FSS-621-I - Ansible Government Solutions LLC - 36F79720D0046

Department of Veterans Affairs Federal Acquisition Service

Authorized Federal Supply Schedule Price List

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA

Advantage!®, a menu-driven database system. The INTERNET address GSA Advantage!® is: GSAAdvantage.gov.

Federal Supply Schedule (FSS) 621 I Professional & Allied Healthcare Staffing Services

Product Service Code Q Contract #: 36F79720D0046

For more information on ordering, go to the following website: https://www.gsa.gov/schedules.

PERIOD COVERED BY CONTRACT:

January 15, 2020 through January 14, 2025

ANSIBLE GOVERNMENT Solutions, LLC 274 Lancaster Avenue, Suite 206

Malvern, PA 19355 Phone: (800) 496-4299

FAX: (877) 561-2647

www.ansible-gs.com

Primary Contact: Derek Johnson (derek.johnson@ansible-gs.com)

Business Size: Service-Disabled, Veteran-Owned Small Business

(SDVOSB) Pricelist current through Modification P00006, effective June 1, https://www.gsa.gov/schedules http://www.ansible-gs.com/

TABLE OF CONTENTS

CUSTOMER INFORMATION

HOURLY RATES

LABOR CATEGORY DESCRIPTIONS

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Customer Information

1. Table of awarded special item numbers:

SIN Description

621-001 Physician - General and Family Practice

621-002 Physician - Emergency Medicine Trauma I

621-003 Physician - Hematologist & Oncologist

621-003 Physician - Hospitalist

621-003 Physician - Critical Care/ICU

621-003 Physician - Pulmonary

621-010 Physician - Neurologist

621-025 Registered Nurse Specialty - OR

621-025 Registered Nurse General

621-027 Pharmacist

621-030 Physician Assistant

621-035 Physical Therapist

621-038 Licensed Practical Nurse (LPN)

621-039 Medical Assistant (Certified, Registered)

621-040 Certified Nursing Assistant (CAN)

621-041 Cytotechnologist

621-046 Clinical Laboratory Scientist / Medical Technologist

621-046 Laboratory - Phlebotomist / Blood Bank Technologist

621-046 Laboratory - Histotechnologist / Technicians

621-046 Laboratory - Pathologist Assistant

621-050 Radiography - Computer Tomography (CT) Technologist

621-050 Radiography - Cardiovascular Technologist (Echo, Cath Lab, Interventional

621-050 Radiography - Magnetic Resonance Imaging Technologist

621-050 Radiography - Nuclear Medicine Technician

621-050 Radiography – Mammographer:

621-050 Radiography - Ultrasound, Sonography, Vascular Technologist

621-051 Pharmacy Technician

621-054 Nurse Practitioner

621-056 Sterile Processing Technician

621-056 Polysomnographic Technologist/Sleep

2. Maximum order: $1,000,000 per order

3. Minimum order: 8 hours per diem

4. Geographic coverage (service area): AR, AZ, CA, CO, DC, FL, GA, IL, IN, MA, MD, MI, MO, NY, NM, NV, NC, OK, OR, PA, SC, TX, UT, VA, WI, WV

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5. Prompt Payment Terms: 1%, 10 Days, Net 30 Days; Information for Ordering Offices:

Prompt payment terms cannot be negotiated out of the contractual agreement in exchange for other concessions.

6. Overtime Rate(s): 1.3x Base Rate for hours over 40 in a workweek (Sunday – Saturday) or over 8 in U.S. States with daily overtime laws. OT is only applicable to non-physicians.

1.5x Base Rate when double time applies. Overtime does not apply to Physicians.

Physicians are paid the regular hourly rate.

7. Holiday Rate(s): 1.3 times Base Rate for work on a Federal Holiday. Physicians are paid the regular hourly rate for work on Federal Holidays

8. On-Call Rate(s): Physicians: 1 hour of pay for 12 hours on-call. While in on-call status, the provider is required to carry a beeper or mobile phone and remain within 30 mile/minutes radius of the facility.

