RFQ: 75H70627Q00018

Combined Synopsis 1

COMBINED SYNOPSIS/SOLICITATION

Request for Quotation (RFQ) No. 75H70627Q00018

Firm-Fixed-Price (FFP), Non-Personal Healthcare Services acquisition for Advanced Practice Provider (APP) Physician Assistant (PA)/Nurse Practitioner (NP) services equivalent to two (2) full-time APPs supporting the Rosebud IHS Hospital Outpatient Department Clinic in Rosebud, South Dakota. The requirement consists of a three (3)-month base period and three (3) three-month option periods, for a total potential period of performance of twelve (12) months.

A. NOTICE TYPE

This combined synopsis/solicitation for commercial services is prepared under the HHS-adopted overhauled FAR Part 12, including 12.201-1 and 12.202(b), as supplemented by the information contained herein.

This announcement constitutes the solicitation. Quotations are requested, and a separate written solicitation will not be issued. This is a Request for Quotation (RFQ).

B. CONTRACT AWARD

The Great Plains Area Indian Health Service (IHS) intends to issue one Firm-Fixed-Price (FFP), Non-Personal Healthcare Services purchase order for APP PA/NP services equivalent to two (2) full-time providers for the Rosebud IHS Hospital Outpatient Department Clinic.

The anticipated purchase order will be issued in response to RFQ No. 75H70627Q00018 using Month of Service (MOS) pricing.

The Contractor shall furnish qualified APP personnel, management, supervision, credentialing and privileging support, licensure and certification maintenance, professional liability insurance, and other resources necessary to perform the Performance Work Statement (PWS). Government-furnished support is identified in the PWS.

The Contractor shall independently supervise, direct, manage, and compensate its personnel. Required clinical coordination and compliance with facility privileges do not establish an employer-employee relationship with the Government.

C. SOLICITATION PROVISIONS AND CLAUSES

Applicable FAR and HHSAR provisions and clauses are included in the separate Provisions and Clauses attachment. HHS FAR Class Deviation 2025-09, Amendment 1, adopts the overhauled Part 12 and corresponding Part 52 text for HHS.

Federal Acquisition Circular: 2026-01, effective March 13, 2026.

D. SET-ASIDE INFORMATION

Indian Small Business Economic Enterprise (ISBEE) Set-Aside NAICS Code: 561320 – Temporary Help Services Size Standard: $34.0 million in average annual receipts Only eligible ISBEEs will be considered for award. Submit the designated IHS Indian Economic Enterprise Representation form and applicable small-business representation with the quotation.

E. CONTRACT TYPE AND PRICING REQUIREMENTS

Firm-Fixed-Price (FFP), Non-Personal Healthcare Services, priced by Month of Service (MOS).

One (1) MOS represents complete performance of the required APP services for one contract month, including qualified staffing equivalent to two (2) full-time PAs or NPs, scheduled outpatient clinic services, clinical documentation, care coordination, required training, and all other PWS requirements.

The Contractor’s firm-fixed monthly MOS price shall include all costs necessary to satisfy the contract requirements, including, but not limited to:

• APP compensation and benefits;

• Recruitment and retention;

• Licensure, certification, credentialing, and privileging support;

• Professional liability insurance;

• Administrative and management support;

Combined Synopsis 2

• Mandatory training and quality-improvement participation;

• Travel, lodging, meals, and other Contractor expenses not expressly Government-furnished;

• Overhead and profit; and

• Any other Contractor costs necessary to perform the PWS requirements.

Separate expense reimbursement is not provided by this price schedule. The monthly price covers the complete two-provider requirement, not one provider.

The Contractor shall manage staffing resources, including recruitment, scheduling, continuity of coverage, retention, and replacement of Contractor personnel when necessary.

Hours and workload may be tracked for scheduling, surveillance, quality assurance, and contract administration;

they do not establish the basis for invoice payment.

F. PRICE SCHEDULE

Quoters shall quote a firm-fixed monthly MOS price for the base period and each option period. Include all personnel, management, supervision, credentialing, licensing, insurance, administration, and other Contractor resources necessary to satisfy the PWS.

Unit of Issue: MOS – Month of Service

CLIN Description Unit Qty Unit Price Extended Price

0001 Base Period – APP PA/NP services equivalent to two

(2) full-time APPs MOS 3 $________ $________

1001 Option Period 1 – APP PA/NP services equivalent to two (2) full-time APPs MOS 3 $________ $________

2001 Option Period 2 – APP PA/NP services equivalent to two (2) full-time APPs MOS 3 $________ $________

3001 Option Period 3 – APP PA/NP services equivalent to two (2) full-time APPs MOS 3 $________ $________

Total Evaluated Price (Base Period + All Option Periods): $____________________ Price Evaluation

The Total Evaluated Price is the sum of all four extended CLIN prices. Each extended price is calculated by multiplying the firm-fixed monthly MOS price by three. Quote every CLIN and identify any assumptions or exceptions.

The Government will evaluate price fairness and reasonableness using competition and other appropriate price-analysis information, and will consider the relationship between price and the non-price benefits offered.

