Attachment 1 - PWS Health Economics Analysis Services.pdf

Performance-Based Work Statement Health Economics Analysis Services

Indian Health Service Service Area Adequacy and Referral Network Accessibility Study

PART 1

GENERAL INFORMATION

1. GENERAL: This is a non-personnel services contract to provide Health Economics Analysis Services.

The Government shall not supervise or control the contractor personnel performing the services herein. Such personnel shall be accountable solely to the Contractor, who in turn is responsible to the Government.

1.1 Description of Services/Introduction: The Contractor shall provide all personnel, management, software, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform Health Economics Analysis Services as defined in this Statement of Work, except for those items specified as Government-furnished property and services. The Contractor shall perform to the standards in this contract.

1.2 Background: The Indian Health Service (IHS) operates in a hybrid care model in which some services are provided directly through IHS, Tribal, and urban Indian facilities, while other services depend on Purchased/Referred Care (PRC) in the surrounding health care market. Standard network adequacy methods based only on provider counts and distance buffers do not adequately represent real-world access because they do not capture operational capacity, intermittent specialty coverage, travel burden, contract status, provider willingness to accept PRC terms, or the practical effects of PRC funding exhaustion.

The Service Area Adequacy and Referral Network Accessibility Study therefore requires a service-by-service, place-by-place economic assessment that can translate geographic access findings into budget-relevant decisions. The Health Economist will convert accessibility, capability, and demand findings into make-or-buy decisions, including when it is more rational to expand direct capacity, when to strengthen referral networks, and when to recommend alternatives such as itinerant/mobile services, telehealth, or other implementation strategies.

Government-furnished study materials and relevant peer-reviewed health economics literature indicate that equalizing nominal access alone may not eliminate disparities if continuity of care, patient burden, follow-through, or treatment adherence remain barriers. Accordingly, the economic framework under this contract shall distinguish nominal availability from likely realized benefit and shall avoid recommendations based solely on listed capacity or provider counts.

1.3 Objectives:

• Supply 100 percent of contract deliverables within the contract period according to the agreed schedule.

• Work with Government-furnished utilization, expenditure, referral, and geographic data in a safe and secure manner, protecting privacy and sensitive information.

• Develop service-specific economic models that compare direct care expansion, PRC reliance, and other practical interventions across approved geographic units.

• Estimate break-even thresholds and comparative costs for closing access gaps by service category, service unit, Tribal catchment area, community, or other Government-approved geography.

• Incorporate travel burden, PRC reliability, implementation feasibility, cultural safety, continuity, trust, and other non-price considerations into the recommendation framework.

• Produce leadership-ready decision support products, including a gap analysis matrix, prioritized actions, and supporting technical documentation.

• Provide technical assistance and explain methods, code, assumptions, and results in clear and reproducible terms.

PWS - Health Economics Analysis Services

1.4 Scope: Services under this contract include economic study design, demand characterization, cost taxonomy development, comparative cost analysis, PRC scenario economics, break-even modeling, budget-constrained prioritization, sensitivity analysis, and production of reports, workbooks, technical appendices, and presentation materials. The contract supports the IHS Service Area Adequacy and Referral Network Accessibility Study and shall cover primary care, emergency access, behavioral health, dental, endocrinology/diabetes, nephrology/dialysis, rheumatology, and other service categories approved by the Government.

The Health Economist shall coordinate closely with the companion GIS effort and shall use Government-furnished geographic outputs such as travel-time matrices, accessibility indices, facility capability data, PRC scenario layers, and location-allocation results as core inputs to the economic model. The Contractor shall also use Government-furnished utilization, diagnosis, expenditure, and operational data and may recommend additional external data sources, subject to Government approval and licensing constraints.

This is a study-specific contract. The work is not intended to create a standing recurring operational support function. The resulting analytical products shall be reusable by the Government after contract completion.

1.5 Period of Performance: The period of performance shall be for one (1) base year of 12 months from the date of award, four (4) option years, and one six-month extension for services in accordance with RFO 52.217-8, Option to Extend Services.

