75P00122R00001-Combo Synopsis_Solicitation Amendment 1.pdf

Solicitation # 75P00122R00001 Amendment 1 TITLE: Rapid Medical Examinations for Commissioned Corps Accessions

Combined Synopsis/Solicitation 75P00122R00001 Amendment 1

SECTION A – Streamlined Solicitation for Commercial Items

(i) This is a combined synopsis/solicitation for the acquisition of commercial items prepared in accordance with the format in FAR Subpart 12.6, as supplemented with additional information included in this announcement. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. This requirement is in support of the COVID-19 pandemic and other public health activities.

(ii) Solicitation Number: 75P00122R00001; is issued as a request for proposal (RFP).

(iii) This solicitation document and incorporated provisions and clauses are in effect through Federal Acquisition Circular (FAC) 2021-06, Effective date 2021-07-12.

(iv) Contracting Officer's Business Size Selection: No Set-aside

NAICS Code: 621999 - All Other Miscellaneous Ambulatory Health Care Services;

Small Business Size Standard: $16.5M

(v) CLIN 1 – Base Period: Rapid Medical Examinations for Commissioned Corp

Accessions CLIN 2 – Option Period 1: Rapid Medical Examinations for Commissioned Corp Accessions CLIN 3 – Option Period 2: Rapid Medical Examinations for Commissioned Corp Accessions CLIN 4 – Option Period 3: Rapid Medical Examinations for Commissioned Corp Accessions CLIN 5 – Option Period 4: Rapid Medical Examinations for Commissioned Corp Accessions

(vi) Description of item(s) to be acquired:

This requirement is issued by the Dept. of Health and Human Services (DHHS), Program Support Center (PSC) in support of the Office of the Assistant Secretary for Health (OASH); Commissioned Corps Headquarters (CCHQ) to obtain contractor services to conduct rapid medical and dental examinations to Commissioned Corp applicants, and to perform pre- and post-deployment health assessments on PHS officers.

(vii) Dates and Place of Performance:

The period of performance contained in Section F.1: 12-month base with four (4) 12-month option periods.

The place of performance: All work will be performed at the Contractor’s place of performance.

(viii) The provision at 52.212-1, Instructions to Offerors -- Commercial, applies to this acquisition with no addenda.

(ix) 52.212-2: Evaluation -- Commercial Items, applies to this acquisition and is contained in Section I.

(x) Offerors shall include a completed copy of the provision at 52.212-3, Offeror

Representations and Certifications -- Commercial Items, with its offer.

(xi) The clause at 52.212-4, Contract Terms and Conditions -- Commercial Items, applies to this acquisition with no addenda.

(xii) The clause at 52.212-5 Contract Terms and Conditions Required to Implement

Statutes or Executive Orders -- Commercial Items, applies to this acquisition and is contained in Section I.

(xiii) Additional Contract Requirement or Terms and Conditions: as contained in Sections B through I.

(xiv) Defense Priorities and Allocations System (DPAS): Is applicable to COVID actions and is contained in Section H. No rating is assigned but may be in the future.

(xv) Proposal Submission Information:

An expedited response is requested in response to the on-going COVID-19 pandemic.

Reference Section L.4: Questions are due no later than 23 Sept 2021 by 4:00 pm ET; offers are due no later than 5 Oct 2021 by 4:00 pm ET. Both shall be sent via email to the Contracting Officer at: Debbie.Hope@psc.hhs.gov.

(xvi) For additional information regarding the solicitation contact Debbie.Hope@psc.hhs.gov.

Notice to Offerors:

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1403_190669 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1479_204463 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1760_244281 mailto:Debbie.Hope@psc.hhs.gov

The Government intends to award a single Firm Fixed Price contract for this requirement.

The Government reserves the right to cancel this solicitation, either before or after the closing date. In the event the Government cancels this solicitation, the Government has no obligation to reimburse an offeror for any costs incurred in the preparation of their quote.

SECTION B – PRODUCTS OR SERVICES AND PRICES/COSTS

B.1 BRIEF DESCRIPTION OF SERVICES

This requirement is to acquire contractor support to conduct rapid medical and dental examinations to Commissioned Corp applicants, to perform pre- and post-deployment health assessments on PHS officers, and to provide additional support services to advance and promote the vision, mission, and goals of the United States Public Health Service Commissioned Corps

(PHS).

B.2 TYPE OF CONTRACT

The contract type is Firm Fixed Price.

B.3 SEVERABLE SERVICES

The services acquired under this contract are severable services. Funds are only available for use for the contract line item (CLIN) to which they are obligated. Unused funds from one CLIN may not rollover for use in other periods.

B.4 CONSIDERATION AND PAYMENT (Fixed Price – Severable Services)

In consideration of satisfactory performance of the work as described throughout this contract, the Contractor shall be paid a fixed price for each CLIN (if exercised). If the options are exercised, funding will be obligated by modification to the contract. The base period and option periods are priced as follows:

CLIN 1: Base Period

Item # Description Frequency

Unit Price

Estimated Quantity Total Price

Transition-In One-time 1 $0.00

1 Accession Exam (components listed separately) Per patient 1,500 $0.00

2 HIV Test Per patient 1,500 $0.00

3 Urine Collection Per patient 500 $0.00

4 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 125 $0.00

5 Audiogram Per patient 500 $0.00 6 Vision (includes color vision) Per patient 100 $0.00 7 Pregnancy Test Per patient 500 $0.00 8 Phlebotomy Per patient 500 $0.00 9 Quantiferon Gold Per patient 125 $0.00 10 CBC Per patient 125 $0.00 11 Lipid Panel w/Glucose Per patient 200 $0.00 12 Hepatitis B Surface Antigen Per patient 125 $0.00 13 Hepatitis C Titer Per patient 150 $0.00

14 Retention Exam (components listed separately) Per patient 17 $0.00

15 Audiogram Per patient 17 $0.00 16 Vision (includes color vision) Per patient 17 $0.00 17 Phlebotomy Per patient 17 $0.00 18 HIV Test Per patient 17 $0.00

Retention Exam sub-components (as needed) 21 Urine Collection Per patient 2 $0.00