G. DESCRIPTION OF REQUIREMENT

Provide adult and pediatric outpatient primary care, chronic disease management, preventive and wellness services, acute outpatient care and authorized minor procedures, documentation, referrals, coordination, and quality improvement. Attachment 1 is the current APP PWS and controls the detailed clinical scope and qualification requirements. Providers shall satisfy the applicable PA or NP education, certification, licensure, prescriptive authority, DEA, experience, health, background, and credentialing requirements stated in the PWS.

The Contractor shall furnish qualified APP PA/NP personnel sufficient to support two (2) full-time equivalent positions. Services shall be performed within approved scope and privileges and in accordance with the separately attached PWS.

The Contractor is responsible for staffing, supervision, management, continuity of coverage, and qualified replacement personnel. The Government is purchasing complete monthly healthcare services measured in MOS.

H. PLACE OF PERFORMANCE AND PERIOD OF PERFORMANCE

Place of Performance

Rosebud IHS Hospital, Outpatient Department Clinic 800 Hospital Drive Rosebud, South Dakota 57570

Combined Synopsis 3

Period of Performance

• Base Period: Three (3) months

• Option Period 1: Three (3) months

• Option Period 2: Three (3) months

• Option Period 3: Three (3) months

• Maximum Potential Period of Performance: Twelve (12) months Base performance dates: February 1, 2027, through April 30, 2027. Option dates will be specified in the purchase order.

Standard outpatient clinic hours are Monday through Friday, 8:00 a.m. to 5:00 p.m., excluding federal holidays, subject to the PWS scheduling provisions. The Contractor shall coordinate the schedule as required by PWS Section 6. Patient care shall begin only after required credentials, privileges, and access are in place.

I. INSTRUCTIONS TO QUOTERS

FAR 52.212-1 applies in the HHS-adopted version, as supplemented by these quotation instructions. Submit a signed, dated quotation on company letterhead, in PDF or Microsoft Word format, to the contact in Section L.

The quotation shall address all solicitation and PWS requirements and include the completed price schedule and information identified on the following page. Submit enough detail to permit evaluation against the Basis for Award.

Participation is not limited to sources sought respondents. A GSA Schedule contract is not an eligibility requirement for this RFQ.

Solicitation Information

• Solicitation number: 75H70627Q00018.

• Legal business name, address, telephone number, and email address of the authorized representative and quotation point of contact.

• Unique Entity Identifier (UEI) and current SAM registration information.

Price Quotation

• Complete all four FFP MOS CLINs and the Total Evaluated Price for the base and all options.

• Include all Contractor costs described in Section E. Explain assumptions and exceptions. Do not substitute hourly billing rates for MOS prices.

Technical Capability Information

Demonstrate the ability to furnish two qualified APP PAs or NPs and satisfy the outpatient PWS. Address:

• Relevant education, professional qualifications, licensure, national certification, and clinical experience;

• Experience in rural, underserved, or IHS settings;

• Candidate availability and a realistic mobilization schedule, including recruitment, credentialing, privileging, licensing, and access steps;

• Resumes or qualification summaries for identified candidates; distinguish committed personnel from prospective candidates; and

• If candidates are not yet identified, a credible recruitment plan, candidate pipeline, and schedule for furnishing personnel who meet all PWS requirements.

Management Approach Information

• Recruitment, retention, clinic scheduling, continuity of coverage, and qualified replacement procedures;

• Contractor supervision, quality control, performance monitoring, and communication with the COR;

• Plans for staffing interruptions, required documentation, and mandatory training; and

• Proposed subcontractors, their work, and compliance with HHSAR 352.226-6 and applicable limitations on subcontracting.

Past Performance Information

Provide recent, relevant references for APP services, outpatient care, healthcare staffing, or comparable non-personal clinical services performed within the three years preceding the quotation closing date. Include:

• Customer name, contract number if available, and description of services;

• Dates of performance and approximate contract value; and

• Reference point of contact, telephone number, and email address.

Combined Synopsis 4

Commercial and subcontract experience may be provided. If no relevant history is available, state that fact; the absence of available relevant history will be treated neutrally.

Required Representations and Additional Information

• Completed designated IHS Indian Economic Enterprise Representation form, applicable small-business representation for NAICS 561320, and ownership and control basis for ISBEE eligibility;

• Acknowledgment of amendments, identification of exceptions, and quotation validity meeting Section L; and

• Any additional information requested by this solicitation and the separate Provisions and Clauses attachment.

Do not submit provider background-investigation or health-screening records with the initial quotation; these will be requested through appropriate credentialing channels.

BASIS FOR AWARD

FAR 52.212-2, Evaluation – Commercial Products and Commercial Services Under HHS-adopted FAR 12.203, the Government will use a best-value comparative evaluation of timely quotations. The Government will consider technical capability and management approach, past performance, and price. The two non-price factors combined are significantly more important than price. As non-price benefits become more similar, price becomes more important. Selection may be made at a higher price when the documented benefits warrant the additional cost.

The Government intends to make a selection from initial quotations. It may request clarification, additional information, or revised quotations when useful. This is a simplified acquisition evaluation; establishing a Part 15 competitive range or conducting formal Part 15 discussions is not required. The solicitation basis governs all comparisons.

Submit the best technical and price quotation initially. A quotation must demonstrate the capability, compliance, and credible delivery approach needed to successfully perform the required services.

Evaluation Factors

The Government will evaluate quotations using the following factors:

• Technical Capability and Management Approach

• Past Performance

• Price Technical Capability and Management Approach, together with Past Performance, are the non-price factors.

