Referral_Management__RFP_QA_-_FINAL_(ao_19_Dec_14).pdf

Referral Management

FA8052-14-R-0013 RFP – Q&A

# Reference Industry Question Government Response

1 Solicitation 52.222-41 What level of Wage determination is applicable to these categories of workers?

Please refer to the DOL website for the most current wage determinations applicable to the region where the work is being performed. Wage determinations will be incorporated at contract award.

http://www.wdol.gov

PWS Sec 3.2.2. - Page

For the RN, what level of RN is the Government Requesting for these positions

This is a performance based requirement; the Offeror will determine what is appropriate regarding RN levels, assuming these individuals meet the minimum experience and education/certification requirements as required in the PWS.

3 Sec L - Page 6

In Section L, it is noted that 2 Digital Copies are required of each Volume, based upon Table 1 on page 6.

Should each Volume be on a separate CD (thus totaling 8 CDs), or should all four Volumes be on the same CD (totaling 2 CDs, each one with all four volumes)?

The Government will accept multiple CDs, however, the CD should be labeled appropriately as defined by Section L of the solicitation. If all four Volumes can fit on a single CD, the Government will accept that as well.

Sec L Page 2 Proposal Submittals and Inquiries L-II, A.2

With the deadline for questions NLT 10 calendar days prior to the close of the solicitation due date, when will the customer anticipate answering questions? Industry concern is that with the short turnaround, and the requirement for hard copy, responders who will have to “snail mail” our response may be at risk of an answer being released after their package has been transmitted to the government.

-The solicitation due date has been amended to require receipt of proposals no later than Monday, 5 Jan, 1100 a.m. local San Antonio, TX time -The deadline for questions to the Government is Friday, 19 Dec 14

5 Sec M, Table 2 - Page 8

Will a Past Performance reference be acceptable if it is related to an individual on the team or must all past performances be specific to the prime and/or subcontractor?

A past performance reference for an individual will be taken into consideration, assuming that individual was a key personnel on a contract in accordance with Section M, Table 2. Relevancy Determination.

# Reference Industry Question Government Response

6 Sec L, Table 1 - Page 6

Section L request that one of the 3 hard copies of the proposal should be redacted. How does the government want this marked to differentiate from the remaining two?

Redacted copies of Proposals should clearly state “Redacted Copy”

7 N/A

What is the last day the government will make and amendment for this effort to allow offerors opportunities to respond

The Government will make amendments to the solicitation if it is deemed to be in the best interest of the Government. Should an amendment arise it will be communicated to interested parties via the FBO website.

8 Sec M, Sec. a. - Page 8 Is the roadmap applicable to subcontractors if the subcontractors Past Performance will be used Yes the roadmap is applicable to Sub-Contractors.

9 Sec M - Page 8

Will the government evaluate a past performance questionnaire submitted by that subcontractor to the respective joint venture member for completion, and if so, will the past performance be rated as highly as past performance information for the principal Offeror?

The question is unclear; however, ratings of various past performance will not vary by whether the work was done as a prime or subcontractor, however the weighting given to prime versus subcontractor efforts may vary depending upon how relevant the work is the to work we seek under this solicitation.

10 Sec L - Page 2

In light of the December 30th due date, we respectfully request that the deadline for questions be moved up from no later than ten (10) calendar days prior to the close of the solicitation due date to December 12th. As Government responses to contractor questions are critical to a compliant response, we ask for this adjustment so that it will allow time for the Government to respond and, in turn, the contractor community to make the appropriate proposal adjustments. With a December 30th due date and in consideration of possible delays in package deliveries due to the holidays, we are attempting to submit the proposal as soon as possible.

-The solicitation due date has been amended to require receipt of proposals no later than Monday, 5 Jan, 1100 a.m. local San Antonio, TX time -The deadline for questions to the Government is Friday, 19 Dec 14, 1000a.m. local San Antonio, TX time

11 Solicitation - Page 3

Can the Government provide clarification on timeline of anticipated IDIQ award date, Post Award Conference, the award of the West Region Task Order and the Period of Performance start for the West Region?

Additionally, the POP start dates on page 13 of the solicitation are the same for all regions, however the North and South are anticipated to be proposed and awarded after the West. Is the IDIQ award expected to occur well in advance to support all starting on 28 July 2015?

The Government anticipates award of the basic IDIQ contract in May 15 with the Post Award conference to be conducted within 10 calendar days after contract award.

The IDIQ will be awarded in conjunction with the West Region; proposals for the North and South Region will follow. The effective start date of all three Task Orders is currently expected to be 28 Jul 15.

12 PWS 2.1.1.1. - Page 6

Can the Government confirm there are will be no individual and/or GS positions within the facility supporting any of the RMC functions as of the start of this effort? This information is critical to determining the necessary staffing levels to meet performance metrics and significantly affect pricing accurately. The contractor staff will perform all RMS duties.

13 PWS 2.2.1.1. - Page 10

Can the Government confirm this meeting is in addition to the Post Award Conference upon award of the ID/IQ?

Also, can the Government provide the location and duration of the post-award orientation meeting?

-Yes, the post-award orientation meeting for the successful Offeror of the Task Order is in addition to the post award conference.