Non-Physicians: $6.00 per hour. While in on-call status, carry a beeper or mobile phone, and remain within 30 mile/minutes radius of the facility.

9. Call Back Rate(s): The base hourly rate will be charged unless overtime is applicable.

Billing rate starts once provider arrives on site.

10. Ordering address: 274 Lancaster Avenue, Suite 206, Malvern, PA 19355

11. Ordering procedures: See Federal Acquisition Regulation (FAR) 8.405-3.

12. Payment address: 274 Lancaster Avenue, Suite 206, Malvern, PA 19355

13. Medical Liability Insurance Limits: $1,000,000 per occurrence; $3,000,000 aggregate.

14. List of authorized subcontractors: None

15. Universal Entity Identifier (UEI) number: HJJHWA9KNKG7

16. Notification regarding registration in System for Award Management (SAM) database: Registered; CAGE Code: 79MN8

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Hourly Rates

SIN Description Hourly Rate

621-001 Physician - General and Family Practice $152.00

621-002 Physician - Emergency Medicine Trauma I $248.98

621-003 Physician - Hematologist & Oncologist $220.00

621-003 Physician - Hospitalist $217.00

621-003 Physician - Critical Care/ICU $252.53

621-003 Physician - Pulmonary $252.53

621-010 Physician - Neurologist $215.00

621-025 Registered Nurse Specialty - OR $69.88

621-025 Registered Nurse General $88.96

621-027 Pharmacist $136.84

621-030 Physician Assistant $90.00

621-035 Physical Therapist $68.41

621-038 Licensed Practical Nurse (LPN) $51.32

621-039 Medical Assistant (Certified, Registered) $42.91

621-040 Certified Nursing Assistant (CNA) $38.00

621-041 Cytotechnologist $54.08

621-046 Clinical Laboratory Scientist / Medical Technologist $55.46

621-046 Laboratory - Phlebotomist / Blood Bank Technologist $44.91

621-046 Laboratory - Histotechnologist / Technicians $45.56

621-046 Laboratory - Pathologist Assistant $70.40

621-050 Radiography - Computer Tomography (CT) Technologist $74.51

621-050 Radiography - Cardiovascular Technologist (Echo, Cath Lab, Interventional

$75.00

621-050 Radiography - Magnetic Resonance Imaging Technologist $72.00

621-050 Radiography - Nuclear Medicine Technician $85.00

621-050 Radiography – Mammographer: $73.00

621-050 Radiography - Ultrasound, Sonography, Vascular Technologist $82.75

621-051 Pharmacy Technician $45.00

621-054 Nurse Practitioner $116.16

621-056 Sterile Processing Technician $38.80

621-056 Polysomnographic Technologist/Sleep Technician $46.00

Note: Rates do not include per diem, transportation, and housing. Rates do not include shift differentials, holiday differentials, or overtime. Rates do include medical malpractice insurance.

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LABOR CATEGORY DESCRIPTIONS

SIN #621-001 Physician - General and Family Practice

Education Graduation from an accredited medical school

Licensure Retain a current, active, valid, and unrestricted license in any of the 50 States, District of Columbia, or US Territory.

Experience Board Certified or Board Eligible in Internal Medicine or Family Practice;

References Minimum of three (3) professional references

Certifications As required by the Statement of Work: BLS, ACLS and/or PALs; DEA registration to prescribe controlled substances.

SIN #621-002 Physician - Emergency Medicine Trauma I

Education Graduation from an accredited medical school

Licensure Retain a current, active, valid, and unrestricted license in any of the 50 States, District of Columbia, or US Territory.

Experience Board Certified or Board Eligible in Emergency Medicine (preferred), Internal Medicine, or Family Practice; if Board Eligible

References Minimum of three (3) professional references

SIN #621-003 Physician - Hematologist

Licensure Retain a current, active, valid, and unrestricted license in any of the 50 States, District of Columbia, or US Territory.

Experience Board Certified or Board Eligible in Internal Medicine and Hematology

References Minimum of three (3) professional references

SIN #621-003 Physician - Oncologist

Licensure Retain a current, active, valid, and unrestricted license in any of the 50 States, District of Columbia, or US Territory.

