RFP: 75H70627R00006

Combined Synopsis/Solicitation | 1

COMBINED SYNOPSIS/SOLICITATION

Request for Proposal (RFP) No. 75H70627R00006 Firm-Fixed-Price (FFP), Indefinite-Delivery/Indefinite-Quantity (IDIQ), Non-Personal Services acquisition for 24/7/365 synchronous audio-video telebehavioral health Emergency Department support for initial Indian Health Service facilities in South Dakota and North Dakota. The anticipated start date is August 1, 2027. The requirement is structured with one 12-month base period and four

12-month option periods, for a maximum potential period of performance of sixty (60) months.

Services include crisis behavioral health assessment, suicide-risk evaluation, safety planning, crisis intervention, interpreter-access coordination, placement assistance, and medication-stabilization consultation by qualified prescribing providers when clinically indicated.

A. NOTICE TYPE

This combined synopsis/solicitation for commercial services is prepared in accordance with FAR Part 12, using the combined synopsis/solicitation format at RFO FAR 12.202(b), as supplemented by the attached solicitation documents. This announcement and its attachments constitute the solicitation.

B. CONTRACT AWARD

The Great Plains Area Indian Health Service (IHS) intends to award a Firm-Fixed-Price (FFP), Indefinite- Delivery/Indefinite-Quantity (IDIQ), Non-Personal Services contract for 24/7/365 synchronous audio-video telebehavioral health support to Emergency Departments identified in the Performance Work Statement (PWS) and individual task orders. The anticipated start date is August 1, 2027.

Services will be ordered through written task orders issued by the Contracting Officer (CO) or authorized Ordering Official. Each task order will identify the applicable period of performance, covered facilities, required hours of coverage and staffing/surge expectations, reporting cadence, site-specific workflows, and applicable performance metrics.

The Contractor shall furnish qualified licensed independent behavioral health clinicians, qualified prescribing providers when required, staffing management, surge capability, credentialing support, and all other Contractor-furnished resources necessary to perform the PWS and applicable task orders.

Contractor personnel shall perform as independent contractor personnel and shall not be supervised or controlled by Government personnel.

C. SOLICITATION PROVISIONS AND CLAUSES

This solicitation incorporates the FAR and HHSAR provisions and clauses identified in the attached clause schedule, including applicable HHS class deviations in effect on the date of issuance.

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

Because this acquisition is structured as an IDIQ, the resulting solicitation and contract will include applicable indefinite-delivery provisions and clauses, including FAR 52.216-18, Ordering; FAR 52.216-19, Order Limitations; and FAR 52.216-22, Indefinite Quantity.

D. SET-ASIDE INFORMATION

This requirement is issued as an:

Indian Small Business Economic Enterprise (ISBEE) Set-Aside NAICS Code: 621112 - Offices of Physicians, Mental Health Specialists Size Standard: $13.5 million

Offerors shall meet the applicable ISBEE eligibility requirements at submission and award and maintain the applicable Indian Economic Enterprise eligibility requirements throughout contract performance. Offerors shall

Combined Synopsis/Solicitation | 2 submit the completed IHS Indian Economic Enterprise Representation form with their response.

E. CONTRACT TYPE AND PRICING REQUIREMENTS

The anticipated contract type is:

Firm-Fixed-Price (FFP), Indefinite-Delivery/Indefinite-Quantity (IDIQ), Non-Personal Healthcare Services. Services will be ordered through written task orders issued in accordance with the IDIQ contract, the Performance Work Statement (PWS), and the terms and conditions of the resulting contract.

The IDIQ contract will have a five-year ordering period consisting of one twelve (12)-month base ordering period and four (4) twelve-month option ordering periods. The anticipated ordering period is August 1, 2027, through July 31, 2032, if all options are exercised.

IDIQ CONTRACT MINIMUM AND MAXIMUM

Contract Minimum Guarantee: $25,000.00 Contract Maximum/Ceiling: $2,600,000.00 Minimum Individual Task Order: $25,000.00 Maximum Individual Task Order: $525,000.00

Offerors shall propose firm-fixed monthly unit prices by facility for the base period and each option period. Proposed prices shall include all personnel, management, supervision, credentialing, licensing, professional liability insurance, administrative support, training, technology or resources not expressly Government-furnished, surge and backup capability, overhead, profit, and all other costs necessary to satisfy the applicable PWS and task-order requirements.

F. PRICE SCHEDULE

Offerors shall complete the price schedule below by entering a Firm-Fixed-Price monthly unit price and extended price for each CLIN. The proposed monthly price shall include all personnel, management, supervision, credentialing, licensing, professional liability insurance, administrative support, training, technology or resources not Government-furnished, surge/backup capability, overhead, profit, and all other costs necessary to perform the PWS and applicable task orders.

Unit of Issue: Month. The quantities shown are for pricing and evaluation of the stated performance periods.

Estimated consult volumes in the PWS are planning estimates only and do not guarantee actual quantities or clinical demand.

The IDIQ contract maximum of $2,600,000.00 is an ordering ceiling only and does not represent the Government's estimated expenditure, anticipated award value, or guaranteed level of ordering. The Government guarantees only the minimum amount identified in Section E.