-The post award conference will take place in the National Capital Region (NCR) within 50 miles of Falls Church VA 22042; the meeting is anticipated not-to-exceed 8 hours.

14 PWS 5.1.4. - Page 19

Can the Government provide guidance on the amount of time (on average) needed in advance and/or will the Government be providing more specific guidance by individual MTF to accommodate the various timelines and/or processes required by the MTF? Example - One facility may require that the EQuip and fingerprinting be completed PRIOR to the first day of work while other facilities will not begin processing the application until the employee arrives on the first duty day and therefore

The security process may vary between Military Instillations. The Contractor Security Officer will need to work with the MTF’s Unit Security Manager to determine the specific requirements and develop timelines that reduces undue contractor delays.

the timeline can vary significantly from MTF to MTF.

15 PWS 5.4.2. - Page 21

Will the Government consider revising this requirement to NLT two (2) weeks after start as processing and delivery of badges is outside of the contractor control and dependent on the supplier.

The Picture Identification Badge will be provided by the Contractor not to be confused with the Common Access Card, CAC; therefore the requirement will not be changed.

16 Sec L - Page 1

Will the government allow proposals to be “hand” delivered? Last year FedEx, UPS and the USPS had 2- 4 week delays in package delivery due to the holiday mail rush and some packages were never delivered. If allowed to hand deliver please advise which address we should use. Our company is on the east coast and we are prepared to fly to SAT to hand deliver our package ensuring its on-time receipt.

The Government will accept “Hand Delivered” proposals; however, it remains incumbent on the Offeror to ensure proposals arrive by the required deadline.

Please notify Mr. Anthony Hill in advance via email at:

anthony.hill.26@us.af.mill or by phone at: 210-395- 9555.

The address where proposals shall be delivered is:

3515 S. General McMullen, Suite 200 Building 171 – Bay 2 San Antonio, TX 78226-1865 Note: please include enough time to make it through security and bear in-mind this location is not the main Lackland AFB; it is at least 10 minutes from main Lackland AFB

17 Sec L - Page 7

Please confirm the QCP should be part of the Technical Capabilities Volume. If not please advise which volume it should be placed.

The Quality Control Plan is a separate document and should be included as an attachment to Volume II - Technical Capability

18 Sec L, (c) - Page 5 Para (c) does not indicate the maximum/minimum font size for tables and diagrams. - Recommend 8 Font

The font for tables and diagrams shall be a minimum of 8 font

Attach 2 Sub Factor 3 Operations Plans

Since the RMS system is not owned or managed by the contractor, how will the awarded contractor receive information as it pertains to reporting changes, system fixes, system upgrades that impact the day to day operations of the RMCs?

This information is sent out to each RMC and their government oversight office to ensure no negative impact in the day to day operations.

PWS 3.7, 3.7.1 and 8.0 Pages 16, 17, and 38

For government changes and system improvements to the government operated systems, what procedures will the government use to provide the contractor with those changes and any new training that will be required to the company trainer? What is the timeline for that updated training?

The COR will notify the contractor of any changes and/or system improvements that will require additional training.

21 PWS 3.2.2.3 - Page 3

Shall have a minimum of three (3) years broad-based clinical nursing experience in either an inpatient or outpatient care setting within the last two (2) years.

Since the previous contract did not have this specific experience requirement, will the government waive this requirement for incumbent personnel to allow the contractor to provide “first right of refusal” to those incumbents without these requirements which enables continuity of services by existing staff?

Note: We believe these dates were transposed and should read a minimum of two (2) years within the last three (3).

-Yes, the Government will allow the use of incumbent RNs on the existing Referral Management contracts as RNs on the new contract, the use of incumbent LPNs/LVNs on the existing Referral Management contracts as LPNs/LVNs on the new contract and incumbent Admin Clerks on the existing Referral Management contracts as Admin Clerks on the new contract based on the Executive Order for Non-displacement of Qualified Workers under Service Contracts (30 Jan 2009).

-The PWS has been updated to revise the transposed dates.

22 N/A

Considering this is a performance based contract and we will have to rely on the government to provide us with system changes/process changes within the AFMS and MTF’s, will the government be giving the Contractor PM access to the KX to enable them to manage the contract?

The question is unclear. For system/process changes that require training, the contract staff will be trained accordingly. The contract is not managed from the KX site. The AF Contracting Office is the POC for contract management. Day to day questions or concerns can be directed to the COR/Gov’t PM.

23 Sec M Page 2

Are the prices we submit for the Western Region applicable to the other regions? How will pricing be obtained for the other regions? Will this be determined upon the issuance of task order proposal requests?

No, the prices submitted for the West Region are not applicable to the other regions. Separate Task Order Proposal Requests will be submitted for the North and South Regions.

ATTACHMENT 3 -

RM Pricing Matrix

Are you looking for a NTE rate for the entire base period of the contract (option periods 1-5)?

The Pricing Matrix identifies pricing for the entire ordering period (ordering periods 1-5 and the potential 6 month extension of services) for the West Region. The rates submitted are not NTE rates – award of the basic IDIQ and West Region will be based on the rates submitted within the Pricing Matrix. Awardees of the IDIQ will then be solicited for rates for the North Region, as well as, rates for the South Region.

25 N/A Can you provide historical data on current staffing levels?

Yes – current staffing levels are provided as an amendment to the solicitation.

