SF-1449 - Solicitation 75H70725R00006 - Two Nurse Case Mgrs SFIHC.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225 Albuquerque Indian Health Service

CODE 16. ADMINISTERED BYCODE

X

X

X

561320

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR203

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

01/06/2025 1230 MT

12/05/2024

505-256-6754PATRICIA TRUJILLO

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70725R00006

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 66 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$34

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

Albuquerque Indian Health Service

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

The Indian Health Service (IHS)/Albuquerque Area Office, Santa Fe Indian Health Center has a requirement for Two (2) Nurse Case Managers located in Santa Fe, New Mexico.

This requirement is a 100% Set-Aside for Indian Small Business Economic Enterprise (ISBEE) concerns.

1 BASE: TBD, 2025 to TBD, 2026, for Two (2) Nurse Continued ...

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

ERIC K. WRIGHT

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT: REFERENCE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Case Managers for the Santa Fe Indian Health

Center.

2 OPTION YEAR ONE: TBD, 2026 to TBD, 2027, for Two

(2) Nurse Case Managers for the Santa Fe Indian

Health Center.

3 OPTION YEAR TWO: TBD, 2027 to TBD, 2028, for Two

(2) Nurse Case Managers for the Santa Fe Indian

Health Center.

4 OPTION YEAR THREE: TBD, 2028 to TBD, 2029, for

Two (2) Nurse Case Managers for the Santa Fe

Indian Health Center.

5 OPTION YEAR FOUR: TBD, 2029 to TBD, 2030, for Two

(2) Nurse Case Managers for the Santa Fe Indian

Health Center.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

66 2 of

NURSE CASE MANAGER

SANTA FE INDIAN HEALTH CENTER

75H70725R00006 Page 3 of 66

SECTION 1 - SUPPLIES OR SERVICES AND PRICES/COSTS

1.1 SERVICES

1.1.1 The Indian Health Service (IHS)/Albuquerque Area Office, Santa Fe Indian Health Center has a requirement for Two (2) Nurse Case Managers located in Santa Fe, New Mexico.

1.1.2 The Government contemplates to award single resulting from this solicitation.

1.2 PRICE OR COST

This solicitation will result in a Firm-Fixed-Price (FFP) Contract acquisition with Four (4) Option Periods. “The quantities shown in the Schedule of Charges are "expected" quantities, but are not representative of actual ordering quantities, and serve as a means of arriving at price reasonableness for award purposes. Utilization of the contractor has been determined to be appropriate for a Nurse Case Manager Non-Personal Health Care Services as the government anticipates recurring requirements but cannot pre-determine the precise quantities that will be ordered during the contract period. Pricing proposals should be determined based on the estimated shift – 8-hour shift.”

1.3 GENERAL CONTRACT INFORMATION

1.3.1 This is a non-personal health care service contract, as defined in Federal Acquisition Regulation (FAR) 37.401, under which the contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The contractor indemnifies the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The contract must maintain medical liability insurance. Coverage amount acceptable to the Contracting Officer, which is not less than the amount normally prevailing within the local community for the medical specialty. The contract is required to ensure that its subcontract for provisions of health care services contain the requirement of the Clause 52.237-7, including the maintenance of medical liability insurance.

1.3.2 As an independent Contractor; billing and collecting for the federal, state and other local city/county taxes is the burden of the Contractor, this includes the New Mexico Gross Receipt Taxes (NMGRT) for services provided in any county of the State of New Mexico.

1.3.3 The Contractor's price/cost for services under this contract should include all applicable taxes for Internal Revenue Service (IRS), State of New Mexico Taxation and Revenue agency and/or other revenue agencies. The Indian Health Service will not withhold taxes nor will it issue a W-2 to the contractor.

1.3.4 FINGERPRINTING REQUIREMENTS FOR SECURITY AND SUITABILITY:

"Prior to start of services specified by the contract scope of work, the Contractor must contact

Warren Cheromiah, at Telephone No. (505) 256-6749, AAO, Division of Contracts and Grants, to schedule an appointment to complete the fingerprinting process required by the IHS regulations pertinent to security and character background investigations."

1.4 CONTRACT PRICE

1.4.1 This solicitation will result in an FFP Contract. The price for this contract is $ (TBD).

1.4.2 Upon delivery and acceptance of the item(s) specified in the DELIVERY Article in Section 7 of this contract, the Government shall pay to the Contractor resulting from the awarded contract price.

1.4.3 Upon delivery and acceptance the services described in the Performance Work Statement (PWS) and identified in the schedule of charges below, the Government shall pay to the Contractor the total prices set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly:

SCHEDULE OF CHARGES FOR THE BASE PERIOD

75H70725R00006 Page 4 of 66

Item # Contract Period Description of Services - Base Total Amount

CLIN 1 BASE: TBD, 2025 to

TBD, 2026

Two (2) Nurse Case Managers

2080 Hours P/Year x 2 = 4060 x $_______ P/Hour = $

TOTAL PRICE FOR BASE PERIOD: $

1.4.4 The Contractor shall be paid upon submission of an invoice and completion and acceptance (if deliverable) or verification (if service) by the Contracting Officer's Representative (COR), of the deliverables and/or services indicated below. Submit invoices in accordance with the instructions contained in FAR clause 52.232-25, Prompt Payment (Jan 2017), and Section 10 of this contract.