1.6.1 Recognized Holidays: No work is expected on weekends or on the following Federal holidays unless specifically authorized by the Government:

• New Year's Day, January 1

• Martin Luther King Jr. Day, 3rd Monday in January

• Presidents Day, 3rd Monday in February

• Memorial Day, Last Monday in May

• Juneteenth National Independence Day, June 19

• Independence Day, July 4

• Labor Day, 1st Monday in September

• Columbus Day, 2nd Monday in October

• Veterans Day, November 11

• Thanksgiving Day, 4th Thursday in November

• Christmas Day, December 25

1.6.2 Availability for Coordination: The Contractor shall be reasonably available for scheduled meetings, technical coordination, and issue resolution during core Government business hours, 9:00 AM to 3:00 PM Eastern Time, Monday through Friday, excluding Federal holidays and Government-directed facility closures. Except for scheduled meetings, system access windows, and deliverable due dates, the Contractor determines its own work schedule, sequence of performance, and level of effort. The Government does not prescribe hours of work and shall not supervise contractor personnel, consistent with FAR 37.104.

1.6.3 Place of Performance: The work under this contract will be performed virtually.

1.6.4 Type of Contract and Pricing Structure: The Government will award a firm-fixed-price (FFP) contract. The fixed price shall be allocated across priced contract line items (CLINs), with each CLIN payable upon Government written acceptance of the associated deliverable in Technical Exhibit 1. Offerors shall not price this requirement on a level-of-effort or hourly basis.

1.6.5 Deliverables: Please send all deliverables electronically to the Contracting Officer's Representative (COR), the designated program lead, and any additional Government recipients identified at post-award.

1.6.6 Security Requirements: All users given access to IHS systems containing individually identifiable health information, sensitive procurement information, or predecisional study materials must sign an agreement stating they will comply with IHS rules for the use of computer resources and the handling of sensitive information. Contractor personnel shall complete all required information security and privacy training before access is granted, shall execute nondisclosure documentation as required, and shall comply with any Business Associate Agreement, Data Use Agreement, or similar instrument applicable to the furnished data.

1.6.7 Physical Security: The Contractor shall safeguard all Government equipment, information, and property provided for contractor use. Any operator of Government-furnished equipment must be eligible to obtain and retain the required access credentials, including a background check and PIV card if applicable.

Government equipment and materials shall be secured at the close of each work period.

1.6.8 Special Qualifications: The Contractor is responsible for ensuring that all assigned personnel possess and maintain current status for all Government-required training relevant to this effort, including privacy, security, and any program-specific onboarding requirements.

1.6.9 Post-Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post-award conference convened by the contracting activity or contract administration office. The Contracting Officer, COR, and other Government personnel may meet periodically with the Contractor to review performance, discuss risks, clarify technical requirements that are within scope, and resolve issues. Such meetings shall be held virtually unless otherwise directed and shall be at no additional cost to the Government.

1.6.10 Contracting Officer's Representative (COR): A separate letter will identify the COR. The COR will monitor technical performance, coordinate Government-furnished information, and provide technical direction that is within the scope of the contract and has no funding implication. The COR is not authorized to change the terms and conditions of the resulting contract.

1.6.11 Key Personnel: The Contractor shall provide one senior individual who serves as Lead Health Economist and may also serve as project manager for this requirement. Because the study is designed around a single independent expert, substitute personnel may not be used without prior written approval of the Contracting Officer. To preserve independence and study focus, the Contractor shall disclose any concurrent assignment of the lead individual as key personnel on another IHS contract and shall submit a mitigation plan describing how the Contractor will ensure availability and impartiality. The Contracting Officer may direct reasonable mitigation but shall not exclude the individual solely on the basis of concurrent assignment.

1.6.11.1 Qualifications: The Government considers one Lead Health Economist / Project Manager to be key personnel under this contract.

• Possession of an advanced degree in health economics, economics, public health, health services research, or a related field; a doctorate is preferred, and a master's degree with substantial directly relevant experience is acceptable.

• At least five (5) years of demonstrated experience in health economics, cost analysis, budget impact analysis, cost-effectiveness or cost-consequence analysis, or other decision-analytic work directly relevant to health services delivery.

• Demonstrated experience working with utilization, spending, referral, claims, encounter, or comparable health system data and translating those data into decision-ready findings for leadership audiences.

• Demonstrated proficiency in at least one major analytic environment such as R, Stata, SAS, Python, or a comparable tool, plus expert use of Excel or an equivalent workbook environment for transparent decision models.