Experience Board Certified or Board Eligible in Internal Medicine

References Minimum of three (3) professional references

SIN #621-003 Physician - Hospitalist

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Licensure Retain a current, active, valid, and unrestricted license in any of the 50 States, District of Columbia, or US Territory.

Experience Board Certified or Board Eligible in Internal Medicine or Family Practice References Minimum of three (3) professional references

SIN #621-003 Physician - Pulmonary / Critical Care / ICU

Education Graduation from an accredited medical school.

Licensure Retain a current, active, valid, and unrestricted license in any of the 50 States, District of Columbia, or US Territory.

Experience Board Certified or Board Eligible in Internal Medicine and Critical Care or Pulmonary/Critical Care Medicine

References Minimum of three (3) professional references.

Certifications As required by the Statement of Work: BLS, ACLS and/or PALs.

SIN #621-003 Physician - Neurologist

Education Graduation from an accredited medical school.

Licensure Retain a current, active, valid, and unrestricted license in any of the 50 States, District of Columbia, or US Territory.

Experience Board Certified or Board Eligible in Internal Medicine.

References Minimum of three (3) professional references.

SIN #621-025 Registered Nurse – Specialty OR

Education Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing

Licensure Current and unrestricted license in a State, Territory, or Commonwealth of the United States or the District of Columbia.

Experience 1 year of experience

References Minimum of three (3) professional references

Certifications As required by the Statement of Work: BLS, ACLS and/or PALs;

SIN #621-025 Registered Nurse General

Education Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing

Licensure Current and unrestricted license in a State, Territory, or Commonwealth of the United States or the District of Columbia.

Experience 1 year of experience

Certifications As required by the Statement of Work: BLS, ACLS and/or PALs;

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SIN #621-027 Pharmacist

Education A graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited college or School of Pharmacy with a baccalaureate degree in Pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.)

degree

Licensure A full, current and unrestricted license in any State, Territory, or Commonwealth of the United States or the District of Columbia) when services are performed onsite on VA property. Must be licensed for controlled substances, with qualifications to practice in any states.

Experience 1 year of experience

Certifications BLS (AHA)

SIN #621-030 Physician Assistant

Education Bachelor’s Degree and completion of a Physician Assistant program.

Licensure Retain a current, active, valid, and unrestricted license in any of the 50 States, District of Columbia, or US Territory.

Experience Minimum of 12 months experience in respective specialty is preferred.

References Minimum of three (3) professional references.

SIN #621-035 Physical Therapist

Education Degree in Physical Therapy recognized by the U.S. Department of Education from CAPTE accredited colleges, universities, or institutions

Licensure A current, full, active and unrestricted license as a therapist in a State, Territory, or Commonwealth of the U.S. or the District of Columbia

Experience 1 year of experience

SIN #621-038 Licensed Practical Nurse (LPN)

Education Graduate of a school of practical nursing approved by the appropriate State agency and/or the ACEN (formerly the National League for Nursing Accrediting Commission -NLNAC) at the time of graduation (NOTE:

military health care education that is accepted by the jurisdiction in which the individual is licensed will be accepted as meeting the educational requirements for VHA employment)

Licensure Unrestricted license to practice as a Licensed Practical Nurse (LPN) from any one of the 50 states or US territories;

Experience 1 year of experience

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SIN #621-039 Medical Assistant (Certified, Registered)

Education High school diploma or equivalent.

Licensure None required.

Experience Minimum of 12 months experience in respective specialty is preferred.

References Minimum of three (3) professional references.

Certifications As required by the Statement of Work: Certified Medical Assistant (CMA), Registered Medical Assistant (RMA), National Certified Medical Assistant (NCMA), Certified Clinical Medical Assistant (CCMA)

SIN #621-040 Certified Nursing Assistant (CNA)

Education High School Diploma

Licensure Current Nursing Assistant Certification

Experience 1 year of experience

SIN #621-041 Cytotechnologist

Education A Bachelor’s Degree in related field or equivalency.

