Attachment 0001 - PERFORMANCE WORK STATEMENT-11APR23.pdf

PERFORMANCE WORK STATEMENT (PWS)

FOR

HEALTH BENEFITS ADVISOR/CONTACT REPRESENTATIVE

NAICS: 621999 PSC: Q201

1.0 General

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3 as Government Furnished, to perform medical readiness services for approximately 800 soldiers in the U.S. Army, as defined in this PWS.

1.2 Background: 1st Army, 157th INF BDE has a requirement to ensure medical readiness for 800 Service Members by providing services directly promoting comprehensive medical readiness, ensuring global deployability. The utilization of health benefit advisors is essential to maintaining established medical readiness goals of greater than 90% fully medically ready for the 157th INF BDE.

1.3 Period of Performance (PoP): The period of performance shall be a base period of 12 months and four (4) twelve-month option years.

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide services between the core work hours of 0900 and 1700 Monday through Friday, unless specified otherwise for a Medical Benefits Brief. Contractors shall be expected to work weekends for Medical Benefits Briefs and shall flex the work week before or after the Medical Benefits Brief event to comply with the required amount of hours which constitutes a work week. The contractor will maintain a record of all flex hours in order to ensure adequate staffing levels and provide to the Contracting Officer Representative (COR) upon request to support analysis of service requirements. Contract services shall not be provided on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings.

Performance shall be at Camp Atterbury (CAIN), Indiana. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. Employment and staffing difficulties shall not be justification for the contractor to fail to meet established performance requirements.

1.4.1.1 Telework: The Government may permit t0elework by contractor employees on a temporary and limited basis as agreed upon by contractor and COR, based on the needs of the government and when determined to be in the best interest of the Government in meeting work requirements. Telework shall be at no additional cost to the Government.

1.4.1.2 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays.

Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.1.3 The contractor’s employees shall become familiar with and obey the regulations of the installation, including fire, traffic, safety and security regulations while on the installation.

Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance. The Government reserves the right to direct the removal of an employee for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.2 Recognized Holidays: The following are recognized United States (US) holidays. The contractor shall not perform services on these days:

1.4.2.1 3.1 New Year’s Day: January 1st

1.4.2.2 Martin Luther King, Jr.’s Birthday

1.4.2.3 President’s Day

1.4.2.4 Memorial Day

1.4.2.5 Independence Day: July 4th

1.4.2.6 Labor Day

1.4.2.7 Columbus Day

1.4.2.8 Veteran’s Day: November 11th

1.4.2.9 Thanksgiving Day

1.4.2.10 Christmas Day

* Extraordinary Federal Leave days authorized by Executive Order. Ex. National Day of Observance and the day before or after Christmas. In those instances, the Contractor employees shall be in a leave status and pay policy is at the discretion of the Contractor's standard leave policy. No additional cost to the Government is authorized.

1.4.3 Quality Control (QC): The Contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non- recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.4 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

1.4.5 Installation Access and Security Requirements: The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of the Army (HQDA) and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.1 For contractors requiring Common Access Card (CAC): The CAC is the DoD Federal Personal Identity Verification (PIV) credential. Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated Tier 1 or an equivalent or higher investigation in accordance with Army Directive 2014-05. The contractor employee will be issued a CAC only if duties involve one of the following: (1) both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely; (2) remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) physical access to multiple DoD facilities or multiple nonDoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled Tier 1 investigation at the Office of Personnel Management.

Sponsorship and enrollment information about each applicant must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either the Real-Time Automated Personnel ID System (RAPIDS) using the DD Form 1172-2 or the Trusted Associate Sponsorship System (TASS).

1.4.5.1.1 Homeland Security Presidential Directive (HSPD)-12 Background Investigation Requirements: The contractor shall ensure that all contractor and subcontractor personnel whose duties require CAC card issuance obtain them and shall process all CAC card applications.

