A05 - SOW Pharmacy Claims Switching and Benefit Eligibility Verification Services Apr 2025.pdf

STATEMENT OF WORK

Pharmacy Claims Switching and Benefit Eligibility Verification Services

Purpose of work Switching Services are required when Great Plains Area Indian Health Service (GPAIHS) health care facilities submit pharmaceutical claims electronically from the Resource and Patient Management System (RPMS) computer system to third party Drug Plans for reimbursement.

Pharmacy Benefit Eligibility Verification Services are web-based programs utilized to verify pharmacy insurance processing information and patient benefit eligibility status that is critical for Pharmacy Point-of-Sale (POS).

Place of Performance The contractor shall provide the requirements described herein to all Great Plains Area Indian Health Service (GPAIHS) health care facilities. The GPAIHS facilities include (Legal Name):

a Fort Thompson IHC Clinic Pharmacy 1323 BIA Route 4 Fort Thompson, SD 57339

NCPDP: 4304793

NPI: 1033248059

Phone: 605-245-1545 Fax: 605-245-2384 Fed Tax ID: 46-0282140 Chief Pharmacist: LCDR Christina Odens h Lower Brule IHS Clinic Pharmacy

601 Gall St Lower Brule, SD 57548

NCPDP: 4304882

NPI: 1184753147

Phone: 605-473-8226 Fax: 605-473-0607 Fed Tax ID: 46-0439429 Chief Pharmacist: Sierrah Ellenbecker b Fort Yates Indian Hospital Pharmacy 10 North River Road Fort Yates, ND 58538

NCPDP: 3503833

NPI: 1770613325

Phone: 701-854-8251 Fax: 701-854-3523

Chief Pharmacist: Nick Thomas i Rosebud IHS Hospital Pharmacy

800 Hospital Dr Rosebud, SD 57570

NCPDP: 4304957

NPI: 1053441626

Phone: 605-747-2231 Fax: 605-747-2216 Fed Tax ID: 46-0439434 Chief Pharmacist: Adaobi Obika c McLaughlin IHS Clinic Pharmacy 701 East 6th St McLaughlin, SD 57642

NCPDP: 4304870

NPI: 1093845653

Phone: 605-823-4458 Fax: 605-823-4614 Fed Tax ID: 46-0439430 Chief Pharmacist: Nick Thomas j Belcourt IHS Hospital

1300 Hospital Loop Belcourt, ND 58316

NCPDP: 3503871

NPI: 1790811503

Phone: 701-477-8426 Fax: 701-477-2524 Fed Tax ID: 45-0442285 Chief Pharmacist: Lauren Kakela d Eagle Butte IHS Hospital Pharmacy 24276 166th St Eagle Butte, SD 57625

NCPDP: 4304933

NPI: 1770610842

Phone: 605-964-0654 Fax: 605-964-1110 Fed Tax ID: 46-0439432 k Sisseton Wahpeton Oyate Healthcare Center

100 Lake Traverse Dr Sisseton, SD 57262

NCPDP: 4304731

NPI: 1801925060

Phone: 605-698-7606 Fax: 605-698-4270 Fed Tax ID: 46-0439433

Chief Pharmacist: Loida Montanez Chief Pharmacist: Maviann Krause e Wagner Indian Health Care Pharmacy 111 Washington Ave NW Wagner, SD 57380

NCPDP: 4304844

NPI: 1548390115

Phone: 605-384-4868 Fax: 605-384-3745 Fed Tax ID: 46-0439436 Chief Pharmacist: Joshua Woods l Pine Ridge IHS Hospital Pharmacy

607 Indian Health Road Pine Ridge, SD 57770

NCPDP: 4304779

NPI: 1790815363

Phone: 605-867-5131 Fax: 605-867-3279 Fed Tax ID: 46-0439437 Chief Pharmacist: Sara Lout f Kyle IHS Clinic Pharmacy 11 Okuje Tipi Loop Kyle, SD 57752

NCPDP: 4304945

NPI: 1720117740

Phone: 605-455-8225 Fax: 605-455-2808 Fed Tax ID: 45-0442283 Chief Pharmacist: Alex Chmura m Wanblee Indian Health CTR Pharmacy