22 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 2 $0.00

23 EKG Per patient 2 $0.00 24 CBC Per patient 2 $0.00 25 Lipid Panel w/Glucose Per patient 2 $0.00

26 Thyroid Stimulating Hormone - TSH Per patient 2 $0.00

27 Chemistry Panel Per patient 2 $0.00 28 Glycated Hemoglobin A1C Per patient 2 $0.00

Pre-Deployment Health Assessment, DD Form 2795 (Pre-DHA)

Per patient 200 $0.00

30 Post Deployment Health Assessment, DD2796 (PDHA) Per patient 42 $0.00

Stand-Alone Ancillary Services (ordered as needed)

31 Dental Exam Per patient 200 $0.00

32 Four Bitewing X-ray Per patient 84 $0.00 33 Panoramic X-ray Per patient 84 $0.00

34 Full intraoral bitewing x-ray series Per patient 2 $0.00

35 One Bitewing X-Ray Per patient 2 $0.00 36 Two Bitewing X-Ray Per patient 2 $0.00 37 Three Bitewing X-Ray Per patient 2 $0.00 38 Hepatitis A Per patient 2 $0.00 39 Hepatitis B Per patient 2 $0.00

40 Tetanus/Diphtheria (Td) Per patient 2 $0.00

41 Influenza (annually) Per patient 200 $0.00

42 Measles/Mumps/Rubella (MMR) Per patient 2 $0.00 43 Varicella Per patient 100 $0.00 44 Tuberculosis Skin Test (PPD) Per patient 2 $0.00 45 Japanese encephalitis Per patient 50 $0.00 46 Meningococcal Per patient 2 $0.00 47 Polio Per patient 2 $0.00 48 Rabies Per patient 200 $0.00 49 Tdap Per patient 2 $0.00 50 Typhoid Per patient 2 $0.00 51 Twinrix Per patient 200 $0.00 52 Yellow fever Per patient 2 $0.00 53 Audio hearing test - pure tone air Per patient 2 $0.00 54 Vision Screen Per patient 200 $0.00 55 Color Vision Per patient 2 $0.00 56 EKG Per patient 2 $0.00

57 Comprehensive Audiometry - Pure tone air & bone / SPRINT Per patient 200 $0.00

58 Comprehensive Eye Exam Per patient 2 $0.00 59 PAP/Pelvic Exam Per patient 2 $0.00 60 Historical Record Update Per patient 2 $0.00 61 Urine Collection Per patient 2 $0.00

62 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 2 $0.00

63 Drug screen Per patient 2 $0.00 64 EtOH screen Per patient 200 $0.00 65 Pregnancy Test Per patient 2 $0.00

66 Phlebotomy (blood draw) Per patient 2 $0.00 67 Varicella titer Per patient 2 $0.00 68 MMR titer Per patient 200 $0.00 69 HIV test Per patient 2 $0.00 70 Hepatitis C Antibody Per patient 2 $0.00 71 Hepatitis B Surface Antigen Per patient 195 $0.00

72 Thyroid Stimulating Hormone - TSH Per patient 199 $0.00

73 Urine Culture Per patient 3 $0.00

74 Serum protein electrophoresis - SPEP Per patient 10 $0.00

75 Iron Studies Per patient 2 $0.00 76 Folate Per patient 2 $0.00 77 B12 Per patient 200 $0.00 78 Quantiferon Gold Per patient 2 $0.00 79 Chemistry Panel Per patient 150 $0.00 80 Glycated Hemoglobin A1C Per patient 2 $0.00 81 Appointment No-show Per patient 2 $0.00

Estimated CLIN Value $0.00

CLIN 2: Option Period 1

# Description Frequency

Unit Price

Estimated Quantity Total Price

1 Accession Exam (components listed separately) Per patient 1,500 $0.00

2 HIV Test Per patient 1,500 $0.00 3 Urine Collection Per patient 500 $0.00

4 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 125 $0.00

5 Audiogram Per patient 500 $0.00

6 Vision (includes color vision) Per patient 100 $0.00

7 Pregnancy Test Per patient 500 $0.00 8 Phlebotomy Per patient 500 $0.00 9 Quantiferon Gold Per patient 125 $0.00

10 CBC Per patient 125 $0.00

11 Lipid Panel w/Glucose Per patient 200 $0.00

12 Hepatitis B Surface Antigen Per patient 125 $0.00

13 Hepatitis C Titer Per patient 150 $0.00

14 Retention Exam (components listed separately) Per patient 17 $0.00

15 Audiogram Per patient 17 $0.00

16 Vision (includes color vision) Per patient 17 $0.00

22 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 2 $0.00

23 EKG Per patient 2 $0.00 24 CBC Per patient 2 $0.00

25 Lipid Panel w/Glucose Per patient 2 $0.00

26 Thyroid Stimulating Hormone - TSH Per patient 2 $0.00

27 Chemistry Panel Per patient 2 $0.00

28 Glycated Hemoglobin A1C Per patient 2 $0.00

Pre-Deployment Health Assessment, DD Form 2795 (Pre-

DHA)

Per patient 200 $0.00

32 Four Bitewing X-ray Per patient 84 $0.00

33 Panoramic X-ray Per patient 84 $0.00

34 Full intraoral bitewing x-ray series Per patient 2 $0.00

35 One Bitewing X-Ray Per patient 2 $0.00

36 Two Bitewing X-Ray Per patient 2 $0.00

37 Three Bitewing X-Ray Per patient 2 $0.00

38 Hepatitis A Per patient 2 $0.00 39 Hepatitis B Per patient 2 $0.00

40 Tetanus/Diphtheria (Td) Per patient 2 $0.00

41 Influenza (annually) Per patient 200 $0.00

42 Measles/Mumps/Rubella (MMR) Per patient 2 $0.00

43 Varicella Per patient 100 $0.00

44 Tuberculosis Skin Test (PPD) Per patient 2 $0.00

45 Japanese encephalitis Per patient 50 $0.00

46 Meningococcal Per patient 2 $0.00 47 Polio Per patient 2 $0.00 48 Rabies Per patient 200 $0.00 49 Tdap Per patient 2 $0.00 50 Typhoid Per patient 2 $0.00 51 Twinrix Per patient 200 $0.00 52 Yellow fever Per patient 2 $0.00

