Attachment A - PWS.pdf

Ver. January 2025

1.0 General:

PERFORMANCE WORK STATEMENT (PWS)

FOR

Individual Medical Readiness Services

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform Individual Medical Readiness (IMR) Services, as defined in this PWS.

1.2 Background: MIARNG's mission is to provide properly maintained and equipped units available for prompt mobilization for war, national emergency, or as otherwise needed. Our state mission is to provide trained and disciplined forces for domestic emergencies or as otherwise required by state law. The Office of the State Surgeon (OSS) supports these missions by achieving and sustaining a medically ready force.

The medical readiness standard is 90 percent, and dental readiness standard is 95 percent. MIARNG has over 8,000 service members (SMs) who require annual IMR services, of which 10% are deficient in one or more key medical readiness elements.

Approximately 1,000 of these SMs will require IMR services outside of annual Medical Readiness Events (MREs). These requirements are designed to be flexible, responsive, and meet the ever-evolving needs of the government.

1.3 Period of Performance (PoP): The Period of Performance shall be 12 months.

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide services between the hours of 0600-1800 on Sunday through Saturday, except 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 in multiple locations throughout Michigan, specifically in Calhoun, Crawford, Eaton, Ingham, Kalamazoo, Kent, Marquette, Washtenaw, and Wayne counties

The contractor shall at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. Teleworking is authorized.

1.4.1.1 Telework: The Government will permit the contractor to telework in support of this requirement. In furtherance of Continuity of Operations Planning (COOP), a telework program may be enacted to ensure that the Government's mission-critical operations stay operational during times of national emergency or incidents of national significance. Telework shall be at no additional cost to the Government.

W91JB26QA064 ATTACHMENT A

Total Pages: 30

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 from Government property or revoke access to Government systems 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 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 Juneteenth National Independence Day: June 19th

1.4.2.6 Independence Day: July 4th

1.4.2.7 Labor Day

1.4.2.8 Columbus Day

1.4.2.9 Veteran’s Day: November 11th

1.4.2.10 Thanksgiving Day

1.4.2.11 Christmas Day: December 25th

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).

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 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 Army (HQDA) and/or local policy (see PWS 6.0). 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 non-DoD 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 subcontractors 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 Attachment TBD, 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 National Guard Bureau (NGB) Personnel Security manager who will initiate the investigation process via 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 cards 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 e-mail 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 a Corporate 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. The contractor's FSO or contractor employee shall submit requests for a CAC via email to the designated TASS Trusted Agent (TA). The TASS TA for this requirement will be TBD.

2. 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 contractor’s FSO or contractor employee. The FSO or contractor employee shall access the TASS account and complete the CAC application (entering/editing contractor information as applicable) at: https://tass.dmdc.osd.mil/tass/. The contractor’s FSO or contractor employee shall follow up to ensure that the TA is processing the request.

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

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/).

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.

1.4.5.1.3 At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor employee by Social Security Number (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, pictures, and updates to DEERS, and will then issue a CAC. Issued CACs will be valid for no longer than three years, or until the individual's contract end date (inclusive of any options), whichever is earlier.

1.4.5.1.4 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.

1.4.5.1.5 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.

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

1.4.5.1.6 The contractor shall obtain Microsoft 365 outlook email address for each applicant, including subcontractors, who may be deployed or require logical access to a Government computer network.

1.4.5.2 For contractors that do not require a CAC: 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.

1.4.5.4 iWATCH: Reserved.

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). 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/).

https://jko.jten.mil/courses/atl1/launch.html https://atc.us.army.mil/iastar/docs/Training_BBP.pdf https://atc.us.army.mil/iastar/index.php

1.4.5.8 Information Assurance (IA) Training. Reserved. Reserved

1.4.5.9 Information Assurance certification: Reserved.

1.4.5.10 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.

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 within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm.

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 re-keying. 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 the 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: The contractor shall ensure all employees possess all required licenses for operating in the medical and dental professional fields. Current, unrestricted State of Michigan Medical License (MD/DO) or Dental License (DDS/DMD). All staff shall meet and provide proof of meeting all industry credentialing and licensing standards or accepted equivalence by the Michigan Board of Examiners.