When combined, they are significantly more important than Price.

Non-Price Factor Rating Definitions

The Government will evaluate the non-price factors using the adjectival rating definitions below. For Past Performance, a quoter without available recent and relevant past performance will receive a Neutral assessment, as described under Factor 2, rather than a favorable or unfavorable rating solely because of the absence of history.

Adjectival Rating Description Outstanding Greatly exceeds all minimum requirements of the criteria; has a high probability of success; contains no weaknesses or deficiencies.

Good Exceeds all minimum requirements of the criteria; has an above-average probability of success; contains no significant weaknesses and only minor correctable weaknesses exist.

Acceptable Meets all minimum requirements of the criteria; has an average probability of success; and no significant weaknesses and no deficiencies.

Marginal Fails to meet one or more of the minimum requirements of the criteria; has a low probability of success;

major weaknesses and/or a significant number of deficiencies exist.

Unacceptable Fails to meet the minimum requirements of the criteria; the quotation needs major revisions; has a very low probability of success.

Evaluation Framework

Factor Evaluation Focus 1 – Technical Capability and Management Approach

Qualified APP personnel; mobilization and credentialing readiness; staffing and coverage continuity;

recruitment, retention, quality control, replacement arrangements, and Contractor supervision.

Combined Synopsis 5

Factor Evaluation Focus

2 – Past Performance Relevance and quality of recent performance for similar clinical services, including continuity, responsiveness, staffing scale, and customer information.

3 – Price Total price for the three-month base and all three three-month options; fairness and reasonableness;

relationship to the non-price benefits offered.

Factor 1 – Technical Capability and Management Approach

Evaluate the quotation’s demonstrated ability to supply two qualified APPs and perform the current outpatient PWS. Consider the quality and credibility of the staffing and mobilization approach, candidate availability, qualification information, credentialing readiness, coverage continuity, recruitment and retention resources, quality control, replacement arrangements, and Contractor supervision. Consider the extent to which the approach reduces the risk of delayed or interrupted patient care.

Minimum PWS qualifications remain mandatory. A favorable comparison does not waive required credentials or privileges. The Government will assess the supporting information and the overall likelihood of successful performance; a representation that requirements will be met without a credible delivery approach may be insufficient.

The comparative evaluation will consider the credibility and supporting detail of the proposed staffing, availability, and performance information. Unsupported assertions may receive less favorable consideration than a substantiated delivery approach.

Factor 2 – Past Performance

The Government will evaluate recent, relevant performance for APP services, outpatient care, healthcare staffing, or comparable non-personal clinical services. Recent performance means work performed within the three years preceding the quotation closing date.

Evaluate the relevance and quality of recent performance for similar clinical services. Consider service scope, staffing scale, continuity, responsiveness, and customer information. Sources may include submitted references, CPARS, Government records, commercial customers, and other reasonably available information. A quoter without available recent relevant performance will receive a neutral assessment, rather than a favorable or unfavorable inference solely from the absence of history.

Factor 3 – Price

Evaluate the total price for the three-month base and all three three-month options, as calculated in Section F.

Assess price reasonableness using competition and other appropriate price-analysis information. Consider price in relation to the non-price benefits when determining best value. This RFQ does not establish a separate price-realism scoring factor.

The Government may use comparison of quotations, the Government estimate, historical pricing, market research, and other appropriate price-analysis information to assess fairness and reasonableness.

Eligibility, Responsibility, and Resulting Purchase Order

The selected quoter must satisfy ISBEE eligibility and applicable responsibility and exclusion requirements. A favorable sources sought review is not a solicitation evaluation or award decision. A quotation is not a binding offer. The Government’s purchase order is its offer; a binding contract results upon supplier acceptance under FAR 12.201-1(b). The Government intends to request written acceptance of the resulting purchase order.

Evaluation of options does not obligate the Government to exercise them. Each exercise will require the Contracting Officer’s determination and timely notice under the purchase order and applicable option provisions.

J. CONTRACT TERMS AND CONDITIONS

FAR 52.212-4, Terms and Conditions – Commercial Products and Commercial Services, and applicable FAR and HHSAR terms and conditions apply in the versions prescribed for HHS. The separate Provisions and Clauses attachment contains the applicable text, editions, and completed fill-ins.

The Contractor shall comply with applicable Federal, HHS, IHS, Rosebud IHS Hospital, medical staff, credentialing and privileging, privacy, security, patient-safety, and professional-practice requirements identified in the solicitation, PWS, and resulting purchase order.

Combined Synopsis 6

K. ADDITIONAL FAR/HHSAR REQUIREMENTS

Applicable FAR and HHSAR provisions and clauses are identified in the separate Provisions and Clauses attachment and are incorporated into this solicitation as stated therein. Quoters are responsible for reviewing and complying with all applicable solicitation provisions, clauses, representations, certifications, and completed fill-ins.

The separate PWS establishes detailed service and performance requirements. The synopsis, PWS, Provisions and Clauses attachment, and designated IHS representation form together constitute the solicitation documents.

L. QUOTATION SUBMISSION INFORMATION

Submit quotations electronically to:

Great Plains Area Indian Health Service Attn: Contract Specialist – David Jones Email: David.Jones@ihs.gov Email Subject Line: RFQ 75H70627Q00018 – Rosebud APP Services Questions Due: November 20, 2026, 12:00 pm CST.