1.5 OPTION PRICES

1.5.1 Unless the Government exercises its option, pursuant to the option clause referenced in the Contract Clauses section, this contract consists only of the Base Period specified in this contract.

1.5.2 Pursuant to either the FAR Clause 52.217-8, Option to Extend Services (Nov 1999) or the FAR Clause 52.217-9, Option to Extend the Term of the Contract (Mar 2000), set forth in Section 12, of this contract, the Government may, a unilateral contract modification, require the Contractor to perform the Option Period(s) as defined in the PWS of this contract. A notice that the Government intends to exercise any of the options will happen prior to the contract’s expiration date. Specific information regarding the timeframe for this notice is set forth in the OPTION PROVISION of this order. When exercising an option period, the fixed price rate of this contract is set forth below.

1.5.3 Upon the delivery and acceptance of the Option Services described in the Performance Work Statement of the contract and identified in the schedule of charges below, the Government shall pay the Contractor the rate(s) set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly;

1.5.4 If the Government exercises its option pursuant to the OPTION PROVISION of this contract, the Government's total estimated contract amount, represented by the sum of the price of base plus option periods and the period of performance will be as follows:

SCHEDULE OF CHARGES FOR THE OPTION PERIODS

Item # Contract Period Description of Services - Base Total Amount

CLIN 2 OPTION YEAR ONE:

TBD, 2026 to TBD, Two (2) Nurse Case Managers

2080 Hours P/Year x 2 = 4060 x $_______ P/Hour = $

TOTAL PRICE FOR OPTION YEAR ONE: $

CLIN 3 OPTOIN YEAR TWO:

TBD, 2027 TO TBD,

Two (2) Nurse Case Managers 2080 Hours P/Year x 2 = 4060 x $_______ P/Hour =

TOTAL PRICE FOR OPTION YEAR TWO: $

CLIN 4 OPTION YEAR ONE:

TBD, 2028 to TBD, Two (2) Nurse Case Managers

2080 Hours P/Year x 2 = 4060 x $_______ P/Hour = $

75H70725R00006 Page 5 of 66

TOTAL PRICE FOR OPTION YEAR ONE: $

CLIN 5 OPTION YEAR ONE:

TBD, 2029 to TBD, Two (2) Nurse Case Managers

2080 Hours P/Year x 2 = 4060 x $_______ P/Hour = $

TOTAL PRICE FOR OPTION YEAR ONE: $

1.5.5 Note: Unit price shall be an all-inclusive rate of all other fees including travel expenses, per diem, lodging all cities, state, federal, local taxes and miscellaneous cost associated with the above services.

1.5.6 Lunch break of thirty minutes (30) permitted (as non-paid) under the contract; the contractor cannot invoice time as worked if its’ employee chooses not to take a lunch break. The Contractor also cannot invoice travel times to/from the facility site as time worked.

75H70725R00006 Page 6 of 66

SECTION 2 – DEFINITIONS:

2.1 Acceptance: As stated in FAR, subpart 46.5, Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements and subject to other terms and conditions of the contract.

2.2 Approval: Acknowledgment by the designated Government official that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

2.3 Area: A defined geographical region for Indian Health Service administrative purposes. Each Area Office may administer several Service Units.

2.4 Business Associate (BA): Any company or person that shown to, handles, or works with the data or medical records of the medical entity.

2.5 Business Associate Agreement (BAA): A BAA is a contract between a HIPAA-covered entity and a HIPAA BA.

The contract protects personal health information (PHI) in accordance with HIPAA guidelines.

2.6 Code of Ethics: The Revised American Nurses Association Code of Ethics and Standards of Practice and Care, published in 1996 by the American Nurses Association, which makes explicit primary goals, values and obligations of the nursing profession.

2.7 Contract: This is a legal binding document between the Government and the Contractor.

2.8 Contractor: The individual award a legal binding contract to provide supplies and services.

2.9 Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.10 Contracting Officer's Representative (COR): A federal employee who assists the CO in the administration of this contract. The COR is primarily responsible for the technical assistance and day-to-day program management.

2.11 Customer: Patients, staff and visitors of an IHS service unit and health center.

2.12 Customer Evaluation/Input: Written comments made to the COR regarding the Contractors performance.

This is one of the criteria used to evaluate the Contractor's performance.

2.13 Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal Executive agencies in their acquisition of supplies and services with appropriated funds.