26 Sec M - Page 2

Are we to assume that all 3 awardees will be awarded TOs within the Western Region or will only one awardee be awarded a Western Region TO and the other 2 awardees compete for the North and South TOs?

There will only be one (1) successful Offeror for the West Region; all successful awardees on the basic IDIQ contract (to include the successful Offeror of the West Region) will compete for the North and South Regions.

27 Sec M - Page 2 Can one offeror be awarded more than one region?

An awardee of the basic IDIQ can win zero (0), one (1), two (2), or all three (3) Regions.

28 N/A Is this a new requirement or existing contract

This is a follow on requirement; the current contracts are:

FA7014-11-C-0010

FA7014-11-C-0011

FA8053-11-D-0042-RV01

29 N/A What is the statistical current number of staff for each requested discipline at each location

Current staffing levels are provided as an amendment to the solicitation.

30 N/A Was this contract previously awarded as 8a if it’s an existing contract

Two (2) of the three (3) contracts currently performing this effort are within the 8(a) program.

31 PWS 3.8.2. - Page 17

Are there equipment that need to be furnished to the staff such as uniforms, Name Tag, stethoscope etc.? If there is, how should this information be noted on the pricing.

In accordance with PWS paragraph 3.8.2., contractor personnel shall maintain business casual dress with a contractor name tag (at no cost to the Government).

32 N/A Does the government anticipate an increase or decrease in the current workload for each locations?

At this time, the Government does not anticipate an increase or decrease in the current workload for each location.

33 N/A What is the current cost for each location? The Government will not respond to this question.

34 PWS 3.1.3. - Page 13 Does the government make room for Center Manager or The Government does not require a Center Manager. In does the government expect one of the staff to function as the center manager?

accordance with the PWS the contractor shall appoint a Regional Contractor Representative (RCR) and the RCR shall provide a POC within each MTF.

Is contract task order award expected prior to contract start date and if so, how far in advance? Insufficient time between task order award and contract start may inhibit staffing activities such as the ability to initiate security investigations (as referenced in PWS paragraph 5.1.4.).

The Government anticipates award of the basic IDIQ contract in May 15 with the Post Award conference to be conducted within 10 calendar days after contract award.

The IDIQ will be awarded in conjunction with the West Region; proposals for the North and South Region will follow. The effective start date of all three Task Orders is currently expected to begin 28 Jul 15.

PWS Sec 8.1.1 –

Can the government provide information concerning space limitations at each MTF for staffing purposes?

Whereas referral workload is a key factor in staffing levels, the available space provided in an MTF (ref.

PWS paragraphs 4.1. and 8.1.1.) will also be a significant consideration in determining our approach.

Each MTF Commander will dictate the necessary space provided for this requirement; the Government will provide reasonable space for contractor personnel.

37 PWS

PWS paragraph 2.1.1.6. states the contractor will “provide MTF clinical personnel education concerning referral process and timelines, no less than semi-annually.” Please clarify if clinical personnel refers to all MTF employees or just the providers, nurses and med techs.

Clinical personnel refer to those individuals that provide direct patient care.

Please clarify what the government means by “alternative levels of care” in PWS paragraph 2.1.1.7. The PWS has been revised.

Will the contractor be able to enforce appointment booking prior to a patient leaving the MTF (ref. PWS paragraphs 2.1.2.10.and 2.1.3.6.)?

2.1.2.10. - This references pre-appointment instructions.

The contractor may not able to enforce this; see verbiage “if possible”.

2.1.3.6. - This is not related to 2.1.2.10. This is under referral tracking; a list is to be provided to the PCM for patients that do not make the referral appointment.

PWS paragraph 3.1.3. states, “RCR shall provide a point of contact (POC) within each MTF.” Please clarify whether this refers to the contractor’s lead agent/employee at each MTF or government

POC/FRED?

This refers to the Contractor’s lead agent/employee at each MTF; not the Government POC/FRED.

In accordance with PWS paragraph 3.1.4., is the monthly staffing report (by MTF) provided to the COR, FRED, or both? (Also listed as a deliverable)

The PWS has been updated to require delivery of the monthly staffing report to the COR.

Please clarify PWS paragraph 3.3.3., “the Contractor shall provide qualifying documentation no later than 14 calendar days from receipt of notice of proposed Contractor personnel. What does the government mean by receipt of notice of proposed contractor personnel? The PWS has been updated.

PWS paragraph 3.4.1. lists immunizations required prior to contract start. Given the period of performance begins in July, if a prospective candidate did not receive an immunization such as the influenza vaccine during the previous season, the vaccine may not be readily available. Will the government waive this requirement until the following influenza season vaccines are available?

Paragraph 3.3.2.2. provides an opportunity for an equivalency (waiver) determination; this includes immunizations.

In reference to PWS paragraph 5.1.4.1., please clarify if the contract employee will access and submit the electronic SF-85P (on the OPM website) in the presence of the Government (MTF) Security Manager (during the appointment mentioned in PWS paragraph 5.1.4.2). Or, is this completed prior to the appointment indicated in 5.1.4.? Note that a contract employee cannot access e- QIP without the sponsoring agency first initiating an investigation. The PWS has been revised.

Can the government clarify if the subsequent proposals for South and North regions will be price proposal only, or will another technical proposal be required?

