Federal Supply Schedule 36F79724D0024

DEPARTMENT OF VETERANS AFFAIRS

Federal Supply Schedule

Authorized Federal Supply Schedule Price List

Effective Date: 12-01-2023

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 for GSA Advantage! Is: www.GSAAdvantage.gov

Schedule Title: 621 I, Professional and Allied Healthcare Staffing Services NAICS Group: 561320 Product Service Code: Q Contract VA FSS Contract: 36F79724D0024

For more information on ordering from Federal Supply Schedules, click on the FSS Schedules at http://www.fss.gsa.gov

Contract Period: December 01, 2023 through November 30, 2028

Contractor Name: Maxim Healthcare Staffing Services, Inc.

7227 Lee Deforest Drive Columbia, MD 21046

Primary Contact: Paul Davis, Director of Government Services padavis@maxstaffing.com Phone: (904) 534-2967

FAX: (877) 748 8798

Alt. Contact: Bryant Moshang, Controller bryant@maxstaffing.com

Phone: (410) 910-1553

FAX: (877) 748 8798

Business Size: Large Business Tax Id Number (TIN): 83-2976157 Data Universal Number System (DUNS) Number: 117002087 Central Contractor Registration (CCR) Cage Code: 8ESB1 Unique Entity ID (UEI) Number: JCGFHM1L1JX9

Maxim Healthcare Staffing Services, Inc.

VA FSS Contract 36F79724D0024

CUSTOMER INFORMATION: Table of Awarded Special Item Number(s) for SIN 621: Description

Special Item Number Labor Category Description

621-001 Physician - Gen & Fam Practice

621-001 Physician - Urgent Care

621-002 Physician – Emergency Medicine Trauma IV

621-002 Physician - Emergency Medicine Trauma V

621-003 Physician - Internal Medicine

621-003 Physician - Pulmonary

621-003 Physician - Infectious Disease

621-003 Physician - Critical Care / ICU

621-004 Physician - Pediatrician

621-006 Physician - Anesthesiologist

621-010 Physician - Neurologist

621-012 Physician - Optometrist

621-014 Physician - Physical Med & Rehab

621-017 Physician - Psychiatrist (Gen Adult, Geri)

621-018 Physician - Psychologist

621-019 Physician - Podiatrist

621-020 Physician - Radiologist (Diag, Gen)

621-024 Physician - Gerontologist

621-025 RN - General

621-025 RN - Specialty

621-025 RN - Critical Care SP

621-025 RN - Emergency Room

621-025 RN - Extended/Long Term Care

621-025 RN - Med/Surgery

621-025 RN - Operating Room

621-025 RN - Psychiatric

621-025 RN - Telemetry

621-026 Dentist - Specialty (Period, Endo)

621-027 Pharmacist - Gen/Pharm D

621-030 Physician Assistant

621-031 Speech Language Pathologist

621-031 Audiologist

621-032 EMT / Paramedic (Certified)

621-033 Dental - Certified Dental Assistant

621-033 Dental - Dental Hygienist

621-034 Certified /Reg Respiratory Therapist

621-035 Physical Therapy - Physical Therapist

621-035 PT - Physical Therapy Assistant

621-036 Perfusionist / Perfusion Technologist

621-037 Occupational Therapist

621-037 Cert Occupational Therapy Assistant

Special Item Number Labor Category Description

621-038 LP/VN (License Practical/Vocational Nurse)

621-039 Medical Transcriptionist

621-039 Medical Assistant (Certified, Registered)

621-039 Medical Records Technician

621-040 Nurse Assistant (Certified, Registered)

621-041 Cytotechnologist

621-046 Clinical Laboratory Technician

621-046 Phlebotomist / Blood Bank Tech

621-046 Histotechnologist Technologists / Tech

621-047 Community Counselor

621-047 Counselor, Therapist/Marriage, Family

621-047 Mental Health Counselor

621-047 Rehabilitation Counselor

621-047 Social Worker (BSW)

621-047 Social Worker (MSW)

