36C25026Q0444.docx

36C25026Q0444

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

36C25026Q0444 07-10-2026 Williams, Karen 614-257-5220 07-31-2026

2:00 PM

EDT

36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 2780 Airport Dr.

Suite 340 Columbus OH 43219 X X 621512 $19 Million N/A X Department of Veterans Affairs Dayton VAMC 4100 W. Third Street Dayton OH 45428 36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 2780 Airport Dr.

Suite 340 Columbus OH 43219

36C250 Department of Veterans Affairs Financial Services Center Invoices to be Submitted Electronically www.ob10.com/us/en/veterans-affairs// e-Invoice Setup Info Phone 877-489-6135 877-353-9791 512-460-5429 See CONTINUATION Page Contractor to provide off site Teleradiology Services for the Dayton VAMC.

See the Schedule of Services on pages 6 - 8 and the Performance Work Statement beginning on page 9.

The Addendum to 52.212-1 Instructions to Offerors begins on page 90 and 52.212-2 Evaluation begins on page 103.

See CONTINUATION Page X X Karen Williams

VA-VHA-RPOC-2026-0027

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. CONTRACT ADMINISTRATION: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR’S NAME/ADDRESS/CITY/STATE/ZIP (Please print or type):

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with: 52.232‑33, Payment by Electronic Funds Transfer – System for Award Management

3. INVOICES: Invoices shall be submitted in arrears: Monthly

4. GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72, Electronic Submission of Payment Requests. Invoicing shall be in accordance with the requirements of the Department of Veterans Affairs (VA) Financial Services Center (VAFSC). The latest information shall be used for invoicing and payments and may change during the period of performance of this acquisition. Current Invoicing information is located at: https://www.fsc.va.gov/einvoice.asp.

All invoices shall include the following:

· Invoice Number

· Invoice Date

· Purchase Order Number

5. CHANGES/MODIFICATIONS TO THE CONTRACT: The Contracting Officer will be the only person authorized to approve changes or modify any of the requirements under this resultant task order. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer will be authorized to make commitments or issue changes that affect price, quantity, delivery or quality of performance of this resultant task order. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered unauthorized by the local VAMC, and no adjustment will be made in the task order price to cover any increase in cost incurred as a result thereof.

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

7. SECURE FAX: In accordance with VA Handbook 6500, the following statement is required on all fax cover sheets; if it is determined the ordering process will include a fax: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.”

8. MANDATORY WRITTEN DISCLOSURES: Mandatory written disclosures required by FAR clause 52.203-13 to the Department of Veterans Affairs, Office of Inspector General (OIG) must be made electronically through the VA OIG Hotline at http://www.va.gov/oig/contacts/hotline.asp and clicking on "FAR clause 52.203-13 Reporting." If you experience difficulty accessing the website, call the Hotline at 1-800-488-8244 for further instructions.

36C25026Q0444

Page 1 of Page 1 of

B.2 SCHEDULE OF SERVICES

The Contractor must furnish all key personnel to provide services necessary to perform Teleradiology to eligible beneficiaries of the Department of Veterans Affairs, Dayton VA Medical Center (hereinafter referred to as DVAMC).

The VA Radiology Services follow the practice parameters and technical standards set forth by the American College of Radiology (ACR). A contractor providing Tele-radiology services must provide services that meet or exceed the American College of Radiology Guidelines. ACR Practice Parameters and Technical Standards.

Place of Performance: Services must be provided for the DVAMC, 4100 West Third Street., Dayton, OH 45428. The contractor’s place of performance will be off site.

Period of Performance: 11/1/2026-10/31/2031 Pricing Instructions:

The contractor will be reimbursed on a per wRVU basis. Offerors must fill out the cells in each LIN for proposed unit price and estimated amount, then complete the estimated grand total for all ordering periods. No LINs may be left blank. All unit costs are a firm-fixed price. See Attachment D.2 Appendix B for the historical list of procedures performed at the Dayton VAMC in 2025.