The contractor shall ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form at the earliest possible date and that this form is forwarded to the COR immediately. The COR will review the form for completeness and accuracy and forward it to the Personnel Security manager who will initiate the investigation process via the PSIP. Contractor personnel will then receive two e-mail messages; the first will confirm that the investigative service provider has received the request, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system. Upon completion of the e- QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the background investigation (BI) will be initiated. The contractor shall ensure immediate compliance with all instructions regarding background investigation processing, including those provided verbally, by email or via a Government system. The contractor is cautioned that the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from two to six weeks and shall factor this lead time into its hiring/placement process. The contractor shall make all reasonable efforts to ensure that contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

1.4.5.1.2 Trusted Associate Sponsorship System (TASS): The contractor shall process CAC applications through the TASS, the procedures for which are described below. Although there is no requirement for the contractor to designate a “Corporate Facility Security Officer" (FSO) to serve as its single point of contact for the BI, the TASS application process and other CAC and security-related matters, such designation facilitates these processes. If an FSO is not established, all contractor employees requiring a CAC will be required to process their own applications. The submission process for CAC applications is as follows:

1.4.5.1.3 The Government will establish a TASS application account for each CAC Request and will provide each contractor employee a user ID and password, via email, to the FSO.

The FSO or contractor employee shall access the TASS account and complete the CAC application (entering/editing contractor information as applicable) at:

https://www.dmdc.osd.mil/tass/. The FSO or contractor employee shall follow up to ensure that the TA is processing the request.

1.4.5.1.4 The Government will inform the contractor's applicant, via email, of one of the following:

http://www.dmdc.osd.mil/tass/ http://www.dmdc.osd.mil/tass/

a. Approval.* Upon approval, the information is transferred to the DEERS database and an email notification is sent to the contractor with instructions on obtaining their CAC. The contractor proceeds to a RAPIDS station (RAPIDS Site Locator: http://www.dmdc.osd.mil/rsl/).

b. Rejection.* The Government, in separate correspondence, will provide reason(s) for rejection.

c. Return. Additional information or correction to the application required by the contractor employee.

*The contractor shall maintain records of all approved and rejected applications.

1.4.5.1.5 At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor employee by SSN and two forms of identification. Identity source documents must come from the list of acceptable documents included in Form I-9, OMB No. 1615- 0047, "Employment Eligibility Verification." Consistent with applicable law, at least one document from the Form I- 9 list shall be a valid (unexpired) State or Federal Government-issued picture ID. The Identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of an ID. The photo ID requirement cannot be waived, consistent with applicable statutory requirements. The Verification Officer will capture primary and alternate fingerprints, picture, and updates to DEERS, and will then issue a CAC. Issued CACs will be valid for no longer than fourt years, or until the individual's contract end date (inclusive of any options), whichever is earlier.

1.4.5.1.6 The contractor shall manage requests for new or renewal CAC cards in sufficient time to ensure that all contractor employees have them when needed to perform work under this contract. The contractor shall provide at least 10 calendar days advance notice to the TA, unless there are extenuating circumstances approved by the COR or KO.

1.4.5.1.7 The contractor shall return issued CACs to the DEERS office upon departure or dismissal of each contractor employee, and shall obtain a receipt for each card and provide it to the TA/COR.

1.4.5.1.7.1 Failure to comply with these requirements may result in withholding of final payment.

1.4.5.2. Reserved

1.4.5.3 Awareness Training (AT) Level 1: All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level 1 training within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training by each employee or subcontractor personnel. AT Level 1 awareness training is available at the following website:

https://jko.jten.mil/courses/atl1/launch.html.

http://www.dmdc.osd.mil/rsl/) https://jko.jten.mil/courses/atl1/launch.html

1.4.5.4 iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO)). This local developed training shall be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor shall report completion for each contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training.

1.4.5.5 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations.