621-048 Dietician

621-049 Surgical Technologist

621-050 Radiation Therapist

621-050 Cardiovascular Technologist

621-050 Nuclear Medicine Technician

621-050 Computer Tomography (CT) Technologist

621-050 Ultrasound, Sono, Vascular Technologist

621-050 Radiography - Mammographer

621-050 Radiography - X-Ray Tech

621-051 Pharmacist Technician - Certified

621-053 Certified Registered Nurse Anesthetist

621-054 Nurse Practitioner

621-055 Dosimetrist

621-057 Chiropractor

621-060 Electroneurodiagnostic (END) Technologist

621-061 Physicists

621-099 Epidemiologist

Contract Detail:

1. Maximum Order: $1 million per order.

2. Minimum Order: 13 weeks at 40 hours per week for an 8-hour shift or 36 hours per week for a 12- hour shift with no guaranteed shifts or lead times.

Short Term/Per Diem requests are 8-hour shifts minimum.

3. Geographical Coverage: Nationwide coverage, which includes the 48 contiguous states, Alaska, Puerto Rico, Hawaii and Washington, DC.

4. Statement of Net Prices: See Attachments "C" and "D" for Overtime, Holiday

Pay, Weekend Shift, and Shift differentials, and Workweek. Rates are ceiling rates, including malpractice insurance, excluding travel.

5. Prompt Payment Terms: 1% Discount Net 20 days, Net 30 days

6. Government Commercial Credit Cards: Accepted at all dollar amounts.

7. Ordering Addresses: Maxim Healthcare Staffing Services, Inc.

7227 Lee Deforest Drive Columbia, MD 21046

8. Payment Address: Maxim Healthcare Staffing Services, Inc.

12558 Collections Center Drive Chicago, IL 60693-0125

9. Prices shown are “net” ceiling prices not to exceed rates. The net ceiling rates include malpractice insurance for non-personal services task-orders and exclude travel and lodging. Personal Services will be accepted.

10. Minimum Qualifications of Professional: See Attachment "A"

11. Professional Liability Insurance: $1million per occurrence/$3 million aggregate.

12. Ordering Procedures: For services, the ordering procedures, information on

Blanket Purchase Agreements (BPA’s), are found in the Federal Acquisition Regulation (FAR) 8.405-3.

13. Disaster Recovery Purchasing Effective 02/07, participating in (Public Law 109-

364, John Warner Defense Authorization Act 2007

ATTACHMENT C

Statement of Net Pricings Ceiling Rates (with IIF)

Special Item Number Labor Category Description FSS Net Ceiling Hourly Rate

621-001 Physician - Gen & Fam Practice $ 181.82 621-001 Physician - Urgent Care $ 181.82 621-002 Physician - Emergency Medicine Trauma IV $ 404.04 621-002 Physician - Emergency Medicine Trauma V $ 308.08 621-003 Physician - Internal Medicine $ 262.63 621-003 Physician - Pulmonary $ 425.00 621-003 Physician - Infectious Disease $ 340.00 621-003 Physician - Critical Care / ICU $ 450.00 621-004 Physician - Pediatrician $ 171.72 621-006 Physician - Anesthesiologist $ 353.54 621-010 Physician - Neurologist $ 333.33 621-012 Physician - Optometrist $ 111.11 621-014 Physician - Physical Med & Rehab $ 165.00 621-017 Physician - Psychiatrist (Gen Adult, Geri) $ 342.44 621-018 Physician - Psychologist $ 124.20 621-019 Physician - Podiatrist $ 161.62 621-020 Physician - Radiologist (Diag, Gen) $ 308.08 621-024 Physician - Gerontologist $ 166.67 621-025 RN - General $ 110.00 621-025 RN - Specialty $ 120.00 621-025 RN - Critical Care SP $ 120.00 621-025 RN - Emergency Room $ 115.46 621-025 RN - Extended/Long Term Care $ 110.00 621-025 RN - Med/Surg $ 115.00 621-025 RN - Operating Room $ 130.00 621-025 RN - Psychiatric $ 130.00 621-025 RN - Telemetry $ 128.00 621-026 Dentist - Specialty (Period, Endo) $ 161.62 621-027 Pharmacist - Gen/Pharm D $ 171.72 621-030 Physician Assistant $ 160.00 621-031 Speech Language Pathologist $ 115.00 621-031 Audiologist $ 110.00 621-032 EMT / Paramedic (Certified) $ 70.00 621-033 Dental - Certified Dental Assistant $ 62.00