The guaranteed minimum only applies to the year in which the contract is awarded. The total minimum amount, or guaranteed minimum, is 10 wRVUs. The maximum total value of the contract, inclusive of all ordering periods, shall not exceed 105,000 wRVUs. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount. Individual task orders shall be funded annually. The Contracting Officer is the only authorized individual that can place task orders against this contract for the amount of services for the specific ordering period. The task orders will be issued annually to the contractor.

QUANTITY

AMOUNT

wRVUs

14,801.09

Ea

(The wRVU value will only include the Active codes (A) and the wRVU amount corresponding to procedure modifier 26 which is the credit the Radiologist receives for interpreting the imaging exam and publishing a completed report. See CMS.gov at https://www.cms.gov/medicare/payment/fee-schedules/physician/pfs-relative-value-files)

Contract Period: Ordering Period 1 POP Begin: 11-01-2026 POP End: 10-31-2027 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging Centers PRODUCT/SERVICE CODE: Q522 - Medical - Radiology

15,245.12

Ea

(The wRVU value will only include the Active codes (A) and the wRVU amount corresponding to procedure modifier 26 which is the credit the Radiologist receives for interpreting the imaging exam and publishing a completed report. See CMS.gov at https://www.cms.gov/medicare/payment/fee-schedules/physician/pfs-relative-value-files)

Contract Period: Ordering Period 2 POP Begin: 11-01-2027 POP End: 10-31-2028

15,702.48

Ea

(The wRVU value will only include the Active codes (A) and the wRVU amount corresponding to procedure modifier 26 which is the credit the Radiologist receives for interpreting the imaging exam and publishing a completed report. See CMS.gov at https://www.cms.gov/medicare/payment/fee-schedules/physician/pfs-relative-value-files)

Contract Period: Ordering Period 3 POP Begin: 11-01-2028 POP End: 10-31-2029

16,173.55

Ea

(The wRVU value will only include the Active codes (A) and the wRVU amount corresponding to procedure modifier 26 which is the credit the Radiologist receives for interpreting the imaging exam and publishing a completed report. See CMS.gov at https://www.cms.gov/medicare/payment/fee-schedules/physician/pfs-relative-value-files)

Contract Period: Ordering Period 4 POP Begin: 11-01-2029 POP End: 10-31-2030

16,658.76

Ea

(The wRVU value will only include the Active codes (A) and the wRVU amount corresponding to procedure modifier 26 which is the credit the Radiologist receives for interpreting the imaging exam and publishing a completed report. See CMS.gov at https://www.cms.gov/medicare/payment/fee-schedules/physician/pfs-relative-value-files)

Contract Period: Ordering Period 5 POP Begin: 11-01-2030 POP End: 10-31-2031

ESTIMATED GRAND TOTAL

B.3 PERFORMANCE WORK STATEMENT

Tele- Radiology Physician Services

1. GENERAL:

1.1. Services Provided: The Contractor must provide Board Certified/Board Eligible Diagnostic Radiology Physician Services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Dayton VA Medical Center (DVAMC). The VA Radiology Services follow the practice parameters and technical standards set forth by American College of Radiology (ACR) ACR Practice Parameters and Technical Standards. A contractor providing tele-radiology services must provide services consistent with The Joint Commission (TJC) standards and must meet or exceed VA and the American College of Radiology Guidelines as defined in this document.

A government need exists for teleradiology providers which can provide specialty and subspecialty interpretations of Diagnostic Imaging procedures as a 24/7/365 service, to include 24/7/365 in house IT support, TJC, ACR certified internal peer review (RADPEER) and credentialing mechanisms, dedicated communication support staff to communicate results to referring providers, and a web-based access with a single telephone number. Additionally, 24/7/365 support provided through a connection which is Multiprotocol Label Switching (MPLS) capable, meets speeds of 10 Gig per second, and has redundancy to allow transmission of multiple studies simultaneously and maintain connectivity in cases of primary connection malfunction.