• Demonstrated ability to integrate non-price considerations such as feasibility, continuity of care, patient burden, cultural context, and equity into economic recommendations.

• Experience with rural access, Tribal health systems, Federal health programs, or PRC-like referral systems is preferred but not mandatory.

1.6.12 Identification of Contractor Employees: All contract personnel attending meetings, answering Government telephones, or working in other situations where their contractor status is not apparent to third parties shall clearly identify themselves as contractor personnel. Documents, reports, maps, workbooks, and code produced under this contract shall be marked or otherwise disclosed as contractor products when appropriate.

1.6.13 Contractor Travel: No routine contractor travel is anticipated under this contract. Travel, if any, shall be limited to obtaining a PIV card, data onboarding, or Government-approved site visits or validation meetings and must be approved in advance in writing by the Contracting Officer.

1.6.14 Other Direct Costs: Other direct costs are not assumed under this FFP effort. Any proposed travel, special software procurement, or commercial dataset acquisition outside the fixed-price scope must be specifically preapproved in writing by the Contracting Officer before the cost is incurred.

1.6.15 Data Rights: The Government shall acquire unlimited rights, as defined at FAR 27.401, in all data first produced in the performance of this contract, including documents, work papers, maps, scripts, source code, models, workbooks, and metadata. FAR 52.227-14, Rights in Data—General, including Alternate IV, shall be incorporated in the resulting contract, and the Contractor shall assign copyright in all data first produced under this contract to the Government. The Contractor shall not use, sell, publish, or disclose any deliverable outside contract performance without the prior written permission of the Contracting Officer. The Contractor shall identify and mark any limited rights data or restricted computer software prior to delivery, and shall not embed such material in a deliverable without prior written approval.

1.6.16 Organizational Conflict of Interest: The Contractor shall avoid, neutralize, or mitigate organizational conflicts of interest in accordance with FAR subpart 9.5. Because this study may inform subsequent IHS investment or acquisition decisions, the Contractor shall disclose any interest in entities that could foreseeably compete for or benefit from work recommended by this study. The Contracting Officer may require conflict-of-interest disclosures or mitigation plans if other work performed by the Contractor could affect, or appear to affect, the impartial performance of this study.

1.6.17 Performance Standards and Acceptable Quality Levels:

In accordance with FAR 37.601(b)(2), the Government will assess performance against the following measurable standards. Surveillance shall be by 100 percent inspection of scheduled deliverables and by periodic review of the assumptions register, recorded by the COR under a Quality Assurance Surveillance Plan.

• Timeliness — 100 percent of scheduled deliverables received on or before the date in Technical Exhibit 1, or on a date approved in advance in writing by the Contracting Officer.

• Completeness — each deliverable includes every component listed for it in Part 5, including code, assumptions register, and limitation log, at first submission.

• Reproducibility — 100 percent of delivered models and code execute to completion from documented inputs by Government staff without Contractor intervention.

• Analytic traceability — every quantitative finding in a decision package traces to a documented data source, method, and assumption; no more than one traceability defect per deliverable on Government review.

Responsiveness — 95 percent of Government technical inquiries acknowledged within two (2) business days and substantively answered within five (5) business days.

Deliverables not meeting these standards are defective and shall be corrected at no additional cost to the Government within ten (10) business days of written notice. Where a Government-directed change alters the requirement rather than correcting a Contractor defect, the change shall be processed by the Contracting Officer and may warrant an equitable adjustment.

Deliverable dates in Technical Exhibit 1 shall allow the Government to inspect, and the Contractor to correct, within the period of performance. The final decision support package is currently due at 52 weeks after date of contract, which is the last day of a 12-month period of performance and leaves no time for acceptance; it should be rescheduled to no later than 48 weeks after date of contract.

1.6.18 Inspection and Acceptance:

The Government shall inspect each deliverable and issue written acceptance or written notice of specific deficiencies within fifteen (15) business days of receipt. A deliverable not acted upon within that period shall be deemed accepted for purposes of invoicing. Payment of the associated CLIN is earned upon written acceptance.

1.6.19 Government-Furnished Information Schedule and Dependency Relief:

The Government shall furnish the data, geographic outputs, and approvals identified in Part 3 in accordance with a Government-Furnished Information schedule to be finalized at the post-award conference and incorporated by modification. The Contractor's deliverable dates are conditioned on timely receipt of that information. If Government-furnished information, including companion GIS outputs produced under a separate effort, is delivered later than the agreed date, the Contractor shall promptly notify the Contracting Officer in writing, and the Contracting Officer shall consider a schedule extension and, where warranted, an equitable adjustment.