No; another technical proposal will not be required.

Award of the South and North regions will utilize the technical and past performance information submitted for award of the basic IDIQ and West Region. Separate pricing matrixes will be requested for the South and North Region.

Can the government provide the position descriptions for the staff members to fulfill the positions?

Position descriptions are identified within the Pricing Matrix; contractor personnel shall meet the minimum education/certification requirements required for that position within the PWS.

In addition to the government provided referral volumes, will the government provide the monthly/annual referral breakdown for each MTF?

a. Network referrals

b. Out of network referrals

c. Local area MTF referrals

d. Out of area MTF referrals

e. Out of area network referrals

f. Out of area and out of network referrals

The Government will not provide this information; the referral management staff tracks and manages the referral in accordance with the RM Business Rules.

Can the government provide the referral activation rate for each identified MTF?

a. Overall activation rate

b. Network activation rate

The Government will not provide this information; the referral management staff tracks and manages the referral in accordance with the RM Business Rules, regardless of activation.

Is the government using automated voice systems (Audiocare) at each identified MTF to facilitate referral activation?

a. If not, which ones are not using the indicated systems?

b. What is the annual difference in activation rates prior to and after Audiocare implementation?

The automated voice system (Audiocare) may not be fully utilized at each MTF.

Can the government provide current staffing and staffing mix for each of the indicated MTFs?

Yes – the current staffing levels are included as an amendment to the solicitation.

Are there any localized modifications to the existing contract which may be impacted by this solicitation? No

What is the CLR recovery rate for activated referrals by

MTF?

a. Network

b. MTF

The Government will not provide this information; the referral management staff tracks and manages the referral in accordance with the RM Business Rules, regardless of activation.

RFP page. 10, H.2.b RFP Page 55, FAR 52.217-4 Sec L, Page 2, B.2 and B.3 Sec M, Page 1-2, B

With the government allowing for up to 3 awards under this contract, will only a single contractor / awardee receive the task order award for the West region? One contractor for the South region? One Contractor for the North region?

Will task order awards be made at the MTF level? For example, multiple contractors receiving task order awards by MTF in West Region?

An awardee of the IDIQ could win zero (0) one (1), two (2), or all three (3) Regions.

No, awards will not be made at the MTF-level; the successful Offeror for the Region (West, North, or South) will be responsible for all MTFs within that Region in accordance with Exhibit 1 within Attachment 2 of the solicitation.

PWS, Sec 2.2.5 -

Does the Staffing Plan required in the Technical Capability volume only need to include the proposed number of FTEs and position descriptions for the 27 MTFs in the West Region?

Does the Staffing Plan required in the Technical Capability volume need to include the proposed number of FTEs and position descriptions for all MTFs listed in PWS Appendix A for all Regions?

The Staffing Plan within Volume I – Technical Capability requires that the Contractor provide information that reflects an understanding of the staffing processes (research economic conditions, qualification, and retention) for all locations identified within Appendix A of the PWS.

Only the pricing and proposed staffing model for the West Region is required for award of the IDIQ and the West Region. The pricing and proposed staffing model for the North Region will be required at the time the Government seeks a proposal for the North Region. The pricing and proposed staffing model for the South

Region will be required at the time the Government seeks a proposal for the South Region.

55 N/A Who are the incumbent contractors, contract numbers and total award values?

FA7014-11-C-0010: Federal Staffing Resources, $17.9M FA7014-11-C-0011: Innovative Healthcare, Joint Venture, $14.4M FA8053-11-D-0042-RV01: GTW Consultants, $11.8M

Note: the current contracts are not awarded by Region

PWS Sec 2.2.1 –

How long will the government allow for the contract transition phase-in period?

Referral Management Services are expected to begin 28 Jul 15.

57 PWS Sec 3.6 - Page 16

For one FTE MTF sites, is the contractor required to provide replacement personnel if the FTE is out due to leave/absence?

How long an absence/leave is required prior to providing replacement personnel to support the MTF?

This is a performance based requirement, there will be no Government support for referral management services;

the contractor is required to provide all referral management services in accordance with the PWS.

There shall be no lapse in contractor support.

PWS Page 27, Appendix A – MTFs Attachment 3 – Pricing Matrix

Recently bases have joined to make joint bases (for example, Pearl Harbor and Hickam AFB). However, the current Appendix A to the PWS does not contain an updated listing of joint bases. Further, the Pricing Matrix for the West Region does include joint bases.

Please update Appendix A to reflect all MTFs that require support

All references to the MTFs will be updated to correctly identify the Joint Bases.

PWS Page 12, Section

2.2.5 PWS - Page 30

Appendix C

Several of the MTFs listed in Appendix C have become joint bases over the last several years (Example: JB Pearl Harbor-Hickam, JB Lewis-McChord, etc.). The current workload summary does not list workload for Joint Bases, it only list the one of the bases (Example – JB Pearl Harbor-Hickam, yet only workload for Hickam AFB history is provided). Does the workload the one listed base (Example being Hickam) include the workload history for the second base (example Pearl

All references to the MTFs will be updated to correctly identify the Joint Bases; there is no change to the workload history.

Harbor). If not, can the government provide workload history for the joint bases or the secondary base that is not listed in these joint base cases?

