Solicitation 36C26324Q0181.pdf

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

Funding will be on

Awarded task orders

36C26324Q0181 02-14-2024

Angela Stewart 605-336-3230 x7804 02-22-2024 10am CST

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105 Angela Stewart Angela.stewart438@va.gov

X

622110

$47 Million

N/A

X

Central Iowa VA Health Care System Carroll CBOC 311 S Clark St, Suite 275 Carroll IA 51401

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

Financial Services Center via the Tungsten Network reference VAAR 852.232-72

See CONTINUATION Page

Carroll Community Based Outpatient Client (CBOC) Xray Services to Support the Central Iowa VA Health Care System

Period of Performance: 04/01/2024 to 03/31/2029 This procurement will result in a single-award five-year indefinite delivery contract with five ordering periods.

Offerors must have an active SAM.gov registration upon submission of a quote until award.

See CONTINUATION Page

Funding will be attached to awarded task orders.

X X

Angela Stewart

VA-VHA-RPOC-2022-19642

36C26324Q0181

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PERFORMANCE WORK STATEMENT FOR XRAY SERVICES CARROLL CBOC. 6

B.3 PRICE/COST SCHEDULE

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)... 37

C.7 52.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN 1997)

C.8 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.9 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.10 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.11 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

C.12 VAAR 852.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY (OCT 2019)

C.13 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) . 42

C.14 IT CONTRACT SECURITY

C.15 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.16 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEC 2023)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 WAGE DETERMINATION - see attached D.2 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP) - see attached

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

E.4 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.5 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020). 67

E.6 VAAR 852.273-70 LATE OFFERS (NOV 2021)

E.7 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (NOV 2021)

E.8 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.9 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

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 Information

Company Name and Address:

SAM Unique Entity ID Number:

Contact Person(s) Name:

Contact Person(s) Email:

Contact Person(s) Telephone:

b) Government Information

Angela Stewart Contracting Officer Department of Veterans Affairs Network Contracting Office 23 (NCO 23) 2501 W. 22nd Street Sioux Falls, South Dakota 57105

2. CONTRACT 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 – System for Award Management, and VAAR 852.232-72, Electronic Submission of Payment Requests.

3. INVOICES: Invoices shall be submitted in arrears. Submission will be quarterly for the previous quarter of the period of performance and no later than 15 calendar days after the close of the period of performance being invoiced for. Invoices shall be based on the applicable fixed rates for services provided to VA as in accordance with the contract terms and conditions. The Contracting Officer Representative (COR) will review all invoices submitted. Invoices shall by submitted for only those services received and deemed acceptable by VA.

4. GOVERNMENT INVOICE ADDRESS: All invoices shall be submitted by the contractor via the Tungsten Network (previously OB10) electronic invoicing system. Refer to the Tungsten Network website at http://www.tungsten-network.com/us/en/veterans-affairs-us/ for additional information for system registration, user guides, and help desk contacts.

http://www.tungsten-network.com/us/en/veterans-affairs-us/ http://www.tungsten-network.com/us/en/veterans-affairs-us/

5. ACKNOWLEDGEMENT OF AMENDMENTS: The offeror acknowledges receipt of Amendments to the Solicitation numbered and dated as follows:

Amendment Date

6. Government Employee Ownership: The Contractor shall indicate if it is owned or controlled by a Government employee (check if applicable).

________ Yes, the offering firm is owned or controlled by a Government employee.

7. Security Requirements: The Contractor shall comply with all VA privacy and security requirements, including Handbook 6500.6. The VATR shall coordinate with the Contractor to ensure such requirements are met. This requirement is applicable to all subcontractor personnel requiring access.

8. Documenting Performance: The VA may document contract performance. Any report may become a part of the supporting documentation for any contractual action and preparing annual past performance using the Contractor Performance Assessment Reporting System (CPARS) at https://www.cpars.gov. In the event the CO issues a Contract Deficiency Report (CDR), the Contractor shall acknowledge receipt of the CDR in writing within one (1) business day of receipt and provide a response with a corrective action plan to the CDR within one (1) week of receipt.

https://www.cpars.gov/

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B.2 PERFORMANCE WORK STATEMENT FOR XRAY SERVICES CARROLL

CBOC

1. GENERAL:

Services Provided: The Contractor shall furnish all equipment, facility, and personnel services to provide general x-ray exams (technical component only) for eligible veteran beneficiaries as referred by the Carroll, Iowa Community Based Outpatient Clinic (CBOC) a part of VA Central Iowa Health Care System, Des Moines, Iowa. General radiology images shall be captured by digital radiography and not on x-ray film. Contract services will be provided on an as needed basis during the term of the contract.