Offerors shall enter their proposed Firm-Fixed-Price unit and extended prices in the spaces provided below.

Government internal cost estimates are not provided as part of this solicitation.

CLIN Description Unit Qty Unit Price Extended Price

0001 Base Period - Pine Ridge Hospital Telebehavioral Health ED Support (08/01/2027 - 07/31/2028) Month 12 $__________ $__________

0002 Base Period - Rosebud Hospital Telebehavioral Health ED Support (08/01/2027 - 07/31/2028) Month 12 $__________ $__________

0003 Base Period - Eagle Butte Hospital Telebehavioral Health ED Support (08/01/2027 - 07/31/2028) Month 12 $__________ $__________

0004 Base Period - Fort Yates Hospital Telebehavioral Health ED Support (08/01/2027 - 07/31/2028) Month 12 $__________ $__________

0005 Base Period - Belcourt Hospital Telebehavioral Health ED Support (08/01/2027 - 07/31/2028) Month 12 $__________ $__________

Base Period Subtotal $________________

1001 Option Period 1 - Pine Ridge Hospital Telebehavioral Health ED Support (08/01/2028 - 07/31/2029) Month 12 $__________ $__________

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CLIN Description Unit Qty Unit Price Extended Price

1002 Option Period 1 - Rosebud Hospital Telebehavioral Health ED Support (08/01/2028 - 07/31/2029) Month 12 $__________ $__________

1003 Option Period 1 - Eagle Butte Hospital Telebehavioral Health ED Support (08/01/2028 - 07/31/2029) Month 12 $__________ $__________

1004 Option Period 1 - Fort Yates Hospital Telebehavioral Health ED Support (08/01/2028 - 07/31/2029) Month 12 $__________ $__________

1005 Option Period 1 - Belcourt Hospital Telebehavioral Health ED Support (08/01/2028 - 07/31/2029) Month 12 $__________ $__________

Option Period 1 Subtotal $________________

2001 Option Period 2 - Pine Ridge Hospital Telebehavioral Health ED Support (08/01/2029 - 07/31/2030) Month 12 $__________ $__________

2002 Option Period 2 - Rosebud Hospital Telebehavioral Health ED Support (08/01/2029 - 07/31/2030) Month 12 $__________ $__________

2003 Option Period 2 - Eagle Butte Hospital Telebehavioral Health ED Support (08/01/2029 - 07/31/2030) Month 12 $__________ $__________

2004 Option Period 2 - Fort Yates Hospital Telebehavioral Health ED Support (08/01/2029 - 07/31/2030) Month 12 $__________ $__________

2005 Option Period 2 - Belcourt Hospital Telebehavioral Health ED Support (08/01/2029 - 07/31/2030) Month 12 $__________ $__________

Option Period 2 Subtotal $________________

3001 Option Period 3 - Pine Ridge Hospital Telebehavioral Health ED Support (08/01/2030 - 07/31/2031) Month 12 $__________ $__________

3002 Option Period 3 - Rosebud Hospital Telebehavioral Health ED Support (08/01/2030 - 07/31/2031) Month 12 $__________ $__________

3003 Option Period 3 - Eagle Butte Hospital Telebehavioral Health ED Support (08/01/2030 - 07/31/2031) Month 12 $__________ $__________

3004 Option Period 3 - Fort Yates Hospital Telebehavioral Health ED Support (08/01/2030 - 07/31/2031) Month 12 $__________ $__________

3005 Option Period 3 - Belcourt Hospital Telebehavioral Health ED Support (08/01/2030 - 07/31/2031) Month 12 $__________ $__________

Option Period 3 Subtotal $________________

4001 Option Period 4 - Pine Ridge Hospital Telebehavioral Health ED Support (08/01/2031 - 07/31/2032) Month 12 $__________ $__________

4002 Option Period 4 - Rosebud Hospital Telebehavioral Health ED Support (08/01/2031 - 07/31/2032) Month 12 $__________ $__________

4003 Option Period 4 - Eagle Butte Hospital Telebehavioral Health ED Support (08/01/2031 - 07/31/2032) Month 12 $__________ $__________

4004 Option Period 4 - Fort Yates Hospital Telebehavioral Health ED Support (08/01/2031 - 07/31/2032) Month 12 $__________ $__________

4005 Option Period 4 - Belcourt Hospital Telebehavioral Health ED Support (08/01/2031 - 07/31/2032) Month 12 $__________ $__________

Option Period 4 Subtotal $________________

Total Evaluated Price (Base Period + All Option Periods) $_________________

Price Evaluation The Government will evaluate proposed pricing based on the Total Evaluated Price for the entire potential period of performance. The Total Evaluated Price will be the sum of the extended amounts for the base period and all option periods.

The Government will evaluate price fairness and reasonableness using one or more appropriate price-analysis techniques, which may include comparison of proposed prices received from Offerors, comparison with the Independent Government Cost Estimate (IGCE), comparison with historical pricing information for similar healthcare support requirements, market research, and/or other appropriate techniques in accordance with applicable FAR requirements.

