________
__________________

3005 Magnetic Resonance Imaging - TVHS

POP Begin: 03-01-2029 POP End: 02-28-2030

0.00
EA
__________________
__________________

3006 US Ultrasound

POP Begin: 03-01-2029 POP End: 02-28-2030

3006AA

38.00
EA
__________________
__________________

3006 US Ultrasound - Lexington

POP Begin: 03-01-2029 POP End: 02-28-2030

3006AB

909.00
EA
__________________
__________________

3006 US Ultrasound - Louisville

POP Begin: 03-01-2029 POP End: 02-28-2030

3006AC

446.00
EA
__________________
__________________

3006 US Ultrasound - Memphis

POP Begin: 03-01-2029 POP End: 02-28-2030

3006AD

32.00
EA
__________________
__________________

3006 US Ultrasound - Mountain Home

POP Begin: 03-01-2029 POP End: 02-28-2030

3006AE

1,210.00
EA
__________________
__________________

3006 US Ultrasound - TVHS

POP Begin: 03-01-2029 POP End: 02-28-2030

0.00
EA
__________________
__________________

3007 NM Nuclear Medicine

POP Begin: 03-01-2029 POP End: 02-28-2030

3007AA

32.00
EA
__________________
__________________

3007 NM Nuclear Medicine - Lexington

POP Begin: 03-01-2029 POP End: 02-28-2030

3007AB

11.00
EA
__________________
__________________

3007 NM Nuclear Medicine - Louisville

POP Begin: 03-01-2029 POP End: 02-28-2030

3007AC

38.00
EA
__________________
__________________

3007 NM Nuclear Medicine - Memphis

POP Begin: 03-01-2029 POP End: 02-28-2030

3007AD

0.00
EA
__________________
__________________

3007 NM Nuclear Medicine - Mountain Home

POP Begin: 03-01-2029 POP End: 02-28-2030

3007AE

3.00
EA
__________________
__________________

3007 NM Nuclear Medicine - TVHS

POP Begin: 03-01-2029 POP End: 02-28-2030

0.00
EA
__________________
__________________

3008 PT Positron Emission Tomography (PET CT)

POP Begin: 03-01-2029 POP End: 02-28-2030

3008AA

0.00
EA
__________________
__________________

3008 PT Positron Emission Tomography (PET CT) - Lexington

POP Begin: 03-01-2029 POP End: 02-28-2030

3008AB

11.00
EA
__________________
__________________

3008 PT Positron Emission Tomography (PET CT) - Louisville

POP Begin: 03-01-2029 POP End: 02-28-2030

3008AC

0.00
EA
__________________
__________________

3008 PT Positron Emission Tomography (PET CT) - Memphis

POP Begin: 03-01-2029 POP End: 02-28-2030

3008AD

11.00
EA
__________________
__________________

3008 PT Positron Emission Tomography (PET CT) - Mountain Home

POP Begin: 03-01-2029 POP End: 02-28-2030

3008AE

0.00
EA
__________________
__________________

3008 PT Positron Emission Tomography (PET CT) - TVHS

POP Begin: 03-01-2029 POP End: 02-28-2030

(ESTIMATED) Subtotal Ordering Period 4
$_________________
0.00
EA
__________________
__________________