Place of Performance: Services will be performed at the Contractor’s facility which must be within 10 miles of the CBOC in Carroll, Iowa, VA. This is in order to allow patients to receive radiology services in a timely, safe and efficient manner without compromising patient care. The CBOC is located at 311 S. Clark St Suite 275, Carroll, IA 51401.

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

1.1. Policy/Handbooks: The contractor shall be subject to the following policies, including any subsequent updates during the period of performance.

1.1.1. VHA Handbook 1100.19: Credentialing and Privileging:

http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.1.2. VHA Directive 1003.04: VHA Patient Advocacy:

https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970

1.1.3. VHA Directive 1100.18: Reporting And Responding To State Licensing Boards:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9174

1.1.4. VHA Directive 1192.01: Seasonal Inf luenza Prevention Program:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948

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

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365

1.1.6. VA Directive 1663: Health Care Resources Contracting – Buying:

https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

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

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235

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

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4. Def initions/Acronyms: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conf lict in language between the Def initions and other sections of this contract, the language in this section shall govern.

1.5.1. ARRT: American Registry of Radiologic Technologists

1.5.2. CMS: Centers for Medicare and Medicaid Services

http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9174 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365 https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

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1.5.3. Contracting Officer (CO): The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and f indings.

1.5.4. Contracting Of f icer’s Representative (COR): 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 shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.5. COS: Chief of Staf f

1.5.6. COVID-19: Coronavirus Disease 2019

1.5.7. CPARS: Contractor Performance Assessment Reporting System

1.5.8. Credentialing: Credentialing is the systematic process of screening and evaluating qualif ication and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

1.5.9. HIPAA: Health Insurance Portability and Accountability Act

1.5.10. ISO: Information Security Of f icer

1.5.11. POP: Period of Performance

1.5.12. PWS: Performance Work Statement

1.5.13. Privileging (Clinical Privileging): 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-specif ic and provider-specif ic.

1.5.14. QA/QI: Quality Assurance/Quality Improvement

1.5.15. QM/PI: Quality Management/Performance Improvement

1.5.16. QASP: Quality Assurance Surveillance Plan

1.5.17. Veterans Health Administration (VHA): The central of f ice for administration of the VA medical centers through throughout the United States. The VHA is located in Washington, D.C.

1.5.18. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers.

1.5.19. VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data f iles and integrates them into patient’s medical record and with the hospital information system.

1.5.20. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a dif ferent VA medical Center, for purposes of this contract, this term shall mean the VA Central Iowa Health Care System (VACIHCS).

2. QUALIFICATIONS:

2.1. Staf f /Facility

2.1.1. Personnel assigned by the Contractor to perform the services covered by this contract shall be certif ied by the American Registry of Radiologic Technologists.

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2.1.2. The qualif ications of such personnel shall also be subject to review by the VA Chief of Staf f and approval by the VA Imaging Chief .

2.1.3. The Contractor must perform the required work in accordance with JCAHO standards.

2.1.4. Technical Proficiency: The Contractor will provide current copies of these records at the time of contract award and annually on the anniversary date of contract award to the VA COR, or upon request, for each Contractor employee working on the contract.

2.1.4.1. COVID-19: Contractors shall comply with applicable COVID-19 requirements.

2.1.5. Conf lict of Interest: The Contractor is responsible for identifying and communicating to the CO and COR conf licts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall 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 shall also provide statements containing the same information for any identified consultants or subcontractors who shall 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 shall be in response to the VAAR provision 852.209-70 Organizational Conf licts of Interest and fully outlined in response to the subject attachment.

2.1.6. Citizenship related Requirements:

2.1.6.1. The Contractor certif ies that the Contractor shall 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 Af fairs patient referrals;

2.1.6.2. While performing services for the Department of Veterans Af fairs, the Contractor shall 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.

2.1.6.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Af fairs 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, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Af fairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

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2.1.6.4. This certif ication concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or f raudulent certif ication may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.6.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certif ication shall be made as part of the of ferors response to the RFQ.

2.1.7. Annual Of f ice 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) Of f ice 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.

2.1.7.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor’s 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 benef iciaries.

2.1.7.2. By submitting their proposal, the Contractor certif ies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or f irm is not listed as of the date the of fer/bid was signed.