Licenses shall be current, and valid, and shall not be suspended, restricted, or otherwise the subject of discipline.

1.4.7.1 NOTE: The Government does not provide training to contractors. Contractors must ensure that any personnel performing under a contract are fully trained, licensed, certified, and otherwise qualified to provide high quality services.

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 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.

1.4.8.1 The contractor shall attend the Post Award Conference in person at a location determined by 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, photo 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.

1.4.12.1 The contractor shall travel to Calhoun, Crawford, Ingham, Jackson, Kalamazoo, Kent, Washtenaw, and Wayne counties during the performance of this contract to attend IMRs events. A schedule of events shall be provided by the OSS once it is available. Travel expenses are reimbursable from Lansing, MI to the duty location only.

1.4.12.2 No travel is authorized nor shall be reimbursed without prior approval. The contractor will be authorized travel expenses consistent with the substantive provisions of the Joint Travel Regulation (JTR) and the limitation of funds specified in this contract.

Availability of funds shall be verified by the Contractor prior to travel request. The COR may authorize travel if fully funded travel CLIN exists, and funding is validated prior to travel arrangements being made.

1.4.12.3 The contractor will be reimbursed for travel and per diem expenses as specifically authorized in the contract IAW JTR as applicable from FAR 31.205-46 for locality per diem rates. Charges shall not exceed those stipulated in the JTR, unless documented by conditions listed in FAR 31.205-46, Travel Costs and approved by the

COR.

1.4.12.4 Travel estimates shall contain at a minimum the following information: dates, duration, origin and destination, and estimated costs for the person traveling. Travel actual expenses (settlements) will be approved by the COR prior to submission with invoice. A copy of the settlement approval shall be provided with the invoice. All invoices shall reflect the contractor’s actual travel expense and travel expense receipts submitted with the invoice in Wide Area Work Flow (WAWF). No G&A or profit will be paid on these actual travel expenses.

1.4.12.5 Non-exempt employees shall be paid for actual travel time IAW Department of Labor (DOL) requirements and using the same criteria as for Government personal traveling under the same circumstances.

1.4.13 Data Rights: The Government has unlimited rights to all documents/materials produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

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: To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the contractor shall have personnel on board during the 60-day phase in/ phase out periods. During the phase in period, the contractor shall become familiar with performance requirements in order to commence the full performance of services on the contract start date.

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 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.3 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.4 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

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

2.1.6 Quality Assurance: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

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

2.1.8 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service shall meet contract requirements.

2.1.9 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.10 Medical: this inclusive definition encompasses dental, hearing and vision.

2.1.11 Medical Readiness Event (MRE): this inclusive definition encompasses annual MREs, Soldier Readiness Programs, Recruiting and Retention in-processing, and medical clinics.

2.1.12 Army Medical Websites: Secure web-based systems, including its applications, used for medical readiness management, data entry, and records maintenance.

2.1.12.1 Medical Operational Data System (MODS): manage Army Medical Department (AMEDD) Human Resources (HR), logistics, education, manpower, and medical readiness.

2.1.12.2 Medical Electronic Data Care History and Readiness Tracking (MEDCHART):

manage Individual Medical Readiness (IMR), dental readiness and case management.

2.1.12.3 Medical Readiness Classes (MRC).

2.1.12.3.1 MRC 1: Fully Medically Ready.

2.1.12.3.2 MRC 2: Partially Medically Ready.

2.1.12.3.3 MRC 3: Deployable/Non-Deployable.

2.1.12.3.4 MRC 4: Medical Readiness Indeterminate.

2.1.12.4 Military Health System (MHS) GENESIS: provides access to Electronic Health Records (EHR) and current medical and dental information.

2.1.12.5 Reserve Health Readiness Program (RHRP): IMR, Dental Readiness, and deployment services for service members geographically remote from military treatment facilities.