Quotations Due: November 30, 2026, 12:00 pm CST.

Quoters must provide the business and submission information below.

• A valid Unique Entity Identifier (UEI);

• Current SAM registration information;

• An authorized representative and current contact information; and

• Completed ISBEE and applicable small-business representations.

The quotation must provide complete, accurate, and current information required by the solicitation. Failure to provide sufficient required information may prevent evaluation or award.

The selected quoter must satisfy applicable eligibility, responsibility, and exclusion requirements before award. A favorable sources sought capability review does not constitute a solicitation evaluation or award decision.

Quotation Validity Period

The quoter shall state that quoted prices will remain available through January 29, 2027. A quotation is not a binding offer. The Government’s purchase order constitutes an offer, and a binding contract is formed upon the supplier’s acceptance.

Invoice Processing Platform (IPP)

The Indian Health Service uses the Department of the Treasury’s Invoice Processing Platform (IPP) for electronic submission and processing of payment requests.

Invoices under the resulting purchase order shall be submitted through IPP in accordance with HHSAR 352.232- 71 and the invoicing instructions in the Provisions and Clauses attachment and resulting purchase order.

Invoices shall reflect the applicable MOS CLIN, period of service, and fixed monthly price for the complete two-provider requirement. Submission through IPP does not replace Government verification and acceptance of services under the PWS.

Contractors are encouraged to ensure their IPP account information is current before submitting invoices. Any request for an exception must be addressed to the Contracting Officer under the applicable clause.

Separate Solicitation Attachments

• Attachment 1 – Performance Work Statement (PWS), including its addendum.

• Attachment 2 – Applicable FAR and HHSAR Provisions and Clauses.

• Attachment 3 – Designated IHS Indian Economic Enterprise Representation form.

The PWS, clause text, and representation form are provided separately and are not reproduced within this synopsis.

PERFORMANCE WORK STATEMENT | Advanced Practice Provider (APP) Services | Rosebud IHS Hospital

PWS 1

Performance Work Statement for Rosebud Outpatient Primary Care Advanced Practice Provider Services

Two Physician Assistants or Nurse Practitioners at Rosebud IHS Hospital

Issuing Agency: U.S. Department of Health and Human Services, Indian Health Service (IHS)

Area Office: Great Plains Area Indian Health Service

Facility: Rosebud IHS Hospital, Rosebud, South Dakota

Service Required: Advanced Practice Provider (PA or NP) services — Two (2) Full-Time Equivalent Positions

Contract Type: Firm-Fixed-Price (FFP), Month-of-Service (MOS), Non-Personal Services Contract

Period of Performance: Twelve (12) months total: three (3)-month base period plus three (3) three-month option periods

Place of Performance: Rosebud IHS Hospital Outpatient Department Clinic, Rosebud, South Dakota 57570

COR: Andrea Garrigan

Date Prepared: March 2026

1. BACKGROUND AND PURPOSE

The Indian Health Service (IHS) is responsible for providing federal health services to American Indians and Alaska Natives (AI/AN). The Rosebud IHS Hospital is a 35-bed comprehensive medical and surgical facility located on the Rosebud Sioux Indian Reservation in Rosebud, South Dakota. The hospital serves as the primary healthcare provider for members of the Rosebud Sioux Tribe (Sicangu Oyate) and surrounding communities — a predominantly rural and medically underserved population.

Health disparities among AI/AN populations are well-documented and include elevated rates of chronic disease, behavioral health needs, and limited access to consistent primary care. Sustained access to qualified Advanced Practice Provider (APP) services is essential to improving population health outcomes, supporting chronic disease management, and providing culturally responsive primary care on the Rosebud Reservation. This Performance Work Statement (PWS) establishes the requirements for two (2) full-time Advanced Practice Provider (APP) contractor positions either Physician Assistants (PAs) or Nurse Practitioners (NPs) to provide outpatient primary care services in the Rosebud IHS Hospital Outpatient Department (OPD) Clinic.

2. PERIOD OF PERFORMANCE

The total potential period of performance is twelve (12) months: a three (3) month base period followed by three (3) three-month option periods. The Government may exercise each option period by written notice to the Contractor in accordance with FAR 52.217-9. Exercise of an option is contingent upon continued

PERFORMANCE WORK STATEMENT | Advanced Practice Provider (APP) Services | Rosebud IHS Hospital

PWS 2

Government need, satisfactory Contractor performance, availability of funds, and Contracting Officer approval.

3. SCOPE OF WORK

The Contractor shall provide professional Advanced Practice Provider (APP) services consistent with the published competencies and standards of practice of the National Commission on Certification of Physician Assistants (NCCPA) and the American Academy of Physician Associates (AAPA) for Physician Assistants, and the American Association of Nurse Practitioners (AANP) and American Nurses Credentialing Center (ANCC) for Nurse Practitioners; IHS clinical policies; applicable federal and state laws governing practice at IHS facilities and the licensure requirements in Section 5.3; and Rosebud IHS Hospital medical staff bylaws and credentialing standards. This is a non-personal services contract. The Contractor is an independent contractor responsible for managing its own personnel and shall not be subject to the supervision or control of Government employees in the day-to-day performance of work. The Government retains the right to evaluate the quality, timeliness, and completeness of services delivered against the performance standards set forth in this PWS.