Therefore, the contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.5.6 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the Army Enterprise Infostructure (AEI) or Air Force Infostructure. Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

1.4.5.6.1 Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

1.4.5.6.2 Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://atc.us.army.mil/iastar/docs/Training_BBP.pdf)

1.4.5.6.3 Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

1.4.5.6.4 Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

1.4.5.6.5 Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.5.7 Army Training Certification Tracking System (ATCTS): All contractor employees with access to a Government information system shall be registered in ATCTS (https://atc.us.army.mil/iastar/index.php) at commencement of services, and shall successfully complete the DoD Information Assurance awareness training prior to access to the IS and then annually thereafter. (https://iatraining.us.army.mil/).

1.4.5.8 Information Assurance (IA) Training. All contractor employees and associated subcontractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually thereafter.

1.4.5.9 (IA)/Information Technology (IT) certification. All contractor employees performing services involving IA/IT functions shall comply with DoD and Army workforce training requirements in DoDD 8140.01, DoD 8570.01-M and AR 25-2 within six months of the start of contract performance or appointment to IA/IT functions. In accordance with DoD 8570.01-M, DFARS 252.239.7001, and AR 25-2, contractor employees supporting or performing IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award.

1.4.5.10 (Add only if contract performance will or might involve contractor employees’ access to PII) Protection of Personally Identifiable Information (PII). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

W912L921C0007

1.4.5.11 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each contractor employee to the COR (if no COR is assigned, delete to the COR and replace with to the KO) within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm.

1.4.5.12 OPEC SOP/Plan. Reserved.

1.4.5.13 Access to Classified Information. The contractor shall comply with FAR52.204- 2, Security Requirements. This clause applies to contracts that involve access to information classified “Confidential,” “Secret,” or “Top Secret,” and requires contractors to comply with the Security Agreement (DD Form 441), including the National Industrial Security Program Operating Manual (DoD 5220.22-M) and applicable updates/changes.

1.4.5.14 Threat Awareness and Reporting Program (TARP). Per AR 381-12, Threat Awareness and Reporting Program (TARP), contractor employees with security clearances must receive annual TARP training by a counterintelligence (CI) agent or other trainer as specified in Chapter 2 Threat Awareness and Education, Section II, paragraph 2-4b. The contractor shall identify annual TARP training, personnel trained, and date of training within the Monthly Progress Report.

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.6.1 Key Control. NOTE: All references to keys include key cards. The contractor shall establish and implement methods of ensuring that no keys/key cards issued by the Government are lost or misplaced or are used by unauthorized persons. No keys issued by the Government shall be duplicated. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The contractor shall include procedures covering key control in the QCP.

1.4.6.1.1 The contractor shall immediately report any occurrences of lost or duplicated keys/key cards to the COR.

1.4.6.1.2 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction by the KO, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform rekeying. When the Government replaces or re-keys the locks, the Government will deduct the total cost of lock replacement or re-keying from the monthly payment due the contractor. In the event a master key is lost or duplicated, the Government will replace all locks and keys for that system, and will deduct the total cost from the monthly payment due the contractor.

1.4.6.1.3 The contactor shall prohibit the use of the Government issued keys/key cards by any persons other than the contractor’s employees. The contractor shall prohibit the opening of locked areas by contractor employees to permit entrance of persons other than contactor employees engaged in the performance of services in those areas, or personnel authorized entrance by the KO.

1.4.6.2 Lock Combinations: The contractor shall establish and implement methods of ensuring that no lock combinations are revealed to unauthorized persons. The contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the contractor’s QCP.

1.4.7 Special Qualifications:

1.4.7.1 Health Information Portability and Accountability Act (HIPAA): The HIPAA Privacy Rule creates national standards to protect individuals’ medical records and other personal health information. All contract employees shall complete HIPAA certification course within 30 days of on-boarding and annually, thereafter. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training. HIPAA training is available at http://www.health.mil/Training-Center/Joint- Knowledge-Online-JKO (https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf)

1.4.7.2 Contractor shall compete a Tier 3 (T3) investigation and a favorable completion of FBI fingerprint History Check for contract personnel. SECRET clearance is required to access the SIDPERS, SIDPERS Interface Branch (SIBX) and Interactive Personnel Records (iPerms). A DD254 "Contract Security Classification Specification" will be required to be completed and signed by the security office.