53 Audio hearing test - pure tone air Per patient 2 $0.00

54 Vision Screen Per patient 200 $0.00

55 Color Vision Per patient 2 $0.00 56 EKG Per patient 2 $0.00

57 Comprehensive Audiometry - Pure tone air & bone / SPRINT Per patient 200 $0.00

58 Comprehensive Eye Exam Per patient 2 $0.00

59 PAP/Pelvic Exam Per patient 2 $0.00

60 Historical Record Update Per patient 2 $0.00

61 Urine Collection Per patient 2 $0.00

62 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 2 $0.00

63 Drug screen Per patient 2 $0.00 64 EtOH screen Per patient 200 $0.00 65 Pregnancy Test Per patient 2 $0.00

66 Phlebotomy (blood draw) Per patient 2 $0.00

67 Varicella titer Per patient 2 $0.00 68 MMR titer Per patient 200 $0.00 69 HIV test Per patient 2 $0.00

70 Hepatitis C Antibody Per patient 2 $0.00

71 Hepatitis B Surface Antigen Per patient 195 $0.00

72 Thyroid Stimulating Hormone - TSH Per patient 199 $0.00

73 Urine Culture Per patient 3 $0.00

74 Serum protein electrophoresis - SPEP Per patient 10 $0.00

75 Iron Studies Per patient 2 $0.00 76 Folate Per patient 2 $0.00 77 B12 Per patient 200 $0.00 78 Quantiferon Gold Per patient 2 $0.00 79 Chemistry Panel Per patient 150 $0.00

CLIN 3: Option Period 2

# Description Frequency

Unit Price

Estimated Quantity Total Price

1 Accession Exam (components listed separately) Per patient 1,500 $0.00

2 HIV Test Per patient 1,500 $0.00 3 Urine Collection Per patient 500 $0.00

4 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 125 $0.00

5 Audiogram Per patient 500 $0.00

6 Vision (includes color vision) Per patient 100 $0.00

7 Pregnancy Test Per patient 500 $0.00 8 Phlebotomy Per patient 500 $0.00 9 Quantiferon Gold Per patient 125 $0.00 10 CBC Per patient 125 $0.00

11 Lipid Panel w/Glucose Per patient 200 $0.00

12 Hepatitis B Surface Antigen Per patient 125 $0.00

13 Hepatitis C Titer Per patient 150 $0.00

14 Retention Exam (components listed separately) Per patient 17 $0.00

15 Audiogram Per patient 17 $0.00

16 Vision (includes color vision) Per patient 17 $0.00

22 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 2 $0.00

23 EKG Per patient 2 $0.00 24 CBC Per patient 2 $0.00

25 Lipid Panel w/Glucose Per patient 2 $0.00

26 Thyroid Stimulating Hormone - TSH Per patient 2 $0.00

27 Chemistry Panel Per patient 2 $0.00

28 Glycated Hemoglobin A1C Per patient 2 $0.00

Pre-Deployment Health Assessment, DD Form 2795 (Pre-

DHA)

Per patient 200 $0.00

32 Four Bitewing X-ray Per patient 84 $0.00

33 Panoramic X-ray Per patient 84 $0.00

34 Full intraoral bitewing x-ray series Per patient 2 $0.00

35 One Bitewing X-Ray Per patient 2 $0.00

36 Two Bitewing X-Ray Per patient 2 $0.00

37 Three Bitewing X-Ray Per patient 2 $0.00

38 Hepatitis A Per patient 2 $0.00 39 Hepatitis B Per patient 2 $0.00

40 Tetanus/Diphtheria (Td) Per patient 2 $0.00

41 Influenza (annually) Per patient 200 $0.00

42 Measles/Mumps/Rubella (MMR) Per patient 2 $0.00

43 Varicella Per patient 100 $0.00

44 Tuberculosis Skin Test (PPD) Per patient 2 $0.00

45 Japanese encephalitis Per patient 50 $0.00

46 Meningococcal Per patient 2 $0.00 47 Polio Per patient 2 $0.00 48 Rabies Per patient 200 $0.00 49 Tdap Per patient 2 $0.00 50 Typhoid Per patient 2 $0.00 51 Twinrix Per patient 200 $0.00 52 Yellow fever Per patient 2 $0.00

53 Audio hearing test - pure tone air Per patient 2 $0.00

54 Vision Screen Per patient 200 $0.00 55 Color Vision Per patient 2 $0.00 56 EKG Per patient 2 $0.00

57 Comprehensive Audiometry - Pure tone air & bone / SPRINT Per patient 200 $0.00

58 Comprehensive Eye Exam Per patient 2 $0.00

59 PAP/Pelvic Exam Per patient 2 $0.00

60 Historical Record Update Per patient 2 $0.00

61 Urine Collection Per patient 2 $0.00

62 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 2 $0.00

63 Drug screen Per patient 2 $0.00 64 EtOH screen Per patient 200 $0.00 65 Pregnancy Test Per patient 2 $0.00

66 Phlebotomy (blood draw) Per patient 2 $0.00

67 Varicella titer Per patient 2 $0.00 68 MMR titer Per patient 200 $0.00 69 HIV test Per patient 2 $0.00

70 Hepatitis C Antibody Per patient 2 $0.00

71 Hepatitis B Surface Antigen Per patient 195 $0.00

72 Thyroid Stimulating Hormone - TSH Per patient 199 $0.00

73 Urine Culture Per patient 3 $0.00

74 Serum protein electrophoresis - SPEP Per patient 10 $0.00

75 Iron Studies Per patient 2 $0.00 76 Folate Per patient 2 $0.00 77 B12 Per patient 200 $0.00 78 Quantiferon Gold Per patient 2 $0.00 79 Chemistry Panel Per patient 150 $0.00

CLIN 4: Option Period 3

# Description Frequency

Unit Price

Estimated Quantity Total

1 Accession Exam (components listed separately) Per patient 1,500 $0.00

2 HIV Test Per patient 1,500 $0.00 3 Urine Collection Per patient 500 $0.00

4 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 125 $0.00

5 Audiogram Per patient 500 $0.00

6 Vision (includes color vision) Per patient 100 $0.00

7 Pregnancy Test Per patient 500 $0.00 8 Phlebotomy Per patient 500 $0.00 9 Quantiferon Gold Per patient 125 $0.00 10 CBC Per patient 125 $0.00