Services shall be delivered in the following setting:

• Outpatient Department (OPD) Clinic — scheduled clinic sessions for adult and pediatric primary care, chronic disease management, preventive services, and acute outpatient visits.

The Contractor's APP personnel shall adhere to the clinical protocols, credentialing requirements, and collaborative practice framework established by the Rosebud IHS Hospital medical staff bylaws and credentialing committee. Such adherence reflects the professional standard of care and facility access requirements and does not constitute employer-employee supervision by the Government.

4. SPECIFIC TASKS AND DELIVERABLES

4.1 Outpatient Clinic Services

Each assigned APP shall provide the following services during scheduled OPD clinic hours, generally Monday through Friday consistent with facility operating hours and Section 6.

4.1.1 Adult Primary Care

• Conduct comprehensive new-patient intake visits, including detailed medical, surgical, family, social, and medication history; complete physical examination; and review of systems.

• Develop individualized primary care plans in accordance with current nationally recognized evidence-based clinical practice guidelines and applicable IHS clinical policies.

• Perform routine adult primary care visits: vital signs review, focused physical assessment, medication reconciliation, problem-list management, and care plan adjustment.

• Order and interpret routine primary care laboratory and diagnostic studies, including but not limited to: complete blood count (CBC), comprehensive metabolic panel (CMP), lipid panel, hemoglobin A1c, thyroid-stimulating hormone (TSH), urinalysis, hepatitis screening, HIV, STI panels, and age-appropriate cancer screening tests.

• Diagnose and manage common chronic conditions including hypertension, type 2 diabetes mellitus, hyperlipidemia, asthma, COPD, hypothyroidism, depression, and anxiety, with timely physician consultation or referral for conditions exceeding APP scope of practice.

PERFORMANCE WORK STATEMENT | Advanced Practice Provider (APP) Services | Rosebud IHS Hospital

PWS 3

• Screen for intimate partner violence (IPV), substance use disorders, and behavioral health concerns using validated screening tools (e.g., PHQ-9, GAD-7, AUDIT-C); initiate appropriate referrals to behavioral health and social services.

• Provide patient education on chronic disease self-management, nutrition, physical activity, tobacco cessation, medication adherence, and preventive care.

• Facilitate and document referrals to specialty care, ancillary services, and care coordination resources as clinically indicated.

4.1.2 Pediatric and Adolescent Care

• Perform well-child examinations consistent with the AAP/Bright Futures periodicity schedule, including developmental and behavioral screening.

• Administer and document childhood and adolescent immunizations in accordance with the current

ACIP/CDC immunization schedule.

• Diagnose and manage common acute pediatric conditions including upper respiratory infections, otitis media, pharyngitis, asthma exacerbations, gastroenteritis, dermatologic complaints, and minor injuries, within the APP’s scope of practice.

• Manage common chronic pediatric conditions (e.g., asthma, allergic rhinitis, ADHD when appropriate to scope) and coordinate referral to pediatric subspecialty care as clinically indicated.

• Conduct adolescent confidential preventive visits, including risk-behavior screening (HEEADSSS), reproductive health counseling, and behavioral health screening.

• Provide anticipatory guidance to caregivers on nutrition, sleep, safety, school performance, and developmental expectations.

4.1.3 Preventive and Wellness Services

• Perform age- and risk-appropriate preventive examinations consistent with current nationally recognized evidence-based preventive care recommendations.

• Order and interpret evidence-based screening tests including, but not limited to, colorectal cancer screening, cervical cancer screening (per ASCCP guidelines), breast cancer screening referral, lung cancer screening for eligible patients, and abdominal aortic aneurysm screening.

• Administer and document adult immunizations in accordance with current ACIP guidelines (e.g., influenza, Tdap, pneumococcal, shingles, hepatitis B, COVID-19).

• Provide tobacco-cessation, alcohol-misuse, and substance-use counseling and referrals consistent with USPSTF and SAMHSA guidance.

• Coordinate care for patients with multiple comorbidities, including documentation in the patient’s problem list and care plan.

4.1.4 Acute Outpatient Care and Minor Procedures

• Evaluate and manage acute outpatient complaints presenting during clinic hours, including upper respiratory infections, urinary tract infections, skin and soft tissue infections, sprains and strains, and uncomplicated musculoskeletal pain.

• Perform minor outpatient procedures consistent with APP scope, training, and facility privileges (e.g., simple laceration repair, incision and drainage of superficial abscesses, cerumen removal, removal of skin lesions, joint injections, and toenail procedures) per facility policy.

• Provide point-of-care testing as available (e.g., rapid strep, rapid influenza, rapid COVID-19, urinalysis, glucose) and interpret results.

• Identify patients whose acute presentation exceeds APP scope or facility outpatient capability, and arrange timely referral to a higher level of care or appropriate specialty consultation.

PERFORMANCE WORK STATEMENT | Advanced Practice Provider (APP) Services | Rosebud IHS Hospital

PWS 4

• Coordinate prescription management, including controlled substance prescribing within APP scope, DEA authority, and facility policy.