1.4.7.3 At a minimum, all contract personnel assigned shall possess the required technical skills and expertise to perform the functions with minimum guidance. Technical skills required include PC proficiency, specifically Microsoft Word, Excel, Outlook, Standard Installation/Division Personnel System (SIDPERS), and eCase. Technical skills required include Health Readiness Record (HRR), Medical Protection System (MEDPROS), and Medical Operational Data System (MODS).

1.4.7.4 Management personnel shall be experienced in all aspects and qualified in their respective functional areas. The contractor shall accomplish the assigned work by employing and utilizing qualified personnel with appropriate combinations of education, training, and experience. Contractor personnel shall not perform inherently governmental functions (i.e., representation of government decision authority, etc.).

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR http://www.health.mil/Training-Center/Joint-

Subpart 42.5. The KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

1.4.10.1 The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles passes) to the KO within 14 days of an employee’s departure.

1.4.11. Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Contractor Travel

No travel is conducted outside of the normal duty location.

1.4.13 Data Rights. Reserved.

1.4.14 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.4.15. Phase In/ Phase Out Periods. Reserved.

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Contractor. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2 Contracting Officer (KO). A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3 Contracting Officer’s Representative (COR). An employee of the U.S. Government designated by the KO to monitor contractor performance. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as the direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4 Defective Service. A service output which does not meet the standard of performance associated with the Performance Work Statement.

2.1.5 Deliverable. A deliverable is anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.6 Electronic Case Management (eCase). The Electronic Case Management (eCase) module is used to open, track, and determine the disposition of medical cases for United States Army (RA) and United States Army Reserve (USAR) Soldiers.

2.1.7 Individual Medical Readiness (IMR). A means to assess an individual Service member’s, or larger cohort’s, readiness level against established metrics applied to key elements of health and fitness to determine medical deployability in support of contingency operations.

2.1.8 Key Personnel. Contractor personnel who may be required to be used in the performance of a contract as Key Personnel listed in the PWS.

2.1.9 Operational Data System (MODS). The Medical Operational Data System (MODS) is a Military Health Services System (MHSS) that provides the Army Medical Department (AMEDD) with an integrated automation system that supports all phases of Human Resource Life -Cycle Management in both peacetime and mobilization.

2.1.10 Medical Protection System (MEDPROS). The Medical Protection System (MEDPROS) is designed to track immunization, medical readiness, and deployability data for all Active and Reserve component Soldiers of the Army as well as DA Civilians, contractors and others. This is a CAC access required system.

2.1.11 Armed Forces Health Longitudinal Technology System (AHLTA), the military's electronic health record, is a clinical information system that generates, maintains, stores and provides secure electronic access to comprehensive patient records.

2.1.12 Periodic Health Assessment (PHA). The PHA is an annual assessment of the IMR of service members.

2.1.13 Physical Security. Actions that prevent the loss or damage of Government property.

2.1.14 Professional Filler System (PROFIS). The system used by the United States Military to fill voids in personnel when a unit deploys on a combat or humanitarian mission.

2.1.15 Quality Assurance. The government procedures to verify services being performed by the Contractor are performed according to acceptable standards.

2.1.16 Quality Assurance Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.17 Quality Control. All necessary measures taken by the Contractor to assure the quality of an end product or service meets contract requirements.

2.1.18 Subcontractor. One that enters into a contract with a prime contractor. The Government does not have privy of contract with the subcontractor.

2.1.19 Work Hours. The number of hours per day the Contractor provides services in accordance with the contract. Overtime is not authorized.

