Attachment_A_Scope_of_Work.docx

Scope of Work Mobile Diagnostic

Executive Summary The Ohio Department of Veterans Services (ODVS)/Ohio Veterans Home (OVH) – Sandusky requesting mobile diagnostic services (i.e. portable x-ray and ultrasound services) at 3416 Columbus Avenue, Sandusky, OH 44870.

Purpose Objective To provide portable x-ray and ultrasound services to the residents at the Ohio Veterans Home Sandusky.

General

1. Contractor shall perform mobile diagnostic services as described below at the Ohio Veterans Home (OVH-S) located at 3416 Columbus Ave., Sandusky, OH 44870.

2. Contactor shall only perform services with a written order signed by an OVH-S practitioner.

3. Contractor shall provide OVH-S with all required information and documentation for proper billing and/or related audits in a timely manner.

4. Contractor Personnel shall comply with all Centers for Medicare and Medicaid Services (CMS) mandates.

5. Contactor is required to integrate with the OVH-S Electronic Health Record system, currently Point Click Care to allow OVH-S employees to view results of mobile diagnostic services within Point Click Care.

X-Ray Services

1. X-Rays shall be performed by certified radiological technologist licensed by the State of Ohio.

2. Contactor shall provide radiology interpretations, consultations, and written reports by a licensed Ohio board-certified radiologist.

3. All x-rays shall be conducted in a medically appropriate manner and in accordance with all federal, state, and local laws.

4. X-ray equipment must meet or exceed all federal standards.

5. Services shall be provided 24 hours per day, seven days per week, including holidays.

6. Lead aprons must be supplied by Contractor to OVH-S personnel if they are required to assist the Radiology Technologist.

7. All x-ray films shall become the property of OVH-S.

8. X-Rays may include, but are not limited to:

*Dental x-rays are not part of this solicitation.

Ultrasound

1. All ultrasounds shall be conducted in a medically appropriate manner and in accordance with federal, state, and local laws.

2. Contractor shall perform ultrasound exams on an as needed basis, usually Monday through Friday, during normal business hours.

3. Within 7 days of testing, Contractor shall provide written reports on all ultrasounds performed.

4. Contractor shall report any and all emergency or acute findings immediately.

5. Ultrasounds may include, but are not limited to:

OVH-S Responsibilities

1. OVH-S shall include with all orders for services the exam to be performed, the number of views to be taken, and the medical necessity of the exam.

2. OVH-S shall include with the resident’s medical record the signature of the practitioner who ordered the exam.

Compensation

1. Contractor shall be required to bill Medicare, Medicaid, or private insurance, or any other third party for mobile diagnostic services perform. In accordance with the specific needs of OVH-S and applicable federal and state statues and regulations.

2. Contractor shall invoice OVH-S for residents identified by OVH-S as resident who have a service connected disability of 70% or greater. OVH-S will provide the Contract with a list of those residents. If resident is service connected disability70% or greater, cannot bill resident insurance.

Additional Terms and Conditions for Contracts

1. Criminal Convictions. Employees of Contractor or subcontractor(s) with criminal convictions, as identified in Ohio Revised Code (ORC) section 109.572 (A) (2) (a) and Ohio Administrative Code (OAC) rule 3701-13-05 (A) (1), or any other criminal conviction; which in the opinion of ODVS may endanger staff and/or visitors, shall not be permitted to perform work at ODVS under any agreement resulting from this solicitation and responses thereto, unless specifically approved, in advance, by ODVS.

2. Failure to disclose a criminal conviction as identified above shall be grounds for non-award and/or immediate cancellation of the contract.

3. Drug Free Workplace – Contractor will make a good faith effort to ensure that all of the Contractor’s agents’ employees, representative, and sub-contractors while working on State property, will not have or been under the influence of marijuana, medical marijuana, illegal drugs, or alcohol or abuse prescription drugs in any way.

To ensure a safe, productive, and drug-free work environment, all Contractors are subject to random drug testing at any time during their engagement with the Department. Drug tests will be conducted in a manner consistent with applicable laws and regulations.

A random selection process will be used to identify contractors for testing. Selected contractors will be notified and required to submit to a drug test within a specified time frame. The test will be conducted by a certified laboratory chosen by the Department, and contractors will be required to provide a sample under supervision. Contractors will be notified of the results within a reasonable time frame.

All costs associated with random drug testing shall be the responsibility of the Department.

All drug testing results, and related information will be treated as confidential and will only be disclosed to individuals with a legitimate need to know.

Invoicing Invoice shall be detailed to show a breakdown of labor hours, hourly rate and material used and associated cost for material with the Purchase Order and notated on the invoice. Invoices must be considered a proper invoice under ORC 125.01. Invoices shall be submitted within 30 days of completion of the work.

Proper invoice shall be emailed to invoices@dvs.ohio.gov .