Combined Synopsis/Solicitation | 4

G. DESCRIPTION OF REQUIREMENT

The purpose of this acquisition is to obtain continuous telebehavioral health support for Emergency Department operations. Patients may present with suicidal ideation, suicide attempts, acute psychiatric crises, substance-related emergencies, and co-occurring disorders. Timely behavioral health assessment and intervention are required to support patient safety, regulatory compliance, and appropriate disposition.

Required clinical services include, when clinically indicated and/or required by facility workflows:

• Suicide-risk assessment and completion of CSSRS with SAFE-T for patients presenting with suicidal ideation or suicide attempt.

• Crisis intervention, de-escalation guidance, and reassessment as indicated.

• Individualized Stanley-Brown Safety Planning, including lethal-means counseling when appropriate.

• Placement coordination for higher levels of care, including inpatient psychiatric care, crisis stabilization, or detoxification, with documentation of placement attempts.

• Language-access coordination for telephonic, VRI, and ASL interpreter services within 15 minutes of request, with

EHR documentation.

• Culturally responsive and trauma-informed care, including annual clinician training in applicable areas.

• Consultation by qualified prescribing providers for medication stabilization in acute psychiatric crises.

• Provider-to-provider handoff/report before and after the telebehavioral health consultation.

The Contractor shall provide synchronous audio-video telebehavioral health services 24 hours per day, 7 days per week, including weekends and federal holidays, unless a task order specifies otherwise. Services will use Webex or another platform identified by IHS.

H. PLACE OF PERFORMANCE AND PERIOD OF PERFORMANCE

Initial facilities supported under the PWS are:

• Pine Ridge Hospital, Pine Ridge, South Dakota.

• Rosebud Hospital, Rosebud, South Dakota.

• Eagle Butte Hospital, Eagle Butte, South Dakota.

• Fort Yates Hospital, Fort Yates, North Dakota.

• Belcourt Hospital, Belcourt, North Dakota.

Approximate monthly consult volumes are provided for planning only and are not guaranteed: Pine Ridge (50), Rosebud (50), Eagle Butte (30), Fort Yates (15), and Belcourt (20). Actual quantities will be based on clinical demand and the scope of individual task orders.

Anticipated Start Date: August 1, 2027. Base Period: August 1, 2027, through July 31, 2028. Option Period 1: August 1, 2028, through July 31, 2029. Option Period 2: August 1, 2029, through July 31, 2030. Option Period 3: August 1, 2030, through July 31, 2031. Option Period 4: August 1, 2031, through July 31, 2032. Maximum IDIQ Ordering Period:

Sixty (60) months.

IDIQ Ordering Period and Task Order Performance The anticipated IDIQ ordering period begins August 1, 2027, and, if all options are exercised, continues through July 31, 2032. Individual task orders will establish their respective periods of performance within the terms and conditions of the IDIQ contract.

Exercise of an IDIQ option extends the period during which the Government may issue task orders and does not, by itself, obligate funds for services. Services are authorized and funded through individual task orders.

All task order performance shall be completed no later than July 31, 2032, consistent with FAR 52.216-22(d) as completed in this solicitation.

I. INSTRUCTIONS TO OFFERORS

Offerors shall submit a complete proposal addressing the final solicitation and the PWS. At a minimum, the proposal should include the following information to demonstrate capability to satisfy the requirement:

Combined Synopsis/Solicitation | 5

Solicitation Information

• Solicitation number and amendment acknowledgments, when issued.

• Offeror legal business name, address, telephone number, email address, UEI, and active SAM registration information.

• Completed representations and certifications required by the final solicitation.

Price Proposal

• Completed Government price schedule using the pricing structure established in the final solicitation.

• Pricing that includes all Contractor-furnished personnel, management, staffing/surge resources, credentialing support, training, administrative support, technology/resources not Government-furnished, and other costs necessary to satisfy the PWS and task orders.

Technical Capability Information

• Ability to provide qualified licensed independent behavioral health clinicians with active, unrestricted licensure in any U.S. state or territory and at least two years of emergency or crisis behavioral health experience.

• Ability to provide qualified prescribing providers (psychiatrists, psychiatric nurse practitioners, or psychologists with prescribing privileges) for medication-stabilization consultation when required.

• Approach to 24/7/365 synchronous audio-video coverage, rapid response, no-lapse coverage, backup coverage, and surge staffing.

• Approach to CSSRS/SAFE-T assessment, Stanley-Brown Safety Planning, crisis intervention, placement coordination, and interpreter-access coordination.

• Approach to culturally responsive and trauma-informed care and annual clinician training.

• Ability to satisfy facility credentialing requirements and complete required suitability/security pre-clearance and fingerprint adjudication before services begin.

• Approach to EHR documentation, reporting, quality improvement, incident reporting, and task-order transition-in/transition-out.

Management Approach Information

• Recruitment, retention, scheduling, and surge capability.

• Continuity-of-operations and contingency planning for staffing interruptions or demand surges.

• Credentialing, suitability, and exclusion-screening management.

• Quality assurance and performance-monitoring procedures.

• Communication, escalation, and coordination with Government and facility personnel while preserving the non-personal-services relationship.

• Corrective-action process for performance deficiencies.

Past Performance Information Offerors shall provide recent and relevant past performance information addressing the definitions and evaluation criteria under Factor 2 - Past Performance.