• Document all acute care encounters in the Government electronic health record within twenty-four

(24) hours of the patient encounter unless otherwise authorized by applicable medical staff bylaws or facility policy.

4.2 Documentation and Health Records

• Complete documentation of all patient encounters, assessments, diagnoses, orders, and care plans in the Government electronic health record (RPMS/EHR or successor system) within twenty-four (24) hours of the patient encounter unless otherwise authorized by applicable medical staff bylaws or facility policy.

• Complete required IHS performance measure documentation, including Government Performance and Results Act (GPRA) clinical measures applicable to outpatient primary care (e.g., diabetes care, hypertension control, cancer screening, tobacco use screening, immunizations, and behavioral health screening).

• Maintain accurate and legible medical records in compliance with IHS medical records standards, Joint Commission standards (if applicable), and applicable federal regulations.

• Utilize CPT and ICD-10-CM coding accurately for all encounters to support billing and reporting requirements.

4.3 Coordination and Communication

• Participate in multidisciplinary meetings, case conferences, and clinical huddles as necessary to coordinate patient care, maintain continuity of services, support credentialing requirements, and participate in quality improvement activities.

• Communicate effectively with consulting physicians, nursing staff, social workers, behavioral health providers, and other members of the patient care team.

• Maintain collaborative practice relationships consistent with AAPA and AANP professional practice standards and Rosebud IHS Hospital medical staff bylaws.

• Complete all facility access, patient safety, privacy, information security, infection prevention, and system-access training necessary to perform the requirements of this contract and maintain clinical privileges.

4.4 Quality Improvement

• Participate in facility quality improvement (QI) initiatives, peer review, and morbidity and mortality

(M&M) review processes related to outpatient primary care services.

• Contribute to development and review of clinical protocols and standing orders relevant to APP primary care practice areas.

• Monitor and support achievement of IHS GPRA clinical performance metrics pertaining to chronic disease management (diabetes, hypertension), cancer screening, immunizations, behavioral health screening, and tobacco-use screening and cessation.

5. MINIMUM QUALIFICATIONS AND PERSONNEL REQUIREMENTS

All APP Contractor personnel assigned to perform services under this contract shall meet the following requirements at all times during the period of performance, consistent with the personnel’s applicable provider type (Physician Assistant or Nurse Practitioner):

PERFORMANCE WORK STATEMENT | Advanced Practice Provider (APP) Services | Rosebud IHS Hospital

PWS 5

5.1 Education

• For Physician Assistants: Graduation from a Physician Assistant education program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).

• For Nurse Practitioners: Graduation from a Nurse Practitioner education program accredited by the

Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN), with possession of a Master of Science in Nursing (MSN), Doctor of Nursing Practice (DNP), or equivalent graduate or higher-level degree from an accredited institution, consistent with OPM GS-0610 qualification standards. PA candidates shall hold a master’s degree from an ARC-PA accredited program consistent with OPM GS-0603 qualification standards.

5.2 Certification

• Current, valid national certification appropriate to the APP role: Physician Assistants must hold current PA-C certification issued by the National Commission on Certification of Physician Assistants (NCCPA). Nurse Practitioners must hold current national certification in the appropriate population focus (e.g., FNP, AGNP) issued by the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners Certification Board (AANPCB). Certification must remain active and unencumbered throughout the period of performance.

5.3 Licensure

• Current, active, unrestricted license to practice as a Physician Assistant or Nurse Practitioner, as applicable, issued by any State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Licensure shall remain current and unrestricted throughout the period of performance.

• Prescriptive authority consistent with South Dakota law; DEA registration (Schedule II–V) required.

5.4 Required Certifications and Competencies

• Current Basic Life Support (BLS) certification — American Heart Association (AHA) or equivalent.

• Completion of or willingness to complete facility-required training in: chronic disease management protocols, opioid-stewardship and controlled substance prescribing, behavioral health screening tools (PHQ-9, GAD-7, AUDIT-C), and IHS GPRA clinical performance measures.

5.5 Experience

Each proposed APP shall meet the applicable professional qualification requirements for the provider type and the following minimum experience requirements:

At least one (1) year of professional APP clinical experience demonstrating progressive responsibility in outpatient primary care across the lifespan.

Experience shall include demonstrated competence in management of patients with multiple chronic conditions, performance of common outpatient procedures within the provider's scope and privileges, and independent clinical decision-making.

Experience in federally qualified health centers (FQHCs), Indian Health Service facilities, or other rural or underserved community settings is strongly preferred.

Demonstrated familiarity with AI/AN health disparities, cultural competency in care delivery to Native American populations, and commitment to patient-centered, culturally respectful care.

PERFORMANCE WORK STATEMENT | Advanced Practice Provider (APP) Services | Rosebud IHS Hospital

PWS 6

5.6 IHS Credentialing and Privileging

• All APP Contractors shall complete and maintain IHS credentialing and privileging requirements prior to providing patient care, in accordance with IHS credentialing policy (IHS Manual Chapter 3- 1.3).

• Contractor shall cooperate fully with the Rosebud IHS Hospital credentials committee and provide all required documentation, including but not limited to: proof of education, NCCPA or ANCC/AANPCB certification (as applicable), state licensure, malpractice insurance certificate, DEA registration, BLS/ACLS/PALS cards as applicable, and professional references.