60 Sec L Para C

The government identifies that the digital copy be in MS Word 2003 or compatible, Powerpoint, and/or Excel.

Would the government consider allowing searchable Acrobat PDF file format as well for submission?

Yes, searchable Acrobat PDF file format is acceptable for proposal submission.

61 N/A How many pages does an 11x17 sheet of paper used for a chart, table, or diagram count as? An 11x7 sheet of paper is considered (1) one page.

62 N/A What is the average length of service for incumbent contract employees per MTF in the West Region? The Government will not respond to this question.

63 N/A Do you want pricing based on 1920 hours for FTE?

This is a performance based requirement; referral management services shall be provided during normal MTF operating hours in accordance with paragraph 4.2.

of the PWS.

How many awards does the Government plan to make per region? The Government will make (1) one award per region.

Reference PWS, Appendix E

In what volume should Appendix E be submitted in?

Volume I – General?

Yes, include Appendix E and F (as applicable) as part of Volume I – General.

66 N/A Can 10 point font be used for graphics and tables?

Yes; the font for graphics and tables shall be a minimum of 8 font.

Reference Sec L – Page 7, (b)b.b

Requires Offeror to submit a QCP. In what volume should the Offeror include the QCP?

The Quality Control Plan is a separate document and should be included as an attachment to Volume II - Technical Capability

68 Sec L II

Will the government be able to accept delivery on Wednesday, December 24 or Friday, December 26 at

No; the Government will not accept delivery on 26 Dec 14.

-The solicitation due date has been amended to require receipt of proposals no later than Monday, 5 Jan, 1100 a.m. local San Antonio, TX time -The deadline for questions to the Government is Friday, either of the listed addresses for USPS or courier services?

19 Dec 14, 1000a.m. local San Antonio, TX time

69 Sec L II

The solicitation states “The Government intends to award up to three (3) Indefinite Delivery Indefinite Quantity (IDIQ) contracts and an initial Task Order (TO) for the West Region as a result of this solicitation.” Can the government clarify the timing of the West Region task order? Will it be done during the initial award of the IDIQs or will there be a separate task order release after IDIQ award? Also, will the individual awards per region be single award (SATO) or multi award (MATO)?

The Government anticipates award of the basic IDIQ contract in May 15 with the Post Award conference to be conducted within 10 calendar days after contract award.

The IDIQ will be awarded in conjunction with the West Region; proposals for the North and South Region will follow. The Government anticipates the effective start date of all three Task Orders to be 28 Jul 15.

No, awards will not be made at the MTF-level; the successful Offeror for the Region (West, North, or South) will be responsible for all MTFs within that Region in accordance with Exhibit 1 within Attachment 2 of the solicitation.

70 1449 Box 10

Please clarify the NAICS size standard. Box states it is 7M but SBA states it is 7.5M? Please verify intent of size standard set aside size. The NAICS Code small business size standard is $7.5M

71 Sec M Factor 2 Price

Please clarify the pricing submissions. Is the pricing submitted for the final pricing or ceiling rate pricing that can be changed when Task Orders are released?

The rates submitted are not NTE rates – pricing submitted within Attachment 3, Pricing Matrix is final pricing and will be used as the basis of award for the basic IDIQ and the West Region. After award of the basic IDIQ, awardees of the basic IDIQ will submit prices for the North Region as well as prices for the South Region.

72 Attach 3

The columns for the “Unit Price” of the Extension of Services and the “Total Extended Amount” for all contract periods is too narrow to display all values resulting in some appearing as ######### versus the actual amount. Would the Government please expand these column widths?

The Pricing Matrix has been updated to expand the column widths.

73 PWS - Page 31

Does the historical workload provided in Appendix C for each MTF include referral management work being accomplished by military or civilian government personnel? Yes this is the complete workload.

74 PWS - Page 31

Does this solicitation include referral management workload from the AFMS Medical Support Services (MSS) IDIQ contracts? Yes

PWS - Page 43 Appendix E

Do subcontractors/teaming partners need to complete and submit the OCI Plan, Appendix E as part of proposal submission?

Yes – subcontractors/teaming partners need to complete and submit the OCI Plan as part of the proposal.

76 PWS - Page 13

The government has defined minimum education and experience requirements for staff to support this requirement. However, can the government also provide specific individual position/job descriptions for each labor category (Referral Admin Clerk, LPN/LVN and RN) that an Offeror will be pricing in Attachment 3 – Pricing Matrix

The Government will not provide individual job descriptions.

Sec L Page 7 Para 4a

TAB A

Instructions state the following info is required in TAB A “All solicitation amendments must be acknowledged in accordance with FAR 52.212-1, Instruction to Offerors-Commercial Items and submitted with the proposal. The Offeror shall provide the name, title and telephone number of the company/division point of contact regarding decisions made with respect to your proposal and who can obligate your company contractually. Also, identify those individuals authorized to negotiate with the Government.” In order to provide such info we would have to add another document.

Q. Will the government allow this information to be placed in the Volume 1 cover sheet since the cover sheets (Sec L, 9(c)f) are required for all volumes?

One (1) of the three (3) hard copies shall be redacted to remove all company names, logos, diagrams, personnel names (to include names on resumes), etc. Additionally, all language that would identify an Offeror as the incumbent contractor shall be removed.