Special Item Number Labor Category Description FSS Net Ceiling Hourly Rate

621-033 Dental - Dental Hygienist $ 45.45 621-034 Certified /Reg Respiratory Therapist $ 109.00 621-035 Physical Therapy - Physical Therapist $ 116.16 621-035 PT - Physical Therapy Assistant $ 73.74 621-036 Perfusionist / Perfusion Technologist $ 87.88 621-037 Occupational Therapist $ 106.06 621-037 Cert Occupational Therapy Assistant $ 80.81 621-038 LP/VN (Lic Practical/Vocational Nurse) $ 88.00 621-039 Medical Transcriptionist $ 34.34 621-039 Medical Assistant (Certified, Registered) $ 60.32 621-039 Medical Records Technician $ 73.97 621-040 Nurse Assistant (Certified, Registered) $ 60.00 621-041 Cytotechnologist $ 60.61 621-046 Clinical Laboratory Technician $ 92.00 621-046 Phlebotomist / Blood Bank Tech $ 65.00 621-046 Histotechnologist Technologists / Tech $ 90.00 621-047 Community Counselor $ 87.24 621-047 Counselor, Therapist/Marriage, Family $ 76.52 621-047 Mental Health Counselor $ 95.00 621-047 Rehabilitation Counselor $ 75.76 621-047 Social Worker (BSW) $ 80.00 621-047 Social Worker (MSW) $ 102.00 621-048 Dietician $ 60.61 621-049 Surgical Technologist $ 81.81 621-050 Radiation Therapist $ 90.91 621-050 Cardiovascular Technologist $ 85.25 621-050 Nuclear Medicine Technician $ 111.11 621-050 Computer Tomography (CT) Technologist $ 110.00 621-050 Ultrasound, Sono, Vascular Technologist $ 111.11 621-050 Radiography - Mammographer $ 107.00 621-050 Radiography - X-Ray Tech $ 90.00 621-051 Pharmacist Technician - Certified $ 56.00 621-053 Certified Registered Nurse Anesthetist $ 252.00 621-054 Nurse Practitioner $ 168.00 621-055 Dosimetrist $ 121.21 621-057 Chiropractor $ 60.61 621-060 Electroneurodiagnostic (END) Technologist $ 60.61 621-061 Physicists $ 135.05 621-099 Epidemiologist $ 126.26

ATTACHMENT D

Work Week: Sunday – Saturday

Shift Differentials: None

Overtime Rate(s): Non-Physicians: 1.35 times the hourly rate for all hours worked in excess of 40 hours per week and in accordance with all local, state, and federal labor laws.

California Overtime Rate: 1.35x the regular hourly rate applies after the first 8 hours, then 1.75x the normal hourly rate after the first 12 hours in accordance with state and local labor laws.

Holiday Rate(s): 1.35x billable rate for federally recognized government holidays actually worked.

On-Call Rate(s): Non- Physician - $7 per hour rate for the time provider is on call. On call is to carry a beeper or cell phone and be able to provide phone consultation. The provider must be within 30 minutes radius of the facility or within an approved radius from the hospital.

Physician - Weeknight for Physicians is one flat charge that equals one hour of the normal rate for 16-hour period. Weekend Call for a 24-hour period one flat charge that equals 2.0 hours of the normal rate. The Physician must be able to carry a beeper or cell phone and be able to provide phone consultation. The Physician must be within 30 minutes radius of the facility or within an approved radius from the hospital.

Call Back Rate(s): Non- Physician - The normal hourly rate will be charged for each hour worked when the provider is called back and physically onsite with a minimum charge of two (2) hours.

Physician - The normal hourly rate will be charged for each hour worked when the physician is called back and physically onsite with a minimum charge of two (2) hours.