5.7 Background Investigation

• Each APP Contractor shall undergo a suitability/background investigation as required for federal healthcare workers providing direct patient care in IHS facilities, consistent with 45 CFR Part 5 and IHS policy.

• Contractor shall not begin patient care services until a favorable preliminary background determination has been received.

5.8 Health Requirements

1. MMR (Measles, Mumps, Rubella):

• EITHER: 2 documented MMR vaccines

• OR: Positive antibody titers for each (Measles, Mumps, and Rubella)

• OR: 2 separate live vaccines for Measles and Mumps, plus 1 Rubella vaccine

2. Varicella (Chickenpox):

• EITHER: 2 documented varicella vaccines

• OR: A positive varicella antibody titer

• OR: Physician-documented diagnosis of previous infection

3. Tetanus, Diphtheria, and Pertussis (Tdap):

• Documentation of a Tdap vaccine at some point in the past

• AND a tetanus-containing vaccine (Td or Tdap) within the last 10 years

4. Hepatitis B:

• EITHER: 3 documented Hepatitis B vaccinations

• OR: A positive Hepatitis B surface antibody titer

• OR: A signed declination form if you choose not to receive the vaccine

5. Tuberculosis (TB):

• EITHER: 2 negative TB skin tests (done within the last 12 months)

• OR: 1 negative IGRA blood test (done within the last 12 months)

• If you have a history of a positive TB test or IGRA:

Provide a chest X-ray report dated within the last 5 years Include dates of TB treatment, if applicable

6. Influenza (Flu) Vaccine:

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• Required annually

• If your start date is before October 31, the vaccine will be administered on site

• If your start date is after October 31, provide written proof of vaccination

7. COVID-19 Vaccination:

• Documentation of COVID-19 vaccination is required

6. PLACE AND HOURS OF PERFORMANCE

6.1 Clinic Hours

Services shall be performed at the Rosebud IHS Hospital Outpatient Department Clinic, located at 800 Hospital Drive, Rosebud, SD 57570. Standard clinic hours are Monday through Friday, 8:00 AM to 5:00 PM, excluding federal holidays. The Contractor shall coordinate specific daily schedules in writing with the Clinical Director or designee and the COR. Schedules may be adjusted by mutual written agreement to meet operational needs.

6.2 Federal Holidays

APP personnel are not generally required to provide clinic services on federal holidays. Any scheduled clinic services on a federal holiday shall be agreed in advance in writing by the Contractor, the COR, and the Clinical Director or designee.

7. GOVERNMENT-FURNISHED PROPERTY AND INFORMATION

The Government shall provide the following at no cost to the Contractor:

• Clinical workspace, examination rooms, and equipment within the OPD clinic adequate for APP practice.

• Access to the IHS electronic health record system (RPMS/EHR or successor) and related clinical information systems, including necessary training.

• Laboratory services, diagnostic imaging, and pharmacy support consistent with Rosebud IHS Hospital capabilities.

• Medical supplies, medications, and equipment available in the OPD clinic for performance of patient care duties.

• Access to IHS clinical policies, standing orders, clinical protocols, and applicable Indian Health Manual (IHM) chapters.

• Office space, telephone, and secure computer access necessary to perform administrative and documentation functions.

• Required IHS mandatory training materials and computer-based training (CBT) modules.

8. CONTRACTOR RESPONSIBILITIES

• Provide professional APP services of the highest quality, consistent with the standard of care applicable to the APP’s credential (Physician Assistant or Nurse Practitioner) in outpatient primary care.

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• Maintain all required licenses and national certifications (NCCPA for PAs; ANCC or AANPCB for NPs) in good standing throughout the period of performance and notify the COR immediately of any change, lapse, investigation, restriction, or adverse action affecting licensure or certification.

• Maintain professional malpractice liability insurance at levels consistent with IHS policy and South Dakota requirements; provide certificate of insurance to the COR prior to commencement of services and upon renewal.

• Adhere to all IHS policies, Rosebud IHS Hospital medical staff bylaws, clinical protocols, patient safety standards, HIPAA privacy and security requirements, and applicable federal regulations.

• Maintain patient confidentiality at all times and comply with 45 CFR Parts 160 and 164 (HIPAA).

• Report adverse patient events, near misses, and sentinel events through the IHS ISTAR Reporting

System in accordance with facility policy.

• Comply with the Indian Child Protection and Family Violence Prevention Act (25 U.S.C. § 3201 et seq.) requirements, including mandatory reporting of child abuse and neglect.

• Complete all required IHS mandatory training within the timeframes specified by IHS.

9. CONTRACTOR MANAGEMENT AND NON-PERSONAL SERVICES

This is a non-personal services contract in accordance with FAR 37.101. The Contractor shall be solely responsible for managing, supervising, and directing its own personnel. Government employees shall not exercise any supervision or control over Contractor personnel in the manner of work performance, work hours, or methods of accomplishment.

To avoid the creation of an unauthorized personal services relationship, the following shall apply:

• Government personnel shall communicate requirements and evaluate results through the Contracting Officer's Representative (COR), not through direct supervision of individual APP personnel.

• The Contractor shall designate a point of contact responsible for day-to-day coordination with the

COR.

• Scheduling of clinic sessions shall be proposed by the Contractor and agreed upon in writing with the Clinical Director/Designee and COR in advance of each performance period.