Approximately 18,000 wRVUs per annum will be performed during these times, the contractor will act as an overflow outlet during the hours of 0700-1900 M-F. The contractor may be the primary service for the hours of 1900-0700 M-F, Federal Holidays, and weekends. The substantial number of examinations performed, as well as the workflow handling those examinations will require the services of an established Teleradiology Service provider that can absorb the subspecialty and specialty case load and meet specific institutional requirements for connectivity, turn-around time, and security. Based on the complexity and the scope of the work performed, a pool of a minimum of ten (10) board certified/board eligible radiologists will be required for this contract. Finally, before the contractor can begin services an MOU/ISA between themselves and the VHA is required to allow for securely providing teleradiology services for DVAMC.

1.2. Place of Performance: Contractor must furnish services for the DVAMC, 4100 West Third Street. Dayton, OH, 45428. The Contractor must provide all hardware and software necessary for radiological interpretations. These resources should be in a safe, secure environment designated by the Contractor and in accordance with MOU/ISA.

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority and RFO FAR Part 12, Acquisition of Commercial Products and Commercial Services.

1.4. Policy/Directives/Handbooks. The contractor will 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 1129: Radiation Protection for Machine Sources of Ionizing Radiation

1.4.9. VHA Directive 1105.05: Magnetic Resonance Safety

1.4.10. VHA Directive 1417: Lung Cancer Screening

1.4.11. VHA Directive 1605.01: Privacy and Release of Information

1.4.12. VHA Directive 1907.01: VHA Health Information Management and Health Records

1.4.13. VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports

1.4.14. Privacy Act of 1974 (5 U.S.C. 552a) as amended: Privacy Act

1.4.15. 42 Code of Federal Regulations (CFR) Part 482 Conditions of Participation For Hospitals: Title 42 Part 482

1.5 Acronyms/Definitions: Terms used in this contract must be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section must govern.

1.5.1. ACGME: Accreditation Council for Graduate Medical Education

1.5.2. ACLS: Advanced Cardiac Life Support

1.5.3. BLS: Basic Life Support

1.5.4. CDC: Centers for Disease Control and Prevention

1.5.5. CEU: Certified Education Unit

1.5.6. Clinical Privileging: Clinical Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific, and within available resources.

1.5.7. CME: Continuing Medical Education

1.5.8. CMS: Centers for Medicare and Medicaid Services

1.5.9. CO: Contracting Officer : The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.5.10. COR: Contracting Officer’s Representative : A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR must report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.11. COS: Chief of Staff

1.5.12. CPARS: Contractor Performance Assessment Reporting System

1.5.13. Credentialing: Credentialing is the process of obtaining, verifying, and assessing the qualifications of a health care provider to provide care or services in or for the VA health care system. Credentials are documented evidence of licensure, education, training, experience or other qualifications.

1.5.14. DEA: Drug Enforcement Agency

1.5.15. EHR: Electronic Health Record - electronic health record system used by the VA

1.5.16. FSMB: Federation of State Medical Boards

1.5.17. FTE: Full Time Equivalent VA’s standard definition is for full time working the equivalent of 80 hours every two weeks, 2080 hours per year. However, providers may propose using their standard FTE definition.