HWY 44

Wanblee, SD 57577

NCPDP: 4304907

NPI: 1174653752

Phone: 605-462-6155 Fax: 605-462-6551 Fed Tax ID: 46-0439431 Chief Pharmacist: Sara Lout g Pine Ridge Indian Health Service DBA LaCreek District Clinic 119 S 1st Ave Martin, SD 57551

NCPDP: 4354572

NPI: 1558742098

Phone: 605-867-2880 Fax: 605-685-1038

Chief Pharmacist: Sara Lout

APPLICABLE DOCUMENTS:

The contractor will comply with all federal regulations and comply with the Indian Health Service’s Third Party Resource and Internal Control Policy, the Debt Collection Policy, and the Indian Health Service’s statistical and reporting systems for all departments. The contractor will comply with the American Hospital Association (AHA) Official Coding Guidelines for ICD and the Current Procedural Terminology (CPT) Guidelines, and any specific IHS coding and data entry policies and procedures.

Reference material is available from the following publicly-accessible websites:

Division of Business Office Enhancement (DBOE) and Office of Information Technology (OIT) Website Website: http://www.ihs.gov/businessoffice/index.cfm

Freedom of Information Act Website: http://www.ihs.gov/FOIA/

Health Insurance Portability and Accountability Act (HIPPA) Website: http://www.ihs.gov/HIPAA/ http://www.ihs.gov/businessoffice/index.cfm http://www.ihs.gov/FOIA/ http://www.ihs.gov/HIPAA/

Indian Health Manual Part 2 – Services to Indians and Others Chapter 6 – Patient Registration System Website: http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc-p2c6 Chapter 7 – Health Insurance Portability and Accountability Act Privacy Rule and the Privacy Act Website: http://ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p2c7

Part 3 – Professional Services Chapter 3 – Health Information Management Website: http://www.ihs.gov/IHS/index.cfm?module=dsp_ihm_pc_p3c3

Part 5 – Management Services Chapter 1 – Third-Party Revenue Accounts Management and Internal Controls Website: http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p5c1

Part 8 – Information Resources Management Chapter 8 – Information Technology Security for Remote Access Chapter 12 – Information Technology Security Chapter 18 – Encryption Chapter 20 – Section 508 Implementation Website: http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p8c20#8-20.1

Part 9 – Finance and Accounting Chapter 4 – Debt Management Website: http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p9c4

Indian Health Service (IHS) Privacy Program Website: http://www.ihs.gov/PrivacyAct/

Resource and Patient Management System (RPMS) Website: http://www/ihs.gov/RPMS/index.cfm

Switching Services shall perform the following activities:

1. Shall operate the Switching Services in accordance with the applicable Specifications.

2. Shall provide facility with a local telephone number or alternative toll-free number for access on a dial-up telecommunication basis to the central processing facility for use of the services.

3. Shall be available to GPAIHS health care facilities according to customer service hours (refer to Customer Service section)

4. Shall provide ongoing support through telephone consultations and provide a local or toll free number for access to technical support.

5. Shall perform, at its election, automated data checks of the data submitted through the

Switching Services for completeness, logic and satisfaction of statistical requirements of the applicable specifications.

6. If the Switching Service revises, modifies or updates their services, without liability to http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc-p2c http://ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p2c7 http://www.ihs.gov/IHS/index.cfm?module=dsp_ihm_pc_p3c3 http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p5c1 http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p8c20#8-20.1 http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p9c4 http://www.ihs.gov/PrivacyAct/ http://www/ihs.gov/RPMS/index.cfm

GPAIHS health care facilities, they shall notify the GPAIHS health care facilities in writing or electronically within a reasonable time before the change will occur. They will furnish the GPAIHS health care facilities with appropriate materials to allow implementation and testing by the GPAIHS health care facilities before the effective date of such event.

7. Will provide “additional” services at the fee listed above, if selected by GPAIHS health care facilities. Additional services include Pre-Post Editing (PPE) services and Rx Reconciliation Services. As part of the fee, they will assist in the set-up of these services.