2.1.8. Clinical/Professional Performance: The contractor is required to develop and maintain the following documents for each radiologic technologist working on the contract: credentials and qualif ications for the job; a current competence assessment checklist (an assessment of knowledge, skills, abilities, and behaviors required to perform a job correctly and skillfully; includes knowledge and skills required to provide care for certain patient populations, as appropriate)

2.2. Non Personal Healthcare Services: The parties agree that the Contractor and all contractor’s physician(s) shall not be considered VA employees for any purpose.

2.3. Indemnif ication: The Contractor shall be liable for, and shall 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 f rom the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.4. Prohibition against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to the Contractor’s or their own practice(s).

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

2.5.1. Workers’ compensation

2.5.2. Professional liability insurance

2.5.3. Health examinations

2.5.4. Income tax withholding, and

2.5.5. Social security payments.

http://oig.hhs.gov/exclusions/index.asp

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3. VA HOURS OF OPERATION/SCHEDULING:

3.1. VA Business Hours: The services covered by this contract shall be furnished by the Contractor as def ined herein. The Contractor will not be required to furnish af ter hours services.

3.2. The following terms have the following meanings:

Work hours: Monday through Friday, 7:30 a.m. - 4:30 p.m.

3.3. Patients will be walk in patients Monday thru Friday, between the hours of 7:30 am and 04:30 pm at the contractor’s place of business.

3.4. Federal Holidays: The following holidays are observed by the Department of Veterans Af fairs:

• 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 specif ically declared to be a national holiday.

4. CONTRACTOR RESPONSIBILITIES

The patient(s) will arrive at the Contractor’s place of business; an order will be faxed to the Contractor’s radiology department. The order will identify the designated x-ray procedure, CPT code, and appropriate clinical history and signed by the Carroll CBOC provider. Waiting times for patients shall not exceed 30 minutes. Upon completion of the x-ray examination the patient images will be stored on a CD in DICOM (.dcm) format and sent to the Carroll, Iowa CBOC within one (1) hour for urgent requests and twenty- four

(24) hours (no later than (48) hours) on routine requests. The Contractor can use a VA approved electronic image transfer system if preferred over CD. Medicom is the VA’s preferred sof tware for electronic image transfer. For urgent needs, the patient may hand carry the CD back to the VA CBOC the same day.

Contractor will send CD to the CBOC in accordance with Department of Veterans Af fairs VA Directive 6609. If additional information is needed, the CBOC Coordinator may be contacted at 712-794-6780.

4.1. MEDICAL RECORDS

4.1.1. Authorities: Contractor’s physician (s) providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall 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).

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4.1.2. 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 shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall 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 4.4.4.

4.1.3. Disclosure: Contractor’s staff 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 Handbook 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.

4.1.4. Release of Information: The VA shall 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. 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 were assigned.

4.1.5. Scope of Care: Contractor shall provide the technical component of general radiology (Xray) exams as ordered by a VA provider.

4.2. PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY

IMPROVEMENT(QI)

4.2.1. Patient Complaints: The CO will resolve complaints concerning Contractor relations with the Government employees or patients. The CO is f inal authority on validating complaints. In the event that the Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse.

4.2.2. The Government reserves the right to refuse acceptance of any Contractor personnel at any time af ter performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives.

Standards for conduct shall mirror those prescribed by current federal personnel regulations. The CO and COR shall deal with issues raised concerning Contractor’s conduct. The f inal arbiter on questions of acceptability is the CO.

4.2.3. Registration with Contractor Performance Assessment Reporting System

4.2.3.1. As prescribed in Federal Acquisition Regulation (FAR) Part 42.15, the Department of Veterans Affairs (VA) evaluates Contractor past performance on all contracts that exceed the Simplified Acquisition Threshold and shares those evaluations with other

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Federal Government contract specialists and procurement officials. The FAR requires that the Contractor be provided an opportunity to comment on past performance evaluations prior to each report closing. To fulfill this requirement VA uses an online database, CPARS, which is maintained by the Naval Sea Logistics Center in Portsmouth, New Hampshire. CPARS has connectivity with the Past Performance Information Retrieval System (PPIRS) database, which is available to all Federal agencies. PPIRS is the system used to collect and retrieve performance assessment reports used in source selection determinations and completed CPARS report cards transferred to PPIRS. CPARS also includes access to the federal awardee performance and integrity information system (FAPIIS). FAPIIS is a web-enabled application accessed via CPARS for Contractor responsibility determination information.

