MAS - Wellness Source LLC - 47QREA23D0012

SCHEDULE FOR: POINTS OF CONTACT:

Multiple Award Schedule (MAS) Federal Supply Group: Professional Services Product Service Codes (PSC):

G099 (Social- Other) Q403 (Medical- Evaluation/Screening) Q509 (Medical- Internal Medicine) Q519 (Medical- Psychiatry) Q526 (Medical- Medical/Psychiatric Consultation) Q999 (Medical- Other) R499 (Support- Professional: Other)

Marshalee George Medical Director, Program Strategy & Growth mgeorge@yourwellnesssources.com

Debbie Wilson Business Manager, Business Development dwilson@yourwellnesssources.com

CONTRACT NUMBER: 47QREA23D0012

CONTRACT PERIOD: March 15, 2023 – March 14, 2028 Price list current as of Modification #PA-0002 effective March 18, 2023

GENERAL SERVICES ADMINISTRATION

FEDERAL SUPPLY AND SERVICE

AUTHORIZED FEDERAL SUPPLY SCHEDULE

PRICE LIST

mailto:mgeorge@yourwellnesssources.com mailto:dwilson@yourwellnesssources.com

Page | i

Authored by

Table of Contents

CORPORATE OVERVIEW

Background

Customer Information

SIN 624SS: Social Work, Counseling, Mental Health Services, Rehabilitation Services, and Educational Services Related to Health Care

GSA PRICE LIST

Service Contract Labor Standards

Page | 1

PROCEDURE FOR ORDERING SERVICES

CORPORATE OVERVIEW

Background Your Wellness Sources is a trusted and reputable integrated health & wellness clinic located in the heart of Hyattsville, Prince Georges County, Maryland. Since its establishment in 2016, Your Wellness Sources(YWS) has been unwavering in its dedication to providing top-notch culturally sensitive and evidence-based patient care, prioritizing personalized attention, and helping individuals achieve their health and wellness goals.

As a leading healthcare provider, YWS is recognized for its focus on education and prevention, empowering individuals to maintain a healthy lifestyle, and optimizing their overall mental and physical well-being. With a state-of-the-art facility equipped with the latest technology and equipment, YWS is committed to providing the highest quality of care possible.

At YWS, their multidisciplinary leadership team culminates over 50 years of combined expertise in healthcare, medicine, nursing, rehabilitation services, program development, marketing, and IT development and support, ensuring that patients receive the best possible care from a team of professionals.

The clinic is well-versed in a comprehensive range of healthcare services, including wellness coaching, nutritional counseling, case management, mental health & substance abuse counseling, psychiatry, medical exams, military readiness exams, VA disability rating exams, addiction treatment, IDD services, ancillary services and among others. Each service is designed to meet the unique needs of patients, and YWS' team of highly trained healthcare professionals collaborates to develop individualized treatment plans.

YWS dedication to exceptional patient care has earned them a reputation as a leader in integrated healthcare delivery throughout their region. The clinic's team of specialists includes doctors, nurse practitioners, nurses, psychologist, psychotherapist, nutritionists, medical assistants, phlebotomists, audiogram technicians, and other healthcare professionals, each with a shared goal of promoting optimal health and wellness.

In addition to their commitment to patient care, YWS remains committed to serving the communities it operates in and vulnerable populations. The clinic takes pride in its legacy of service, and it remains committed to promoting healthy lifestyles and providing exceptional healthcare services to all.

Page | 2

Customer Information 1a. Table of awarded special item number(s) with appropriate cross-reference to item descriptions and awarded price(s).