2.1.20 Work Week. Monday through Friday, unless specified otherwise.

2.2 Acronyms:

AAR After Action Review ADME Active Duty Medical Extension AEI Army Enterprise Infostructure AFARS Army Federal Acquisition Regulation Supplement AKO Army Knowledge Online ALHTA Armed Forces Health Longitudinal Technology Application AR Army Regulation ARNG Army National Guard ASCO Assignment Consideration Codes ATCTS Army Training Certification Tracking System AT/OPSEC Antiterrorism/Operational Security AUP Acceptable Use Policy BBP Best Business Practices BI Background Investigation CAC Common Access Card

CFP/M/E Contractor Furnished Property, Materials, and Equipment CFR Code of Federal Regulations CM Contract Manager CMRA Contractor Manpower Reporting Application COMSEC Communications Security CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTS Commercial-Off-the-Shelf DA Department of the Army DEERS Defense Enrollment Eligibility Reporting System DEMOB Demobilization DD250 Department of Defense Form 250 (Receiving Report) DD254 Department of Defense Contract Security Requirement List D&F Determination and Findings DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DOD Department of Defense DODD Department of Defense Directive DoDM Department of Defense Manual DSS Deputy State Surgeon eCASE Electronic Case Management eQUIP Electronic Questionnaires for Investigations Processing FAR Federal Acquisition Regulation FOUO For Official Use Only FPCON Force Protection Condition FSO Facility Security Officer FY Fiscal Year GFP/M/E/S Government Furnished Property/Material/Equipment/Services HIPAA Health Information Portability and Accountability Act HSPD-12 Homeland Security Presidential Directive 12 HQDA Headquarters, Department of the Army HRR Health Readiness Record IA Information Assurance IAT Information Assurance Training ID Identification IGCE Independent Government Cost Estimate INARNG Indiana Army National Guard IMR Individual Medical Readiness INCAP Incapacitation iPerms Interactive Personnel Electronic Records IA Information Assurance IS Information System(s) IT Information Technology JTR Joint Travel Regulation KO Contracting Officer LOD Line of Duty

MAR2 MOS Administrative Review Board MEB Military Evaluation Board MEDCHART Medical Electronic Data for Care History and Readiness Training MEDPROS Medical Protection System MHS Medical Health Services MMPS Military Medical Processing System MMSO Military Medical Support Office MND Medically Non-Deployable MODS Medical Operational Data System MRC3 Medical Readiness Class 3 Non-deployable MRP2 Medical Retention Processing MRDP Medical Retention Decision Point MRE Medical Readiness Event MOS Military Occupational Specialty MTF Medical Treatment Facility NACI National Agency Check with Inquiries NCO Non-commissioned Officer NDR Non-duty Related NDR-PEB Non-duty Related Physical Evaluation Board NGB National Guard Bureau NTV Non-tactical Vehicle OCI Organizational Conflict of Interest ODC Other Direct Costs OMB Office of Management and Budget OPM Office of Personnel Management OPSEC Operations Security PEB Physical Evaluation Board PEBLOS Physical Evaluation Board Liaison Officers PEC Physical Exam Center PCM Primary Care Manager PII Personally Identifiable Information PIPO Phase In/Phase Out PIV Personal Identity Verification PHA Periodic Health Assessment POC Point of Contact PROFIS Professional Filler System PRS Performance Requirements Summary PSIP Personnel Security Investigation Portal PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program RAPIDS Real-Time Automated Personnel ID System RCMC Reserve Component Managed Care

SIBX SIDPERS Interface Branch SIDPERS Standard Installation and Division Personnel Reporting System SM Service Members SRP Soldier Readiness Processing SSN Social Security Number STR Soldier Treatment Records TA Trusted Agent TASS Trusted Associate Sponsorship System TARP Threat Awareness Reporting Program TE Technical Exhibit UIC Unit Identification Code US United States USAR United States Army Reserve USD(I) Under Secretary of Defense for Intelligence

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include desk space, telephones, computers and other items necessary to maintain an office environment.

3.2 Materials: Reserved

3.3 Equipment: Reserved

3.4 Services: Reserved

3.5 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1.