4.2.3.2. Each Contractor whose contract award is estimated to exceed the Simplif ied Acquisition Threshold requires a CPARS evaluation. A government Focal Point will register your contract within thirty days after contract award and, at that time, you will receive an email message with a User ID (to be used when reviewing evaluations).

Additional information regarding the evaluation process can be found at www.cpars.gov or if you have any questions, you may contact the Customer Support Desk @ DSN: 684-1690 or COMM: 207-438-1690.

4.2.3.3. For contracts with a period of one year or less, the contracting of f icer will perform a single evaluation when the contract is complete. For contracts exceeding one year, the contracting of f icer will evaluate the Contractor’s performance annually. Interim reports will be filed each year until the last year of the contract, when the f inal report will be completed. The report shall be assigned in CPARS to the Contractor’s designated representative for comment. The Contractor representative will have sixty

(60) days to submit any comments and re-assign the report to the CO.

4.2.3.4. Failure for the Contractor’s representative to respond to the evaluation within those sixty (60) days, will result in the Government’s evaluation being placed on f ile in the database with a statement that the Contractor failed to respond; the Contractor’s representative will be “locked out” of the evaluation and may no longer send comments.

5. GOVERNMENT RESPONSIBILITIES

VA Support Personnel, Services or Equipment: If additional information is needed, the CBOC Coordinator may be contacted at 515-779-7346.

5.1. Contract Administration/Performance Monitoring: Af ter award of contract, all inquiries and correspondence relative to the administration of the contract shall be addressed to the CO.

5.1.1. CO RESPONSIBILITIES:

The Contracting Officer is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the Contracting Of f icer on all matters pertaining to contract administration. Only the Contracting Of f icer is authorized to make commitments or issue any modification to include (but not limited to) terms af fecting price, quantity or quality of performance of this contract.

5.1.1.1. The Contracting Officer shall resolve complaints concerning Contractor relations with the Government employees or patients. The Contracting Officer is f inal authority on validating complaints. In the event the Contractor ef fects any such change at the direction of any person other than the Contracting Of f icer without authority, no http://www.cpars.gov/

Revision 06/01/2022 Page 13 of 87 adjustment shall be made in the contract price to cover an increase in costs incurred as a result thereof .

5.1.1.2. In the event that contracted services do not meet quality and/or safety expectations, the best remedy will be implemented, to include but not limited to a targeted and time limited performance improvement plan; increased monitoring of the contracted services; consultation or training for Contractor personnel to be provided by the VA;

replacement of the contract personnel and/or renegotiation of the contract terms or termination of the contract.

5.1.2. COR Responsibilities:

5.1.2.1. The COR shall be the VA official responsible for verifying contract compliance. Af ter contract award, any incidents of Contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Of f icer.

5.1.2.2. The COR will be responsible for monitoring the Contractor’s performance to ensure all specifications and requirements are fulfilled. Quality Improvement data that will be collected for ongoing monitoring.

5.1.2.3. The COR will maintain a record-keeping system of services by Radiology orders from the VA electronic medical record. The COR will review this data monthly when invoices are received and certify all invoices for payment by comparing the hours documented on the VA record-keeping system and those on the invoices. Any evidence of the Contractor's non-compliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Of f icer.

5.1.2.4. The COR will review and certify monthly invoices for payment. If in the event the Contractor fails to provide the services in this contract, payments will be adjusted to compensate the Government for the dif ference.

5.1.2.5. All contract administration functions will be retained by the VA.

6. SPECIAL CONTRACT REQUIREMENTS

6.1. Reports/Deliverables: The Contractor shall be responsible for complying with all reporting requirements established by the Contract. Contractor shall be responsible for assuring the accuracy and completeness of all reports and other documents as well as the timely submission of each. Contractor shall comply with contract requirements regarding the appropriate reporting formats, instructions, submission timetables, and technical assistance as required.

6.1.1. The following are brief descriptions of required documents that must be submitted by Contractor: upon award; weekly; monthly; quarterly’; annually, etc. identif ied throughout the PWS and is provided here as a guide for Contractor convenience. If an item is within the PWS and not listed here, the Contractor remains responsible for the delivery of the item.

What Submit as noted Submit To

Quality Control Plan: Description and reporting reflecting the contractor’s plan for meeting of contract requirements and performance standards

Upon proposal and as f requently as indicated in the performance standards.