Pharmacy Benefit Eligibility Verification Services:

1. Obtain information provided by the pharmacy benefit managers (PBMs) to determine pharmacy benefit eligibility information in real-time and reduce time spent researching benefit information to automate the task of determining patient eligibility and coverage, providing time savings and an enhanced level of service to patients.

2. Decrease or eliminate phone time by 20-30 minutes per patient to correct rejections due to non-matched card holder identification information, medications filled after coverage terminated, valid birth date omissions, and group number, bank identification number and primary care network number omissions.

Great Plains Area Indian Health Service (GPAIHS) health care facilities shall perform the following activities:

1. GPAIHS health care facilities shall obtain an agreement with designated Drug Plans so the Switching Service can submit prescription claims for electronic adjudication and or eligibility on behalf of GPAIHS health care facilities transmitting claims.

2. GPAIHS health care facilities will transmit prescription claims in accordance with procedures, data element standards, formats, codes, protocols and edits set forth in the then relevant specification for such Switching Services. GPAIHS health care facilities acknowledge any transactions not in compliance with such requirements will be rejected.

3. GPAIHS health care facilities are responsible for any costs incurred in connection with modifications or enhancements to the RPMS (Resource and Patient Management System) that are necessary for implementing the interface with the Switching Services.

DESCRIPTION 12 Month Area Wide Estimated Claims

CARDFINDER PHARMACY SYSTEM 9,650

CARDFINDER WEB SERVICES 66,150

eRx Connect (Switching) 1,228,000 Medicare Eligibility 11,725

MEDIMPACT 14

PHARMACY SYSTEM ELIGIBILITY PASS THROUGH 195

PHARMACY SYSTEM SURESCRIPTS PASS THROUGH 1,275

Pre & Post Edits 183,200

WEB SERVICES MEDICARE ELIGIBILITY PASS THROUGH 1,980

WEB SERVICES SURESCRIPTS PASS THROUGH 13,025

MedRx Medicare, Medicaid, Immunization Billing 13,025 Commercial MedRx 1,980

Deliverables The vendor shall provide the following:

1. Eligibility data from third party insurance databases. These inquiries and responses will provide accurate and up-to-date eligibility information available to the end user. Available upon request.

2. Medicare AR dashboard and reports for AR management. Available upon request.

Software Requirements Switching Service and Benefit Eligibility Verification Service needs to communicate with RPMS (Resource and Patient Management System) to check eligibility for Medicare Part D coverage.

Customer Service Switching Service and Benefit Eligibility Verification Service Customer Support will provide toll free assistance with claims submission Monday through Friday, 7:00am to 7:00pm (CST).

Period of Performance

Base Period of 12 months plus 4 Option Periods of 12 months each.

Privacy and Security The contractors shall conform and maintain to all security requirements mandated by Indian Health Service.

Privacy or Security Safeguards (Aug 1996)

(a) The Contractor shall not publish or disclose in any manner, without the Contracting Officer’s written consent, the details of any safeguards either designed or developed by the Contractor under this contract or otherwise provided by the Government.

(b) To the extent required to carry out a program of inspection to safeguard against threats and hazards to the security, integrity, and confidentiality of Government data, the Contractor shall afford the Government access to the Contractor’s facilities, installations, technical capabilities, operations, documentation, records, and databases.

(c) If new or unanticipated threats or hazards are discovered by either the Government or the Contractor, or if existing safeguards have ceased to function, the discoverer shall immediately bring the situation to the attention of the other party.

Privacy Act (Apr 1984)

(a) The Contractor agrees to—

(1) Comply with the Privacy Act of 1974 (the Act) and the agency rules and regulations issued under the Act in the design, development, or operation of any system of records on individuals to accomplish an agency function when the contract specifically identifies—

(i) The systems of records; and

(ii) The design, development, or operation work that the contractor is to perform;

(2) Include the Privacy Act notification contained in this contract in every solicitation and resulting subcontract and in every subcontract awarded without a solicitation, when the work statement in the proposed subcontract requires the redesign, development, or operation of a system of records on individuals that is subject to the Act; and

(3) Include this clause, including this paragraph (3), in all subcontracts awarded under this contract which requires the design, development, or operation of such a system of records.