SINs Recovery SIN Title 624SS 624SSRC Social Services, Professional Counseling and Veterans' Readjustment and Behavioral Health Services

OLM OLMSTLOC

OLMRC

Order-Level Materials (OLM’s)

1b. Identification of the lowest priced model number and lowest unit price for that model for each special item number awarded in the contract. This price is the Government price based on a unit of one, exclusive of any quantity/dollar volume, prompt payment, or any other concession affecting price. Those contracts that have unit prices based on the geographic location of the customer, should show the range of the lowest price, and cite the areas to which the prices apply. See Page 8

1c. If the Contractor is proposing hourly rates, a description of all corresponding commercial job titles, experience, functional responsibility, and education for those types of employees or subcontractors who will perform services shall be provided. If hourly rates are not applicable, indicate “Not applicable” for this item: Not Applicable

2. Maximum order:

SINs Maximum Order

624SS $1,000,000

OLM $250,000

3. Minimum order: $100

4. Geographic coverage (delivery area): Domestic

5. Point(s) of production (city, county, and State or foreign country): 4301 Garden City Drive, Suite 304

Hyattsville, MD 20785

6. Discount from list prices or statement of net price: Government Net Prices (discounts already deducted.)

7. Quantity discounts: None

8. Prompt payment terms. Information for Ordering Offices: Prompt payment terms cannot be negotiated out of the contractual agreement in exchange for other concessions. Net 30 days

9. Foreign items (list items by country of origin): Not Applicable

Page | 3

10a. Time of delivery (Contractor insert number of days.): Contact Contractor

10b. Expedited Delivery: Items available for expedited delivery are noted in this price list. Contact Contractor

10c. Overnight and 2-day delivery: Contact Contractor

10d. Urgent Requirements: Contact Contractor

11. F.O.B. point(s): Destination

12a. Ordering address(es): 4301 Garden City Drive, Suite 304, Hyattsville, MD 20785

12b. Ordering procedures: For supplies and services, the ordering procedures, information on Blanket Purchase Agreements (BPA’s) are found in Federal Acquisition Regulation (FAR) 8.405-3.

13. Payment address(es): 4301 Garden City Drive, Suite 304, Hyattsville, MD 20785

14. Warranty provision: Not Applicable

15. Export packing charges, if applicable: Not Applicable

16. Terms and conditions of rental, maintenance, and repair (if applicable): Not Applicable

17. Terms and conditions of installation (if applicable): Not Applicable

18a. Terms and conditions of repair parts indicating date of parts price lists and any discounts from list prices (if applicable): Not Applicable

18b. Terms and conditions for any other services (if applicable): Not Applicable

19. List of service and distribution points (if applicable): Not Applicable

20. List of participating dealers (if applicable): Not Applicable

21. Preventive maintenance (if applicable): Not Applicable

22a. Special attributes such as environmental attributes (e.g., recycled content, energy efficiency, and/or reduced pollutants): Not Applicable

22b. If applicable, indicate that Section 508 compliance information is available on Electronic and Information Technology (EIT) supplies and services and show where full details can be found (e.g., contractor’s website or other location.) The EIT standards can be found at: www.Section508.gov/: Not Applicable

23. Unique Entity Identifier (UEI) number: GMJXWYNKN1P4

24. Notification regarding registration in System for Award Management (SAM) database: Contractor registered and active in SAM

Page | 4

SIN 624SS: Social Work, Counseling, Mental Health Services, Rehabilitation Services, and Educational Services Related to Health Care.

• Psychosocial Provider Services I (Licensed Master's Level); (90791)

This provider has a master’s degree in a mental health-related field and is licensed to practice psychotherapy. They work with clients to develop personalized treatment plans and provide support and guidance in managing mental health symptoms. These providers are skilled in conducting diagnostic assessments, creating treatment plans, and utilizing evidence-based therapeutic techniques to help clients manage their mental health concerns.

• Psychosocial Provider Services I (Licensed Master's Level); (90834)

Licensed Master's level providers who offer brief therapy sessions to clients with mild to moderate mental health issues. These sessions typically last up to 45 minutes and focus on developing coping skills and strategies to help clients manage their symptoms. They are skilled in helping clients identify negative thought patterns and behaviors and creating a plan to overcome them.

• Psychosocial Provider Services II (Licensed Psychologist/Doctoral Level); (90791)

Licensed Psychologists or doctoral-level providers who offer in-depth psychotherapy services to clients with complex mental health concerns. These providers are trained to diagnose and treat a wide range of mental health disorders and have extensive experience using evidence-based therapeutic techniques. They may work with clients individually, in couples or family therapy, or in group settings.