11 Lipid Panel w/Glucose Per patient 200 $0.00

12 Hepatitis B Surface Antigen Per patient 125 $0.00

13 Hepatitis C Titer Per patient 150 $0.00

14 Retention Exam (components listed separately) Per patient 17 $0.00

15 Audiogram Per patient 17 $0.00

16 Vision (includes color vision) Per patient 17 $0.00

22 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 2 $0.00

23 EKG Per patient 2 $0.00 24 CBC Per patient 2 $0.00

25 Lipid Panel w/Glucose Per patient 2 $0.00

26 Thyroid Stimulating Hormone - TSH Per patient 2 $0.00

27 Chemistry Panel Per patient 2 $0.00

28 Glycated Hemoglobin A1C Per patient 2 $0.00

Pre-Deployment Health Assessment, DD Form 2795 (Pre-

DHA)

Per patient 200 $0.00

32 Four Bitewing X-ray Per patient 84 $0.00

33 Panoramic X-ray Per patient 84 $0.00

34 Full intraoral bitewing x-ray series Per patient 2 $0.00

35 One Bitewing X-Ray Per patient 2 $0.00

36 Two Bitewing X-Ray Per patient 2 $0.00

37 Three Bitewing X-Ray Per patient 2 $0.00

38 Hepatitis A Per patient 2 $0.00 39 Hepatitis B Per patient 2 $0.00

40 Tetanus/Diphtheria (Td) Per patient 2 $0.00

41 Influenza (annually) Per patient 200 $0.00

42 Measles/Mumps/Rubella (MMR) Per patient 2 $0.00

43 Varicella Per patient 100 $0.00

44 Tuberculosis Skin Test (PPD) Per patient 2 $0.00

45 Japanese encephalitis Per patient 50 $0.00

46 Meningococcal Per patient 2 $0.00 47 Polio Per patient 2 $0.00 48 Rabies Per patient 200 $0.00 49 Tdap Per patient 2 $0.00 50 Typhoid Per patient 2 $0.00 51 Twinrix Per patient 200 $0.00 52 Yellow fever Per patient 2 $0.00

53 Audio hearing test - pure tone air Per patient 2 $0.00

54 Vision Screen Per patient 200 $0.00 55 Color Vision Per patient 2 $0.00 56 EKG Per patient 2 $0.00

57 Comprehensive Audiometry - Pure tone air & bone / SPRINT Per patient 200 $0.00

58 Comprehensive Eye Exam Per patient 2 $0.00

59 PAP/Pelvic Exam Per patient 2 $0.00

60 Historical Record Update Per patient 2 $0.00

61 Urine Collection Per patient 2 $0.00

62 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 2 $0.00

63 Drug screen Per patient 2 $0.00 64 EtOH screen Per patient 200 $0.00 65 Pregnancy Test Per patient 2 $0.00

66 Phlebotomy (blood draw) Per patient 2 $0.00

67 Varicella titer Per patient 2 $0.00 68 MMR titer Per patient 200 $0.00 69 HIV test Per patient 2 $0.00

70 Hepatitis C Antibody Per patient 2 $0.00

71 Hepatitis B Surface Antigen Per patient 195 $0.00

72 Thyroid Stimulating Hormone - TSH Per patient 199 $0.00

73 Urine Culture Per patient 3 $0.00

74 Serum protein electrophoresis - SPEP Per patient 10 $0.00

75 Iron Studies Per patient 2 $0.00 76 Folate Per patient 2 $0.00 77 B12 Per patient 200 $0.00 78 Quantiferon Gold Per patient 2 $0.00 79 Chemistry Panel Per patient 150 $0.00

CLIN 4: Option Period 4

# Description Frequency

Unit Price

Estimated Quantity Total Price

1 Accession Exam (components listed separately) Per patient 1,500 $0.00

2 HIV Test Per patient 1,500 $0.00 3 Urine Collection Per patient 500 $0.00

4 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 125 $0.00

5 Audiogram Per patient 500 $0.00

6 Vision (includes color vision) Per patient 100 $0.00

7 Pregnancy Test Per patient 500 $0.00 8 Phlebotomy Per patient 500 $0.00

9 Quantiferon Gold Per patient 125 $0.00 10 CBC Per patient 125 $0.00

11 Lipid Panel w/Glucose Per patient 200 $0.00

12 Hepatitis B Surface Antigen Per patient 125 $0.00

13 Hepatitis C Titer Per patient 150 $0.00

14 Retention Exam (components listed separately) Per patient 17 $0.00

15 Audiogram Per patient 17 $0.00

16 Vision (includes color vision) Per patient 17 $0.00

22 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 2 $0.00

23 EKG Per patient 2 $0.00 24 CBC Per patient 2 $0.00

25 Lipid Panel w/Glucose Per patient 2 $0.00

26 Thyroid Stimulating Hormone - TSH Per patient 2 $0.00

27 Chemistry Panel Per patient 2 $0.00

28 Glycated Hemoglobin A1C Per patient 2 $0.00

Pre-Deployment Health Assessment, DD Form 2795 (Pre-

DHA)

Per patient 200 $0.00

32 Four Bitewing X-ray Per patient 84 $0.00

33 Panoramic X-ray Per patient 84 $0.00

34 Full intraoral bitewing x-ray series Per patient 2 $0.00

35 One Bitewing X-Ray Per patient 2 $0.00

36 Two Bitewing X-Ray Per patient 2 $0.00

37 Three Bitewing X-Ray Per patient 2 $0.00

38 Hepatitis A Per patient 2 $0.00 39 Hepatitis B Per patient 2 $0.00

40 Tetanus/Diphtheria (Td) Per patient 2 $0.00

41 Influenza (annually) Per patient 200 $0.00

42 Measles/Mumps/Rubella (MMR) Per patient 2 $0.00

43 Varicella Per patient 100 $0.00

44 Tuberculosis Skin Test (PPD) Per patient 2 $0.00

45 Japanese encephalitis Per patient 50 $0.00

46 Meningococcal Per patient 2 $0.00 47 Polio Per patient 2 $0.00 48 Rabies Per patient 200 $0.00 49 Tdap Per patient 2 $0.00 50 Typhoid Per patient 2 $0.00 51 Twinrix Per patient 200 $0.00