2.14 Health Clinics/Center: A facility physically separated from a hospital, with a full range of ambulatory services including at least primary care providers, nursing, laboratory, and x-ray, which are available at least 40 hours a week for outpatient care.

2.15 Non-Personal Health Care Services: A contract under which the personnel rendering the healthcare services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.401

2.16 Ordering Activity: An authorized user of IHS that may issue a task order to obtain required services under this contract.

2.17 Orientation: An activity designed to provide basic familiarization of the facility and transition into the IHS Service Unit and/or Health Center.

2.18 Past Performance Information: Relevant information regarding a contractor's actions under previously awarded contracts.

2.19 Patient Outcome: End result of nursing care.

75H70725R00006 Page 7 of 66

2.20 Personal Protective Equipment (PPE): The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.

2.21 Point of Contact: Person other than the COR or the Alternate COR

2.22 Service Unit: The local administrative unit of IHS.

2.23 Standards of Practice and Standards of Care: Authoritative statements by which it describes the responsibilities for which its practitioners are accountable.

2.24 Technical Direction: A directive to the Contractor that approves approaches, solutions, designs, or refinements; fills in details or otherwise completes the general description of work or documentation items;

shifts emphasis among work areas or tasks; or furnishes similar instruction to the Contractor.

2.25 Valid Patient Complaint: Justifiable accusation made by a patient and supported by investigation.

2.26 Verifiable Emergency: An unexpected/unplanned absence by the contractor requiring valid documentation to confirm the occurrence.

75H70725R00006 Page 8 of 66

SECTION 3 – GOVERNMENT-FURNISHED PROPERTY AND SERVICES:

3.1 The Government will provide the following item(s) of Government property to the Contractor for use in the performance of this contract. This property used and maintained by the Contractor in accordance with provisions of FAR Clause 52.245-1, Government Property.

Item No.

Property Description Property Value Qty. Location Date Available

1 Computer 1 Upon Arrival

2 Telephone 1 Upon Arrival

3 Desk/Chair 1 Upon Arrival

4 PIV Card 1 Upon Arrival

5 PPE Equipment 1 Upon Arrival

3.2 Government Furnished Information / Property and Services

3.1 Information: Government unique information related to this requirement, which is necessary for Contractor performance, made available to the Contractor. The COR will be the point of contact for identification of any required information to be supplied by the Government.

3.2 Joint Use by the Government and the Contractor: Except for the property and service listed in 10.7.1, the Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract.

3.3 Contractor Exclusive Use:

3.3.1 Personal Protective Equipment (PPE): The Government will furnish the Contractor with appropriate PPE other than specified in the contract. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform or laboratory coat.

3.3.2 The Government will provide facility specific contractor identification badges for each contractor. For lost or destroyed badges, there is a minimum charge of $20.00.

3.3.3 Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.g., IHS information technology (IT) systems and operational procedures. Training provided ONLY if the subject matter is necessary to improve or enhance the quality of services or includes mandates made by the IHS Service Units/Health Centers while the providers are working under this contract. Training not provided for the purpose of continuing education, career development or individual development.

75H70725R00006 Page 9 of 66

SECTION 4 - CONTRACTOR FURNISHED ITEMS

4.1 Contractor Furnished Property

4.1.1 Except for the property specified in paragraph 3.1 as government furnished, the Contractor shall provide all uniforms and other personal medical instruments subject to the following:

4.1.1.1 Uniforms and Lab Coats: Uniforms and Lab Coats must conform to the requirements of the Indian Health Service Manual, Part 3, and Chapter 4 and meet the approval of the Chief Nurse Executive at each IHS facility.

4.1.2 Other personal medical instruments: "Other personal medical instruments" defined, as Contractor owned items include but not limited to stethoscope, scissors, as appropriate to the work unit. The Contractor must not use unsafe equipment or supplies at any time during performance of this contract. All Contractor furnished equipment and supplies shall be subject to inspection by the Government and must be approved by the COR prior to use by the Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

75H70725R00006 Page 10 of

SECTION 5 - PERFORMANCE WORK STATEMENT

5.1 The contractor will provide Two (2) Nurse Case Managers to the Santa Fe Indian Health Center and provide the following:

5.1.1 Contractor to assist with the care coordination of ordering complex durable medical equipment, and care managing mostly un-resourced patients/referrals but may include some resourced patients/referrals.

5.1.2 Contractor will assist PRC staff with clarifying provider referrals/orders to shareholders (non-IHS

Vendors/Providers).

5.1.3 Contractor will assist in communication with clinical staff, and partners with the clinical care teams to ensure referrals are appropriate and timely.

5.1.4 Contractor to help in the tracking processes of referrals entered in by providers.

5.1.5 Contractor will work with outside agency case managers and/or social workers of hospitalized (primarily complex medical, geriatric, surgical, pediatric, obstetric, gynecologic, and trauma patients) who utilize location as their primary care network.

5.1.6 Contractor will work with vendors whom the IHS refers patient to, and other partners to ensure referral processes are appropriate and timely.