Annual Rebates: N/A

ATTACHMENT A

Minimum Qualifications of Professionals

SIN Labor Category Description (Job Title) Including Subcategory and Level, As Applicable

Education / Minimum Training

Experience (# of years)

Licenses Certifications CPR Other

621-

Physician - General and Family

Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualifications as outlined by the ordering service.

621-

Physician - Urgent Care Completed Undergraduate Program and Medical School (MD or DO). Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualifications as outlined by the ordering service.

621-

Physician - Emergency Medicine IV

Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS, ACLS, PALS,

NRP,

No Additional experience and qualifications as outlined by the ordering service.

621-

Physician - Emergency Medicine V

Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS, ACLS, PALS,

NRP,

No Additional experience and qualification s as outlined by the ordering service.

621-

Physician - Internal Medicine

Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualification s as outlined by the ordering service.

621-

Physician - Pulmonary Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualification s as outlined by the ordering service.

621-

Physician - Infectious Disease

Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualification s as outlined by the

621-

Physician - Critical Care /

ICU

Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualification s as outlined by the ordering service.

621-

Physician - Pediatrician Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualification s as outlined by the ordering service.

621-

Physician - Anesthesiologist

Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualification s as outlined by the ordering service.

621-

Physician - Neurologist Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualification s as outlined by the

621-

Physician - Optometrist Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualifications as outlined by the ordering service.

621-

Physician - Physical Medicine and Rehabilitation Services

(PM&R)

Bachelor’s is Degree in related field.

1 Not Required Not Required No Additional experience and qualifications as outlined by the ordering service.

621-

Physician - Psychiatrist Doctoral degree in Clinical Psychology, either PsyD or PhD

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualifications as outlined by the ordering service.

621-

Physician - Psychologist

Masters Degree and/or PhD in clinical Psychology

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS, ACLS, PALS,

NRP, etc.).

No Additional experience and qualifications as outlined by the ordering service.

621-

Physician - Podiatrist Doctor of Podiatric Medicine, DMP

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e.

BLS,

ACLS, PALS, NRP,

No Additional experience and qualifications as outlined by the

621-

Physician - Radiology Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, No Additional experience and qualifications as outlined by the ordering service.

621-

Physician - Gerontologist

Completed Undergraduate Program and Medical School (MD or DO).

Completed Internship/Residency program.

1 Unrestricted state licensure.

General Practitioner, at minimum; Board Eligibility/Board Certification preferred or as required by the ordering service.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, No Additional experience and qualifications as outlined by the ordering service.

621-

Registered Nurses - General

Associate’s Degree or Diploma; BSN Degree, preferred.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Registered Nurses - Specialized

Associate’s Degree or Diploma; BSN Degree, preferred.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Registered Nurses - Critical Care

Associate’s Degree or Diploma; BSN Degree, preferred.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Registered Nurses - ER Associate’s Degree or Diploma; BSN Degree, preferred.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Registered Nurses - Extended/Long Term Care

Associate’s Degree or Diploma; BSN Degree, preferred.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering

621-

Registered Nurses - Med/Surg

Associate’s Degree or Diploma; BSN Degree, preferred.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Registered Nurses - OR Associate’s Degree or Diploma; BSN Degree, preferred.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Registered Nurses - Psychiatric

Associate’s Degree or Diploma; BSN Degree, preferred.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Registered Nurses - Telemetry

Associate’s Degree or Diploma; BSN Degree, preferred.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Dentist Dental School Degree (DDS or DMD) from an ADA accredited institution.

1 Unrestricted state licensure.

Specialist shall maintain certificate(s) of training in applicable specialty from an ADA accredited residency-training program.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Pharmacist RPh or PharmD Degree, preferred.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Physician Assistants Bachelor’s Degree and completion of Physician Assistant program.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by

621-

Speech Language Pathologist

Audiologist - Graduate or four-year degree program accredited by the American Speech and Hearing Association.

Speech and Language Pathologist - Graduate of Speech Pathologist program accredited by the American Speech and Hearing Association.

1 Unrestricted state licensure.

Audiologist - holds or is eligible for a certificate of clinical competence granted by the American Speech and Hearing Association preferred.