COR and Contracting Of f icer

6.2. Billing:

6.2.1. Invoice requirements and supporting documentation: Supporting documentation and invoice must be submitted no later than the 14 workdays of the following month in which

Revision 06/01/2022 Page 14 of 87 services were rendered. Subsequent changes or corrections shall be submitted by separate invoice. In addition to information required for submission of a “proper” invoice in accordance with FAR 52.212-4 (g), all invoices must include:

6.2.1.1. Name and Address of Contractor

6.2.1.2. Invoice Date and Invoice Number

6.2.1.3. Contract Number and Purchase/Task Order Number

6.2.1.4. Contract Line Item Number

6.2.1.5. Date of Service

6.2.1.6. Veterans name and CPT performed

6.2.1.7. Total price

6.3. Vendor Electronic Invoice Submission Methods: Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below:

6.3.1. Invoices will be electronically submitted to the Tungsten website at https://www.tungsten-network.com/us/support/ Tungsten direct vendor support number is 877-489-6135 for VA contracts. The VA-FSC pays all associated transaction fees for VA orders. During Implementation (technical set-up) Tungsten will confirm your Tax Payer ID Number with the VA-FSC. This process can take up to 5 business days to complete to ensure your invoice is automatically routed to your Certifying Of f icial for approval and payment. In order to successfully submit an invoice to VA-FSC please review “How to Create an Invoice” within the how to guides. All invoices submitted through Tungsten to the VA-FSC should mirror your current submission of Invoice, with the following items required.

Clarif ication of additional requirements should be confirmed with your Certifying Of f icial (your CO or buyer). The VA-FSC requires specif ic information in compliance with the Prompt Pay Act and Business Requirements. For additional information, please contact:

Tungsten Support:

Phone: 1-877-489-6135

Website: https://www.tungsten-network.com/us/support/

Department of Veterans Affairs Financial Service Center:

Phone: 1-877-353-9791

Email: vafsccshd@va.gov

6.4. Payments in full/no billing VA benef iciaries: The Contractor shall accept payment for services rendered under this contract as payment in full. VA benef iciaries shall not under any circumstances be charged nor their insurance companies charged for services rendered by the Contractor, even if VA does not pay for those services. This provision shall survive the termination or ending of the contract.

6.4.1. To the extent that the Veteran desires services which are not a VA benef it or covered under the terms of this contract, the Contractor must notify the Veteran that there will be a charge for such service and that the VA will not be responsible for payment.

6.4.2. The Contractor shall not bill, charge, collect a deposit f rom, seek compensation, remuneration, or reimbursement from, or have any recourse against, any person or entity other than VA for services provided pursuant to this contract. It shall be considered https://www.tungsten-network.com/us/support/ https://www.tungsten-network.com/us/support/ https://www.tungsten-network.com/us/support/ https://dvagov-my.sharepoint.com/personal/joel_felberg_va_gov/Documents/Documents/Active%20Projects/Template%20Updates/02112022/vafsccshd@va.gov

Revision 06/01/2022 Page 15 of 87 f raudulent for the Contractor to bill other third party insurance sources (including Medicare) for services rendered to Veteran enrollees under this contract.

6.5. Contractor Security Requirements (VA Handbook 6500.6): All Contractor staff shall complete or obtain the following prior to performing work related to this contract:

6.5.1. SAC (f ingerprints)

6.5.2. Visitor Pass

6.5.3. TMS 20939

B.3 PRICE/COST SCHEDULE

The indefinite delivery indefinite quantity (IDIQ) contract guaranteed minimum amount is $3,000.00 for the lifetime of the contract. The minimum guaranteed amount will be awarded at the time of the contract award via the initial task order for services.

The IDIQ contract maximum ceiling is $150,000.00 for the lifetime of the contract.

Quantities listed in the Price/Cost Schedule are estimates only and are not guaranteed to be ordered. Actual quantities on the task order(s) can be less than or greater than the estimated quantities listed based on the Sioux Falls VA Health Care System’s requirements and needs.

Only warranted Contracting Officers from the Department of Veterans Affairs Network Contracting Office 23 may issue task order(s) against the IDIQ contract.