• Psychosocial Provider Services II (Licensed Psychologist/Doctoral Level); (90834)

Licensed Psychologists or doctoral-level providers who offer brief therapy sessions to clients with mild to moderate mental health concerns. These sessions are typically focused on problem-solving and coping strategies, with an emphasis on helping clients achieve their goals in a short period of time.

These providers are skilled in helping clients identify negative thought patterns and behaviors and creating a plan to overcome them. They may also work with clients on developing healthy habits and behaviors to support their mental health.

• Psychiatric Medical Provider Services I - Psychiatric Diagnostic Evaluation; (90792)

A psychiatric nurse practitioner who provides a comprehensive psychiatric diagnostic evaluation for clients experiencing mental health concerns. This evaluation may include a review of the client's medical history, a mental status exam, and the use of diagnostic tools to help assess the client's mental health needs. Based on the evaluation results, the nurse practitioner may recommend medication management and/or psychotherapy to help the client manage their symptoms and improve their overall well-being.

• Psychiatric Medical Provider Services I - Follow-up (99214)

This involves a follow-up appointment with a psychiatric medical provider who has already conducted a psychiatric diagnostic evaluation (90792). The follow-up session includes a review of the patient's

Page | 5 progress and response to treatment, adjustment of medication as needed, and ongoing support and guidance to help the patient manage their mental health. This service is provided by a qualified psychiatric medical provider.

• Psychiatric Medical Provider Services II - Psychiatric Diagnostic Evaluation (90792)

A psychiatrist who provides a comprehensive psychiatric diagnostic evaluation for clients with complex mental health concerns. This evaluation may include a review of the client's medical history, a mental status exam, and the use of diagnostic tools to help assess the client's mental health needs. Based on the evaluation results, the psychiatrist may recommend medication management and/or psychotherapy to help the client manage their symptoms and improve their overall well-being.

• Psychiatric Medical Provider Services II - Follow-up (99214)

A psychiatrist who provides ongoing follow-up care for clients with complex mental health concerns.

This may include medication management, psychotherapy, and ongoing support to help clients manage their symptoms and improve their overall well-being. The psychiatrist may also collaborate with other mental health professionals and healthcare providers to ensure that the client receives comprehensive and coordinated care.

• Nurse Case Management Services - Chronic Care Management (99490/99439)

A registered nurse who provides chronic care management services to clients with ongoing health needs. This may include an initial assessment to identify the client's needs and goals, followed by 12 follow-up sessions to provide ongoing support and coaching to help the client manage their condition and improve their quality of life. The nurse may also provide education and resources to the client and their families to help them better understand and manage the condition.

• Nurse Case Management Services - Chronic Care Management (99490/99439)

This involves comprehensive care management for patients with chronic conditions, such as diabetes, heart disease, or cancer. The service includes an initial assessment of the patient's health status, development of a comprehensive care plan, and coordination of care across multiple providers and settings. In addition, the nurse case manager provides ongoing support, education, and counseling to the patient and their family, monitors their health status and progress, and adjusts the care plan as needed. This service is provided by a registered nurse with specialized training in chronic care management.

• Nurse Case Management follow up session (maximum 40 mins) - (99439)

A registered nurse who provides follow-up care for clients with ongoing health needs. This may include coaching and support to help the client manage their condition and improve their quality of life. The nurse may also provide education and resources to the client and their families to help them better understand and manage the condition.

Page | 6

• Employee Behavioral Health Counseling/Psychotherapy, Out of Clinic; Level 1 Practitioner Psychologist, APRN (Advanced Practice Registered Nurse, Psychiatric Mental Health Nurse Practitioner) (90791)

The Employee Behavioral Health Counseling/Psychotherapy service by a Level 1 Practitioner Psychologist or APRN is an out-of-clinic psychotherapy session lasting 60-90 minutes. It provides employees with an initial evaluation to assess their mental health needs and develop a personalized treatment plan, including evidence-based approaches such as cognitive-behavioral therapy. The service is designed to improve mental health and well-being, with ongoing support from the practitioner to navigate challenges and coordinate care.