(b) In the event of violations of the Act, a civil action may be brought against the agency involved when the violation concerns the design, development, or operation of a system of records on individuals to accomplish an agency function, and criminal penalties may be imposed upon the officers or employees of the agency when the violation concerns the operation of a system of records on individuals to accomplish an agency function. For purposes of the Act, when the contract is for the operation of a system of records on individuals to accomplish an agency function, the Contractor is considered to be an employee of the agency.

(c)(1) “Operation of a system of records,” as used in this clause, means performance of any of the activities associated with maintaining the system of records, including the collection, use, and dissemination of records.

(2) “Record,” as used in this clause, means any item, collection, or grouping of information about an individual that is maintained by an agency, including, but not limited to, education, financial transactions, medical history, and criminal or employment history and that contains the person’s name, or the identifying number, symbol, or other identifying particular assigned to the individual, such as a fingerprint or voiceprint or a photograph.

(3) “System of records on individuals,” as used in this clause, means a group of any records under the control of any agency from which information is retrieved by the name of the individual or by some identifying number, symbol, or other identifying particular assigned to the individual.

Privacy Act (December 18, 2015)

This contract requires the Contractor to perform one or more of the following: (a) design; (b) develop; or (c) operate a Federal agency system of records to accomplish an agency function in accordance with the Privacy Act of 1974 (Act) (5 U.S.C. 552a(m)(1)) and applicable agency regulations.

The term system of records means a group of any records under the control of any agency from which information is retrieved by the name of the individual or by some identifying number, symbol, or other identifying particular assigned to the individual. Violations of the Act by the Contractor and/or its employees may result in the imposition of criminal penalties (5 U.S.C.

552a(i)).

The Contractor shall ensure that each of its employees knows the prescribed rules of conduct in 45 CFR part 5b and that each employee is aware that he/she is subject to criminal penalties for violation of the Act to the same extent as Department of Health and Human Services employees.

These provisions also apply to all subcontracts the Contractor awards under this contract which require the design, development or operation of the designated system(s) of records (5 U.S.C.

552a(m)(1)). The contract work statement:

(a) Identifies the system(s) of records and the design, development, or operation work the Contractor is to perform; and

(b) Specifies the disposition to be made of such records upon completion of contract performance.

Confidential Information Confidential Information (December 18, 2015)

(a) Confidential Information, as used in this clause, means information or data of a personal nature about an individual, or proprietary information or data submitted by or pertaining to an institution or organization.

(b) Specific information or categories of information that the Government will furnish to the Contractor, or that the Contractor is expected to generate, which are confidential may be identified elsewhere in this contract. The Contracting Officer may modify this contract to identify Confidential Information from time to time during performance.

(c) Confidential Information or records shall not be disclosed by the Contractor until:

(1) Written advance notice of at least 45 days shall be provided to the Contracting Officer of the Contractor's intent to release findings of studies or research, to which an agency response may be appropriate to protect the public interest or that of the agency.

(2) For information provided by or on behalf of the government,

(i) The publication or dissemination of the following types of information are restricted under this contract: PII /PHI, including, but not limited to, Name, Health Record Number, Date of Birth, Medication, Diagnosis

(ii) The reason(s) for restricting the types of information identified in subparagraph (i) is the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule.

(iii) Written advance notice of at least 45 days shall be provided to the Contracting Officer of the Contractor's intent to disseminate or publish information identified in subparagraph (2)(i). The contractor shall not disseminate or publish such information without the written consent of the Contracting Officer.

(d) Whenever the Contractor is uncertain with regard to the confidentiality of or a property interest in information under this contract, the Contractor should consult with the Contracting Officer prior to any release, disclosure, dissemination, or publication.

Indemnification, Liability, Statute of Limitations Any provisions in the TOS related to indemnification and filing deadlines are hereby waived, and shall not apply except to the extent expressly authorized by law. Liability for any breach of the TOS as modified by this Amendment, or any claim arising from the TOS as modified by this Amendment, shall be determined under the Federal Tort Claims Act, or other governing federal authority. Federal Statute of Limitations provisions shall apply to any breach or claim.

Governing law Any arbitration, mediation or similar dispute resolution provision in the TOS is hereby deleted.