5.1.7 Contractor to help with case management consult requests for all ambulatory clinics.

5.1.8 Contractor will assist with referral determinations at the weekly PRC Committee meetings as a resource for Medical Review members.

5.1.9 Contactor will assist at care team meetings and medical home strategic planning groups to provide updates regarding process improvements.

5.1.10 Contractor to review charts and care plans and contacts patient/family members and service providers as necessary to determine if services are being delivered as planned, and if services are meeting needs.

5.1.11 Contractor to maintain electronic records (EHR, RPMS) on the status of the patient, including assessment, service plan implementation and evaluation of care.

5.1.12 Contractor will assist in consultations from a variety of health care providers. Assesses the level of care needed and the effective use of PRC resources.

5.1.13 Reviews patient information to help determine eligibility for care, rules and regulations, the service delivery areas, tribal membership, and residence.

5.1.14 Contractor will assist with alternate resources for patients under the program and screens for patient eligibility through the Medicare, Medicaid, Vocational Rehabilitation, and V.A., private insurance or other third-party programs.

5.1.15 Contractor educates patients about their care plan and health care options and helping make key decisions.

5.1.16 Contractor to assist with scheduling appointments for doctor’s visits, therapies and other medical services.

5.1.17 Contractor to assist with revising care plans based on patients’ progress and input from physicians and other medical providers.

5.1.18 Reviews paper and electronic health records (i.e., scanned notes, reports, special tests; etc., collects patient medical information, patient visits, and discharge dates to complete medical referrals and decision of payments.

5.1.19 Works with the Service Unit medical staff to ensure appropriate documentation is recorded on the patient referrals in order for the outside providers/vendors to provide comprehensible and adequate patient treatment.

5.1.20 On own initiative conducts follow-ups to ensure a referral with appropriate documentation are recorded automated record systems for the outside providers/vendors to provide adequate patient treatment.

5.1.21 Maintains and organizes program file systems.

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5.1.22 Respond to incoming messages promptly (fax, mail, and any other communication) in a timely manner.

5.1.23 Receives and directs telephone calls to appropriate parties utilizing proper telephone etiquette and basic interpersonal relationships to work with a variety of individuals.

5.1.24 Fax referrals to receiving facility that request for them.

5.1.25 Contractor will assist in advocating on behalf of patients for benefit determination or bills in collection.

5.1.26 Contractor must have knowledge of the IHS (RCIS, RPMS, EHR, iCARE) computerized clinical and pertinent administrative information systems. General knowledge of computer programs available to staff at Santa Fe Service Unit (Microsoft Outlook, Word, Excel, PowerPoint, iStar, ITAS), which allows incumbent to use computer programs and database to present findings, report actions or document interventions.

5.1.27 Working knowledge of the International Classification of Diseased (ICD codes) and Current

Procedure Terminology (CPT-R), HCPCS, ADA Codes, length of stay criteria, Diagnosis Related

Groups (DRGs), Medicare and Medicaid program benefits.

5.1.28 Ability to use small office equipment, fax, scan, copier

5.1.29 Contractor to assist with identifying CHEF cases and submitting cases for reimbursement from the CHEF (Catastrophic Health Emergency Fund).

5.1.30 Conducts small researches for referrals and purchase orders.

5.1.31 Contractor participates in a collective approach to meet PRC’s goal for FY2025.

5.1.32 Collaborate consistently with management on effective business practices to optimize prompt payment on behalf of patients.

5.1.33 Contractor to contribute shared vision with others and participate in strategic plans through continuous improvement of the PRC referral and payment cycle.

5.1.34 Contractor will adhere to all aspects of the Indian Health Service Manual, Chapter 3 – Purchase &

Referred Care and meet all requirements to optimize prompt payment for Santa Fe Indian Health

Center.

5.1.35 Contractor must keep work station organized, tidy and clean on a daily basis, in compliance with

Infection Control/Safety policies.

5.1.26 Ensure standards of Customer Service are upheld to ensure professionalism and positive reflection on the Purchase & Referred Care program, Indian Health Services and Department of

Health and Human Services.

5.1.27 Educate patients, team members, communities, outside providers, clinic staff and other stakeholders about the PRC program.

5.1.28 No occurrence of any official interaction for family members (including but not limited to:

processing referrals, purchase orders, case/care discussions, relevant decision making, official representation of mentioned activity)

5.1.29 Contractor must abide by the Privacy Act of 1974 and HIPPA Regulations to maintain confidential information and health records, as an integral part of the interviewing function and as it relates to patient information and the processes of referral and consultation.

5.1.30 Contractor must adhere to the DHHS/IHS Rules of Behavior.

5.1.31 Contractor must present professional courtesy and respects the confidentiality of medical/charge information at all times.

5.1.32 Contractor must keep abreast of yearly mandates (i.e. Security Awareness Training, No Fear Act, EEO process, etc.)