1.6.20 Section 508 Accessibility:

All electronic deliverables, including reports, workbooks, slide decks, and technical appendices, shall conform to the applicable Revised Section 508 Standards (36 CFR part 1194) as required by 29 U.S.C. 794d.

The Contractor shall provide an Accessibility Conformance Report on Government request.

1.6.21 Contractor Information System Security:

Where the Contractor processes, stores, or transmits Federal contract information on a contractor information system, the Contractor shall apply the safeguarding requirements of FAR 52.204-21 and shall handle controlled unclassified information in accordance with 32 CFR part 2002 and applicable HHS policy.

Suspected incidents shall be reported to the Contracting Officer and the IHS incident response capability within one (1) hour of discovery.

1.6.22 Tribal Data Governance and Predecisional Materials:

The Contractor shall handle all study materials as predecisional and procurement-sensitive and shall not release, publish, or present any finding, intermediate result, or dataset outside the Government without the prior written approval of the Contracting Officer. The Contractor shall comply with any Tribal review, consultation, or data-sharing conditions identified by the Government under Section 3.1, including restrictions on the presentation of small-cell or community-identifiable results.

1.6.23 Transition-Out and Data Disposition:

No later than thirty (30) days before the end of the period of performance, the Contractor shall deliver a transition-out package containing all models, workbooks, code, documentation, and the assumptions register in a form sufficient for Government staff to rerun and update the analysis without Contractor assistance.

Within fifteen (15) days after contract completion, the Contractor shall sanitize or return all Government data in its possession and furnish the Contracting Officer a written certificate of destruction or return.

PART 2

DEFINITIONS & ACRONYMS

2.1 Definitions:

• Direct Care: Services delivered through IHS, Tribal, or urban Indian facilities rather than purchased externally through referral.

• Purchased/Referred Care (PRC): The IHS mechanism through which authorized covered services may be obtained from non-IHS providers when the service is not available directly and other applicable requirements are met.

• Effective Availability: The realized ability of a population to obtain a service after considering operational capacity, travel burden, contract status, provider willingness, referral history, and funding reliability.

• Make-or-Buy Analysis: A structured comparison of the marginal cost, feasibility, and expected benefit of expanding direct care capacity versus continuing or expanding reliance on PRC and other external arrangements.

• Realized Benefit: The likely value of an access option after considering not only nominal availability, but also continuity, patient burden, follow-through, adherence risk, and practical implementation constraints.

• Service Unit / Tribal Catchment Area: A Government-approved geographic unit used for analysis, reporting, and prioritization under this study.

2.2 Acronyms:

Acronym Meaning

AI/AN American Indian / Alaska Native COR Contracting Officer's Representative DUA Data Use Agreement FFP Firm Fixed Price GIS Geographic Information System IHS Indian Health Service NDW National Data Warehouse or other Government-furnished utilization source PRC Purchased/Referred Care QA Quality Assurance SOW Statement of Work

PART 3

GOVERNMENT-FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3.1 Services: The Government will provide the study purpose, decision questions, approved service categories, approved geography definitions, business rules, and access to appropriate program contacts needed for performance of the work.

The Government will provide, as available and authorized, utilization, diagnosis, referral, expenditure, facility capability, and companion GIS outputs required for the analysis, along with relevant study templates and reporting expectations.

The Government will identify Tribal review and sharing requirements applicable to the study outputs.

3.2 Facilities: The Government will provide virtual meeting space and, if needed, access to Government collaboration platforms for routine coordination and technical review.

3.3 Equipment: The Government may furnish secure access tools, including a laptop, secure virtual environment, IHS network access, or an ihs.gov email account when the sensitivity of the data or information security requirements make those tools necessary.

3.4 Materials: The Government will provide the study summary, approved decision questions, facility capability information, PRC policy and operational information needed for interpretation, templates for reporting, and any other standard operating procedures applicable to the contract.

The Government may also provide or approve use of commercial or external datasets, subject to funding availability, licensing, and data governance requirements. If such datasets are unavailable or cost-prohibitive, the Government will review proposed substitutes and any associated limitations.