BASIS FOR AWARD

FAR 52.212-2, Evaluation - Commercial Products and Commercial Services. The Government will evaluate proposals in accordance with FAR 52.212-2. Award will be made to the responsible Offeror whose proposal conforms to the solicitation requirements and is determined to provide the best value to the Government, price and other factors considered. The Government intends to evaluate proposals and make award without discussions. Offerors should therefore submit their best technical and price proposals initially. The Government reserves the right to conduct discussions, request clarifications, or seek additional information if determined necessary by the Contracting Officer.

Evaluation Factors: Technical Capability; Past Performance; Management Approach; and Price. Technical Capability, Past Performance, and Management Approach are non-price factors. When combined, the non-price factors are significantly more important than Price. The Government will consider the overall merits, strengths, weaknesses, deficiencies, and performance risks associated with each proposal in determining best value.

Technical Factor Rating Definitions Outstanding - Proposal greatly exceeds all minimum requirements of the criteria; demonstrates exceptional capability;

has a high probability of successful performance; and contains no significant weaknesses or deficiencies.

Good - Proposal exceeds all minimum requirements of the criteria; demonstrates above-average capability; has a strong probability of successful performance; and contains no significant weaknesses.

Combined Synopsis/Solicitation | 6

Acceptable - Proposal meets all minimum requirements of the criteria; demonstrates adequate capability; has an acceptable probability of successful performance; and contains no significant weaknesses or deficiencies.

Marginal - Proposal fails to adequately meet one or more requirements of the criteria; demonstrates limited capability;

has an uncertain probability of successful performance; and contains significant weaknesses or deficiencies.

Unacceptable - Proposal fails to meet minimum requirements of the criteria; demonstrates inadequate capability; has a low probability of successful performance; and requires major revisions.

Factor 1 - Technical Capability The Government will evaluate the Offeror's ability and approach to furnish qualified telebehavioral health personnel and perform the services identified in the PWS, including: qualified licensed independent behavioral health clinicians;

qualified prescribing providers when required; 24/7/365 synchronous audio-video coverage; response-time performance; crisis and suicide-risk assessment; SAFE-T/CSSRS and Stanley-Brown Safety Planning; interpreter access; placement coordination; credentialing and suitability requirements; EHR documentation; and continuity/surge capability.

Factor 2 - Past Performance The Government will evaluate the Offeror's recent and relevant past performance. Relevant past performance may include telebehavioral health, behavioral health crisis services, emergency-department clinical support, telehealth staffing, non-personal healthcare services, and/or similar healthcare support requirements. Recent past performance is defined as contracts performed within three (3) years from the solicitation closing date. The Government may consider information obtained from CPARS, Government databases, references provided by the Offeror, Federal procurement records, and other available sources. Offerors without recent and relevant past performance, or where past performance information is unavailable, may receive a neutral evaluation. A neutral evaluation will not be considered either favorable or unfavorable.

Factor 3 - Management Approach The Government will evaluate the Offeror's ability to manage contract performance and provide reliable telebehavioral health coverage. The Offeror shall address recruitment and retention; availability of qualified clinicians; 24/7 scheduling and surge coverage; credentialing, licensing, suitability, and exclusion-screening management; quality assurance; contractor oversight and performance monitoring; communication with Government personnel; continuity of operations; and contingency plans for staffing shortages, provider availability issues, technology disruptions, or unexpected service interruptions.

Factor 4 - Price The Government will evaluate the Total Evaluated Price for the entire potential period of performance, including the base period and all option years. The Government will evaluate price fairness and reasonableness using appropriate price-analysis techniques, which may include comparison of proposed prices received from Offerors, comparison with the IGCE, comparison with historical pricing information, market research information, and/or other appropriate price-analysis techniques in accordance with FAR requirements. The Government will consider the relationship between price and technical capability in determining the proposal that represents the best value.

J. CONTRACT TERMS AND CONDITIONS

The resulting contract and task orders will require compliance with applicable Federal, HHS, IHS, facility, credentialing, privacy, security, patient-safety, clinical-practice, and reporting requirements incorporated into the final solicitation and contract.

The Contractor shall maintain the non-personal nature of the services. Government personnel may monitor results and compliance but shall not supervise or control Contractor personnel.

Combined Synopsis/Solicitation | 7

K. ADDITIONAL FAR/HHSAR REQUIREMENTS

The FAR and HHSAR provisions and clauses applicable to this acquisition are identified in the attached clause schedule.

The PWS references, among other authorities, FAR 37.101 and 37.103, FAR 52.217-9, HIPAA requirements at 45 CFR Parts 160 and 164, the Indian Child Protection and Family Violence Prevention Act, and the Emergency Medical Treatment and Labor Act (EMTALA).

Applicable IDIQ provisions and clauses include FAR 52.216-18, Ordering; FAR 52.216-19, Order Limitations; and FAR 52.216-22, Indefinite Quantity.

L. PROPOSAL SUBMISSION INFORMATION

Questions must be received no later than 12:00 p.m. (noon) Central Standard Time (CST) on November 18, 2026.