5.1.33 Contractor must have knowledge of Managed Care concepts of health care services delivery including utilization review, pre-admission and concurrent review criteria, the use of clinical pathways and practice guidelines and discharge planning.

5.2 Work Schedule:

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5.2.1 Work Shift: 8 Hours - (8:00 a.m. – 4:30 p.m.) with 30- minute non-paid lunch. The contractor must be assigned hours bi-weekly; scheduled for weekends and Federal holidays; no on call; as scheduled by the COR in writing based on the facilities need.

5.2.2 Scheduling of Shifts: The COR or Alternate COR at the IHS facility will determine specific tour of duty. The contractor's employee must work 100% of the contracted hours.

5.2.3 Work Flexibility: As directed by the COR, the Contractor's employee must rotate into other duty sections as needed to support patient care.

5.2.4 Work Absence: The Contractor will perform and obtain approval from their agency who will inform the COR and/or Alternate COR prior to any absence from work. If the length of the absence exceeds working hours the Contractor must request from agency approval at least fifteen (15) days, (the exception is verifiable emergencies) in advance of the desired absence.

5.2.5 The Contractor must perform and maintain documentation from a qualified health care provider for absences of three (3) or more consecutive days, due to illness, stating:

5.2.5.1 The cause of the current illness or incapacitation AND

5.2.5.2 Indicating the Contractor as contagious or non-contagious.

5.2.5.3 The Government reserves the right to examine and or re-examine any Contractor who meets the criteria.

5.3 Performance Evaluation: The Contractor's performance will be evaluated in accordance with the standards set forth in the contract and Performance Work Statement Matrix (Section 6).

5.3.1 Reasoning: How does the Contractor review patient information to help determine eligibility for care, rules and regulations, the service delivery areas, tribal membership, and residence. Contractor must keep abreast of yearly mandates (i.e. Security Awareness Training, No Fear Act, EEO process, etc.)

5.3.2 Interpersonal Skills and Oral Communication: How does the Contractor receive and direct telephone calls to appropriate parties utilizing proper telephone etiquette and basic interpersonal relationships to work with a variety of individuals.

5.3.3 Planning, Evaluation and Organizing: Contactor will assist at care team meetings and medical home strategic planning groups to provide updates regarding process improvements. Contractor must have knowledge of Managed Care concepts of health care services delivery including utilization review, pre-admission and concurrent review criteria, the use of clinical pathways and practice guidelines and discharge planning.

5.3.4 Customer Service (Clerical/Technical): Contractor shall ensure standards of Customer Service are upheld to ensure professionalism and positive reflection on the Purchase & Referred Care program, Indian Health Services and Department of Health and Human Services.

5.3.5 Evidence Based Practice: How will the Contractor collaborate consistently with management to implement effective business practices to optimize prompt payment on behalf of patients.

5.3.6 Team Building: How will the Contractor assist in communication with clinical staff, and partners with the clinical care teams to ensure referrals are appropriate and timely. How will Contractor assist with referral determinations at the weekly PRC Committee meetings as a resource for Medical Review members. How will the contractor educate patients, team members, communities, outside providers, clinic staff and other stakeholders about the PRC program.

5.4 The contractor will perform work with multicultural patients and interpreters as necessary for non-English speaking patients.

5.5 Conduct: The Contractor must perform standards as listed in the Federal Code of Conduct.

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5.6 Conditions of Contract Services: All RNs’ providing service under this contract must attend mandatory orientations specified by the Service Unit.

5.6.1 The contractor must be subject to character investigation as required by Public Law 101-360, the Indian Health Child Protection and Family Violence Prevention Act prior to performance of a contract by utilizing the US Office of Personnel Management (OPM), Electronic Questionnaire for Investigation Processing (eQIP) system and this shall include all fingerprinting procedures and clearances. The contractor must provide all requested information necessary to perform Level I and Level II background checks. The contractor must comply with the requirement to obtain security investigations. The contractor must work with the IHS to ensure that the pre-employment screening process includes the appropriate investigation questionnaires and forms to be completed. The contractor will review all completed forms and forward onto the Government personnel. The contractor will be immediately removed from the position (at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known.

5.6.2 Identification of Contractor: The Contractor must wear a government issued contractor identification badge during performance of duty. After 120 day’s PIV cards are issued at the Service Unit.

5.6.3 Management of Medical Information: The Contractor must manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit and/or Health Center specific policies and protocols. The Contractor must immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.

5.6.4 IHS Information Technology Systems: In performance of this contract, the Contractor must adapt to and successfully utilize IHS information technology systems such as Electronic Health Records (EHR) or RPMS, which the IHS has deemed necessary for acceptable contractor performance. The IT policies and procedures are available to the Contractor at the Service Unit and the Contractor will adhere to the IHS Information Technology System Security Policies and procedures. The Contractor must follow all appropriate federal required information Technology security requirements and will be operating under Health Insurance Portability and Accountability (HIPAA) and Privacy Act regulations.