2.1.13 Medical Evaluation Board (MEB): process designed to determine whether a Service member's long-term medical condition enables him/her to continue to meet medical retention standards. This inclusive definition “Medical Evaluation Boards” includes:

2.1.13.1 Army Recovery Care Program (ARCP): transitions soldiers back to the force and/or to Veteran status, through a comprehensive program of medical treatment management.

2.1.13.2 Disability Evaluation System (DES): reviews Soldiers with a service-connected injury, illness, or disease who have reached optimal medical care, but will not meet retention standards, for either retention or medical discharge

2.1.13.3 Incapacitation Pay (INCAP): provides pay to Soldiers fit for duty with income loss due to a medical condition incurred or aggravated in the line of duty.

2.1.13.4 Integrated Disability Evaluation System (IDES): disability evaluation process used to determine if wounded, ill, or injured Service members are fit for duty.

2.1.13.5 Line of Duty (LOD): determination is an administrative tool for determining a Soldier's duty status at the time of injury, illness, disability, or death.

2.1.13.6 Military Occupational Specialty Administrative Retention Review (MAR2):

process to identify Soldiers with medical limitations and require an administrative review to determine if the Soldier meets their Job Code standards.

2.1.13.7 Non-duty Related Physical Evaluation Board (NDR-PEB): medical disqualification appeal for Soldiers who feel they can continue service with limitations.

2.1.14 Individual Medical Readiness elements: Periodic Health Assessment (PHA), deployment-limiting conditions (profile), dental, immunizations, laboratory testing, individual medical equipment, hearing, and vision.

2.1.14.1 PHA: annual readiness assessment with a standardized question set designed to; assess the medical readiness of Soldiers, provide preventive health screening, identify duty limiting and deployment-limiting (DL) conditions and determine if further health evaluation is indicated.

2.1.14.2 DL condition (profile): a condition or conditions that prevent deployment or restrict duties, either temporarily or permanently.

DL1: Temporary condition that keeps an SM from being deployable for greater than 30 days.

DL2: Dental Readiness Class 3.

DL3: Pregnancy and post-partum.

DL4 – DL7: Permanent profile codes.

2.1.14.3 Dental: annual dental examinations to assess the current state of oral health, and risk for future oral disease and x-rays.

2.1.14.4 Immunizations: routine adult and theater specific immunizations.

2.1.14.5 Laboratory testing: Deoxyribonucleic Acid, Human Immunodeficiency Virus, Sickle Cell Trait, and G6PD specimen collection.

2.1.14.6 Individual Medical Equipment: SM’s personal medical equipment required to be on hand for deployment, such as eyeglasses and mask inserts, medical warning tags, and hearing aid with batteries.

2.1.14.7 Hearing: annual audiogram to detect early hearing loss and identify impairments.

2.1.14.8 Vision: annual eye exam to determine visual acuity and prescriptions for corrective lenses, monitor changes in eyesight, and detect eye disease or injury.

2.1.15 Physicals: nonrecurring medical exams to determine if SM is fit to join or remain in the military, attend a specialty school, and to document medical status upon separation.

2.2 2Acronyms:

AEI Army Enterprise Infostructure

AR Army Regulation

AT/OPSEC Antiterrorism/Operational Security

BI Background Investigation

CM Contract Manager

COR Contracting Officer Representative

DA Department of the Army

DFARS Defense Federal Acquisition Regulation Supplement

DoD Department of Defense

FAR Federal Acquisition Regulation

GFP/M/E/S Government Furnished Property/Material/Equipment/Services

HQDA Headquarters, Department of the Army

HR Human Resources

HSPD Homeland Security Presidential Directive

IA Information Assurance

IAW In Accordance With

IS Information System(s)