• Government employees shall not assign additional tasks to Contractor personnel outside the scope of this PWS.

Consultation and collaboration with IHS physicians and clinical staff required by clinical protocols, credentialing bylaws, or standard of care (e.g., physician referral for cases exceeding APP scope of practice) reflects professional practice norms and does not constitute Government supervision of Contractor personnel for purposes of FAR 37.104 (and any applicable agency Revolutionary FAR Overhaul (RFO) Class Deviation in effect).

10. MONTH-OF-SERVICE AND INVOICING REQUIREMENTS

10.1 Month-of-Service Standard

One (1) Month of Service (MOS) consists of complete performance for the applicable contract month, including provision of two (2) qualified and credentialed APPs; scheduled outpatient clinic services; clinical documentation; care coordination; and all other requirements of this PWS. The Contractor shall manage

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staffing and other resources necessary to satisfy these requirements for the firm-fixed monthly price. Clinic activity may be tracked for scheduling, workload analysis, quality assurance, and performance surveillance, but shall not serve as the basis for invoice payment.

10.2 Invoicing Requirements

Invoices shall be submitted monthly and identify the contract number, applicable task order (if any), contract line item number (CLIN), month and billing period, firm-fixed monthly MOS amount billed, cumulative Months of Service and contract value invoiced, and Contractor point of contact. Unless otherwise specified in the resulting contract, invoices shall be submitted no later than the tenth (10th) calendar day following the billing month. The Monthly Contract Utilization Report required by Section 12.1 shall accompany each invoice.

Invoices may be submitted only for services satisfactorily performed and accepted by the Government. The Contractor shall not invoice based on actual labor hours unless specifically authorized by a written contract modification signed by the Contracting Officer. Payment shall be made in accordance with the applicable payment clauses and the Prompt Payment Act.

11. PERFORMANCE STANDARDS

The following standards govern the services in this PWS. The companion Government Quality Assurance Surveillance Plan describes how the COR will document and assess performance; it does not alter the contract requirements.

Performance objective Required performance Government review Acceptable quality level

Clinical quality and safety

Care follows evidence-based practice, applicable IHS protocols, and assigned privileges.

Medical staff and COR review

Zero substantiated patient-safety events attributable to Contractor care.

Documentation Complete encounter documentation within 24 hours, subject to Section

4.2 exceptions.

EHR/HIM audit At least 98% on time.

Licensure and privileges

Current required credentials and privileges throughout service.

Credentialing verification 100% compliance.

Mandatory training Complete required training within assigned timeframes.

Training record review 100% compliance.

GPRA measures Complete applicable primary care measure documentation and support facility goals.

Clinical performance reports

Meets applicable national targets, with attribution and case mix reviewed.

Patient experience Provide professional, culturally respectful care.

Documented patient feedback and COR review

No sustained pattern of substantiated complaints.

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12. CONTRACT VALUE AND UTILIZATION MONITORING

12.1 Monthly Contract Utilization Report

The Contractor shall submit a Monthly Contract Utilization Report to the COR no later than the tenth (10th) calendar day following each contract month. The report shall state contract number and applicable CLIN;

the performance period and Month of Service; the firm-fixed monthly price; the authorized value for that period; current and cumulative amounts invoiced; the percentage invoiced and value remaining; completed and remaining Months of Service; the status of pending, unpaid, rejected, or unsubmitted invoices; and any staffing, scheduling, credentialing, privileging, or performance issue affecting continued service.

Clinic activity and labor-hour information, if maintained, shall be used only for workload monitoring, performance surveillance, quality assurance, and contract administration. Such information shall not serve as the basis for invoice payment under the firm-fixed-price Month-of-Service contract. Only the Contracting Officer may modify contract price, scope, or period of performance.

12.2 Sixty Percent (60%) Contract Value Threshold Notification The Contractor shall notify the COR and Contracting Officer in writing within five (5) calendar days after determining that cumulative amounts invoiced for an applicable performance period have reached, or are reasonably projected to reach, sixty percent (60%) of the authorized value for that period. Each notice shall identify the contract number, CLIN, and performance period; authorized value; cumulative amount and percentage invoiced; remaining value; completed and remaining Months of Service; pending invoices;

anticipated performance issues; and any need for Contracting Officer action.

12.3 Additional Contract Value Threshold Notifications

The Contractor shall provide the same written notification to the COR and Contracting Officer upon reaching, or reasonably projecting, eighty percent (80%) and ninety percent (90%) of the authorized value for the applicable performance period, within the timeline established in Section 12.2. A threshold notification does not authorize additional work, an increase in contract value, or an extension of the period of performance.

12.4 Workload and Service Activity Reporting

The Contractor shall maintain records sufficient to demonstrate performance during each Month of Service.

For contract administration, the Government may request a report of scheduled clinic coverage and missed sessions; APP staffing and credential status; service interruptions or replacement personnel; status of clinical documentation and mandatory training; and corrective actions or unresolved deficiencies. Such activity information is for performance monitoring and shall not establish hourly payment.

12.5 Government Acceptance of Month of Service

The Government will accept a Month of Service upon verification that the Contractor furnished the required APP staffing and scheduled clinic coverage; maintained required credentials and privileges; completed documentation; complied with applicable privacy, security, patient-safety, and professional…