Q. How does the government want us to refer to ourselves in the sanitized version? Recommend we use our Cage Code.

Q. Does the Quality Control Plan need to be sanitized?

Q1. This information should be included as part of the SF 1449.

Q2. There is no need to identify yourself within the sanitized version.

Q3. Yes – the Quality Control Plan should be sanitized.

78 Sec L page 6 Para 9(c)h

Each volume shall contain a more detailed table of contents to delineate the sub-paragraphs within that volume. Tab indexing shall be used to identify sections.

Q. This statement suggests there is a “general” table of contents (ToC) since you are asking for a more detailed ToC in each volume. If there is this requirement please advise which volume it should be found.

A General Table of Contents is referenced in Sec L, L-II, C., 4. (b)b.; both references to the ToC are within Volume II – Technical Capability.

Sec L Page 12 (d) Volume 4

Would the government entertain increasing the number of pages for the technical volume from 35 to 50 due to the lengthy amount of market research and analysis the government is requiring to be provided for PWS/eval criteria compliance?

The page count for the Technical Volume has been increased from 35 to 50 pages.

80 PWS 3.3.2.2 - Page 15

Will the Government consider expanding the definition of the equivalency determination process to include consideration for otherwise qualified incumbents that don’t meet years of experience given the change of requirement from existing contract to the new one?

Paragraph 3.3.2.2. of the PWS provides an opportunity for an equivalency (waiver) determination. In addition refer to the response for question number 21, above.

PWS Page 27 Appendix A

Can the Government confirm that the following locations will not be included in this solicitation?

Brooks AFB Eglin AFB Lackland AFB McClellan AFB

McConnell AFB Pope AFB USAF Academy

The named locations will not be included in this solicitation.

PWS Page 31 Appendix C

Can the Government provide the workload estimates for McConnell AFB and as well as any locations listed in Q8, if they are in fact to be included?

The named locations will not be included in this solicitation.

83 PWS 2.2.5 - Page 12

The Contractor shall include a Staffing Plan as part of their proposal that details how the Contractor will find, qualify, and retain personnel to perform referral management services for all geographic locations identified in Appendix A. The staffing plan shall include the number and position description (Admin Clerks, LPN/LVN, and RN) for personnel at each MTF; the proposed staffing plan must match the number/type of Position Descriptions submitted within Attachment 3, RM Pricing Matrix, of the solicitation.

Q. Does the government require staffing for all geographic locations in Appendix A as alluded to above or just for the Western locations within Attachment 3 Pricing?

The Government requires that the Contractor provide information that reflects an understanding of the staffing processes (research economic conditions, qualification, and retention) for all locations identified within Appendix A of the PWS. Only the pricing and proposed staffing model for the West Region is required for award of the IDIQ and the West Region. The pricing and proposed staffing model for the North Region will be required at the time the Government seeks a proposal for the North Region. The pricing and proposed staffing model for the South Region will be required at the time the Government seeks a proposal for the South Region.

The verbiage within PWS paragraph 2.2.5. has been revised.

Would the Government please provide additional information so that all offerors can provide a reasonable staffing model and cost estimate?

The current staffing levels are included as an amendment to the solicitation.

The MTF Referral Management Center (RMC) Users Guide, version 7.0 dated March 8, 2010 states the average referral takes about 15 min to process and that each staff member can process about 30 referrals per day. Is this still a valid guideline to use for a staffing model?

MTF Referral Management Center (RMC) Users Guide, version 9.0 was posted with the solicitation.

Would the Government please provide a breakdown of the referral data provided in Appendix C of the PWS by urgent or routine? Would the Government also pleas provide referrals by the clinic for each MTF? This will assist offerors in determining appropriate workload and staffing levels.

The Government will not provide this information;

however, the current staffing levels are included as an amendment to the solicitation.

Volume II Technical Capability

Can the Staffing Plan and the Quality Control Plan (QCP) be submitted outside of the 35-page limit as attachments?

The Quality Control Plan is a separate document and should be included as an attachment to Volume II - Technical Capability

88 Appendix G

Appendix G of the draft RFP, dated 19 Feb 2014 contained 6 MTFs not listed in Appendix C of the current RFP: Creech Medical Aid Station, Eglin AFB, Lackland AFB, McConnell AFB, Pope AFB and the USAF Academy. These MTFs are also not included in the CLIN for the current RFP. Eglin AFB, Lackland AFB, McConnell AFB and the USF Academy all have large numbers of referrals. Have these MTFs been intentionally left off Appendix C?

The named locations will not be included in this solicitation.

89 Solicitation

Over the 57 locations listed in the RFP, how many people do they have in each of the locations? Of these people, how many are nurses?

The current staffing levels are included as an amendment to the solicitation.

Can the government please define the pre-placement training requirements as referenced in Section 3.7.1.1.