52 Yellow fever Per patient 2 $0.00

53 Audio hearing test - pure tone air Per patient 2 $0.00

54 Vision Screen Per patient 200 $0.00 55 Color Vision Per patient 2 $0.00 56 EKG Per patient 2 $0.00

57 Comprehensive Audiometry - Pure tone air & bone / SPRINT Per patient 200 $0.00

58 Comprehensive Eye Exam Per patient 2 $0.00

59 PAP/Pelvic Exam Per patient 2 $0.00

60 Historical Record Update Per patient 2 $0.00

61 Urine Collection Per patient 2 $0.00

62 Urinalysis, complete w/ reflex microscope (p.r.n.) Per patient 2 $0.00

63 Drug screen Per patient 2 $0.00 64 EtOH screen Per patient 200 $0.00 65 Pregnancy Test Per patient 2 $0.00

66 Phlebotomy (blood draw) Per patient 2 $0.00

67 Varicella titer Per patient 2 $0.00 68 MMR titer Per patient 200 $0.00 69 HIV test Per patient 2 $0.00

70 Hepatitis C Antibody Per patient 2 $0.00

71 Hepatitis B Surface Antigen Per patient 195 $0.00

72 Thyroid Stimulating Hormone - TSH Per patient 199 $0.00

73 Urine Culture Per patient 3 $0.00

74 Serum protein electrophoresis - SPEP Per patient 10 $0.00

75 Iron Studies Per patient 2 $0.00

76 Folate Per patient 2 $0.00 77 B12 Per patient 200 $0.00 78 Quantiferon Gold Per patient 2 $0.00 79 Chemistry Panel Per patient 150 $0.00

TOTAL EVALUATED PRICE $

SECTION C: DESCRIPTION/SPECIFICATIONS/PERFORMANCE WORK

STATEMENT

C.1 PROGRAM DESCRIPTION AND BACKGROUND

C.1.1 Purpose

The purpose of this contract is to provide support in order to advance and promote the vision, mission, and goals of the United States Public Health Service Commissioned Corps (PHS). This requirement supports Medical examinations for Commissioned Corps Accessions described herein.

C.1.2 Background

The U.S. Public Health Service Commissioned Corps (PHS), within the HHS, is one of the eight uniformed services of the United States. The PHS fills essential public health leadership and service roles within Federal agencies and programs, including the Indian Health Service, Food and Drug Administration, Centers for Disease Control and Prevention, Bureau of Prisons, and Department of Homeland Security. The PHS is a critical national asset that is being modernized and strengthened to best meet the needs of our Nation. The PHS’ mission is to protect, promote, and advance the health and safety of our Nation through: (1) rapid and effective response to public health needs; (2) leadership and excellence in public health practices; and (3) advancement of public health science. Led by the Assistant Secretary for Health, the Office of the Assistant Secretary for Health (OASH) oversees the Office of the Surgeon General (OSG), and Commissioned Corps Headquarters (CCHQ). In order to effectively meet this mission, PHS leadership launched a modernization initiative and developed the following vision for the 21st century that is best aligned with today’s regional, national, and global challenges:

• A highly trained, always-ready, fully deployable national asset to preserve public health and national security during national or global public health emergencies.

• A fundamental instrument of national response for non-emergent, yet critical public health challenges within the United States and territories.

• A provider of direct healthcare, public health leadership, and scientific expertise when specifically needed to fulfill U.S. Government requirements.

• An innovation engine for public health technologies, communications, systems, and systems of systems.

• The PHS must have the right amount of manpower and adequate resources in place at the right levels and with the right skills to meet their mission. This requires an expedited accessioning approach for active duty officers and the Ready Reserve Corps component.

To support these objectives, the goal is to have the ability to complete up to 1,200 medical examinations per year to accession active and reserve Commissioned Corps to achieve the goal of significantly increasing the number of active duty officer and to achieve a Ready Reserve Corps of 2500 officers in five years.

C.2. Performance Work Statement – Severable Services

The Contractor shall furnish all of the necessary personnel, materials, services, facilities, (except as otherwise specified herein), and otherwise do all the things necessary for or incident to the performance of the work as set forth below:

C.2.1 Scope/Objective

The scope and main objective of this requirement is to conduct rapid medical and dental examinations to Commissioned Corp applicants, and to perform pre- and post-deployment health assessments on PHS officers.

C.2.2 Medical Examinations of Applicants for the U.S. Public Health Service Commissioned Corps

(PHS):

The contractor shall perform physical and dental examinations on 1200 applicants/year to the PHS in all 50 States of the United States including Puerto Rico within fifty (50) miles of the applicant’s preferred address using licensed and contractor credentialed healthcare providers at no cost to the applicant. Per the requirements in Commissioned Corps Instruction (CCI) 221.02 and Personnel Operations Memo (POM) 821.76, the physical examination shall include the performance of a complete history and physical examination by obtaining a verified height and weight, determining the applicant’s body mass index (BMI), and if indicated, obtaining a measurement of the applicant’s percent body fat by the “taping” method; the performance of screening vision and hearing examinations; and the collection of blood and urine samples for performance of required laboratory tests by a certified laboratory with results sent to the contractor. The dental examination shall consist of a general dental examination as well as panorex and bite-wing x-rays.

The contractor shall provide a secure on-line digital application, accessible to employees of Commissioned Corps Headquarters (CCHQ) Medical Affairs Branch (MAB) requiring the use of a Personal Identity Verification (PIV) card or Common Access Card (CAC) for identity validation which allows MAB personnel to securely provide applicant names and demographics to the contractor, to view applicant’s appointments and progress through the medical clearance process, to submit orders for supplemental or repeat testing, to view reports of the examinations and lab testing, to create a single PDF file of all records once completed, and to download that file to CCHQ applications.