5.7. CONTRACTOR QUALIFICATION REQUIREMENTS:

5.7.1 Professional Development: Degree or diploma from a professional registered nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.

5.7.2 Graduate: The contractor must have a registered license and be a graduate of an accredited school of registered nurses with a bachelor degree.

5.7.3 License/Registration: All registered nurses must possess a current, valid, unrestricted nursing license in a state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States, throughout the term of this contract.

5.7.4 Experience: The Contractor must have thirty-six (36) months of nursing experience, with a minimum of twelve months (12) in the specialty required by the contract, unless otherwise approved by the Contracting Officer. The Contractor must have a resume that provides experience that equips the applicant with the particular knowledge, skills and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled.

5.7.5 Motor Vehicle Operator's License: Contractors will not operate any Government-Owned vehicles.

If required to provide health care services, they are allowed only as passengers in the Government- Owned Vehicle driven by a Federal employee.

5.7.6 Certifications: Current Basic Life Support (BLS), Pediatric Advanced Life Support (PALS) are mandatory. Advanced Cardiac Life Support (ACLS), Neonatal Resuscitation Provider (NRP), Trauma

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Nurse Critical Care (TNCC), and Nurse Specialty certification (e.g., CNOR, Fetal monitoring) is preferred for each appropriate duty section at the time of employment and throughout as applicable.

5.7.7 Health Requirements of Contracted Healthcare Providers: Furnish documentation that reflects immunity for the indicated vaccine preventable diseases through documented disease, vaccination history, serology results, and/or any documented episodes of adverse events after vaccination. Any contractor’s employee who is allergic to a component of a vaccine and/or have a history of a severe reaction to a vaccine is not required to receive that vaccine with documented proof of contraindication to the vaccination. The following are additional requirements for specific vaccine preventable diseases.

• Measles:

- Vaccinations with 2 doses of live measles or MMR vaccines administered at least 28 days apart,

- Laboratory evidence of immunity,

- Laboratory confirmation of disease, or

- Birth before 1957.

• Mumps:

- Vaccinations with 2 doses of live mumps or MMR vaccines administered at least 28 days apart,

- Laboratory evidence of immunity,

- Laboratory confirmation of disease, or

- Birth before 1957.

• Rubella:

- Vaccinations with 1 dose of live rubella or MMR vaccines administered at least 28 days apart,

- Laboratory evidence of immunity,

- Laboratory confirmation of disease, or

- Birth before 1957

• Hepatitis B:

- Vaccinations with three doses of Hepatitis B vaccines, or

- signed declination of Hepatitis B vaccination series.

• Varicella:

- Vaccinations with two doses of varicella at least 4 weeks apart,

- laboratory evidence of immunity or confirmation of disease,

- diagnosis or verification of history of varicella disease by a health care provider, or

- diagnosis or verification of a history of herpes zoster by a health care provider.

• Influenza:

- Vaccination with one dose of current annual influenza season vaccine.

- Documented proof of the contraindication to the influenza vaccination as outlined by Advisory

Committee on Immunization Practices recommendations, or

- Written statement justifying religious exemption from influenza vaccination.

Note: unvaccinated contract staff with an approved medical or religious exemption must wear an

IHS-provided surgical or similar mask when working in patient care areas or other areas frequented by patients in an IHS facility during the influenza season.

• Pertussis

- Vaccination with one dose of Tdap vaccine.

• Any additional immunization in accordance with IHS Immunization Policy that is available upon request.

The contract staff must have written documentation of TB test (TST or IGRA) within the last 12 months. If documented Positive TB test:

- Provide chest x-ray report of “No active TB disease” following positive TB test.

- Annual sign and symptoms screen:

• If negative sign and symptom screen, follow up chest x-ray not indicated.

• If signs and symptoms screen positive, contract staff must have written documentation of chest x-ray and health care provider evaluation.

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For credentialed provider contract staff, they must have documentation from the provider’s physician or chief of staff that confirms they do not have any health problems (including disability, emotional stability, drug, or alcohol dependency) that might impair his/her ability to care for patient at time of application.

5.7.8 Criminal History Background Check:

Contractor’s employees whose duties and responsibilities involve regular contact or control over children are subject to a character investigation as required by Public Law 101-630, The Indian Child Protection and Family Violence Act. The minimum standards of character shall ensure that none of the individuals described in this order have been found guilty of, or entered a plea of nolo contendere or guilty to, any felonious offense, or any of two or more misdemeanor offenses, under federal, state, or tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact or prostitution; crimes against persons; or offenses committed against children. These crimes do not hold a time statue and will be evaluated the same under any Child Care “CNACI” investigation with IHS. IHS will conduct these investigations following award of a contract. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contractors’ employees must not have unsupervised contact with Indian children. Contractor’s employees are not able to work a scheduled shift until the security check is performed and clearance has been obtained by the appropriate agency. At a minimum, fingerprints are required, and upon clearance of this stage, a contractor’s employee may work a scheduled shift. However, Contractor’s employees are required to complete the detailed background application and the application is to be completed within 30 days once the contractor’s employee has been given physical and logical access. All Contractors’ employees are subject to criminal background check prior to performing services in accordance with Task Order terms and conditions. The contractor shall ensure that each of their employees complete the Certification of Criminal History and Background Check Packet. The completed forms are to be returned to the COR. Additional Background Check packets can be obtained through the COR. See HHSAR Clauses 352.237-72 and 352.237-73