The TOS and this Amendment shall be governed by and interpreted and enforced in accordance with the laws of the United States of America without reference to conflict of laws. To the extent permitted by federal law, the laws of the State of [Company to insert name of state if one is mentioned in its TOS] (excluding [Company's state] choice of law rules) will apply in the absence of applicable federal law.

Section 508 and Accessibility

• This product must conform to the Revised Section 508 (https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines) and WCAG 2.0 Level AA standards as outlined below.

• Solicitations for supplies and services shall require the submission of a Section 508 Product Assessment Template. The template can be found at https://www.itic.org/policy/accessibility/vpat.

352.239-73 Electronic Information and Technology Accessibility Notice.

(a) As prescribed in HHSAR 339.203-70(a), the Contracting Officer shall insert the following provision:

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Electronic and Information Technology Accessibility Notice (December 18, 2015)

(a) Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d), as amended by the Workforce Investment Act of 1998 and the Architectural and Transportation Barriers Compliance Board Electronic and Information (EIT) Accessibility Standards (36 CFR part 1194), require that when Federal agencies develop, procure, maintain, or use electronic and information technology, Federal employees with disabilities have access to and use of information and data that is comparable to the access and use by Federal employees who are not individuals with disabilities, unless an undue burden would be imposed on the agency. Section 508 also requires that individuals with disabilities, who are members of the public seeking information or services from a Federal agency, have access to and use of information and data that is comparable to that provided to the public who are not individuals with disabilities, unless an undue burden would be imposed on the agency.

(b) Accordingly, any offeror responding to this solicitation must comply with established HHS EIT accessibility standards. Information about Section 508 is available at http://www.hhs.gov/web/508. The complete text of the Section 508 Final Provisions can be accessed at http://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-section-508-standards.

(c) The Section 508 accessibility standards applicable to this solicitation are stated in the clause at 352.239-74, Electronic and Information Technology Accessibility.

In order to facilitate the Government’s determination whether proposed EIT supplies meet applicable Section 508 accessibility standards, offerors must submit an HHS Section 508 Product Assessment Template, in accordance with its completion instructions. The purpose of the template is to assist HHS acquisition and program officials in determining whether proposed EIT supplies conform to applicable Section 508 accessibility standards. The template allows offerors or developers to self-evaluate their supplies and document—in detail—whether they conform to a specific Section 508 accessibility standard, and any underway remediation efforts addressing conformance issues.

Instructions for preparing the HHS Section 508 Evaluation Template are available under Section 508 policy on the HHS website http://www.hhs.gov/web/508.

In order to facilitate the Government’s determination whether proposed EIT services meet applicable Section 508 accessibility standards, offerors must provide enough information to assist the Government in determining that the EIT services conform to Section 508 accessibility standards, including any underway remediation efforts addressing conformance issues.

(d) Respondents to this solicitation must identify any exception to Section 508 requirements. If a offeror claims its supplies or services meet applicable Section 508 accessibility standards, and it is later determined by the Government, i.e., after award of a contract or order, that supplies or services delivered do not conform to the described accessibility standards, remediation of the supplies or services to the level of conformance specified in the contract will be the responsibility of the Contractor at its expense.

Standards

The included standards that must be met for this contract are taken from the following two resources. Compliance with these standards is mandatory for Federal agencies subject to Section 508 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794d).

• Section 508 Standards and Guidelines: https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines

• Web Content Accessibility Guidelines (WCAG) 2.0: https://www.w3.org/TR/WCAG20/

Electronic content must be accessible to HHS acceptance criteria

Checklist for various formats are available at http://508.hhs.gov, or from the IHS Section 508 Coordinator listed at https://www.hhs.gov/web/section-508/additional-resources/section-508-contacts/index.html, (email:

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IHSSection508@ihs.gov). Materials that are final items for delivery should be accompanied by the appropriate checklist, except upon approval of the Contracting Officer or Representative.

Electronic Content Accessibility - Web Based

• 602 Support Documentation

• 603 Support Services

• All WCAG A & AA Success Criteria

Support Documentation Accessibility

• E602.1 General - Documentation that supports the use of ICT shall conform to 602.