Proposals must be received no later than 12:00 p.m. (noon) CST on December 2, 2026. Submit questions and proposals electronically to Great Plains Area Indian Health Service, Attn: Contract Specialist David Jones, at David.Jones@ihs.gov. Reference Solicitation No. 75H70627R00006 in the email subject line.

Acceptance Period: The Offeror agrees to hold its proposal, including all proposed prices, firm for acceptance by the Government for 90 calendar days after the date specified for receipt of proposals.

Offerors shall propose prices based on the requirements and pricing structure identified in the solicitation and shall not base proposed prices on an assumption that the Government will order services up to the $2,600,000.00 IDIQ ceiling.

Invoice Processing Platform (IPP): The Indian Health Service utilizes the Department of the Treasury's Invoice Processing Platform (IPP) for electronic submission and processing of payment requests. Invoices submitted under any resulting contract shall be submitted electronically through IPP in accordance with applicable HHSAR requirements. Contractors are encouraged to register for IPP prior to contract award if they have not already established an account. If the Contractor believes use of IPP would be unduly burdensome, the Contractor shall include an explanation with its proposal for consideration by the Contracting Officer.

PWS | 1

ATTACHMENT 1 - PERFORMANCE WORK STATEMENT (PWS)

24/7 Telebehavioral Health Emergency Department Support Services IDIQ Contract: 24/7 Telebehavioral Health Emergency Department Support Services

1.0 Purpose

This Performance Work Statement (PWS) describes the requirements for an Indefinite-Delivery/Indefinite-Quantity (IDIQ) contract to provide 24/7/365 synchronous audio-video telebehavioral health services supporting Emergency Department (ED) operations for facilities identified in this PWS and/or in individual task orders.

2.0 Background

Patients present to EDs with suicidal ideation, suicide attempts, acute psychiatric crises, substance-related emergencies, and co-occurring disorders. Timely behavioral health assessment and intervention are critical to patient safety, regulatory compliance, and appropriate disposition.

3.0 Objectives

The Contractor shall provide qualified licensed independent behavioral health clinicians (psychologists, psychiatrics, LCSW, LPC-MH, or equivalent) to deliver real-time telebehavioral health services, including suicide risk assessment, CSSRS with SAFE-T assessments, crisis stabilization, Stanley-Brown Safety Planning, culturally responsive care, interpreter access coordination, and placement assistance for patients requiring higher levels of care.

For patients presenting with acute psychiatric crises, qualified prescribing providers (psychiatrists, psychiatric nurse practitioners, or psychologists with prescribing privileges) will be available to provide consultation on appropriate medication stabilization.

4.0 IDIQ Structure, Ordering, and Place of Performance

4.1 Contract Type and Ordering

This contract is an IDIQ. Services will be ordered via written task orders issued by the Contracting Officer (CO) or authorized Ordering Official. Each task order will identify: ordering period of performance (POP) and deliverable schedule; locations/facilities covered; required hours of coverage and staffing/surge expectations; reporting cadence and site-specific workflows; and applicable performance metrics.

4.2 Ordering Period and Task Order Period of Performance

IDIQ ordering period and task order POP will be as specified in the solicitation/contract and the individual task order.

4.3 Place of Performance (Initial Facilities)

Initial scope supports the following EDs:

• Pine Ridge Hospital, Pine Ridge, SD

• Rosebud Hospital, Rosebud, SD

• Eagle Butte Hospital, Eagle Butte, SD

• Fort Yates Hospital, Fort Yates, ND

• Belcourt Hospital, Belcourt, ND

4.4 Estimated Workload (Not a Guarantee)

Approximate monthly consult volume by facility (for planning only): Pine Ridge (50), Rosebud (50), Eagle Butte (30), Fort Yates (15), Belcourt (20). The Government does not guarantee volumes; actual quantities will be based on clinical demand and task order scope.

5.0 General Requirements (Applies to All Task Orders)

5.1 Service Delivery Modality and Coverage

The Contractor shall provide synchronous audio-video telebehavioral health services 24 hours/day, 7 days/week, including weekends and federal holidays, unless otherwise specified in a task order utilizing Webex or another platform identified by the Indian Health Service

5.2 Required Clinical Services

The Contractor shall provide the following services when clinically indicated and/or required by facility workflows:

• Suicide risk assessment and completion of CSSRS with SAFE‑T for patients presenting with suicidal ideation or attempt.

• Crisis intervention, de-escalation guidance, and reassessment as indicated.

• Individualized Stanley-Brown safety planning, including lethal means counseling when appropriate.

PWS | 2

• Placement coordination for higher levels of care (e.g., inpatient psych, crisis stabilization, detox), including documentation of placement attempts.

• Language access coordination: interpreter services (telephonic/VRI/ASL) available within 15 minutes of request and documented in the EHR.

• Culturally responsive and trauma-informed care, with annual training for clinicians (e.g., cultural competency, implicit bias, trauma-informed care).

For patients presenting with acute psychiatric crises, qualified prescribing providers (psychiatrists, psychiatric nurse practitioners, or psychologists with prescribing privileges) will be available to provide consultation to ED provider on appropriate medication stabilization.

Prior to initiating the consult, the Contractor will receive a report from the referring provider or designee and the telebehavioral health provider will provide a report back to the referring provider at the conclusion of the patient evaluation.