5.7.9 Required Training:

a) Protecting Children from Sexual Abuse as stated in IHM Circular 19-05: Contractor Training Plan for Implementation of Indian Health Manual Part 3, Chapter 20, Protecting Children from Sexual Abuse by Health Care Providers. Each provider must take this training within 30 days from their start date at the service unit. Certificate should be provided to the COR.

b) Overview of Trauma-Informed Care and Historical Trauma training for Non-Personal Healthcare Services (i.e., MLTs, RN, Physician, etc.).

c) Information System Security Awareness (ISSA) Training: Contractors who utilize the IHS information system or accesses or connects to the IHS network must complete the ISSA training 24 hours of receiving access and annually thereafter. The online ISSA training is located at http://www.ihs.gov/issa. Contractor access will be revoked unless and until the training is completed. An exception can be made if the user has read and signed the IHS Quick Guide to Information Security, in which case the contractor will have 30 days to complete the training.

Course certifications must be provided to the COR upon completion and annually thereafter.

Please also review Section 7.5.1 of the Indian Health Service General User Security Handbook which covers ISSA training to support this requirement of all contractors who access our information system network.

5.7.10 Subpoenas/Testimonies: Contractors are mandated to cooperate with the appropriate IHS managers when the contractors' employees are subpoenaed or requested by Tribal, State or Federal Parties to provide testimony as stated in Section 5-27.3(B)(9) of the Indian Health Manual.

5.8 Challenges to Conflicts: For any conflicts between the COR or other Federal employee and Contractor's employee, the Contractor’ employee will first make contact with their agency. The Federal employee will contact the COR who will let the CO know the situation.

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5.9 When the Contractor demonstrates impaired judgement, they cannot continue working on the purchase order. The Government reserves the right to remove from the facility any Contractor employee who in the judgment of a licensed healthcare practitioner is impaired.

SECTION 6.0 QUALITY ASSURANCE SURVEILLANCE PLAN – THIS SECTION INTENTIONALLY LEFT BLANK

NURSE CASE MANAGER 75H70725R00006

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SECTION 7 - PACKAGING AND MARKING

7.1 PACKAGING

All deliverables shall be preserved, packaged, and packed in accordance with normal commercial practices to meet the packing requirements of the carrier including which is necessary to prevent deterioration and damages due to the hazards of shipping, handling, and storing.

7.2 MARKING

Each package/container shall be clearly marked as follows:

• Name of Contractor

• Contract Number

• Description of Items Contained Therein

• Consignee's Name and Address

7.3 DELIVERY

All deliverables delivered to the following addresses:

Santa Fe Service Unit Attn: Nursing Department 1700 Cerrillos Road Santa Fe, New Mexico 87505

(505) 946-9209

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SECTION 8 - INSPECTION AND ACCEPTANCE

8.1 INSPECTION AND ACCEPTANCE: All work under this contract is subject to inspection and final acceptance by the Contracting Officer or the duly authorized representative of the government. The COR, as a duly authorized representative of the Contracting Officer, shall assume the responsibilities for monitoring the Contractor's performance, evaluating the quality of services provided by the Contractor and performing final inspection and acceptance of all deliverables and services called for by the contract.

8.2 FEDERAL ACQUISITION REGULATION {48 CFR CHAPTER 1) CLAUSES

FAR Clause # Title Date

52.212-4(a) Contract Terms and Conditions–Commercial Products and Commercial Services – Inspection/Acceptance

NOV 2023

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SECTION 9 - DELIVERIES OR PERFORMANCE

9.1 PERIOD OF PERFORMANCE: The period of performance is a Base Period of 12 months with four + 4 Option Periods, unless extended by modification to this contract. The Government may exercise options to extend the period of performance in accordance with FAR Clause 52.217-9 - Option to Extend the Term of the Contract (Mar 2000); upon written notification by the Contracting Officer within 30 days of contract expiration.

9.1.1 Services under this contract shall commence NLT 10 days after all clearances occur.

Base: TBD, 2025 to TBD, 2026 Option Year 1: TBD, 2026 to TBD, 2027 Option Year 2: TBD 2027 to TBD, 2028 Option Year 3: TBD, 2028 to TBD, 2029 Option Year 4: TBD, 2029 to TBD, 2030

9.1.2 Performance must be for the period of TBA, 2025 to TBA, 2026 unless the period changed by written modification to the Contract accordance with FAR 52.217-9, Option to Extend the Term of the Contract (Mar 2000).