The contractor shall provide a secure on-line digital application, accessible to PHS applicants using a unique identification number provided by PHS for identity verification which is accessible 24 hours/day and 7 days/week and allows the applicant to create an account with the contractor, digitally sign consents for examinations, and for transmittal of examination results to MAB, complete a screening medical questionnaire with “knock-out” questions provided by MAB, indicate preferences for the time and location of their examinations, to request changes in already established appointments, and to access contractor customer service. The contractor shall also provide a PHS dedicated customer service telephone number.

Once the name of an applicant is received by the contractor and examination providers are identified, the contractor shall contact the applicant within 5 days by any one or all modalities including email, text, or phone call to direct them to the applicant application. The contractor shall continue to contact the applicant every 72 hours until the applicant responds. The contractor shall inform MAB if an applicant has not responded within a 14-day period. Unless the applicant is deemed to be uncooperative after consultation with MAB, the contractor shall ensure that all examinations are completed within 30 days of the initial contact with the applicant.

Once all examinations are completed, the contractor’s clinical personnel shall, within 21 days, review all medical documentation and, based on PHS Medical Accession Standards in CCI 221.01, provide a recommendation as to whether the applicant should be medically cleared. If the contractor’s clinical personnel do not believe that the applicant should be medically cleared, they shall list the medical conditions identified as being disqualifying. The contractor shall then inform MAB that the applicant documents are available for download. The contractor shall provide project management to coordinate with MAB including regularly scheduled weekly meetings. The contractor shall provide reports documenting the status of the medical clearance process for each applicant as well as cumulative data on the total applicants processed, time for completion of examinations, and time for completion of final clinical review.

C.2.3 Deployment Health Assessments:

The contractor shall perform up to 2000 pre- and post-deployment health assessments per year on PHS officers. The assessments shall consist of an online PHS questionnaire followed by a brief telephone conference between the officer and a healthcare professional in the contractor’s call center. The purpose of the telephone conference is to clarify answers to the online questionnaire and to identify any urgent medical or mental health conditions. The online questionnaire must be accessible to PHS officers through a secure digital application 24 hours/day, 7 days/week. The call center must be available to PHS officers for at least 15 hours/day, Monday through Friday, and at least 4 hours/day, Saturday, and Sunday. After completion of the deployment assessment, the contractor’s clinical staff will, based on criteria developed with MAB and the CCHQ Readiness and Deployment Branch (RDB), designate deployment assessments as high priority or routine review by MAB. The contractor will then inform MAB that the assessment is complete and available for downloading from the contractor’s secure application.

C.2.4 Contractor Responsibilities

In addition to conducting the medical examinations and deployment health assessments. The contractor shall be responsible for the following:

• Provide project management functions to coordinate professional and technical services with the HHS OASH team for implementation.

• Obtain and evaluate end user’s self-reported medical history responses and medical documentation for determination and adjudication of the fitness of an end user to perform duties with the USPHS.

• Conduct medical examinations by qualified Health Care Providers to evaluate and determine medical qualifications and fitness for duties as prescribed in USPHS policies.

• Recommend or not recommend on Medical Qualification for Service which will consist of whether an end user meets medical standards as prescribed by USPHS.

• Collect blood and urine specimens from end users and ship to certified laboratories, provide confirmation of testing, and interpretation of results, as necessary.

• Identify and report conditions that fit the waiver-able criteria based on USPHS policies.

• Conduct and collect pre- and post-deployment medical surveys in accordance with Corps policies.

• Provide and administer immunizations and titers to end users as required based on

USPHS policies.

• Report data in a useable format, in a secure, integrated, online setting that allows USPHS and end users to access and upload information as required throughout the medical examination process and interact with health care professionals performing services as required.

• Maintain an adequate workforce for the uninterrupted performance of all tasks defined within.

• Ensure CCI 221.01, CCI.221.02, and POM 821.71 are followed when completing medical evaluations for USPHS end users.

• Perform to all standards of the contract.

• HCPs and BHSs conducting deployment health surveys through telehealth shall be licensed in the state in which the Call Center or HCP/BHS is located.

• Scheduling of end user medical examinations within 72 hours of request

• Completion of applicant medical examinations and fitness for duty recommendation IAW

PHS policies and criteria within 21 days of the applicant’s scheduled appointment

• Availability of examination finding and all pertinent health information in the Optum

Contractors portal within 72 hours of completion

• Deliver real time status of end users (Officers and Applicants)

C.3 MEETINGS/CONFERENCE CALLS/REPORTS

The Contractor shall attend all required meetings and provide agendas, minutes, reports and other deliverable items as described below.

C.3.1 Kick-off Meeting

The Contractor shall attend an initial Kick-off Meeting for the contract with the COR and CCHQ; the kick-off meeting will be set-up by the Government. The Contractor will provide a report from the kick-off meeting to define performance metrics (including but not limited to # of medical examinations, # of recommended for medical qualification for service). The Performance Metric Report shall be provided via email to the COR within 5 days of the meeting.

C.3.2 Monthly Status Report (MSR)

The Contractor shall provide a Monthly Status Report electronically to the COR no later than the 15th of each subsequent month. This report shall summarize the activities performed by the Contractor in support of this contract; specifically, the report shall outline tasks accomplished, and include budget expenditures by task and performance metrics as established in kick-off meeting

C.3.3 Integrated Master Schedule

The Contractor shall provide an Integrated Master Schedule that includes a work breakdown structure and leveled named or labor category resources. An initial schedule will be provided to the COR within 20 days after award and updated monthly thereafter.

C.3.4 Contractor System Assessment & Authorization (A&A)

The Contract shall provide a Contractor System Assessment & Authorization (A&A) package including, but not limited to: PIA, SSP, SAR, POA&M, Contingency Plan, Contingency Plan Test, e-Auth questionnaire. A substantive draft package shall be provided to the COR no later than 30 days after award for review. The final version shall be provided to the COR no later than 80 days after award or as OASH approved in IMS.

A&A Package Updates and Continuous Monitoring including: asset inventory with SCAP scan results, POA&M updates, annual penetration test results, annual security control assessment, annual contingency test results will be defined by IMS.