Speech and Language Pathologist - holds or is eligible for a certificate of clinical competence granted by the American Speech and Hearing Association.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Audiologist Bachelor’s is Degree in related field.

1 Unrestricted state licensure, as required per state.

Medical Dosimetrist Certification Board Certification, as required per state.

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

EMT/ Paramedic Graduated from an applicable training program, per specialty (i.e. EMT).

1 National Registry, if applicable.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance, Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by The ordering

621-

Dental Related Services

- Certified Dental Assistant

Audiologist - Graduate or four-year degree program accredited by the American Speech and Hearing Association.

Speech and Language Pathologist - Graduate of Speech Pathologist program accredited by the American Speech and Hearing Association.

1 Unrestricted state licensure.

Audiologist - holds or is eligible for a certificate of clinical competence granted by the American Speech and Hearing Association preferred.

Speech and Language Pathologist - holds or is eligible for a certificate of clinical competence granted by the American Speech and Hearing Association.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Dental Related Services

- Dental Hygienist

Degree or Certificate in dental hygiene.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by

621-

Respiratory Therapy - Certified Respiratory Therapist

Associate’s Degree and/or successful completion of a respiratory therapy program.

1 Unrestricted state licensure, if required per state.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Physical Therapy - Physical Therapist

Graduate from a

CAPTE/APTA

accredited program;

Master’s Degree, preferred.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Physical Therapy - Physical Therapist Assistant

Bachelor’s is Degree in related field.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Perfusionist / Perfusion Technologist

Bachelor’s Degree in Biological Sciences, Medical Technology or other related field.

1 Unrestricted state licensure, as required per state.

Completion of an accredited cardiovascular perfusion-training program.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Occupational Therapy - Occupational Therapist

Bachelor’s Degree 1 Unrestricted state licensure

NBCOT Certification is voluntary.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Occupational Therapy - Occupational Therapist Assistant

Bachelor’s is Degree in related field.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Licensed Practical/Vocational Nurse

Graduate of a LPN/LVN program.

1 Unrestricted state licensure

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Medical Transcriptionist

High School Diploma or equivalent.

1 Not Required Not Required No Additional experience and qualifications as outlined by

621-

Medical Assistant - Certified

High School Diploma or equivalent.

1 Unrestricted state licensure

If applicable, the following certifications may apply:

Certified Medical Assistant (CMA), Registered Medical Assistant (RMA), National Certified Medical Assistant (NCMA), Certified Clinical Medical Assistant (CCMA).

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Medical Record Technician

Bachelor is Degree in related field.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Nurse Assistant - Certified, Registered

High School Diploma or equivalent.

1 Unrestricted state licensure

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Cytotechnologist Bachelor’s is Degree in related field.

1 Unrestricted state licensure

National certification, as required per state.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Clinical Laboratory Science / Medical Technology - Medical Technician

Bachelor’s is Degree in related field.

1 Unrestricted state licensure

American Society of Clinical Pathology (ASCP) Certification, preferred.

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Clinical Laboratory Science / Medical Technology - Phlebotomist

High School Diploma or equivalent.

1 Not Required Not Required No Additional experience and qualifications as outlined by the ordering service.

621-

Clinical Laboratory Science / Medical Technology - Histotechnologist

High School Diploma or equivalent.

1 Not Required Not Required No Additional experience and qualifications as outlined by

621-

Community Counselor Bachelor’s Degree required; Master’s Degree, preferred.

1 Not required Preferred, but not required (i.e. Certified Rehabilitation Counselors (CRC)).

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Marriage/Family Counselor/Therapist

Bachelor’s Degree required; Master’s Degree, preferred.

1 Not required Preferred, but not required (i.e. Certified Rehabilitation Counselors (CRC)).

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Mental Health Counselor Bachelor’s Degree required; Master’s Degree, preferred.

1 Not required Preferred, but not required (i.e. Certified Rehabilitation Counselors (CRC)).

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Rehabilitation Counselor Bachelor’s Degree required; Master’s Degree, preferred.

1 Not required Preferred, but not required (i.e. Certified Rehabilitation Counselors (CRC)).

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Social Worker (BSW) Bachelor’s Degree required; Master’s Degree, preferred.