• Employee Behavioral Health Counseling/Psychotherapy, Out of Clinic Follow up Psychotherapy sessions; Level 2 Practitioner Psychologist, APRN (Advanced Practice Registered Nurse, Psychiatric Mental Health Nurse Practitioner) (90834)

The Employee Behavioral Health Counseling/Psychotherapy service by a Level 2 Practitioner Psychologist or APRN is an out-of-clinic follow-up psychotherapy session lasting 38-52 minutes. It provides ongoing support to employees as they manage their mental health conditions and work towards their treatment goals. The service involves evidence-based approaches such as cognitive-behavioral therapy and other therapeutic modalities to address specific concerns.

During these follow-up sessions, the practitioner will monitor the employee's progress, adjust their treatment plan as necessary, and provide ongoing support and guidance. The service may include individual, couples, or family therapy, and the practitioner will work collaboratively with the employee to coordinate care and ensure the most comprehensive treatment possible.

The Employee Behavioral Health Counseling/Psychotherapy services by a Level 2 Practitioner Psychologist or APRN are designed to help employees continue to cope with mental health challenges and improve their overall well-being. The service is an essential component of an integrated healthcare approach that aims to provide comprehensive care for employees with mental health conditions.

• Family Behavioral Health Counseling/psychotherapy, Out of Clinic; Level 2 Practitioner Psychologist, APRN (Advanced Practice Registered Nurse, Psychiatric Mental Health Nurse Practitioner) (90791)

This service provides initial evaluation and counseling sessions for families experiencing emotional or behavioral difficulties. These sessions, which are conducted by a Level 2 Practitioner Psychologist or APRN with expertise in mental health, are designed to address the unique needs of families and help them build stronger, healthier relationships. Sessions typically last between 60-90 minutes and are conducted in an out-of-clinic setting.

• Family Behavioral Health Counseling/psychotherapy, Out of Clinic Follow up Psychotherapy sessions; Level 2 Practitioner Psychologist, APRN (Advanced Practice Registered Nurse, Psychiatric Mental Health Nurse Practitioner) (90834)

Page | 7

This service provides follow-up psychotherapy sessions for families who have previously undergone initial evaluation and counseling sessions. These follow-up sessions, which are conducted by a Level 2 Practitioner Psychologist or APRN with expertise in mental health, are designed to provide ongoing support and help families maintain the progress they have made in their therapy. Sessions typically last between 38-52 minutes and are conducted in an out-of-clinic setting.

• Employee Grief Counseling Program

This program provides counseling services for employees who are experiencing grief or loss due to a recent death or significant life change. The program includes an initial assessment session, followed by 23 additional counseling sessions to support the employee through the grieving process. These sessions are conducted by trained professionals who are experienced in grief counseling.

• Employee Behavioral Health Counseling Program

This program provides counseling services for employees who are experiencing mental health or emotional issues that are impacting their work or personal life. The program includes an initial assessment session, followed by 23 additional counseling sessions to support the employee through the process of managing their mental health. These sessions are conducted by trained professionals who are experienced in providing behavioral health counseling.

• Substance Abuse Counseling Program

This program provides counseling services for employees who are struggling with substance abuse issues. The program includes an initial assessment session, followed by 23 additional counseling sessions to support the employee through the process of recovery. These sessions are conducted by trained professionals who are experienced in substance abuse counseling.

• Family Supportive Counseling

This program provides counseling services for families who are experiencing emotional or behavioral difficulties. The program includes an initial assessment session, followed by 23 additional counseling sessions to support the family in building stronger, healthier relationships. These sessions are conducted by trained professionals who are experienced in family counseling.