PART 4

CONTRACTOR-FURNISHED ITEMS AND SERVICES

4.1 General: The Contractor shall furnish all software, office supplies, telecommunications, analytical tools, project management support, secure storage for intermediate products, and other items necessary to perform the work under this contract that are not specifically listed as Government furnished.

The Contractor shall maintain version control and orderly documentation for models, workbooks, code, assumptions, and memoranda developed under this effort.

4.2 Nondisclosure Agreement: The Contractor shall provide the names of all personnel with access to Government-furnished data and certify that required nondisclosure documentation has been completed.

4.3 Equipment: The Contractor shall furnish contractor-owned computing equipment for all work not required to be performed on Government-furnished equipment.

4.4 External Data Recommendations: The Contractor may recommend additional federal, commercial, or literature-based inputs when they materially improve the study. No external dataset shall be purchased, licensed, or used for contract performance without Government approval and confirmation that the use is legally and operationally permissible.

PART 5

SPECIFIC TASKS

5.1 General: The Contractor shall work independently and not as an agent of the Government. The Contractor shall furnish all necessary qualified personnel, materials, equipment, software, and facilities not otherwise provided by the Government to perform the tasks described below.

5.1.1 Work with the Secure Analytic Environment: The Contractor shall access Government-furnished data through approved secure systems and shall develop Government-readable work products using R, Stata, SAS, Python, Excel, or comparable tools approved by the Government.

5.1.2 Kickoff and Analytic Work Plan: Within fifteen (15) business days after award, the Contractor shall submit a detailed work plan that describes the analytic sequence, dependencies on companion GIS outputs, data needs, assumptions register structure, and proposed approach for presenting decisions to leadership.

5.1.3 Decision Framework Design: The Contractor shall develop a conceptual and operational economic framework that distinguishes nominal access, realized access, and likely realized benefit. The framework shall support study decisions regarding direct capacity expansion, PRC reinforcement, itinerant/mobile services, telehealth, and other practical interventions.

5.2.1 Demand Characterization: The Contractor shall build or refine service-specific demand estimates by approved geography using age and sex adjustment, AI/AN-relevant burden patterns, comorbidity-driven need, utilization history, and other Government-approved methods where methodologically justified.

• Demand estimation shall be structured so that specialty deserts are not masked by aggregate totals.

• Where the Government determines that unmet demand can be estimated credibly, the Contractor shall document the method and resulting uncertainty.

5.2.2 Data Assembly and Cost Taxonomy: The Contractor shall assemble the analytic datasets and define a transparent cost taxonomy for direct care and PRC options.

• Direct care cost elements shall include, as applicable, staffing, recruitment feasibility, equipment, clinical space, clinic hours, startup costs, and recurring operating costs.

• PRC cost elements shall include, as applicable, referral expenditures, contract terms, referral administration burden, provider willingness constraints, patient travel or lodging burden where relevant, and the operational implications of funding exhaustion.

5.2.3 PRC Effective Availability and Scenario Economics: The Contractor shall translate Government-approved PRC availability rules into economic scenarios and shall model at least two scenarios: (A) PRC available with realistic availability modifiers and (B) PRC constrained or exhausted.

• Scenario outputs shall be decision-relevant across the fiscal year rather than limited to a single point-in-time assumption.

• The Contractor shall document how contract status, provider willingness, referral history, and funding reliability affect the economic interpretation of apparent network supply.

5.2.4 Make-or-Buy Decision Model: The Contractor shall compare the marginal cost, feasibility, and expected benefit of expanding direct services against continued reliance on PRC by service category and geography (E2SFCA accessibility modeling, network travel-time, location-allocation) and shall identify break-even thresholds where direct investment becomes the more rational strategy.

• The model shall be able to use GIS accessibility outputs as direct inputs rather than rely only on descriptive narrative.

• Recommendations shall distinguish between one-time capital or startup actions and recurring operating commitments.

5.2.5 Budget-Constrained Prioritization: The Contractor shall evaluate candidate investments under budget constraints and shall rank interventions by expected system benefit, implementation practicality, and urgency.

• The prioritization approach shall support leadership questions about which communities are lowest access by service category and which communities are multiply disadvantaged across several categories.

• Where appropriate, the Contractor shall use or interpret location-allocation results furnished by the GIS effort to test the marginal value of proposed capacity additions.