KO Contracting Officer

NGB National Guard Bureau

OCI Organizational Conflict of Interest

PII Personally Identifiable Information

PIPO Phase In/Phase Out

POC Point of Contact

PRS Performance Requirements Summary

PWS Performance Work Statement

QA Quality Assurance

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Program

SCR Service Contract Reporting

SS2N Social Security Number

TE Technical Exhibit

USD(I) Under Secretary of Defense for Intelligence

DRC Dental Readiness Class eCase electronic Case Management

HIPAA Health Insurance Portability and Accountability Act

HRC Hearing Readiness Class

HRR Health Readiness Record

IMR Individual Medical Readiness

MEB Medical Evaluation Board

MED DET Medical Detachment

MEDCHART Medical Electronic Data Care History and Readiness Tracking

MEDPROS Medical Protection System

MHS Military Health System

MR Medical Readiness

MRC Medical Readiness Class

MS Microsoft

MSC Major Subordinate Command

OSS Office of the State Surgeon

RHRP Reserve Health Readiness Program

SM Service Member

VRC Vision Readiness Class

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, and a government facility with sufficient space to set up MRE equipment and supplies, and parking area for mobile clinics.

3.2 Material: Reserved.

3.3 Equipment: Reserved.

3.4 Service: 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 at the agreed upon Price List.

4.2 Security Facility Clearance. Reserved.

4.3 Contractor Security Clearance. Reserved.

4.4 The contractor shall conduct IMR services using a combination of mobile medical practices, and professional quality portable equipment to be used inside government facilities. The contractor shall provide maintenance equipment and parts to service radiograph machines.

4.4.1 Mobile Medical Practices shall:

4.4.1.1 Meet Occupational Safety and Health Administration (OSHA) and Health Insurance Portability and Accountability Act (HIPAA) and Privacy Act standards to ensure a safe and productive workspace for provision of contracted services.

4.4.1.2 Be a fully functional workspace to conduct each IMR service requested in the event workspace is unavailable inside government facilities.

4.4.1.3 Be equipped and private medical exam rooms, designated vital signs area, optometry area, lab with eyewash stations, dental room with radiation shielding, biohazard-separated work areas, and hearing station.

4.4.1.4 Provide protection from the weather elements and provide climate control.

4.4.1.5 Comply with OSHA Standards Emergency Action Plans, (1910), Subpart E, e- CFR, Means of Egress. The Contractor shall have a safety program including equipment training, occupational safety, health, and fire protection guidance to ensure the protection and health of all work personnel.

4.4.2 Electronic equipment and systems.

4.4.2.1 Computers capable of real-time, Point of Service in-processing and out-processing, and data entry into Army Medical Websites, including the Medical Operational Data System (MODS) and Medical Electronic Data Care History and Readiness Tracking (MEDCHART) and their applications.

4.4.2.2 Enterprise System that is client accessible to obtain operational details and reports before, during and after events.

4.5 Contractor equipment shall be set up and fully functional prior to the event starts and removed within one day after the event. The Contractor shall have a plan of action in the event of any equipment malfunction to maintain continuous operations throughout scheduled service time. Services not provided due to equipment malfunction shall not be charged to the Government. Equipment setup and breakdown is the sole responsibility of the Contractor.

5.0 The Contractor shall complete all services required in this PWS in accordance with applicable regulations and policies. Data entry and reports shall be accurate and completed within the timelines set in this PWS. Medical and dental staff shall be on-site while performing IMR services except for virtual PHAs and service scheduling and reporting.

5.1 The Contractor shall be prepared to provide IMR services as needed for SRP events, First Formations and/or Mass Medical Readiness Events. Medical services include Dentists to provide dental examinations, Optometrist to conduct eye exam and prescriptions, hearing trailer, hearing admin assistants for DOEHR entry, audiologist to conduct CAE and MOHT exams, dental treatment capability, medical admin assistants to conduct vital screening, lab draw, and immunization support.

5.1.1 First Formation Support. First formation is a medical readiness event focused on readiness for RSP Soldiers returning from AIT and preparing for their first unit of assignment. First Formations are held one Friday of each month and consists of 100-130 Soldiers attending.

Contractor shall provide one Dentist, two Phlebotomist, one Provider to support this event.

They will conduct dental exams, blood draws, and PHA review and signature.