Page | 8

GSA PRICE LIST

SIN

Proposed

Service Title Price Offered to GSA (including IFF)

624SS Psychosocial Provider Services I (Licensed Master's Level); (90791) Psychiatric Diagnostic Interview (w/o prior physician diagnosis)

$149.31

624SS Psychosocial Provider Services I (Licensed Master's Level); (90834) Psychiatric Diagnostic Interview (w/o prior physician diagnosis)

$109.17

624SS Psychosocial Provider Services II (Licensed Psychologist/Doctoral Level); (90791) Psychiatric Diagnostic Interview (w/o prior physician diagnosis)

$149.31

624SS Psychosocial Provider Services II (Licensed Psychologist/Doctoral Level); (90834) Psychiatric Diagnostic Interview (w/o prior physician diagnosis)

$109.17

624SS Psychiatric Medical Provider Services I -Psychiatric Diagnostic Evaluation (90792) (Psychiatric Nurse Practitioner)

$198.04

624SS Psychiatric Medical Provider Services I - Follow-up (99214) (Psychiatric Nurse Practitioner)

$181.86

624SS Psychiatric Medical Provider Services II - Psychiatric Diagnostic Evaluation (90792) (Psychiatrist)

$287.15

624SS Psychiatric Medical Provider Services II - Follow-up (99214) (Psychiatrist)

$149.47

624SS Nurse Case Management Services - Chronic Care Management (99490/99439) (includes initial assessment and 12 follow up sessions)

$1,967.00

624SS Nurse Case Management Initial Eval (99490) $244.08 624SS Nurse Case Management follow up session (maximum 40 mins) -

(99439) $143.58

624SS Employee Behavioral Health Counseling/Psychotherapy {60-90 min- Initial Evaluation), Out of Clinic; Level 1 Practitioner Psychologist, APRN (Advanced Practice Registered Nurse, Psychiatric Mental Health Nurse Practitioner) (90791)

$149.31

624SS Employee Behavioral Health Counseling/Psychotherapy {38-52 min), Out of Clinic Follow up Psychotherapy sessions; Level 2 Practitioner Psychologist, APRN (Advanced Practice Registered Nurse, Psychiatric Mental Health Nurse Practitioner) (90834)

$109.17

624SS Family Behavioral Health Counseling/psychotherapy {60-90 min- Initial Evaluation), Out of Clinic; Level 2 Practitioner Psychologist, APRN (Advanced Practice Registered Nurse, Psychiatric Mental Health Nurse Practitioner) (90791)

$149.31

624SS Family Behavioral Health Counseling/psychotherapy {38-52 min), Out of Clinic Follow up Psychotherapy sessions; Level 2 Practitioner Psychologist, APRN (Advanced Practice Registered Nurse, Psychiatric Mental Health Nurse Practitioner) (90834)

$109.17

Page | 9

624SS Employee Grief Counseling Program (includes initial assessment and 23 follow up sessions)

$3,805.50

624SS Employee Behavioral Health Counseling Program (includes initial assessment and 23 follow up sessions)

$3,805.50

624SS Substance Abuse Counseling Program (includes initial assessment and 23 follow up sessions)

$3,805.50

624SS Family Supportive Counseling (includes initial assessment and 23 follow up sessions)

$3,805.50

624SS NO Show Fee (NS999) $95.72 624SS Late Cancellation Fee (LTCAP) $95.72

Service Contract Labor Standards

The Service Contract Labor Standards (SCLS), formerly known as the Service Contract Act (SCA), is applicable to this contract as it applies to the entire Multiple Award Schedule (MAS) and all services provided. While no specific labor categories have been identified as being subject to SCLS/SCA due to exemptions for professional employees (FAR 22.1101, 22.1102 and 29 CRF 541.300), this contract still maintains the provisions and protections for SCLS/SCA eligible labor categories. If and / or when the contractor adds SCLS/SCA labor categories to the contract through the modification process, the contractor must inform the Contracting Officer and establish a SCLS/SCA matrix identifying the GSA labor category titles, the occupational code, SCLS/SCA labor category titles and the applicable WD number. Failure to do so may result in cancellation of the contract.