4.2 Secret Facility Clearance: Reserved

5.0 Requirements: All contractor requirements shall include:

5.1 Contractor personnel shall be required to perform tasks applicable to their position and maintain Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards and guidelines.

5.1.1 Contractor shall follow the regulations and policies applicable to Individual Medical Readiness (IMR) and deployment, to include the Army Regulation AR 40- 501 and other guidance.

5.1.2 Contractor shall attend PHA events as determined by the needs of the Brigade and the individual units.

5.1.3 Contractor shall educate Service Members (SMs) on resources available to improve medical and dental readiness.

5.1.4 Contractor shall attend weekly, monthly and periodic event driven sync meetings to provide status updates through reports and power point to senior department leadership.

5.1.5 Contractor shall maintain clean and orderly workspace, and clean and sanitize all office rooms weekly.

5.2 Health Benefits Advisor additional requirements shall include:

5.2.1 Contractor shall provide information and assistance to service members, retirees and family members regarding various programs and services, including but not limited to:

Tricare, Tricare Exceptional Family Member Program, Tricare Reserve Select, Tricare Dental Insurance, Tricare Plus Program, and Medicare & Tricare For Life. Formal training through the Defense Health Agency (DHA) for the TRICARE Fundamentals Certification shall be required within 90 days of contract commencement. Contractor shall complete refresher or program update training as required.

5.2.2 Contractor shall assist with civilian medical claim problems and DEERS issues/problems and provide Tricare briefings.

5.2.3 Contractor shall provide the following services: information and assistance to service members and family members: performing Tricare Prime Remote enrollments; assistance with Primary Care Manager (PCM) selection, and assignment and changes.

5.2.4 Contractor shall coordinate with Medical Health Services (MHS) points of contact to provide accurate and timely assistance and information, and respond to DoD components, and other agencies.

5.2.5 Contractor shall support coordination of care relating to health care benefits to include documentation and reporting process at other MTF’s.

5.2.6 Contractor shall collaborate with outside healthcare organizations to develop programs to accurately track and maintain Tricare and LOD claims, as needed.

5.2.7 Contractor shall work with units to ensure that the LOD and payment system is effective.

5.2.8 Contractor shall work with the Military Medical Support Office (MMSO) in order to obtain pre-authorization for follow-up medical care.

5.3 Contractor Manpower Reporting Application (CMRA): N/A

The Unit Identification Code (UIC) for the Requiring Activity. W1S107

6.0 Applicable Publications: Publications applicable to this PWS are listed within.

Publication (Chapter/Page)

Date of Publication

Mandatory or Advisory

Website

Federal Acquisition Regulation

Mandatory https://www.acquisition.gov/?q=browsefar or http://farsite.hill.af.mil/

Defense Federal Acquisition Regulation

Supplement

Mandatory http://www.acq.osd.mil/dpap/dars/dfarspgi/curre nt/index.html or http://farsite.hill.af.mil/

Joint Travel Regulation (JTR) Mandatory https://www.defensetravel.dod.mil/site/t ravelreg.cfm

DoDM 1000.13-M-V1 DoD Identification (ID)

Cards (Enclosure 2, paragraph

3.b)

01/23/2014 Mandatory http://www.esd.whs.mil/Directives/issu ances/dodm/

Federal Information Processing Standards

(FIPS) Publication 201-2 Personal Identity

Verification (PIV) of Federal Employees and

Contractors (paragraph 9)

August

Mandatory http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.20 1-2.pdf

DoDM 5200.2 Procedures for the DoD

Personnel Security Program (PSP)

04/03/2017 Mandatory http://www.dtic.mil/whs/directives/corres/pub1.h tml

DoDI 5200.46 DoD Investigative and

Adjudicative Guidance for Issuing the Common Access

Card (CAC)

09/09/14 (Change 1:

05/04/2018)