6.0 Staffing and Credentialing (Applies to All Task Orders)

6.1 Minimum Qualifications

Personnel shall hold active, unrestricted licensure in any U.S. state or territory and have at least two (2) years of emergency or crisis behavioral health experience.

6.2 Coverage and Surge

The Contractor shall ensure no lapse in required coverage and maintain surge staffing capability as needed.

6.3 Facility Credentialing

Personnel must meet the credentialing requirements of the facility(ies) served. Proxy credentialing is permissible consistent with CMS regulations and facility policy.

6.4 Security Clearance

A security pre-clearance must be carried out by any employees referred to IHS through this contract. Fingerprints must be completed and adjudicated prior to services being performed under this contract. No contract award shall be made to any vendor or provider listed on the OIG Exclusion List throughout the duration of this contract. It shall be the responsibility of the contractor to notify the acquisition official if there is a change in provider.

Government will pay for the cost to process the contractors suitability clearances. However, multiple investigations for the same position may, at the Contracting Officers discretion, lead to reduction(s) in the contract price of no more than the cost of the extra investigation(s).

7.0 Documentation Requirements

All CSSRS assessments, SAFE‑T evaluations, safety plans, interpreter usage, and disposition decisions shall be documented in the EHR prior to discharge or transfer, consistent with facility policy and workflow.

8.0 Government Surveillance

The Government may monitor performance through chart audits, ED log reviews, validation of monthly reports, and periodic quality reviews.

9.0 Deliverables (Applies Unless Modified by Task Order)

Unless otherwise specified in a task order, the Contractor shall provide:

• Monthly performance reports (metrics, volumes, response times, interpreter timeliness, SAFE‑T completion, Safety Plan completion, etc.).

• Staffing coverage plan (including surge approach).

• Quarterly quality improvement summaries.

• Incident reports within 24 hours of critical events, when applicable and consistent with facility reporting procedures.

10.0 Transition Requirements

Task orders may include transition-in activities to validate connectivity, workflows, escalation pathways, documentation standards, and site-specific processes. At task order completion, the Contractor shall support orderly transition-out, including final reporting and transfer/disposition of Government data as directed.

11.0 Non-Personal Services

Services under this contract are non-personal services. Contractor personnel shall not be supervised or controlled by Government personnel.

PWS | 3

ATTACHMENT 2 - PERFORMANCE REQUIREMENTS SUMMARY (PRS)

This PRS establishes minimum performance standards for task orders issued under the IDIQ. Task orders may add, remove, or modify PRS elements consistent with site-specific workflows and requirements.

Performance Objective

Performance Standard/Threshold

Acceptable Quality Level (AQL) Method of Surveillance Remedy/Corrective Action

Telebehavioral consult response time

Telebehavioral clinician joins consult within 30 minutes of ED request.

≥ 95% of consults per month (per site and aggregate).

System timestamps/telehealth logs; ED consult logs; monthly report validation; spot checks.

For any month below AQL: Contractor submits Corrective Action Plan (CAP) within 5 business days; Government may require additional staffing/surge plan updates and increased surveillance for the next month.

CSSRS with SAFE-T completion

Complete CSSRS with SAFE-T for all patients presenting with suicidal ideation or suicide attempt, unless clinically contraindicated and documented.

100% of applicable encounters.

EHR chart review/audit; monthly metric reporting; random sampling as needed.

For any noncompliance: CAP within 5 business days; targeted clinician retraining within 30 days; repeat audit the following month.

Required documentation before disposition

All required assessments, risk determinations, safety plans (if discharged), interpreter use (if applicable), and disposition recommendations documented in EHR prior to discharge/transfer.

100% of encounters.

EHR chart review; facility feedback; monthly report validation.

CAP within 5 business days;

retraining; increased chart audit frequency until two consecutive months meet AQL.

Interpreter access timeliness

Interpreter services (telephonic/VRI/ASL) available within 15 minutes of request and documented in EHR.

≥ 95% of interpreter requests per month.

Interpreter request logs;

telehealth platform logs; EHR documentation review; monthly report validation.

CAP within 5 business days;

corrective updates to interpreter workflow/vendor coordination;

increased monitoring the next month.

Continuous coverage Maintain required coverage (default 24/7/365) with no unplanned lapse; backup coverage available.

100% coverage; 0 unplanned lapses.

Staffing schedules; coverage attestations; incident reporting;

Government verification upon notice.

Immediate notification to Government within 1 hour of any lapse; root cause analysis within 5 business days; CAP;

Government may require staffing changes.

Monthly performance report timeliness

Submit monthly performance report in the format required by the task order by the due date (default:

10th business day).

100% on-time submissions. CO/COR receipt tracking.

Late report: notice to cure; repeated late submissions may trigger enhanced surveillance and/or remedies under the contract/task order.

Critical incident reporting

Report critical incidents (as defined by facility/task order) within 24 hours and provide follow-up information within required timeframes.

100% compliance. Incident log review; COR validation with facility.

CAP; retraining on incident procedures; increased monitoring for next quarter.

Note: Remedies above describe minimum corrective actions. The Government reserves the right to apply additional remedies consistent with the contract, task order terms, and applicable acquisition regulations.