C.4 Transition Period

C.4.1 Contractor Transition-In

The Contractor will be paid for a transition period to begin upon contract award. The Contractor will have 30 calendar days to execute transition of operational responsibilities from the incumbent (outgoing) Contractor. At the end of the 30 calendar day period, the Contractor shall have full operational accountability of all contract requirements.

C.4.2 Contractor Transition-Out

Upon award of a follow-on contract, all services shall be transitioned from the incumbent Contractor to the successor Contractor within thirty (30) calendar days. The incumbent shall work with the incoming Contractor and the COR to ensure smooth transition is completed timely.

C.5 INFORMATION SECURITY AND/OR PHYSICAL ACCESS SECURITY

REQUIREMENTS

Procurements Requiring Information Security and/or Physical Access Security

C.5.1 Baseline Security Requirements

a. Applicability. The requirements herein apply whether the entire contract or modification (hereafter "contract"), or portion thereof, includes either or both of the following:

i. Access (Physical or Logical) to Government Information: A Contractor (and/or any subcontractor) will have or will be given the ability to have, routine physical (entry) or logical (electronic) access to government information.

ii. Operate a Federal System Containing Information: A Contractor (and/or any subcontractor) will operate a federal system and information technology containing data that supports the HHS mission. In addition to the Federal Acquisition Regulation (FAR) Subpart 2.1 definition of "information technology" (IT), the term as used in this section includes computers, ancillary equipment (including imaging peripherals, input, output, and storage devices necessary for security and surveillance), peripheral equipment designed to be controlled by the central processing unit of a computer, software, firmware and similar procedures, services (including support services), and related resources.

b. Safeguarding Information and Information Systems. All government information and information systems must be protected in accordance with HHS / OASH policies and level of risk. At a minimum, the Contractor (and/or any subcontractor) must:

i. Protect the:

Confidentiality, which means preserving authorized restrictions on access and disclosure, based on the security terms found in this contract, including means for protecting personal privacy and proprietary information.

Integrity, which means guarding against improper information modification or destruction, and ensuring information non-repudiation and authenticity; and

Availability, which means ensuring timely and reliable access to and use of information.

ii. Categorize all information owned and/or collected/managed on behalf of HHS / OASH and information systems that store, process, and/or transmit HHS information in accordance with FIPS 199 and National Institute of Standards and Technology (NIST) Special Publication (SP) 800-60, Volume II: Appendices to Guide for Mapping Types of Information and Information Systems to Security Categories. Based on information provided by the ISSO, CISO, OASH SOP, or other representative, the impact level for each Security Objective (Confidentiality, Integrity, and Availability) and the Overall Impact Level, which is the highest watermark of the three factors of the information or information system are the following:

Confidentiality: [] Low] [X] Moderate [] High Integrity: [] Low [X] Moderate [] High Availability: [] Low [X] Moderate [] High Overall Impact Level: [] Low [X] Moderate [] High

iii. Based on the agreed-upon level of impact, implement the necessary safeguards to protect all information systems and information collected and/or managed on behalf of HHS / OASH regardless of location or purpose.

iv. Report any discovered or unanticipated threats or hazards by either the agency or contractor, or if existing safeguards have ceased to function immediately after discovery, within one (1) hour or less, to the government representative(s).

v. Adopt and implement all applicable policies, procedures, controls, and standards required by the HHS / OASH Information Security Program to ensure the confidentiality, integrity, and availability of government information and government information systems for which the Contractor is responsible under this contract or to which the Contractor may otherwise have access under this contract. Obtain all applicable security and privacy policies by contacting the CO/COR or HHS/ OASH and/or privacy officials.

c. Privacy Act. Comply with the Privacy Act requirements (when applicable), and tailor FAR and HHSAR clauses as needed.

d. Privacy Compliance. Comply with the E-Government Act of 2002, NIST SP 800-53, and applicable HHS/OASH privacy policies, and complete all the http://csrc.nist.gov/publications/nistpubs/800-60-rev1/SP800-60_Vol2-Rev1.pdf http://csrc.nist.gov/publications/nistpubs/800-60-rev1/SP800-60_Vol2-Rev1.pdf http://csrc.nist.gov/publications/nistpubs/800-60-rev1/SP800-60_Vol2-Rev1.pdf requirements below:

i. Per the Office of Management and Budget (OMB) Circular A-130, Personally Identifiable Information (PII), is "information that can be used to distinguish or trace an individual's identity, either alone or when combined with other information that is linked or linkable to a specific individual." Examples of PII include, but are not limited to the following:

Social Security number, date and place of birth, mother's maiden name, biometric records, etc.

ii. To ensure that the public's personal information is protected in a manner commensurate with the privacy risks, HHS uses a privacy analysis process to assess the risks associated with HHS's collection and maintenance of PII and to ensure information is handled in accordance with applicable legal, regulatory, and policy requirements. PTAs analyze how information is handled in IT systems and electronic information collections and determines if the IT system or electronic information collection collects, disseminates, maintains, or disposes of PII. PIAs are used to assess the privacy risks of IT systems and electronic information collections that collect, disseminate, maintain, or dispose of PII about members of the public. PIAs also provide transparency into how HHS collects, disseminates, maintains, or disposes of the public's PII.

iii. The Contractor must support the agency with conducting a Privacy Threshold Analysis (PTA) for the information system and/or information handled under this contract to determine whether or not PII is collected, disseminated, maintained, or disposed as part of the contract. The PTA will determine if a full Privacy Impact Assessment (PIA) needs to be completed.

If the results of the PTA show that a full PIA is needed, the Contractor must support the agency with completing a PIA for the system or information within 12 months after completion of the PTA and in accordance with HHS policy and OMB M-03-22, Guidance for Implementing the Privacy Provisions of the E- Government Act of 2002.

The Contractor must support the agency in reviewing the PIA at least every three years throughout the system development lifecycle (SDLC)/information lifecycle, or when determined by the agency that a review is required based on a major change to the system, or when new types of PII are collected that introduces new or increased privacy risks, whichever comes first.

e. Controlled Unclassified Information (CUI). Executive Order 13556 defines CUI as "information that laws, regulations, or Government-wide policies require to have safeguarding or dissemination controls, excluding classified information."