Per MHS Learn requirements for referral management, can the government confirm these are the correct trainings:

Privacy Act & HIPAA Clinical Training (WBT) 3.0 Hours Antiterrorism Level I Training (WBT) 2.0 Hours Interacting with Government Employees for Contractors (WBT) 0.2 Hours

CHCS System Orientation I: Basic Skills (WBT) 1.5 Hours CHCS System Orientation II: Special Skills (WBT) 2.0 Hours CHCS Ambulatory Data Module Reports (WBT) 1.5 Hours CHCS Managed Care Program II: Front Desk Clerk (WBT) 1.0 Hours CHCS Managed Care Program I: Booking Patient Appointments (WBT) 1.5 Hours CHCS Medical Records Tracking I: (WBT) 2.0 Hours CHCS CLN: Results Retrieval and Telephone Consults (VC) 2.0 Hours CHCS MCP: Consult Tracking Process (VC) 2.0 Hours

Yes – this is the correct list of pre-placement training requirements. PWS paragraph 3.7.1.1. has been revised to remove references to MHS learn.

Are these SCA codes still the correct codes for the new contract requirements?

01112 General Clerk II 12072 Licensed Practical Nurse II 13212 Registered Nurse II

The SCA code should be applicable to the position you are proposing.

Reference PWS para.

2.2.3.1

For MTFs with one (1) individual, what is the maximum time the government will allow for short-notice absences before backfill is required?

This is a performance based requirement, there will be no Government support for referral management services;

the contractor is required to provide all referral management services in accordance with the PWS.

There shall be no lapse in contractor support.

93 Sec L amended – Page 7

What is marked as Amendment 1 was released as a revised solicitation SF1449. Amendment 2 was posted as a revised Section L, but there are no SF30s we can locate to provide signed amendment acknowledgements.

Will amendments be issued with an SF30 for Contractors to sign and provide with our proposal? SF 30s will be posted for all Amendments.

PWS Appendix E Page

An Offeror/Contractor wishing to submit an offer for this procurement, or any Offeror/Contractor which provides or previously has provided support to AFMS, must include the following as part of its offer:

• Perform a comparative analysis of the potential new work against all current and previous work performed in support of AFMS. … ..Inclusion of the comparative analysis and OCI Avoidance or Mitigation Plan will not be counted against any offer page limitations otherwise stated in the solicitation.

Q. The government has not identified which volume this information is to be submitted. Since the info would be difficult to sanitize would the government entertain this document being part of the Past Performance Volume since there is not requirement for a sanitized version of Volume III?

Yes, please include this information as part of Volume III – Past Performance Information.

PWS Appendix E Pages 43-45

Request clarification: Is the sub-contractor required to provide a comparative analysis and OCI certification letter with the proposal?

Yes, please include this information as part of Volume III – Past Performance Information.

96 PWS

The government has only 3 year history for referrals at each site. Is the government going to provide history data for CLRs as well to ensure locations are adequately staffed to meet the RMC full workload? No, the Government will not provide this information.

Sec L 3(d)c amended

Each response to each sub-factor shall be self-contained.

No cross-referencing between sub-factor responses is permitted.

Q. Would the government entertain lifting this prohibition on cross referencing. The eval factors themselves lean towards cross reference with each other.

Without cross-reference between sub-factors we will be restating many of the same things in each sub-factor since staffing, training, operations, contingency and transition efforts are interwoven at various levels and time during in the RMC. Allowing us to cross reference only among Volume II sub-factors allows the contractor to provide additional information within the page count to help the government determine technical acceptability.

No, this requirement will not be removed.

Sec L amended (b)b

Will the government allow a 1 page executive summary within the Volume 2 Technical Capability as part of the general outline that would not be counted with the page count? No.

99 PWS 3.3.3 – Page 15

Section 3.3.3 states “receipt of notice of proposed contractor personnel.” Please clarify what the government means by the statement, “receipt of notice of proposed contractor personnel.” Does the government require pre-approval of candidates prior to placing on contract? The PWS has been updated.

PWS 3.3.3, 3.3.4 3.4.1

Pages 15-16

What is the difference between the following packages:

qualifying documentation package referenced in section 3.3.3, complete personnel package referenced in section 3.3.4, and complete employee qualification record referenced in section 3.4.1. Also, what is included in each package and when is each package due to the government? The PWS has been updated.

101 N/A Since the LPN and RN are not providing clinical support, do they require credentialing?

There is no direct clinical care being provided by the contract staff. There is no requirement for any level of clinical credentialing.

102 Sec L, (c) - Page 5 Will the government allow for 10 point font for tables, graphics, or figures?

Yes; the font for graphics and tables shall be a minimum of 8 font.

What are the font/size requirements for tables, graphics, and figures?

The font for graphics and tables shall be a minimum of 8 font.

Will the government be able to receive proposal’s the day after New Year’s on January 2nd?

Yes, Government personnel will be available to accept proposals on 2 Jan 15.

What are the difference in duties and responsibilities between the Registered Nurses and the Licensed Practical Nurses?

It is the Contractors responsibility to determine the appropriate staff skill-set within the MTF to fulfill the requirements within the PWS.

Will the Registered Nurses typically hold more responsibility than the LPN/LVNs at RMCs?

The Government will not determine the responsibilities of the contract staff; it is the Contractor’s responsibility to determine the appropriate staff skill-set within the MTF to fulfill the requirements within the PWS and RMC Business Rules.

107 PWS Appendix C Per Appendix C, please provide the average time to complete a referral at each location specified. This information is not available.

Please provide relevant wage determinations for each location in the West region.