ATTACHMENT 3 - QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

IDIQ: 24/7 Telebehavioral Health Emergency Department Support Services

1. Purpose This QASP defines methods used by the Government to monitor Contractor performance, ensuring compliance with performance standards and patient safety.

2. Scope Applies to all task orders under the IDIQ including telebehavioral health consults, crisis intervention, documentation, interpreter access, and staffing.

3. Roles and Responsibilities

• Contracting Officer (CO): Contract authority

• COR: Performance monitoring and validation

• Clinical Staff: Feedback and audits

• Contractor: Service delivery and reporting

4. Surveillance Approach Methods include 100% inspection, random sampling, periodic reviews, customer feedback, and automated monitoring.

5. Performance Standards

• Response Time: ≥95% within 30 minutes

• SAFE-T Completion: 100%

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• Documentation: 100%

• Interpreter Access: ≥95% within 15 minutes

• Coverage: 100%

• Reporting: 100% on time

• Incident Reporting: 100% within 24 hours

6. Surveillance Schedule

• Monthly audits and reporting reviews

• Quarterly quality reviews

• Ongoing monitoring

7. AQLs Defined per PRS; failure triggers corrective action.

8. Documentation The COR shall document surveillance activities, performance findings, deficiencies, corrective actions, and follow-up actions in the official contract file, as applicable. Surveillance documentation may include chart-audit results, ED consult logs, telehealth system records, monthly performance reports, incident reports, facility feedback, correspondence, and other records used to validate Contractor performance. Documentation shall be sufficient to support the Government's determination of whether the Contractor met the applicable performance standards and Acceptable Quality Levels (AQLs).

9. Corrective Actions When Contractor performance fails to meet an established performance standard or AQL, the Government may require the Contractor to submit a written Corrective Action Plan (CAP). Unless otherwise specified by the Contracting Officer or task order, the CAP shall be submitted within five (5) business days of notification and shall identify the cause of the deficiency, corrective actions taken or planned, responsible personnel, implementation dates, and measures to prevent recurrence. The Government will monitor corrective actions and may increase surveillance until satisfactory performance is demonstrated.

10. Remedies and Performance Management The Government may use appropriate contractual remedies when performance does not meet contract or task-order requirements. Remedies may include increased surveillance, additional reporting, required staffing or surge-plan updates, targeted retraining, corrective action, or other remedies available under the contract and applicable acquisition regulations. Nothing in this QASP limits the rights or remedies available to the Government under the contract. Performance incentives, if any, shall be established in the applicable contract or task order and shall correspond to the applicable performance standards.

11. Continuous Improvement The Government and Contractor shall review performance trends at least quarterly to identify recurring deficiencies, emerging risks, opportunities for process improvement, and areas of sustained satisfactory or improved performance.

Reviews may consider response times, clinical documentation compliance, SAFE-T completion, interpreter-access timeliness, staffing coverage, incident reporting, corrective-action effectiveness, and other task-order performance measures. Results may be used to refine workflows, surveillance emphasis, and quality-improvement activities without changing contractual requirements except through authorized contract action.

12. Transition Oversight The Government will monitor Contractor performance during transition-in and transition-out periods to ensure continuity of services and orderly implementation or conclusion of task-order requirements. Transition-in surveillance may include validation of connectivity, staffing readiness, credentialing status, workflows, escalation pathways, documentation processes, and site-specific procedures. Transition-out surveillance may include final reporting, disposition or transfer of Government information, continuity-of-care coordination, and completion of outstanding contractual requirements.

13. Non-Personal Services Surveillance conducted under this QASP shall be limited to assessing Contractor compliance with contract requirements and shall not create a personal-services relationship. Government personnel shall not supervise, direct, or control Contractor personnel with respect to the manner in which Contractor personnel perform their work. Direction affecting contract scope, requirements, price, or other contractual terms shall be provided only by the Contracting Officer or other authorized official consistent with the contract.

PWS | 5

14. QASP Updates The Government may revise this QASP as necessary to improve surveillance effectiveness, address changes in risk, incorporate lessons learned, or reflect task-order-specific surveillance needs. Revisions to the QASP shall not modify the Contractor's contractual obligations, performance standards, scope, price, or other terms and conditions of the contract. Changes affecting contractual requirements shall be made only by the Contracting Officer through an authorized contract action, as applicable. The Contractor and appropriate Government surveillance personnel shall be provided current QASP information when revisions affect surveillance procedures.

PWS ADDENDUM

1. Authority

1.1 No person other than the Contracting Officer has authority to bind the Government with respect to this contract;

1.2 No action or omission of any government employee or representative other than the Contracting Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract;

1.3 In no event shall any of the following be effective or binding on the Government or imputed to the Contracting Officer with respect to this contract;

1.3.1 An understanding or agreement between the Contractor and anyone other than the Contracting Officer;

1.3.2 A purported modification or change order issued by anyone other than the Contracting Officer;

1.3.3 A promise by anyone other than the Contracting Officer to provide additional funding or make payments or;

1.3.4 An order, direction, consent, or permission from anyone other than the Contracting Officer to;

1.3.4.1 Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling or;

1.3.4.2 Expend hours in excess of a specified level of effort.

Solicitation Clauses 1

PROVISIONS AND CLAUSES INCORPORATED BY REFERENCE

52.252-1 Solicitation Provisions Incorporated by Reference.