• E602.2 Accessibility and Compatibility Features - Documentation shall list and explain how to use the accessibility and compatibility features required by Chapters 4 and 5. Documentation shall include accessibility features that are built-in and accessibility features that provide compatibility with assistive technology.

• E602.3 Electronic Support Documentation - Documentation in electronic format, including Web-based self-service support, shall conform to Level A and Level AA Success Criteria and Conformance Requirements in WCAG 2.0 (incorporated by reference, see 702.10.1).

• E602.4 Alternate Formats for Non-Electronic Support Documentation - Where support documentation is only provided in non-electronic formats, alternate formats usable by individuals with disabilities shall be provided upon request.

• E602.3 Electronic Support Documentation - Documentation in electronic format, including Web-based self-service support, shall conform to Level A and Level AA Success Criteria and Conformance Requirements in WCAG 2.0 (incorporated by reference, see 702.10.1).

• E602.4 Alternate Formats for Non-Electronic Support Documentation - Where support documentation is only provided in non-electronic formats, alternate formats usable by individuals with disabilities shall be provided upon request.

• E603.1 General - ICT support services including, but not limited to, help desks, call centers, training services, and automated self-service technical support, shall conform to 603.

• E603.2 Information on Accessibility and Compatibility Features - ICT support services shall include information on the accessibility and compatibility features required by 602.2.

• E603.3 Accommodation of Communication Needs - Support services shall be provided directly to the user or through a referral to a point of contact. Such ICT support services shall accommodate the communication needs of individuals with disabilities.

• WCAG – All WCAG 2.0 A & AA Success Criteria

EXCEPTION:

o Non-Web documents shall not be required to conform to the following four WCAG 2.0 Success Criteria: 2.4.1 Bypass Blocks, 2.4.5 Multiple Ways, 3.2.3 Consistent Navigation, and 3.2.4 Consistent Identification.

o E205.4.1 Word Substitution when Applying WCAG to Non-Web Documents. For non-Web documents, wherever the term "Web page" or "page" appears in WCAG 2.0 Level A and AA Success Criteria and Conformance Requirements, the term "document" shall be substituted for the terms "Web page" and "page". In addition, in Success Criterion in 1.4.2, the phrase "in a document" shall be substituted for the phrase "on a Web page".

• Appendix A – Section 508 of the Rehabilitation Act: Application and Scoping Requirements o E208 Support Documentation and Services

• Appendix C – Functional Performance Criteria and Technical Requirements o 302 - Functional Performance Criteria o 602 – Support Documentation o 603 – Support Services

Functional Performance Criteria

• 301.1 Scope - The requirements of Chapter 3 shall apply to ICT where required by 508 Chapter 2 (Scoping Requirements), 255 Chapter 2 (Scoping Requirements), and where otherwise referenced in any other chapter of the Revised 508 Standards or Revised 255 Guidelines.

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• 302.1 Without Vision - Where a visual mode of operation is provided, ICT shall provide at least one mode of operation that does not require user vision.

• 302.2 With Limited Vision - Where a visual mode of operation is provided, ICT shall provide at least one mode of operation that enables users to make use of limited vision.

• 302.3 Without Perception of Color - Where a visual mode of operation is provided, ICT shall provide at least one visual mode of operation that does not require user perception of color.

• 302.4 Without Hearing - Where an audible mode of operation is provided, ICT shall provide at least one mode of operation that does not require user hearing.

• 302.5 With Limited Hearing - Where an audible mode of operation is provided, ICT shall provide at least one mode of operation that enables users to make use of limited hearing.

• 302.6 Without Speech - Where speech is used for input, control, or operation, ICT shall provide at least one mode of operation that does not require user speech.

• 302.7 With Limited Manipulation - Where a manual mode of operation is provided, ICT shall provide at least one mode of operation that does not require fine motor control or simultaneous manual operations.

• 302.8 With Limited Reach and Strength - Where a manual mode of operation is provided, ICT shall provide at least one mode of operation that is operable with limited reach and limited strength.

• 302.9 With Limited Language, Cognitive, and Learning Abilities - ICT shall provide features making its use by individuals with limited cognitive, language, and learning abilities simpler and easier.

1. Authority

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

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

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

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

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

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

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

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

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