Mandatory https://www.esd.whs.mil/Directives/iss uances/dodi/

Army Directive 2014-05 Policy and Implementation

Procedures for Common Access Card

Credentialing and Installation Access for

03/07/2014 Mandatory http://www.apd.army.mil/ProductMaps/PubForm/ ArmyDir.aspx http://www.acquisition.gov/?q=browsefar http://www.acquisition.gov/?q=browsefar http://farsite.hill.af.mil/ http://www.acq.osd.mil/dpap/dars/dfarspgi/curre http://farsite.hill.af.mil/ http://www.defensetravel.dod.mil/site/t http://www.esd.whs.mil/Directives/issu http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.20 http://www.dtic.mil/whs/directives/corres/pub1.h http://www.esd.whs.mil/Directives/iss http://www.apd.army.mil/ProductMaps/PubForm/

Uncleared Contractors

AR 190-13

The Army Physical Security Program

02/25/2011 Mandatory http://www.apd.army.mil/ProductMaps/PubForm/ AR.aspx

Homeland Security Presidential Directive

(HSPD)-12

Policy for a Common

Identification Standard for Federal Employees and

Contractors

08/27/2004 Mandatory https://www.dhs.gov/homeland-security-presidential-directive-12

DoDD 5400.11 Department of Defense

Privacy Program

10/29/2014 Mandatory http://www.dtic.mil/whs/directives/corres/dir.htm l#

DoD 5400.11-R Department of Defense

Privacy Program

05/14/2007 Mandatory http://www.dtic.mil/whs/directives/corres/pub1.h tml

DoDD 8140.01 Cyberspace Workforce

Management

08/11/2015 Mandatory http://www.dtic.mil/whs/directives/corres/dir.htm l

DoD 8570.01-M Information Assurance

Workforce Improvement Program

12/19/2005 (Change 4:

11/10/2015)

Mandatory http://www.dtic.mil/whs/directives/corres/pub1.h tml

AR 25-2

Information Assurance

10/24/2007 Mandatory http://armypubs.army.mil/ProductMaps/PubForm /AR.aspx

AR 530-1

Operations Security

09/26/2014 Mandatory http://armypubs.army.mil/ProductMaps/PubForm /AR.aspx

DoD 5220.22-M National Industrial Security Program Operating Manual

02/28/2006 (Change 2:

05/18/2016)

Mandatory http://www.dtic.mil/whs/directives/corres/pub1.h tml

AR 381-12

Threat Awareness and

Reporting Program (TARP) (Section II, ¶ 2-4.b)

06/01/2016 Mandatory http://armypubs.army.mil/ProductMaps/PubForm /AR.aspx

AR 40-501

Standards of

Medical Fitness

12/14/16 Mandatory http://www.apd.army.mil/Search/ePubsSearch /ePubsSearchForm.aspx?x=AR

AR 40-66

Medical Record

Administration and Health Care

06/17/08

Mandatory http://www.apd.army.mil/Search/ePu bsSearch/ePubsSearchForm.asp x?x=AR.

http://www.apd.army.mil/ProductMaps/PubForm/ http://www.dhs.gov/homeland-security-http://www.dhs.gov/homeland-security-http://www.dtic.mil/whs/directives/corres/dir.htm http://www.dtic.mil/whs/directives/corres/pub1.h http://www.dtic.mil/whs/directives/corres/dir.htm http://www.dtic.mil/whs/directives/corres/pub1.h http://armypubs.army.mil/ProductMaps/PubForm http://armypubs.army.mil/ProductMaps/PubForm http://www.dtic.mil/whs/directives/corres/pub1.h http://armypubs.army.mil/ProductMaps/PubForm http://www.apd.army.mil/Search/ePubsSearch http://www.apd.army.mil/Search/ePu

Documentation

AR 58-1 Management, Acquisition , and Use of

Motor Vehicles

04/03/2019 Mandatory https://armypubs.army.mil/ProductMap s/PubForm/Details.aspx?PUB_ID=100

AR 635-40

Physical Evaluation for Retention, Retirement, or

Separation

02/08/06

Mandatory http://armypubs.army.mil/Search/ePu bsSearch/ePubsSearchForm.asp x?x=AR