5.1.2 SRP Events. Contractor shall provide services on as needed basis and medical services will include Optometrist, Hearing exams. CAE, MOHT, and DOEHRs input capability, Dental treatment for identified DRC 3s, and phlebotomist as needed based on pax count and internal resource availability.

5.1.3 Mass Medical Events. These are mass medical readiness events and require augmentation by the contractor for IMR execution that MIARNG cannot internally resource. Requirements are the same as an SRP, Dental treatment capability, Dentist, hearing exam, booth, CAE, MOHT capability, Optometry services, phlebotomist and Provider support. Contractor should be prepared to support two events throughout the year.

5.1.4 Provide IMR services during emergency response mobilizations within 48 hours of notification; and

5.1.5 Conduct IMR services outside of MREs using Mobile Medical Readiness Teams.

5.2 Periodic Health Assessments (PHA). The Contractor shall:

5.2.1 Conduct medical evaluations, review Soldier self-reported health status and verify IMR metrics, accurately categorize SMs) into Medical Readiness Classes (MRC) and sign DD Form 3024 (Periodic Health Assessment). All PHAs shall be completed in MODS the day evaluation completed.

5.2.2 Conduct AR 40-501 Medical Fitness Standards Chapter Physicals.

5.2.3 Measure vitals including body temperature, pulse rate, respiration rate and blood pressure, and height and weight.

5.2.4 Verify SM’s individual medical equipment; 1 mask insert, 2 pairs of eyeglasses, military combat eye protection inserts, medical warning tags, and hearing aid with batteries.

5.2.5 Complete PHA virtually outside of MREs within two weeks of request.

5.2.6 Upload medical records into Army medical websites, provide medical records to the MR Team, and complete data entry within one week of completed services.

5.2.7 Conduct echocardiogram tests to determine if SM is at and increased risk for sudden, exercised or stress-induced cardiopulmonary dysfunction.

5.2.8 Conduct neurocognitive assessment testing using the DoD-designated tool, Automated Neuropsychological Assessment Metrics, to screen for cognitive changes.

5.3 Dental examinations. The Contractor shall:

5.3.1 Conduct annual dental examinations in accordance with AR 40-35 (Preventive Dentistry and Dental Readiness) to assess the current state of oral health and risk for future oral diseases. Identify conditions that may require treatment within 12 months and conduct hypertension screenings. Assess dental caries, tobacco, periodontal, oral cancer and orofacial injury risk assessments.

5.3.2 Accurately categorize SMs into Dental Readiness Classes (DRC) at the time of the exam.

5.3.3 Take digital bitewings and panoramic images when clinically indicated.

5.3.4 Complete DD 2813 Dental Examination Form, DA 5570E (Health Questionnaire for Dental Treatment), and Standard Form 603 (Health Record – Dental).

5.3.5 Enter data and upload digital bitewings and panoramic images, and documentation into DenClass the day services are provided.

5.4 Immunizations. The Contractor shall:

5.4.1 Administer routine adult and theater specific immunizations.

5.4.2 Adhere to OSHA and State and Federal Regulations for handling immunizations.

5.5 Phlebotomy and Laboratory Services. The Contractor shall:

5.5.1 Collect Deoxyribonucleic Acid, Human Immunodeficiency Virus, Sickle Cell Trait, and G6PD specimens.

5.5.2 Provide Onsite Rapid CLIA-waived laboratory testing with same day results for lipids, glucose, urinalysis, pregnancy, and hemoglobin/hematocrit. Notify the MR Team immediately of any results outside of range.

5.5.3 Collect specimens for laboratory testing and coordinate shipping through MR Team.

5.5.4 Adhere to CLIA regulations for processing specimens.

5.6 Audiometric evaluations. The Contractor shall:

5.6.1 Conduct Hearing Conservation Tests using American National Standards Institute certified and Defense Occupations and Environmental Health Readiness System (DOEHRS) compatible audiometry.

5.6.2 Accurately categorize SMs into Hearing Readiness Classes (HRC) at the time of the exam.

5.6.3 Conduct Military Occupational Hearing Tests (MOHT). Accurately categorize SMs into HRCs within one week of test results receipt.