5.2.6 Realized Benefit and Patient-Burden Adjustment: Where methodologically justified and supported by data or literature, the Contractor shall account for continuity of care, patient burden, follow-through or adherence risk, and similar factors so that the model does not equate listed capacity with realized value.

• This task shall be documented transparently and shall not overstate causal certainty when the evidence is indirect.

• The Contractor shall avoid recommendations that are framed as purely economic optimization without attention to sovereignty, cultural safety, trust, and continuity considerations.

5.2.7 Recommendation Development: The Contractor shall prepare decision packages with prioritized actions and clear rationale.

• Decision packages shall compare direct care expansion, PRC contracting or referral reinforcement, itinerant or mobile services, telehealth, and other feasible interventions identified during the study.

• Each recommendation shall identify the geography affected, service category, expected benefit, key assumptions, and principal implementation risks.

5.2.8 Sensitivity and Uncertainty Analysis: The Contractor shall test the sensitivity of the results to key modeling assumptions.

• Sensitivity analyses shall address at least PRC reliability, travel burden inputs received from the GIS effort, utilization forecasts, staffing feasibility, and the availability or substitution of commercial datasets.

• The Contractor shall maintain an assumptions register and limitation log and shall explain how those items affect the interpretation of study findings.

5.2.9 Technical Assistance: The Contractor shall provide technical assistance regarding code, algorithms, workbooks, methods, interpretation, and revisions needed to answer questions from the Government.

5.3 Data and Code Transfers: Provision of code, lookup tables, workbooks, draft files, final deliverables, and supporting documentation shall be accomplished through uploads to the secure Government environment or another Government-approved secure transfer method.

5.4.1 Monthly Project Status Report: The Contractor shall provide a written monthly report to the COR summarizing progress, issues, risks, dependencies, actions due from the Government, and the status of each scheduled deliverable.

5.4.2 Interim Memoranda and Briefings: The Contractor shall provide up to four ad hoc memoranda or briefing packages on special topics or emerging decision questions identified by the Government during the period of performance.

5.4.3 Final Economic Decision Support Package: The Contractor shall provide a final report package that includes a leadership-ready memorandum, slide deck, economic workbook or model, technical appendix, code, assumptions register, sensitivity analysis summary, and a gap analysis matrix suitable for Government reuse and presentation.

PART 6

APPLICABLE PUBLICATIONS

6.1 Applicable Publications and Policies: The Contractor shall abide by all applicable IHS, HHS, and Federal policies, manuals, and procedures relevant to data security, privacy, procurement sensitivity, and health services analysis support.

• Government-furnished study materials describing the Service Area Adequacy and Referral Network

Accessibility Study purpose, decision questions, and layered methodology.

• Government-furnished study questions and related internal memoranda that further define the make-or-buy, PRC reliability, and prioritization decisions to be answered by this study.

• Applicable IHS policy and operational guidance relevant to PRC, service delivery, data governance, and the communication of predecisional findings.

• Government-furnished peer-reviewed health economics literature relevant to realized access, continuity, follow-through, and the difference between nominal access and realized benefit, as directed by the Government.

PART 7

TECHNICAL EXHIBIT 1

DELIVERABLES SCHEDULE

Deliverable Reference Frequency Due Date Duration Submit To

Kickoff work plan, dependency map, and analytic framework memorandum

5.1.2-5.1.3 One time 4 weeks after date of contract

4 weeks COR

Demand characterization and cost taxonomy memorandum

5.2.1-5.2.2 One time 10 weeks after date of contract

10 weeks COR

Draft PRC scenario economics and make-or-buy model

5.2.3-5.2.4 One time 20 weeks after date of contract

20 weeks COR

Interim prioritization memorandum and leadership briefing

5.2.5-5.2.7 One time 32 weeks after date of contract

32 weeks COR

Draft final economic decision support package 5.2.4-5.2.8, 5.4.3

One time 44 weeks after date of contract

44 weeks COR

Final economic decision support package and transfer of code/workbooks

5.2.1-5.4.3 One time 48 weeks after date of contract

48 weeks COR

Monthly status reports, ad hoc memoranda, and technical assistance

5.2.9, 5.4.1- 5.4.2

Monthly / as needed

As requested by Government

Throughout

POP

COR