1 Not required Preferred, but not required (i.e. Certified Rehabilitation Counselors (CRC)).

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Social Worker (MSW) Bachelors Degree required; Master’s Degree, preferred.

1 Not required Preferred, but not required (i.e. Certified Rehabilitation Counselors (CRC)).

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Dietitian Dietitian/Nutritionist must hold Bachelors Degree in dietetics, foods and nutrition, food service systems management, or a related field.

1 Unrestricted state licensure, as required per state.

Certification requirements vary by state.

N/A Additional experience and qualifications as outlined by

621-

Surgical Technologist Associate’s Degree 1 Not Required. NBSTSA, CORST or other related certification, as applicable.

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Radiology – Radiation Therapist

Associate's Degree and Graduation from an applicable training program

1 Unrestricted state licensure, as required per state.

American Registry of Radiologic Technologists (ARRT), preferred.

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Radiography - Cardiovascular Technologist

Associate's Degree and Graduation from an applicable training program

1 Unrestricted state licensure, as required per state.

American Registry of Radiologic Technologists (ARRT), preferred.

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Radiography - Nuclear Medicine

Associate's Degree and Graduation from an applicable training program

1 Unrestricted state licensure, as required per state.

American Registry of Radiologic Technologists (ARRT), preferred.

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Radiography - Computer Tomography

(CT)

Associate's Degree and Graduation from an applicable training program

1 Unrestricted state licensure, as required per state.

American Registry of Radiologic Technologists (ARRT), preferred.

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Radiography - Ultrasound Sonography

Associate's Degree and Graduation from an applicable training program

1 Unrestricted state licensure, as required per state.

American Registry of Radiologic Technologists (ARRT), preferred.

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Radiography - Mammography

Associate's Degree and Graduation from an applicable training program

1 Unrestricted state licensure, as required per state.

American Registry of Radiologic Technologists (ARRT), preferred.

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by

621-

Radiography - Diagnostic Radiology Tech, X-Ray

Associate's Degree and Graduation from an applicable training program

1 Unrestricted state licensure, as required per state.

American Registry of Radiologic Technologists (ARRT), preferred.

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Certified Pharmacy Technician

High School Diploma or equivalent; Associate’s Degree, preferred.

Successful completion of a Pharmacy Technician training course.

1 Unrestricted state licensure, as required per state.

CPhT National Certification, preferred or as required by the ordering service. Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Certified Registered Nurse Anesthetist

(CRNA)

Masters degree in nursing (MSN). Specific MSN in Anesthesia

1 Unrestricted state nursing licensure.

AANA/NBCRNA

Certification, preferred.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Nurse Practitioner Master’s Degree in Nursing.

1 Unrestricted state nursing licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Dosimetrist Bachelors is Degree in related field.

1 Unrestricted state licensure, as required per state.

Medical Dosimetrist Certification Board Certification, as required per state.

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Chiropractor High School Diploma or equivalent; Associate’s Degree, preferred.

1 Unrestricted state licensure, as required per state.

Specialty Certification(s), as required per state. Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Electroneurdiagnostic Technologist (END)

Doctor of Chiropractic (D.C.) Degree.

1 Unrestricted state licensure.

Specific Certification(s) as required by using agency’s inclusion in the Statement of Work/Performance Work Statement (i.e. BLS, ACLS, PALS, NRP, etc.).

N/A Additional experience and qualifications as outlined by

621-

Physicists High School Diploma or equivalent. Completion of applicable course of study, per discipline.

1 Not Required. As applicable, The American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET) awards the credentials of "Registered EEG Technologist" and "Registered Evoked Potential Technologist". As applicable, Polysomnographers to be RPSGT or CPSGT through the Board of Registered Polysomnographic Technologists (BRPT).

Basic Life Support (BLS) Certification, as required by using agency’s inclusion in the Statement of Work/Performance Work Statement.

N/A Additional experience and qualifications as outlined by the ordering service.

621-

Epidemiologist Bachelors or Masters in public health field

1 Not Required Not Required No Additional experience and qualifications as outlined by