5.6.4 Conduct DOEHRS data entry within two business days of test completion.

5.7 Visual Acuity Testing. The Contractor shall:

5.7.1 Conduct visual acuity testing and accurately categorize SMs into Vision Readiness Classes (VRC).

5.7.2 Conduct vision screening to include a Snellen test, including near acuity screening for SMs aged 45 or older.

5.7.3 Conduct screening to determine near and far vision measurements, refractions, pupillary distance for SMs requiring prescription lenses, and write accurate eyeglass prescriptions. Provide eyewear frame samples for SM selection and furnish prescriptions to the MR Team for ordering purposes.

5.7.4 Conduct cycloplegic eye exams and provide post procedure protective eyewear and instructions.

5.7.5 Conduct Tonometry testing.

5.7.6 Verify quantity and current prescription of required optical devices.

5.7.7 Complete DD 771 (Eyewear Prescription) and DA 7655 (Eye and Vision Readiness Summary).

5.8 Regulated Medical Waste. The Contractor shall:

5.8.1 Collect and dispose of regulated medical waste IAW Michigan Medical Waste Regulatory Act, Part 138 of the Public Health Code, 1978 PA 368.

5.9 Service Scheduling and Reporting. The Contractor shall:

5.9.1 Provide Scheduling Coordinator to schedule IMR services directly with units and out of the Office of the State Surgeon two days a week to work as the liaison between the OSS and contractor. Review IMR reports, make recommendations, and coordinate IMR services support.

5.9.2 Respond to service requests within two business days of request. The Government shall provide unit name, service date and location, byname roster with individual services requested.

5.9.3 Submit the initial IMR Services Report to the COR, OSS and MR Team within two business days of scheduling services. The report shall include unit name, service date and location, roster, confirmed services, and Contractor workspace and equipment requirements.

5.9.4 Submit updated IMR Services Reports to the COR, OSS and MR Team within two business days of each update.

5.9.5 Submit an employee roster on a separate sheet in the IMR Services Report within one week prior to start date to the COR, OSS and MR Team. Employee roster shall include employee full name, phone number, and applicable medical license numbers.

5.9.6 Submit the final IMR Services Report to the COR, OSS and MR Team within two business days of service completion. Report shall confirm data entered on initial and updated IMR Services Reports, add unscheduled services provided, and comment on scheduled services not completed.

5.9.7 Respond to COR, OSS and MR Team inquiries within one hour during MREs.

5.9.8 Collect patient satisfaction data each day services are provided and submit consolidated data to the COR within one week of service completion.

5.10 Dental Equipment Services. The Contract shall:

5.10.1 Conduct radiation surveys to measure radiation exposure from dental radiograph machines.

5.10.2 The required maintenance includes visual inspections, test and calibration procedures, repairs, electrical safety tests for both hardware and software.

5.10.3 Triton Series Dual Voltage Self-Contained, Military Grade Restorative Dental Delivery System. Manufacturer: ASI Dental, Part Number: 90-2025M/AR.

5.10.4 NOMAD Pro 2 Handheld X-Ray. Manufacturer: Aseptico, Part Number ARU-07KP2NC, National Stock Number 6525-01-627-5546.

5.10.5 Additional Provider Service. The Contractor Shall:

5.10.6 Provide additional health care services to the NP or PA that reports to Lansing, Michigan to work with Recruiting and Retention Battalion to review accession physicals, waivers, manage both Recruit Sustainment Program Soldier Medical Readiness and full time support Recruiting and Retention Readiness requirements.

5.10.7 The contractor shall keep a weekly log of how many consults, waiver reviews and PHA completed, PHA and/or Physicals conducted.

5.10.8 Must work in the office 3-4 times a week with once a month on a Friday of the First Formation event.

5.11 Synchronization Meetings. The Contractor shall hold synchronization meetings upon COR request with contractor employees to address concerns and updates to processes and procedures.

5.12 Contractor employees shall have current Health Insurance and Portability and Accountability Act of 1996 (HIPAA) certificates.