Please refer to the DOL website for the most current wage determinations applicable to the region where the work is being performed. Wage determinations will be incorporated at contract award.

http://www.wdol.gov

Will the government consider extending to January 9, 2015 the deadline for submission of the past performance questionnaires via email directly to the Contract Specialist (Mr. Anthony Hill) at anthony.hill.26@us.af.mil?

Given the holiday schedule, allowing a few days beyond the proposal submission date of January 5, 2015 will help ensure that the government points of contact have sufficient time to complete and return the questionnaires No.

As a following up to the Q&A reference section 2.1.1.4, the government indicates that “Wait times are managed and tracked within the clinics, timely initiation, management and chasing for referral reports and results are managed…”, will the government please provide these statistics for the locations identified in Appendix C? The PWS has been updated.

111 Sec L C.3.c.c – Page 5

Section L. C. 3.c.c on page 5, would the Government consider the font size for charts, illustrations and tables to be at the discretion of the offerer with the understanding text must remain legible, allowing us to provide effective technical demonstrations?

The font for graphics and tables shall be a minimum of 8 font.

Over the 57 locations listed in the RFP, how many people do they have in each of the locations? Of these people, how many are nurses?

The current staffing levels are included as an amendment to the solicitation.

In the 2010 question set for the current contract, the Government was asked to “please supply the SCA occupation code to be used for each position in this solicitation.” The response was:

01112 General Clerk II 12072 Licensed Practical Nurse II 13212 Registered Nurse II Are these SCA codes still the correct codes for the new contract requirements?

The SCA code should be applicable to the position you are proposing.

114 PWS 2.2.3.1

For MTFs with one (1) individual, what is the maximum time the government will allow for short-notice absences before backfill is required? Will the government’s referral management information systems allow contract staff from other sites to temporarily process referrals?

This is a performance based requirement, there will be no Government support for referral management services;

the contractor is required to provide all referral management services in accordance with the PWS.

There shall be no lapse in contractor support.

115 Sec L

C. Proposal Preparation Instructions, page 7 Provide a signed SF 30/amendments, if applicable. All solicitation amendments must be acknowledged in accordance with FAR 52.212-1, Instruction to Offerors- Commercial Items and submitted with the proposal.

We are unable to locate the SF 30 in the RFP documentation. Can the government provide an SF 30 from the amendments to be signed? SF 30s will be posted for all Amendments.

Sec L Page 5 Dec 16 Amendment

States:

b. All text shall be single spaced and printed black on white paper (black and white requirement does not apply to graphics, photos, etc. - company stationary and logos are acceptable).

Are tables considered to be graphics with different requirements? As an example, can black be printed over a light grey background in a table? All printed materials must be clearly legible.

117 Sec L II

The working assumption is that the government office will be open the day after New Years day. Will the government confirm that it can accept proposal delivery either by courier or mail on Friday, January 2nd, 2015?

Yes, Government personnel will be available to accept proposals on 2 Jan 15.

Reference: Section L, page 10-11 of 23 - Section (c) Volume III – Past Performance Information, part f.

states that “The offeror shall submit a Past Performance volume containing the following:” The fifth bullet lists the following information regarding Past Performance Questionnaires:

“Past Performance Questionnaire – see Exhibit 4. For the contracts identified on each Relevant Contracts Reference Sheet, the Offeror shall forward a copy of the past performance questionnaire to the points of contact responsible for monitoring performance under such contracts. The points of contact shall return the questionnaires via email directly to the Contract Specialist (Mr. Anthony Hill) at anthony.hill.26@us.af.mil, not later than the solicitation due date, noted in paragraph A.1. Any questionnaires not returned directly to the Government point of contact (Mr. Hill) will not be reviewed and evaluated. The information contained in the questionnaires will be used to evaluate the Offeror’s past performance. New entities that have no past customers shall annotate on the Summary Page that they have had no previous clients and that the minimum number of questionnaires cannot be provided. A sample Past Performance Questionnaire cover letter is included as Exhibit 5. “What information regarding the PPQs should be included in Volume III?

Is the government seeking a summary of the contracts/POC/date that the PPQs were sent?

No, the Government is not requesting a summary of the past performance questionnaires; the Government’s expectation is that a past performance questionnaire is sent to the point of contact responsible for monitoring performance for the contracts identified on each Relevant Contracts Reference Sheet.

Sec L(d) Volume 4 -

The Government did not state a requirement to provide a written narrative to justify our pricing matrix.

Q. Should the contractor desire to submit our pricing/staffing rationale as it relates to the execution of the PWS may we do so and will there be a page limit incurred?

Information provided within Volume I – Technical Capability, Sub-factor 1, Staffing Plan, should support the proposed staffing model.

Solicitation Clause 53.222-41 Page 45

Please provide the applicable wage determinations which are required by SCA to be attached to the solicitation/contract (in full text or by reference).

Please refer to the DOL website for the most current wage determinations applicable to the region where the work is being performed. Wage determinations will be incorporated at contract award.

http://www.wdol.gov

FA8052-14-R-0013 RFP

– Q&A 18 Dec 2014 Question 1

DOL FAQs on the WD Online site, number 14 states “The contracting office will obtain the appropriate SCA WD by accessing the WDOL SCA Database prior to the issuance of a solicitation (IFB or RFP), exercise of option, contract extension, or contract modifications.

Please refer to the DOL website for the most current wage determinations applicable to the region where the work is being…