1.5.18. HHS: Department of Health and Human Services

1.5.19. HIS: Hospital Information System

1.5.20. HIPAA: Health Insurance Portability and Accountability Act

1.5.21. ISA: Interconnection Security Agreement

1.5.22. ISO: Information Security Officer

1.5.23. Key Personnel: The individuals specified in this contract that are essential for work performance.

1.5.24. MOU: Memorandum of Understanding

1.5.25. MPLS: Multiprotocol Label Switching

1.5.26. NPI: National Provider Identifier. NPI is a standard, unique 10-digit numeric identifier required by HIPPA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers)

1.5.27. PACS: Picture Archiving and Communication System

1.5.28. POP: Period of Performance

1.5.29. PPD: Purified Protein Derivative

1.5.30. PWS: Performance Work Statement

1.5.31. QA/QI: Quality Assurance/Quality Improvement

1.5.32. QASP: Quality Assurance Surveillance Plan

1.5.33. QM/PI: Quality Management/Performance Improvement

1.5.34. VetPro: is VHA’s mandatory credentialing software platform to document the credentialing of VHA health care providers. This system facilitates the completion of a uniform, accurate, and complete credentials file.

1.5.35. VHA: Veterans’ Health Administration

1.5.36. VISN: Veterans Integrated Services Network

1.5.37. EHR: Veterans Information Systems Technology Architecture

1.5.38. wRVU: Work Relative Value Unit

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: Contracted Teleradiology health care professionals (providers) must be compliant with state licensure requirements identical to that of VA staff, which currently require the provider to continuously hold at least one active and unrestricted license in any state, the absence of restrictions on any other license held, and all inactive licenses relinquished in good standing.

All licenses held by the key personnel working on this contract must be full and unrestricted licenses. Information on state licensing in teleradiology may be found at this site: Teleradiology | American College of Radiology (acr.org). Contract physicians who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action, or denied upon application will not be considered for the purposes of this contract.

2.1.2. Board Certification: All contract physician(s) shall be Board Certified/Board Eligible and be currently successfully fulfilling the requirements of the American Board of Radiology Maintenance of Certification program. Documentation verifying current certification must be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.3. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Directive 1100.20 and VHA Directive 1100.21 referenced above. The Contractor is responsible to ensure that proposed physicians possess the requisite credentials enabling the granting of privileges. No services will be provided by any contract physician(s) prior to obtaining approval by the Facility Medical Executive Board and Medical Center Director.

2.1.3.1 If a contract physician is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor must furnish an acceptable substitute without any additional cost to the government within 7 calendar days .

2.1.3.2 When telemedicine services are being provided by contract physicians who direct, diagnose, or otherwise provide clinical treatment to a patient via a telemedicine link, the contract physician(s) must be appointed, credentialed, and privileged at the VA facility as the site providing the services, as well as by proxy at the VA facility which receive the telemedicine services.

2.1.3.3 Contract licensed independent practitioners must be credentialed and privileged through the VA facility’s Medical Staff Office in accordance with Credentialing and Privileging Directives 1100.20, 1100.21, and VHA Directive 1914.

2.1.3.4 Separately delineated privileges for telemedicine services must be requested and assigned in this process.

2.1.3.5 In general, the credentialing process should be started at least 60-90 days in advance of estimated entry on duty. The time required for this process may be expedited when patient care needs are urgent.

2.1.3.6 The VA’s Medical Staff Office or Human Resources Management Service will provide an instructional packet containing forms and a detailed listing of required documentation, including curriculum vitae, current references, signed release of information from the candidate, statement that the candidate does not have any physical or mental health condition that would adversely affect his/her ability to carry out the assigned duties, and additional credentialing forms. The candidate will also be required to make applications through the VetPro internet-based process. The candidate will need to be enrolled in VetPro by the Credentialing Coordinator at the VA or by the Human Resources Management Service designee. The website address is: VETPRO.

2.1.3.7 It is the Contractor’s responsibility to contact the COR to request a package and instructions.

2.1.3.8 The Contractor must furnish a copy of its policy and procedures for credentialing and privileging to the Contracting Officer and COR for review to ensure these meet the VA’s requirements for establishment of competence through these mechanisms.