4001 PF Diagnostic Plain Films Contract Period: Ordering Period 5 POP Begin: 03-01-2030 POP End: 02-28-2031

4001AA

5,196.00
EA
__________________
__________________

4001 PF Diagnostic Plain Films -Lexington

POP Begin: 03-01-2030 POP End: 02-28-2031

4001AB

6,738.00
EA
__________________
__________________

4001 PF Diagnostic Plain Films - Louisville

POP Begin: 03-01-2030 POP End: 02-28-2031

4001AC

8,313.00
EA
__________________
__________________

4001 PF Diagnostic Plain Films - Memphis

POP Begin: 03-01-2030 POP End: 02-28-2031

4001AD

9,300.00
EA
__________________
__________________

4001 PF Diagnostic Plain Films -Mountain Home

POP Begin: 03-01-2030 POP End: 02-28-2031

4001AE

24,473.00
EA
__________________
__________________

4001 PF Diagnostic Plain Films -TVHS

POP Begin: 03-01-2030 POP End: 02-28-2031

0.00
EA
__________________
__________________

4002 All CT - Computed Tomography (Excluding below listed)

POP Begin: 03-01-2030 POP End: 02-28-2031

4002AA

4,871.00
EA
__________________
__________________

4002 CT Computed Tomography - Lexington

POP Begin: 03-01-2030 POP End: 02-28-2031

4002AB

909.00
EA
__________________
__________________

4002 CT Computed Tomography - Louisville

POP Begin: 03-01-2030 POP End: 02-28-2031

4002AC

3,826.00
EA
__________________
__________________

4002 CT Computed Tomography - Memphis

POP Begin: 03-01-2030 POP End: 02-28-2031

4002AD

450.00
EA
__________________
__________________

4002 CT Computed Tomography - Mountain Home

POP Begin: 03-01-2030 POP End: 02-28-2031

4002AE

5,482.00
EA
__________________
__________________

4002 CT Computed Tomography - TVHS

POP Begin: 03-01-2030 POP End: 02-28-2031

0.00
EA
__________________
__________________

4003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis

POP Begin: 03-01-2030 POP End: 02-28-2031

4003AA

3,897.00
EA
__________________
__________________

4003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis - Lexington

POP Begin: 03-01-2030 POP End: 02-28-2031

4003AB

662.00
EA
__________________
__________________

4003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis -Louisville

POP Begin: 03-01-2030 POP End: 02-28-2031

4003AC

8,123.00
EA
__________________
__________________

4003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis -Memphis

POP Begin: 03-01-2030 POP End: 02-28-2031

4003AD

254.00
EA
__________________
__________________

4003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis-Mountain Home

POP Begin: 03-01-2030 POP End: 02-28-2031

4003AE

4,401.00
EA
__________________
__________________

4003 CT Abdomen & Pelvis W & W/O including Multiphase CT, CTA Chest, CTA Head, CTA Neck, CTA Abdomen & Pelvis-TVHS

POP Begin: 03-01-2030 POP End: 02-28-2031

0.00
EA
__________________
__________________

4004 CT Abdominal Aorta & Lower Extremities

POP Begin: 03-01-2030 POP End: 02-28-2031

4004AA

130.00
EA
__________________
__________________

4004 CT Abdominal Aorta & Lower Extremities-Lexington

POP Begin: 03-01-2030 POP End: 02-28-2031

4004AB

354.00
EA
__________________
__________________

4004 CT Abdominal Aorta & Lower Extremities - Louisville

POP Begin: 03-01-2030 POP End: 02-28-2031

4004AC

823.00
EA
__________________
__________________

4004 CT Abdominal Aorta & Lower Extremities - Memphis

POP Begin: 03-01-2030 POP End: 02-28-2031

4004AD

32.00
EA
__________________
__________________

4004 CT Abdominal Aorta & Lower Extremities - Mountain Home

POP Begin: 03-01-2030 POP End: 02-28-2031

4004AE

2,306.00
EA
__________________
__________________

4004 CT Abdominal Aorta & Lower Extremities - TVHS

POP Begin: 03-01-2030 POP End: 02-28-2031

0.00
EA
__________________
__________________

0005 Magnetic Resonance Imaging

POP Begin: 03-01-2030 POP End: 02-28-2031

4005AA

1,689.00
EA
__________________
__________________

4005 Magnetic Resonance Imaging - Lexington

POP Begin: 03-01-2030 POP End: 02-28-2031

4005AB

279.00
EA
__________________
__________________

4005 Magnetic Resonance Imaging - Louisville

POP Begin: 03-01-2030 POP End: 02-28-2031

4005AC

1,130.00
EA
__________________
__________________

4005 Magnetic Resonance Imaging - Memphis

POP Begin: 03-01-2030 POP End: 02-28-2031

4005AD

65.00
EA
__________________
__________________

4005 Magnetic Resonance Imaging - Mountain Home

POP Begin: 03-01-2030 POP End: 02-28-2031

4005AE

3,048.00
EA
__________________
__________________

4005 Magnetic Resonance Imaging - TVHS

POP Begin: 03-01-2030 POP End: 02-28-2031

0.00
EA
__________________
__________________

4006 US Ultrasound

POP Begin: 03-01-2030 POP End: 02-28-2031

4006AA

39.00
EA
__________________
__________________

4006 US Ultrasound - Lexington