The Contractor (and/or any subcontractor) must comply with Executive Order 13556, Controlled Unclassified Information, (implemented at 3 CFR, part 2002) when handling CUI. 32 C.F.R. 2002.4(aa) As implemented the term "handling" refers to "…any use of CUI, including but not limited to marking, safeguarding, transporting, disseminating, re-using, and disposing of the information." 81 Fed.

Reg. 63323. The requirements below apply only to nonfederal systems that process, store, or transmit CUI, or that provide security protection for such components. All sensitive information that has been identified as CUI by a regulation or statute, handled by this solicitation/contract, must be:

i. Marked appropriately.

ii. Disclosed to authorized personnel on a Need-To-Know basis.

iii. Protected in accordance with NIST SP 800-53, Security and Privacy Controls for Information Systems and Organizations applicable baseline if handled by a Contractor system operated on behalf of the agency, or NIST SP 800-171, Protecting Controlled Unclassified Information in Nonfederal Information Systems and Organizations if handled by internal Contractor system; and

iv. Returned to HHS control, destroyed when no longer needed, or held until otherwise directed. Information and/or data must be disposed of in accordance with NIST SP 800-88, Guidelines for Media Sanitization.

f. Protection of Sensitive Information. For security purposes, information is or may be sensitive because it requires security to protect its confidentiality, integrity, and/or availability. The Contractor (and/or any subcontractor) must protect all government information that is or may be sensitive by securing it with a solution that is validated with current FIPS 140 validation certificates from the NIST Cryptographic Module Validation Program (CMVP).

g. Confidentiality and Nondisclosure of Information. Any information provided to the contractor (and/or any subcontractor) by HHS or collected by the contractor on behalf of HHS must be used only for the purpose of carrying out the provisions of this contract and must not be disclosed or made known in any manner to any persons except as may be necessary in the performance of the contract. The Contractor assumes responsibility for protection of the confidentiality of Government records and must ensure that all work performed by its employees and subcontractors must be under the supervision of the Contractor. Each Contractor employee or any of its subcontractors to whom any HHS records may be made available or disclosed must be notified in writing by the Contractor that information disclosed to such employee or subcontractor can be used only for that purpose and to the extent authorized herein.

The confidentiality, integrity, and availability of such information must be protected in accordance with HHS and OASH policies. Unauthorized disclosure of information will be subject to the HHS / OASH sanction policies and/or governed by the following laws and regulations:

i. 18 U.S.C. 641 (Criminal Code: Public Money, Property or Records);

ii. 18 U.S.C. 1905 (Criminal Code: Disclosure of Confidential Information);

and

iii. 44 U.S.C. Chapter 35, Subchapter I (Paperwork Reduction Act).

h. Internet Protocol Version 6 (IPv6). All procurements using Internet Protocol must comply with OMB Memorandum M-05-22, Transition Planning for Internet Protocol Version 6 (IPv6).

i. Information and Communications Technology (ICT). ICT products and services from prohibited entities/sources must not be used/acquired in compliance with Public Law 115-232, Section 889 Parts A and B, FAR 4.21, FAR 52.204.23, FAR 52.204.24, and FAR 52.204.25. The contractor (and/or any subcontractor) must notify the government if they identify prohibited ICT products and/or services are used during the contract performance.

j. Government Websites. All new and existing public-facing government websites must be securely configured with Hypertext Transfer Protocol Secure (HTTPS) using the most recent version of Transport Layer Security (TLS). In addition, HTTPS must enable HTTP Strict Transport Security (HSTS) to instruct compliant browsers to assume HTTPS at all times to reduce the number of insecure redirects and protect against attacks that attempt to downgrade connections to plain HTTP.

For internal-facing websites, HTTPS is not required, but it is highly recommended. Consult the HHS Policy for Internet and Email Security for additional information.

k. Contract Documentation. The Contractor must use provided templates, policies, forms and other agency documents to comply with contract deliverables as appropriate.

l. Standard for Encryption. The Contractor (and/or any subcontractor) must:

i. Comply with the HHS Standard for Encryption of Computing Devices and

Information to prevent unauthorized access to government information.

ii. Encrypt all sensitive federal data and information (i.e., PII, protected health information PHI, proprietary information, etc.) in transit (i.e., email, network connections, etc.) and at rest (i.e., servers, storage devices, mobile devices, backup media, etc.) with encryption solution that is validated with current FIPS 140 validation certificate from the NIST CMVP.

iii. Secure all devices (i.e.: desktops, laptops, mobile devices, etc.) that store and process government information and ensure devices meet HHS and OASH-specific encryption standard requirements. Maintain a complete and current inventory of all laptop computers, desktop computers, and other mobile devices and portable media that store or process sensitive government information (including PII).

iv. Verify that the encryption solutions in use have been validated under the Cryptographic Module Validation Program to confirm compliance with current FIPS 140 validation certificates from the NIST CMVP. The Contractor must provide a written copy of the validation documentation to the COR prior to Offeror reliance on that encryption and application to Government owned information.

v. Use the Key Management system on the HHS personal identification verification (PIV) card or establish and use a key recovery mechanism to ensure the ability for authorized personnel to encrypt/decrypt information and recover encryption keys http://csrc.nist.gov/publications/. Encryption keys must be provided to the COR upon request and at the conclusion of the contract.

m. Contractor Non-Disclosure Agreement (NDA). Each Contractor (and/or any subcontractor) employee having access to non-public government information under this contract must complete the OASH non-disclosure agreement. OASH NDA agreement is provided as Attachment 1 J.4 and can be accessed via this link https://intranet.hhs.gov/document/template-form-hhs-non-disclosure-agreement-nda, as applicable. Contractors (and/or subcontractors) must submit a copy of each signed and witnessed NDA to the Contracting Officer (CO) and/or CO Representative (COR) prior to performing any work under this acquisition.

n. Training Requirements

o. Mandatory Training for All Contractor Staff. All Contractor (and/or any subcontractor) employees assigned to work on this contract must complete the applicable HHS/OASH Contractor Information Security Awareness, Privacy, and Records Management training (provided upon contract award) before performing any work under this contract.