2.1.4. Technical Proficiency - Contract physician(s) must be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. The contractor must provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. The contractor must provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract physicians and contract physicians must be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior. Contractor must establish and maintain compliance with all requirements for full access to the electronic health record, PACS, and Voice Recognition systems

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor must provide the COR copies of current CMEs/CEUs as required or requested by the Facility. Contract physicians registered or certified by national/medical associations must continue to meet the minimum standards for CME/CEU to remain current. The contractor must report CME/CEU hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide must result in loss of privileges for contract physician(s).

2.1.6. Training (ACLS, BLS, EHR and VA MANDATORY): Contractor must meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contract physician(s) as required by the VA.

2.1.7. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical facilities). The Contractor must have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal.

2.1.8. Conflict of Interest: The Contractor and all contract physician(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor must provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor must also provide statements containing the same information for any identified consultants or subcontractors who must provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements must be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.9. Citizenship related Requirements:

2.1.9.1. The Contractor certifies that the Contractor must comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.9.2. While performing services for the Department of Veterans Affairs, the Contractor must not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.9.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, must be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and must form the basis for termination of this contract for breach.

2.1.9.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.9.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification must be made as part of the offerors’ response to the RFP using the subject attachment in Section D of the solicitation document.

2.1.10. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.10.1. Therefore, Contractor must review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at Exclusion List to ensure that the proposed contract physician(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.10.2. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Direction: The qualifications of Contractor personnel are subject to review by VA Medical Facility COS or his/her clinical designee and approval by the Medical Facility Director as provided in VHA Directive 1100.20 and VHA Directive 1100.21. Clinical/Professional direction of all clinical personnel covered by this contract for quality purposes will be provided by the Facility COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non Personal Healthcare Services: The parties agree that the Contractor and all contract physician(s) must not be considered VA employees for any purpose.

2.4. Indemnification: The Contractor must be liable for, and must indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.5. Prohibition Against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to contractor’s or their own practice(s)

2.6. Inherent Government Functions: Contractor and Contract physician(s) must not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.7. No Employee status: The Contractor must be responsible for protecting Contract physician(s) furnishing services. To carry out this responsibility, the Contractor must provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract physician(s). When a Contractor or contract physician(s) has been identified as a provider in a tort claim, the Contractor must be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contract physician(s)) action or non-action must be the responsibility of the Contractor and/or insurance carrier. Contractor must confirm that they are covered by professional liability insurance that would cover the health care services they provide to VA.

2.9. Contingency Plan: Because continuity of care is an essential part of the Facility’s medical services, The Contractor must have a contingency plan in place to be utilized if the contract physician(s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

2.9.1. The contractor must submit a list of proposed key personnel performing technical delivery of services in the following or similar format:

Provider Name: ___________________ Title/NPI#: __________________.

Curriculum Vitae and qualification documents of each key personnel must be submitted with the proposal.

2.10. Emergency Substitutions: During the first ninety (90) calendar days of performance, the Contractor must make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor must notify the CO, in writing, within 7 calendar day (s) after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor must submit the information required below to the CO at least 7 calendar days prior to making any permanent substitutions

2.10.1. The Contractor must provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes must have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 30 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel

2.10.2. For temporary substitutions where the key person must not be reporting to work for three consecutive workdays or more, the Contractor must provide a qualified replacement for the key person. The substitute must have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

3. VA HOURS OF OPERATION/SCHEDULING

3.1. Business Hours: General business hours for the Dayton VAMC are Monday through Friday, 7:30 a.m. to 4:30 p.m., local hospital time.

3.2. The contractor shall complete the work required under this PWS 24 hours a day, 7 days a week. This includes off hours, weekends, and Federal holidays as required for emergent or urgent cases.

3.3. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:

· New Year’s Day

· President’s Day

· Martin Luther King’s Birthday

· Memorial Day

· Juneteenth

· Independence Day

· Labor Day

· Columbus Day

· Veterans Day

· Thanksgiving

· Christmas

· Any day specifically declared to be a national holiday.

3.4. Continuity of services under the contract: Contractor must provide continuity of services until a new contract is put in place.