9.1.3 Total contract award must not exceed five years. Based option year renewals on satisfactory services provided availability of funds for the appropriate fiscal year, and existing requirements.

9.2 PLACE OF PERFORMANCE: The contractor must provide six (6) Registered Nurses non-personal healthcare services to the following Albuquerque Area Indian Health Service Facility:

9.2.1 Santa Fe Service Unit

Attn: Nursing Department 1700 Cerrillos Road Santa Fe, New Mexico 87505

(505) 946-9209

9.3 Travel to and from the facility/office site are not included in the tour of duty. The hours of business and clinic operation are Monday through Friday, from 8:00 AM to 4:30 PM. The actual hours scheduled in advance through the designated

COR.

9.3 GOVERNMENT HOLIDAYS (https://www.federalpay.org/holidays)

New Year's Day Martin Luther King's Birthday President's Day Memorial Day Juneteenth Day Independence Day Labor Day Columbus Day Veteran's Day Thanksgiving Day Christmas Day

*Any other day specifically declared by the President of the United States to be a national holiday (see www.opm.gov/fedhol).

http://www.opm.gov/fedhol

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SECTION 10 - CONTRACT ADMINISTRATION

10.1 AUTHORITIES OF GOVERNMENT PERSONNEL: Notwithstanding the Contractor's responsibility for total management during the performance of this Contract, the administration of the Contract will require maximum coordination between the Government and the Contractor.

The Federal Acquisition Regulation defines an unauthorized commitment as an agreement that is not binding solely because the government representative who made it lacked the authority to enter into that agreement on behalf of the government. Only contracting officers have the authority to make purchases or award contracts. Upon receipt and/or execution of any order placed for goods or services, the vendor shall verify that the Government Agent issuing the order has necessary authority to entire into the purchase order/contract. If it is determined that the vendor failed to do so, they may be held liable for future Unauthorized Commitments.

The following individuals will be the Government's points of contact during the performance of this Contract.

10.2 CONTRACTING OFFICER

The IHS Contracting Officer (CO) is the only individual authorized to modify this Contract. The CO responsible for administrative and contractual issues concerning this Contract is:

Eric Wright, (CO) Indian Health Service/Division of Contracts & Grants Management (DCGM) 4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110 Phone: 505-256-6752 Email: eric.wright@ihs.gov

Send all communications pertaining to contractual and/or administrative matters to the address above and to the Contract Specialist administering this Contract.

10.3 CONTRACT ADMINISTRATOR

· All Contract administration performed by:

Patricia Trujillo, Contract Specialist (CS) Indian Health Service/Division of Contracts & Grants Management (DCGM) 4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110 Phone: 505-256-6754 Email: patricia.trujillo@ihs.gov

10.4 CONTRACTING OFFICER'S REPRESENTATIVE (COR)

10.4.1 Travis Snyder, travis.synder@ihs.gov, (505) 946-9209, is hereby designated as COR for this service. The COR responsibilities will be to coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The COR does not have the authority to change or alter the order amount, terms and conditions.

10.4.2 Tonita Lovato, tonita.lovato@ihs.gov, (505) 946-9282, is hereby designated as the Alternate COR for this service. The Alternate COR responsibilities will be to help coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The Alternate COR does not have the authority to change or alter the order amount, terms and conditions.

10.4.3 The COR and Alternate’s responsibilities will include ensuring contractor accountability. Monitoring the Contractor’s technical progress including the surveillance and assessment of performance and recommending to the CO changes in requirements. Interpreting the PWS. Performing technical evaluations as required.

Perform technical inspection and acceptance as required. Assisting the Contractor in the resolution of technical problems encountered during performance. Perform receiving and processing invoices for payment.

10.5 TECHNICAL MONITORING

mailto:eric.wright@ihs.gov mailto:patricia.trujillo@ihs.gov mailto:travis.synder@ihs.gov mailto:tonita.lovato@ihs.gov

Page 21 of

(a) Performance of work under this contract must be subject to the technical direction of the COR identified above, or an Alternate COR designated in writing. The term "technical direction" includes, without limitation, direction to the Contractor that directs or redirects the labor effort. Shifts the work between work areas or locations, fills in details and otherwise serves to ensure that task areas outlined in the PWS accomplished satisfactorily.

(b) Technical direction must be within the scope of the specification(s)/work statement. The COR does not have authority to issue technical direction that

(1) Constitutes a change of assignment or additional work outside the specification(s)/ statement of work;

(2) Constitutes a change as defined in the clause entitled "Changes;"

(3) In any manner causes an increase or decrease in the contract price, or the time required for contract performance;

(4) Changes any of the terms, conditions, or specification(s)/work statement of the contract;

(5) Interferes with the Contractor's…