Licensure As required by applicable State.

Experience Minimum of 12 months experience in respective specialty is preferred.

References Minimum of three (3) professional references.

Certifications American Society of Clinical Pathology (ASCP) certification or equivalent nationally recognized histology technologist certification or categorical certification in cytopathology

SIN #621-046 Clinical Laboratory Scientist / Medical Technologist

Education Accredited Bachelors degree in medical laboratory science, medical technology, clinical laboratory science, or a related science (e.g., biology, chemistry)

Licensure Certification as a Medical Technologist (MT), Clinical Laboratory Scientist (CLS), or Medical Laboratory Scientist (MLS) given by the American Society of Clinical Pathology (ASCP) or American Medical Technologists

(AMT)

Experience Minimum of 12 months experience in respective specialty is preferred.

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SIN #621-046 Laboratory - Phlebotomist / Blood Bank Technologist

Education High school diploma or equivalent and completion of applicable training program.

Licensure As required by applicable State.

Experience Minimum of 12 months experience in respective specialty is preferred.

Certifications As required by the Statement of Work: Basic Life Support (BLS)

SIN #621-046 Laboratory - Histotechnologist / Technicians

Education A Bachelor’s Degree in related field or equivalency.

Licensure As required by applicable State.

Experience Minimum of 12 months experience in respective specialty is preferred.

References Minimum of three (3) professional references.

Certifications ASCP professional certification or equivalent nationally recognized histology technologist certification or categorical certification in histopathology.

SIN #621-046 Laboratory - Pathologist Assistant

Education High school diploma or equivalent and completion of applicable training program.

Licensure As required by applicable State.

Experience Minimum of 12 months experience in respective specialty is preferred.

References Minimum of three (3) professional references.

Certifications As required by the Statement of Work: American Society of Clinical Pathology Pathologist’s Assistant [PA(ASCP)].

SIN #621-050

Radiologic Technology (Includes: Cardiovascular Technologists (Interventional, ECHO and Cath Lab); Computer Tomography (CT) Technologist; Magnetic Resonance Imaging Technologist (MRI);

Mammographer; Nuclear Medicine Technologist;

Sonography/Ultrasound/Vascular)

Education Associate’s degree

Licensure Certification in respective sub-specialties by the American Registry of Radiologic Technologist (ARRT), Nuclear Medicine Technologist Certification Board (NMTCB), or the American Registry of Diagnostic Medical Sonographer (ARDMS)

Experience 1 year of experience

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SIN #621-051 Pharmacy Technician

Education A graduate of an Academic Technician Training Educational Program

Licensure Certified by the National Pharmacy Technician Certification Board.

Experience 1 year of experience

SIN #621-054 Nurse Practitioner

Education Completion of an accredited MSN or Nurse Practitioner academic program

Licensure Retain a current, active, valid, and unrestricted license in any of the 50 States, District of Columbia, or US territory.

Experience 1 year of experience

SIN #621-056 Sterile Processing Technician

Licensure None required.

Experience a) CRCST or CSPDT certification and no experience; b) or Graduation from a nationally recognized training program with 2 years of experience;

c) Graduation from a nationally recognized Operating Room Technician training program with 2 years of experience in a Sterile Processing Service environment; d) Graduation from a US military training program for Surgical Technicians with a minimum of 2 current years of documented work experience in a Sterile Processing Service environment; e)VA Level 2 certification with 2 years current work experience in the SPS environment; f )Non-Certified technicians with documented and verifiable SPS hands on work experience for 5 years.

References Minimum of three (3) professional references.

Certifications As required by the Statement of Work: Certified Registered Central Service Technician (CRCST) or Certified Registered Central Service Technician (CSPDT).

SIN #621-056 Polysomnographic Technologist/Sleep Technician

Licensure None required.

Experience Minimum of 12 months experience in respective specialty is preferred.

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Certifications As required by the Statement of Work: Registered Polysomnographic Technologist (RPSGT) or Registered Sleep Technologist (RST); and Basic Life Support (BLS).