3.4.1. The contractor is responsible for providing qualified personnel to read images. The VA must be informed at least 48 hours in advance if there will be a significant change in the contractor’s ability to perform to allow for planning of service coverage and workload distribution.

3.4.2. The contractor must maintain open and professional communication with members of the VISN and Facility Diagnostic Imaging staff. The contractor must provide up-to-date points of contact to facilitate communication on clinical, technical and administrative issues. Clinical staff will be available by phone and pager 24/7. The Contractor will provide a schedule of radiologists with telephone numbers for consultation by VA technologists and referring physicians. The contractor will provide a FAX number for the transmission of radiographic orders.

3.4.3. The Contractor must provide a single phone number with a list of individuals who could be contacted to immediately resolve any difficulties experienced during the hours of teleradiology services and STAT studies after hours. The COR will ensure up-to-date rosters of staff are provided to the Contractor.

3.4.4. Tele-Communications

3.4.4.1. The contractor will secure and maintain the communications link between the contractor’s facility and the VAMCs’ facilities at the contractor’s expense. These expenses may be included in the contractor’s proposal as a separate item. The cost to establish and maintain this communication link may be provided if the Government deems it is more cost effective for the Government.

3.4.4.2. In the event of telecommunications failure, the Government must package, hard copy film or alternative media in Government-provided shipping containers, and ship to the contractor’s facility; using Government provided pre-paid shipping documentation. The contractor’s place of business must be within the confines of the continental United States.

3.4.4.3. The contractor must make provisions for the proper maintenance and functioning of all imaging, teleradiology and associated equipment, facilities and fixtures as may reasonably be required by Contract Physicians to perform services hereunder.

4. CONTRACTOR RESPONSIBILITIES

4.1. Clinical Personnel Required: The Contractor must provide contract physician(s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties. The contractor will be expected to interpret any imaging study associated with the CPT codes from 70000 to 79999. The wRVU tables published by CMS.gov are available at https://www.cms.gov/medicare/payment/fee-schedules/physician/pfs-relative-value-files). See Attachment D.2 Appendix B for a historical lists the CPT codes submitted by the DVAMC to the National Teleradiology Program (NTP) during Calendar Year 2025. See Attachment D.2 Appendix B for the historical list of procedures performed at the Dayton VAMC in 2025

4.2. Management and Supervision:

4.2.1. The Contractor must be responsible for supervising the daily services provided under this contract by the Contractor’s staff.

4.2.2. The Contractor must have written policies and procedures regarding staff credentials and privileging.

4.2.3. The Facility will provide to the Contractor policies, procedures and processes necessary to allow cooperative functioning between the agency and Facility. Updates and refreshers will be provided to the Contractor upon request and when policy procedures or process changes.

4.2.4. The Contractor must complete background investigations to ensure that employees do not have a record of criminal offenses or substantiated incidents of patient abuse; and, if required to perform their duties, employees are properly licensed and insured to operate motor vehicles.

4.3. Standards of Care: The contract physicians’ care must cover the range of Radiology services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care must be of a quality, meeting or exceeding currently recognized national standards as established by:

4.3.1. The American College of Radiology Guidelines: ACR Practice Parameters and Technical Standards

4.3.2. ACR Practice Parameter for Communication of Diagnostic Imaging Findings: Communication of Findings

4.3.3. VA Standards: The contractor must provide timely interpretations on all previously listed modalities including Digital X-rays (DX, also referred to as plain films), Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Ultrasound (US). Turn-around times are defined by the exam type and begin at the time of transmission of the case from the VAMC to the contractor for interpretation. Turnaround times are listed below based on the nature of the exam and the required response time of the contractor:

4.3.3.1. Stroke protocol non-contrast CT exams guarantee turnaround time: Read within 15 minutes.

4.3.3.2. STAT exams guarantee turnaround time: Read within one (1) hour.

4.3.3.3. Urgent exams guarantee turnaround time: Read within two (2) hours.

4.3.3.4. Routine exams guarantee turnaround time within forty eight (48) hours.

4.3.4. The professional standards of the Joint Commission (TJC): Professional Standards

4.3.5. The standards of the American Hospital Association (AHA):AHA.org

4.3.6. The requirements are contained in this PWS.

4.4 MEDICAL RECORDS

4.4.1 Authorities: Contractor’s physician(s) providing healthcare services to VA patients must be considered as part of the Department Healthcare Activity and must comply with the 5 U.S.C.552a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R. Parts 160, 162, and 164 (HIPAA).

4.4.2 HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in order for Covered Entity to disclose Protected Health Information to: a health care provider for treatment of VA patients. Based on this exception, a BAA is not required for this contract. Health records generated by this contract or provided to the Contractors by the VA are covered by the VA Privacy Act system of records entitled ‘Patient Medical Records-VA’ (24VA10A7). Contractor generated VA Patient records are the property of the VA and must not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. The contractor must ensure that all records pertaining to medical care and services provided to VA patients are captured in the VA electronic health record system as required by VA policy as discussed in 4.5.4.

4.4.3 Disclosure: Contractor’s physician(s) may have access to patient medical records for the purpose of providing medical care and services to VA patients and performing services under the contract. VA authorizes the Contractor to discuss patient health information for coordination of care with community health care providers in compliance with VA regulations, HIPAA and VHA Directive 1605.01, Privacy and Release of Information. The VA will provide the Contractor with a copy of VHA Directive 1907.01, Health Information Management and Health Records and VHA Directive 1605.1, Privacy and Release of Information. The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor.

4.4.4 Professional Standards for Documenting Care: Care must be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Directive 1907.01 Health Information Management and Health Records: VHA Directive 1907.01 and all guidelines provided by the facility.

4.4.4.1 All imaging interpretations will either meet or exceed established VISN standards of timeliness, accuracy, content and signature. Only Facility approved abbreviations will be used for documentation of the patient health record. All imaging exam interpretations must either meet or exceed established standards of timeliness, accuracy, content, and signature. Only medical abbreviations from The Joint Commission’s National Patient Safety Goals, current edition, will be used for documentation of the patient health record. Those abbreviations not acceptable to conform with the JCAHO directives are included in Section D: Contract Documents, Exhibits, or Attachment.

4.4.4.2 Interpretations must include the following information:

Patient’s full name, SSN, date of birth, clinical history, exam case number (accession number), date of interpretation, requesting physician, exam type, interpretation, and signature of contract radiologist providing interpretation.

4.4.4.2.1 Each Facility will provide necessary procedures for reports to be reviewed, edited (if required), and for electronic signature approval by the Contractor. Contractor will not be held responsible for late reports caused by delays in the respective transcription service system. All exam study interpretation reports must be dictated into the designated Facility system and verified in the VISN EHR dictation system. Non-routine and emergency exams will be handled on a case-by-case basis, but all emergency exams will take precedence over all routine exams.

4.4.4.2.2 Supervision of residents for any services provided by such residents must meet all applicable Medicare documentation requirements for teaching physicians. The teaching physician must document that he/she personally reviewed the image and resident's interpretation and either agree with it or edit the findings. A countersignature by an attending of the resident's interpretation is not sufficient.

4.4.5 Release of Information: The VA must maintain control of releasing any copies of patient health information or health records and will follow policies and standards as defined but not limited to Privacy Act requirements. The contractor will not release or disclose copies of records and will refer all such requests to the Release of Information Department at the VA facility that is assigned.

4.4.6 Management for Medical Records: National Archives and Records Administration record disposition requirements are found in RCS 10-1 Chapter 6, 6000 series.

4.4.7 MEDICAL RECORDS/COMPUTERIZED RECORD SYSTEMS/ DISCLOSURE/…