As prescribed in 52.107(a), insert the following provision:

Solicitation Provisions Incorporated by Reference (Feb 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

https://www.acquisition.gov/browse/index/far

(End of provision)

52.252-2 Clauses Incorporated by Reference.

As prescribed in 52.107(b), insert the following clause:

Clauses Incorporated By Reference (Feb 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

https://www.acquisition.gov/browse/index/far

(End of clause)

I. Federal Acquisition Regulations (FAR)(48 CFR Chapter 1) Provisions and Clauses Incorporated by Reference.

FAR

CITATION

PROVISION/CLAUSE TITLE PROVISION

/ CLAUSE

DATE

52.202-1 Definitions. Jun-20 52.203-3 Gratuities. Apr-84 52.203-5 Covenant Against Contingent Fees. May-14 52.203-6 Restrictions on Subcontractor Sales to the Government. Jun-20 52.203-7 Anti-Kickback Procedures. Jun-20 52.203-12 Limitation on Payments to Influence Certain Federal Transactions. Jun-20 52.203-17 Contractor Employee Whistleblower Rights. Nov-23 52.204-7 System for Award Management. Nov-24 52.204-9 Personal Identity Verification of Contractor Personnel. Jan-11 https://www.acquisition.gov/far/52.107#FAR_52_107 https://www.acquisition.gov/far/52.107#FAR_52_107

Solicitation Clauses 2

52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards.

Jun-20

52.204-13 System for Award Management Maintenance. Oct-18 52.204-15 Service Contract Reporting Requirements for Indefinite-Delivery

Contracts.

Oct-16

52.204-19 Incorporation by Reference of Representations and Certifications. Dec-14 52.209-5 Certification Regarding Responsibility Matters. Aug-20 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations. Nov-15 52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law.

Feb-16

52.211-5 Material Requirements. Aug-00 52.212-1 Instructions to Offerors - Commercial Products and Commercial

Services.

Sep-23

52.212-4 Contract Terms and Conditions - Commercial Products and Commercial Services.

Nov-23

52.216-24 Limitation of Government Liability. Apr-84 52.216-25 Contract Definitions. Oct-10 52.217-5 Evaluation of Options. Jul-90 52.217-9 Option to Extend the Term of the Contract. Mar-00 52.224-1 Privacy Act Notification. Apr-84 52.224-2 Privacy Act. Apr-84 52.232-1 Payments. Apr-84 52.232-39 Unenforceability of Unauthorized Obligations. Jun-13 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. Mar-23 52.237-3 Continuity of Services. Jan-91 52.242-15 Stop-Work Order. Aug-89 52.243-1 Changes-Fixed-Price (Deviation). RFO Jun-25 52.243-4 Changes (Deviation). RFO Jun-25 52.243-7 Notification of Change. Jan-17 52.244-6 Subcontracts for Commercial Products and Commercial Services. Jan-25 52.246-4 Inspection of Services-Fixed-Price. Aug-96 52.246-20 Warranty of Services. May-01 52.246-25 Limitation of Liability-Services. Feb-97 52.247-34 F.o.b. Destination. Jan-91 52.249-9 Default (Fixed-Price Supply and Services). Apr-84 52.252-6 Authorization Deviations in Clauses. Nov-20 52.253-1 Computer Generated Forms. Jan-91

PROVISIONS AND CLAUSES IN FULL TEXT

II. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Provisions and Clauses in Full Text

Solicitation Clauses 3

52.216-18 Ordering.

As prescribed in 16.506(a), insert the following clause:

Ordering (Aug 2020)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from August 1, 2027, through July 31, 2032.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) A delivery order or task order is considered "issued" when—

(1) If sent by mail (includes transmittal by U.S. mail or private delivery service), the Government deposits the order in the mail;

(2) If sent by fax, the Government transmits the order to the Contractor's fax number; or

(3) If sent electronically, the Government either—

(i) Posts a copy of the delivery order or task order to a Government document access system, and notice is sent to the Contractor; or

(ii) Distributes the delivery order or task order via email to the Contractor's email address.

(d) Orders may be issued by methods other than those enumerated in this clause only if authorized in the contract.

(End of clause)

52.216-19 Order Limitations.

As prescribed in 16.506(b), insert a clause substantially the same as follows:

Order Limitations (Oct 1995)

(a) Minimum order. When the Government requires services covered by this contract in an amount of less than $25,000, the Government is not obligated to purchase, nor is the Contractor obligated to furnish those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor-

(1) Any order for a single item in excess of $525,000;

(2) Any order for a combination of items in excess of $525,000; or https://www.acquisition.gov/far/16.506#FAR_16_506

Solicitation Clauses 4

(3) A series of orders from the same ordering office within thirty (30) calendar days that together call for quantities exceeding the limitation in paragraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within five (5) calendar days after issuance, with written notice stating the Contractor’s intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of clause)

52.216-22 Indefinite Quantity.

As prescribed in 16.506(e), insert the following clause:

Indefinite Quantity (Oct 1995)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum." The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum."

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order.