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE AMOUNT

10.00 EA __________________ __________________

CPT Code 74018 Abd 1 View

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 622110 - General Medical and Surgical Hospitals PRODUCT/SERVICE CODE: Q522 - Medical - Radiology

7.00 EA __________________ __________________

CPT Code 74019 Abdoment 2V

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

25.00 EA __________________ __________________

CPT Code 73610 Ankle 3 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

30.00 EA __________________ __________________

CPT Code 72050 Cervical 4 views

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

4.00 EA __________________ __________________

CPT Code 72052 Cervical 6 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

1.00 EA __________________ __________________

CPT code 71046 Chest 2 view Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73000 Clavicle 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73080 Elbow 3 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

6.00 EA __________________ __________________

CPT Code 73070 Elbow 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 70130 Facial Bones 5 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

3.00 EA __________________ __________________

CPT Code 73140 Finger(s)

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

2.00 EA __________________ __________________

CPT Code 73552 Femur 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

8.00 EA __________________ __________________

CPT Code 73620 Foot 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73630 Foot 3 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73090 Forearm 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73130 Hand 3 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73523 B/L Hips 5 views

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73521 B/L Hips 2 views

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

5.00 EA __________________ __________________

CPT Code 73502 Hip 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

2.00 EA __________________ __________________

CPT Code 73060 Humerus 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

10.00 EA __________________ __________________

CPT Code 73560 Knee 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

16.00 EA __________________ __________________

CPT Code 73562 Knee 3 view Upright Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73564 Knee Complete

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73565 B/L Standing Knee 4 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73590 Lower Leg 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 72100 Lumbar 3 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 72114 Lumbar 6 views

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 72110 Lumbar Obliques

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73650 Oscalcis 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 72170 Pelvis 1 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 71111 B/L Ribs w chest

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73510 Uni Ribs

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 71101 Ribs w chest

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73010 Scapula

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73030 Shoulder 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 70250 Skull 2 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 70260 Skull 4 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

5.00 EA __________________ __________________

CPT Code 72070 Thoracic 2 view

POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 72072 Thoracic 3 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

3.00 EA __________________ __________________

CPT Code 73660 Toe 3 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 73110 Wrist 3 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 72220 Sacrum/Coccyx

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72020 X-ray exam of spine 1 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72040 X-ray exam neck spine 2-3 vw

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT Code 72050 X-ray exam neck spine 4/5vws

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72052 X-ray exam neck spine 6/>vws

POP End: 03-31-2025

CPT code 72070 X-ray exam neck spine 6/>vws

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72072 X-ray exam thorac spine 3vws

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72074 X-ray exam thorac spine4/>vw

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72080 X-ray exam thoracolmb 2/> vw

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72081 X-ray exam entire spi 1 vw

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72082 X-ray exam entire spi 2/3 vw

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72083 X-ray exam entire spi 4/5 vw

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72084 X-ray exam entire spi 6/> vw

Contract Period: Base

CPT code 72100 X-ray exam l-s spine 2/3 vws

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72110 X-ray exam l-2 spine 4/>vws

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72114 X-ray exam l-s spine bending

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72120 X-ray bend only l-s spine

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72170 X-ray exam of pelvis

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72190 X-ray exam of pelvis

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72200 X-ray exam si joints

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72202 X-ray exam si joints 3/> vws

Contract Period: Base POP Begin: 04-01-2024

CPT code 72220 X-ray exam sacrum tailbone

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 72295 X-ray of lower spine disk

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73000 X-ray exam of collar bone

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73010 X-ray exam of shoulder blade

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73020 X-ray exam of shoulder

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73030 X-ray exam of shoulder

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73050 X-ray exam of shoulders

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73060 X-ray exam of humerus

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73070 X-ray exam of elbow Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73080 X-ray exam of elbow

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73090 X-ray exam of forearm

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73100 X-ray exam of wrist

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73110 X-ray exam of wrist

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73120 X-ray exam of hand

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73130 X-ray exam of hand

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73140 X-ray exam of finger(s)

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73501 X-ray exam hip uni 1 view

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73502 X-ray exam hip uni 2-3 views

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73503 X-ray exam hip uni 4/> views

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73521 X-ray exam hips bi 2 views

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73522 X-ray exam hips bi 3-4 views

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73523 X-ray exam hips bi 5/> views

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73551 X-ray exam of femur 1

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73552 X-ray exam of femur 2/>

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73560 X-ray exam of knee 1 or 2 Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73562 X-ray exam of knee 3

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73564 X-ray exam knee 4 or more

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73565 X-ray exam of knees

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73590 X-ray exam of lower leg

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73600 X-ray exam of ankle

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73610 X-ray exam of ankle

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73620 X-ray exam of foot

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73630 X-ray exam of foot

POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73650 X-ray exam of heel

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 73660 X-ray exam of toe(s)

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025

CPT code 74018 X-ray exam abdomen 1 view

Contract…