AR 525-13

Antiterrorism

12/09/2019 Mandatory http://armypubs.army.mil/ProductMaps /PubForm/AR.aspx

Executive Order on Combating Race and Sex

Stereotyping

09/22/2020 Mandatory https://www.whitehouse.gov/presidenti alactions/executive-order-combating-race-sexstereotyping/

6.1 Applicable Forms: Forms applicable to the PWS are listed below:

Form Date Website

DD 1172-2

Application for Identification Card/DEERS Enrollment

Mar 2017 http://www.dtic.mil/whs/directives/forms/index.htm

I-9 Employment Eligibility Verification

11/14/16 https://www.uscis.gov/sites/default/files/files/form/i-9.pdf

DD 441

Department of Defense Security

Agreement

Jan 2017 http://www.dtic.mil/whs/directives/forms/dd/ddforms0001- 0499.htm

DD 250

Material Inspection and Receiving

Report

Aug 2000 http://dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm

DD254

Department of Defense Contract Security Classification Specifica

APR 2018 https://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd0 254.pdf

SF 603

Medical Record - Dental

Oct http://www.gsa.gov/portal/forms/type/SF#1-1000

DD 2766

Adult Preventive and

Chronic Care Flowsheet

Mar http://www.dtic.mil/whs/directives/forms/dd/ddforms 2500- 2999.htm

DD2813

Active Duty/Reserve Forces

Dental Examination

Mar http://www.esd.whs.mil/Directives/forms/dd2500_2999/ http://armypubs.army.mil/Search/ePu http://armypubs.army.mil/ProductMaps http://www.whitehouse.gov/presidenti http://www.dtic.mil/whs/directives/forms/index.htm http://www.uscis.gov/sites/default/files/files/form/i-9.pdf http://www.uscis.gov/sites/default/files/files/form/i-9.pdf http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-http://dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm http://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd0 http://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd0 http://www.gsa.gov/portal/forms/type/SF#1-1000 http://www.dtic.mil/whs/directives/forms/dd/ddforms http://www.esd.whs.mil/Directives/forms/dd2500_2999/

TECHNICAL EXHIBIT 1: PERFORMANCE REQUIREMENTS SUMMARY

Performance Objective Performance

Standard Acceptable

Quality Levels

(AQL)

Surveillance Method / By Whom

5.1 Contractor shall maintain HIPAA

standards and guidelines.

The contractor shall maintain HIPAA standards and guidelines.

Zero failure to perform to the standards

COR will randomly monitor HIPAA compliance.

5.2.9 Contractor shall support Medical SRP events upon notification of upcoming mobilization

Coordinate details 90 calendar days prior to an event (no less than

180 days from deployment), with in progress review every

30 days.

No more than 1 instance of late coordination in a 3 month period. Zero failure to coordinate/support events.

COR will randomly monitor on monthly basis

5.2.5 Contractor shall support

coordination of care relating to health care benefits to include documentation and reporting process at other MTF’s.

Initiated cases within a 5 calendar day period following an event will be entered into the appropriate government electronic systems.

No more than 1 instance of late reporting in a 3 month period. No more than 1 instance of omitted response per month.

COR will randomly monitor on monthly basis

TECHNICAL EXHIBIT 2:

DELIVERABLES SCHEDULE

PWS deliverable Frequency Number of Copies

Medium/Format Submit to

1.4.3 Provide Quality Control Plan NLT 60 days post

contract award

N/A Digital .pdf format COR or designated representative

1.4.7.2 Complete a secret

clearance packet.

NLT 90 days post contract award.

N/A Digital .pdf format COR or designated representative

1.4.5.6.2 DoD IA Awareness

Training

Prior to issuance of network access and annually thereafter.

One Digital certificate .pdf format

COR or designated representative

1.4.7.1 HIPAA Training

Certificates 30 calendar days after contract commencement and annually thereafter.

Contractor to submit certificates of completion within 15 days…