POP Begin: 03-01-2030 POP End: 02-28-2031

4006AB

3.00
EA
__________________
__________________

4006 US Ultrasound - Louisville

POP Begin: 03-01-2030 POP End: 02-28-2031

4006AC

455.00
EA
__________________
__________________

4006 US Ultrasound - Memphis

POP Begin: 03-01-2030 POP End: 02-28-2031

4006AD

32.00
EA
__________________
__________________

4006 US Ultrasound - Mountain Home

POP Begin: 03-01-2030 POP End: 02-28-2031

4006AE

1,234.00
EA
__________________
__________________

4006 US Ultrasound - TVHS

POP Begin: 03-01-2030 POP End: 02-28-2031

0.00
EA
__________________
__________________

4007 NM Nuclear Medicine

POP Begin: 03-01-2030 POP End: 02-28-2031

4007AA

32.00
EA
__________________
__________________

4007 NM Nuclear Medicine - Lexington

POP Begin: 03-01-2030 POP End: 02-28-2031

4007AB

11.00
EA
__________________
__________________

4007 NM Nuclear Medicine - Louisville

POP Begin: 03-01-2030 POP End: 02-28-2031

4007AC

39.00
EA
__________________
__________________

4007 NM Nuclear Medicine - Memphis

POP Begin: 03-01-2030 POP End: 02-28-2031

4007AD

0.00
EA
__________________
__________________

4007 NM Nuclear Medicine - Mountain Home

POP Begin: 03-01-2030 POP End: 02-28-2031

4007AE

3.00
EA
__________________
__________________

4007 NM Nuclear Medicine - TVHS

POP Begin: 03-01-2030 POP End: 02-28-2031

0.00
EA
__________________
__________________

4008 PT Positron Emission Tomography (PET CT)

POP Begin: 03-01-2030 POP End: 02-28-2031

4008AA

0.00
EA
__________________
__________________

0008 PT Positron Emission Tomography (PET CT) - Lexington

POP Begin: 03-01-2030 POP End: 02-28-2031

4008AB

11.00
EA
__________________
__________________

4008 PT Positron Emission Tomography (PET CT) - Louisville

POP Begin: 03-01-2030 POP End: 02-28-2031

4008AC

0.00
EA
__________________
__________________

4008 PT Positron Emission Tomography (PET CT) - Memphis

POP Begin: 03-01-2030 POP End: 02-28-2031

4008AD

11.00
EA
__________________
__________________

4008 PT Positron Emission Tomography (PET CT) - Mountain Home

POP Begin: 03-01-2030 POP End: 02-28-2031

4008AE

0.00
EA
__________________
__________________

4008 PT Positron Emission Tomography (PET CT) - TVHS

POP Begin: 03-01-2030 POP End: 02-28-2031

(ESTIMATED) Subtotal Ordering Period 5
$_________________
(ESTIMATED) GRAND TOTAL ALL ORDER PERIODS
$__________________

36C24926R0007

Page 1 of Page 1 of

B.3 Performance Work Statement Services

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Board Certified or Board Eligible Tele-Radiology Physician Services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Veterans Integrated Services Network (VISN) 9. The VA Radiology Services follow the standards & guidelines set forth by American College of Radiology (ACR) Practice Parameters and Technical Standards | American College of Radiology (acr.org) and/or the American Board of Nuclear Medicine Scope of Practice” https://www.abnm.org/wp-content/uploads/Components_Professional_Competence.pdf. A contractor providing tele-radiology services shall provide services consistent with TJC and that meet or exceed VA and the American College of Radiology Guidelines as defined in this document. A link to the MSO/VABIT PWS template is

1.2. Place of Performance: Contractor shall furnish services for the Veterans Integrated Services Network (VISN) 9 Medical Centers and their associated radiology service locations. (See Schedule of Services)

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority.

1.4. Policy/Directives/Handbooks. The contractor shall be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: VA Publications VHA Publications

1.4.1. VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38 U.S.C. 8153

1.4.2. VHA Directive 1003.04: VHA Patient Advocacy

1.4.3. VHA Directive 1065: Productivity and Staffing Guidance for Specialty Provider Group Practice

1.4.4. VHA Directive 1088(1): Communicating Test Results to Providers and Patients

1.4.5. VHA Directive 1100.18: Reporting and Responding to State Licensing Boards

1.4.6. VHA Directive 1100.20: Credentialing of Health Care Providers

1.4.7. VHA Directive 1100.21: Privileging

1.4.8. VHA Directive 1105.05 Magnetic Resonance Safety

1.4.9. VHA Directive 1129, Radiation Protection for Machine Sources of Ionizing Radiation

1.4.10. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA Health Care Personnel

1.4.11. VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures in Any Clinical Setting

1.4.12. VHA Directive 1605.01: Privacy and Release of Information

1.4.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated .