Behavioral Health Counselors - PWS.docx
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- Behavioral Health Counselor Federal contract opportunity
- Solicitation number
- W912L8-25-R-0001
About this file
This document is a Performance Work Statement (PWS) for Behavioral Health Counselor (BHC) services to support the West Virginia Army National Guard (WVARNG). The contractor shall provide all personnel, equipment, and materials to perform BHC services, including identifying and tracking Service Members with behavioral health concerns, linking them to available resources, and monitoring their progress. The period of performance is a 1-year base period with 4 option years. The contractor must employ licensed and qualified BHCs to perform duties such as conducting evaluations, making recommendations, coordinating care, and providing prevention and outreach programs. Key requirements include documenting all cases in the electronic MEDCHART system, providing a monthly report, and maintaining a 24/7 crisis hotline. The PWS outlines specific performance standards, deliverables, and government-furnished property. The related federal contract opportunity is a pre-solicitation for these BHC services.
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Text version
PERFORMANCE WORK STATEMENT (PWS)
FOR
Behavioral Health Counselors Services
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 3.0 as Government Furnished, to perform Behavioral Health Counselor (BHC) Services, as defined in this PWS.
1.2 Background: The Behavioral Health Counselors supports mental fitness and wellness by identifying, tracking, and assisting in determining the disposition of Service Members with behavioral health concerns through evaluation and monitoring of West Virginia Army National Guard (WVARNG) personnel in accordance with military regulations. The Behavioral Health Counselors must also be aware of all available assistance and treatment resources, link identified at-risk service members with those resources, and monitor their compliance, progress and outcome of services rendered.
1.3 Period of Performance (PoP): The Period of Performance shall be 1 Base Year of 12 months and 4 12-month option years.
1.4 General Information:
1.4.1 Place and Performance of Services: The contractor shall provide services between the hours of 0800 - 1630 on Monday through Friday, 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 at 100 Military Drive, South Charleston, WV 25309. 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.
14.1.1. 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.
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). A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 days after contract award. 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 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 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 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 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 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 the COR.
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/).
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, picture, 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 an Army Knowledge Online (AKO) email address for each applicant, including subcontractors, who may be deployed or require logical access to a Government computer network. Note: If employees of a contractor lose the privilege to access AKO, they lose the ability to renew their CAC. Therefore, it is critical that contractor employees maintain their AKO accounts.
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.
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). 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 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.
1.4.5.12 OPSEC Plan: The contractor shall develop an OPSEC Standard Operating Procedure (SOP)/Plan and provide it to the COR within 90 calendar days of contract award to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP/Plan shall include a process to identify the Government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. The contractor shall implement OPSEC measures as required by the Government. In addition, the contractor shall identify an individual who will be an OPSEC Coordinator. The contractor shall ensure this individual becomes OPSEC Level II certified within 90 days of appointment as OPSEC coordinator in accordance with AR 530-1. Contractor shall provide a copy of the certification to the COR NLT 15 days after completion.
1.4.5.13 Reserved.
1.4.5.14 Reserved.
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 Reserved.
1.4.6.2 Reserved.
1.4.7 Special Qualifications: (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 services.
1.4.7.1 Education: Behavioral Health Counselors must posess a master’s degree in clinical mental health counseling, social work, or psychology from a graduate program fully accredited by the Council for Accreditation of Counseling and Related Educational Programs.
1.4.7.2. Licensure: Behavioral Health Counselors must posess and maintain licensure to practice independently in the State of West Virginia within his/her respective discipline. Clinical mental health counselors must hold the Licensed Mental Health Counselor (LMHC) or Licensed Professional Counselor (LPC) credential. Social workers must hold the Licensed Independent Clinical Social Worker (LICSW) credential. Any candidates not holding a West Virginia license will be given consideration if they are able to obtain a West Virginia license within 90 days of hire date.
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.
1.4.9 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. The contract employee(s) shall travel to various armories and locations throughout West Virginia, as well as out of state, as necessary during the performance of this contract to meet with and evaluate service members’ behavioral health status, provide behavioral health assistance, and consult with WVARNG unit command teams. 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. All travel requires COR recommendation for approval and/or authorization by the KO prior to travel arrangements being made.
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 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 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.
2.2 Acronyms:
| AUP | Acceptable Use Policy |
| AEI | Army Enterprise Infostructure |
| AKO | Army Knowledge Online |
| AR | Army Regulation |
| ATCTS | Army Training Certification Tracking System |
| ATO | Antiterrorism Officer |
| AT/OPSEC | Antiterrorism/Operational Security |
| AT | Awareness Training |
| BBP | Best Business Practices |
| BI | Background Investigation |
| BHC | Behavioral Health Counselor |
| CAC | Common Access Card |
| CFP/M/E | Contractor Furnished Property, Materials, and Equipment |
| COMSEC/IT | Communications Security/Information Technology |
| CM | Contract Manager |
| COOP | Continuity of Operations Planning |
| COR | Contracting Officer Representative |
| FSO | Corporate Facility Security Officer |
| DA | Department of the Army |
| DEERS | Defense Enrollment Eligibility Reporting System |
| DFARS | Defense Federal Acquisition Regulation Supplement |
| DoD | Department of Defense |
| DoDD | Department of Defense Directive |
| DPH | Director of Psychological Health |
| DSS | Deputy State Surgeon |
| E-Case | Electronic Case |
| e-QIP | Electronic Questionnaires for Investigations Processing system |
| FAR | Federal Acquisition Regulation |
| FMR | Fully Medically Ready |
| FPCON | Force Protection Condition |
| GFP/M/E/S | Government Furnished Property/Material/Equipment/Services |
| HIPAA | Health Insurance Portability and Accountability Act of 1996 |
| HQDA | Headquarters, Department of the Army |
| HSPD | Homeland Security Presidential Directive |
| IA | Information Assurance |
| IS | Information Systems |
| ICBT | Intra-facility Credentialing Transfer Brief |
| IS | Information System(s) |
| JTR | Joint Travel Regulation |
| KO | Contracting Officer |
| MEDCHART | Medical Electronic Data for Care History and Readiness Tracking |
| NGB | National Guard Bureau |
| OCI | Organizational Conflict of Interest |
| OPSEC | Operational Security |
| OSS | Office of the State Surgeon |
| PII | Personally Identifiable Information |
| PIPO | Phase In/Phase Out |
| PIV | Personal Identity Verification |
| 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 |
| RAPIDS | Real-Time Automated Personnel ID System |
| SCR | Service Contract Reporting |
| SSN | Social Security Number |
| TA | Trusted Agent |
| TASS | Trusted Associate Sponsorship System |
| TE | Technical Exhibit |
| USD(I) | Under Secretary of Defense for Intelligence |
| WVARNG | West Virginia Army National Guard |
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 Reserved
3.3 Reserved
3.4 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 Reserved
4.3 Reserved
5.0 Requirements: The contractor shall:
5.1 Abide by Privacy Act and HIPAA regulations and guidelines.
5.2 Provide both clinical and non-clinical counseling support services.
5.2.1 When emotional and behavioral problems are identified, the BHC will be charged with understanding the nature of the problems, connecting the service member with available resources, and monitoring the service member’s compliance to, progress in, and outcomes of treatment.
5.2.2 Provide Individual Medical Readiness support to include identification and tracking of Soldiers who are not Fully Medically Ready for behavioral health concerns. Cases shall be obtained from home station or mobilization station Soldier Readiness Process events, Soldiers determined non-medically ready through annual Periodic Health Assessment (PHA) events, or through self-referral. Assist Soldiers to become FMR by assisting with and tracking behavioral health appointments, maintaining communication as required with the Soldiers they are managing. All cases managed, regardless of type or duration shall be documented in the E-Case module of MEDCHART. The BHC shall, at a minimum, have a quarterly team meeting with the OSS Director of Psychological Health (DPH) and/or Deputy State Surgeon (DSS) and/or State Surgeon to review all cases in progress.
5.2.3 Coordinate with Soldiers to provide information, referral, outreach, and support services to all soldiers within the WVARNG. The standard expectation for response to Soldier issues shall be within two (2) business days with a resolution or follow-up contact.
5.2.4 Make accurate assessments of service members' mental status. This assessment may be conducted with limited available collateral information and with service members who have a vested interest in appearing well. Thus, the BHC must be skilled enough to make sound clinical decisions in the context of diagnostic uncertainty.
5.2.5 Make affirmative recommendations based on the results of evaluations. The BHC shall act on the results of evaluations.
5.2.6 Assist in identifying problems and gaps in service in current behavioral health delivery system and devising methods to improve and enhance system.
5.2.7 Conduct weekly telephonic, text, or in-person follow-ups of service members under Behavioral Health case management to evaluate and monitor their Behavioral Health status. Complete and chart all service member notes on form SF 600 and maintain in the service member’s official Service Treatment Record, as well as in the electronic database in MEDCHART.
5.2.8 Partner with and augment activities of the Crisis Intervention Team, Psychological Health Program, Family Program Office to include Suicide Prevention and Substance Abuse, Office of the Chaplain, and Office of the State Surgeon and other National Guard entities and programs related to psychological well-being.
5.2.9 Document results of a bi-monthly (at a minimum) case review in the referrals tab of applicable MEDCHART module. These reviews shall be used in the quarterly meeting with the OSS DPH and the DSS and/or State Surgeon.
5.2.10 Provide a monthly E-Case Report to the DSS or designee, State Nurse Case Manager, and applicable Unit personnel. The report shall include: Unit and number of new referrals initiated, active cases and number of closed cases.
5.2.11 Using CENTCOM MOD 16 guidance and other applicable Area of Responsibility personnel policy guidance, determine deployability of soldiers, and report discrepancies to the State Medical Readiness Officer and/or DSS.
5.2.12 Maintain awareness of, routinely reference, and comply with all regulations and guidance that are applicable to medical operations and programs of the WVARNG.
5.2.13 Conduct counseling services training at local events (Annual Training, Inactive Duty Training, Regional Training Institute courses, etc). Training content shall be reviewed and approved by the DSS, or other authorized Government official, prior to presentation.
5.2.14 When Soldier requires evaluation and care beyond the scope of practice due to severity or long-term condition, coordinate care received by TRICARE and by the Military Medical Support Office to obtain pre-authorization for treatment (coordinated through the OSS DPH).
5.2.15 Coordinate Soldiers’ health care including consults for those initially using Military Treatment Facilities, Veterans Administration, and TRICARE network and non-network providers.
5.2.16 Establish a list of available local resources within their state to coordinate care and ensure Soldiers have alternative options available to receive care if not eligible for military health benefits.
5.2.17 Inform Soldiers of resources available to improve behavioral health readiness (TRICARE Reserve Select, local community resources, and any ARNG sponsored programs).
5.2.18 Liaise between the military and non-military community agencies, including medical agencies, schools, shelters, childcare, and family support centers providing access to services that can improve and/or sustain the psychological health of National Guardsmen and families. Coordinate findings and effects with leadership in an effective and timely manner. Conduct needs assessments, intake evaluations, and psycho-diagnostic assessments.
5.2.19 Coordinate and implement prevention and community outreach and education programs for WVARNG Soldiers and their family members in conjunction with the OSS DPH.
5.2.20 Develop coordinated plans for reducing risk factors for WVARNG Service Members and build and enhance a general culture that promotes psychological health and wellness. Develop and provide access to primary prevention services to inform and educate leadership and the National Guard community at large about the dynamics, treatment, life skills, and behaviors associated with psychological illness and methods to improve wellness.
5.2.21 Develop and provide access to secondary preventive support services and psycho-educational skills development activities such as parenting skills, stress management, change management, anger management, financial/money management, support groups for single parents, and couples communication.
5.2.22 Maintain Soldier medical records in accordance with Army Regulation (AR) 40-66, and WVARNG Office of the State Surgeon policies.
5.2.23 Upon request, provide the State Surgeon, DSS, State Medical Readiness Officer, and DPH with all relevant behavioral health documentation, to include: internally generated case management records and notes, as well as any medical records received from civilian treatment facilities and/or providers.
5.2.24 Provide in-person, telephonic, or email updates to Unit Personnel to include commanders and readiness NCOs on the deployability and readiness of each Soldier / Unit as applicable.
5.2.25 Secure and safeguard all government property, including documents that are provided for or created by case management and medical operations.
5.2.26 Respond to and effectively handle time-sensitive calls as they are received, to include during off-hours.
5.2.27 Update all case records, logs, and communications records within five (5) business days of receipt of new information and/or new communication with Service Member under case management.
5.2.28 Each BHC shall provide on-call services for a dedicated 24/7 crisis hotline for one week, every third week.
6.0 Applicable Publications: Publications applicable to this PWS are listed below:
Publication (Chapter/Page)
| Date of Publication |
| Mandatory or Advisory |
| Website |
Federal Acquisition Regulation https://www.acquisition.gov/?q=browsefar
Defense Federal Acquisition Regulation Supplement http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html or https://www.acquisition.gov/dfars
Joint Travel Regulation (JTR) https://www.defensetravel.dod.mil/site/travelreg.cfm
DoDM 1000.13-M-V1 DoD Identification (ID) Cards (Enclosure 2, paragraph 3.b) 01/23/2014 (Change 1: 07/28/2020) http://www.esd.whs.mil/Directives/issuances/dodm
Federal Information Processing Standards (FIPS) Publication 201-2 Personal Identity Verification (PIV) of Federal Employees and Contractors (paragraph 9) August 2013 http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf
| DoDM 5200.2 Procedures for the DoD Personnel Security Program (PSP) |
| 04/03/2017 |
https://www.esd.whs.mil/Directives/issuances/dodm/
DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common Access Card (CAC) 09/09/14 (Change 1: 05/04/2018) https://www.esd.whs.mil/Directives/issuances/dodi/
Homeland Security Presidential Directive (HSPD)-12 Policy for a Common Identification Standard for Federal Employees and Contractors 08/27/2004 https://www.dhs.gov/homeland-security-presidential-directive-12
DoDI 5400.11 Department of Defense Privacy and Civil Liberties Programs 01/29/2019 https://www.esd.whs.mil/Directives/issuances/dodi/
DoD 5400.11-R Department of Defense Privacy Program 05/14/2007 https://www.esd.whs.mil/Directives/issuances/dodm/
DoDD 8140.01 Cyberspace Workforce Management
10/05/2020 https://www.esd.whs.mil/Directives/issuances/dodd/
DoD 8570.01-M Information Assurance Workforce Improvement Program 12/19/2005 (Change 4: 11/10/2015) https://www.esd.whs.mil/Directives/issuances/dodm/
DoD 5220.22-M National Industrial Security Program Operating Manual (NISPOM) 02/28/2006 (Change 2: 05/18/2016) https://www.esd.whs.mil/Directives/issuances/dodm/
Army Directive 2014-05 Policy and Implementation Procedures for Common Access Card Credentialing and Installation Access for Uncleared Contractors 03/07/2014 https://armypubs.army.mil/ProductMaps/PubForm/ArmyDir.aspx
AR 25-2
Information Assurance 04/04/2019 http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx
AR 530-1
Operations Security 09/26/2014 http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx
AR 525-13
Antiterrorism 12/09/2019 http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx
AR 381-12
Threat Awareness and Reporting Program (TARP) (Section II, ¶ 2-4.b) 06/01/2016 http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx
AR 40-66
Medical Record Administration and Health Care Documentation 06/17/2008 http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx
AR 40-501
Standards of Medical Fitness 06/27/2019 http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx
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 10/21/2019 https://www.uscis.gov/sites/default/files/files/form/i-9.pdf
DD 441
Department of Defense Security Agreement Feb 2020 http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm
DD 250
Material Inspection and Receiving Report
| Aug 2000 |
| https://www.esd.whs.mil/Directives/forms/dd0001_0499/ |
TECHNICAL EXHIBIT 1
Performance Requirements Summary (PRS)
This PRS includes performance objectives the Government will use to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).
| Performance Objective |
| Performance Standard |
| Acceptable Quality Levels (AQL) |
| Surveillance Method / By Whom |
5.2.2 Provide IMW Support to include identification and tracking of Soldiers Assist Soldiers to become FMR by assisting with and tracking Behavioral Health appointments, maintaining communication as required with Solders they are managing. All cases managed shall be documented in E-Case. Have a quarterly team meeting with the DPH, DSS and/or State Surgeon
No more than 1 failure to meet standard per contract period
Periodic Inspection – COR will monitor compliance
5.2.3 Coordinate with Soldiers Provide information, referral, outreach, and support services to all soldiers within the WVARNG. Response to Soldier issues shall be within two (2) business days with a resolution or follow-up contact.
No more than 1 failure to meet standard per contract period
Periodic Inspection – COR will monitor compliance
5.2.7 Conduct weekly telephonic, text, or in-person follow-ups. Chart notes and maintain service member records.
Conduct weekly telephonic, text, or in-person follow-ups of service members under Behavioral Health case management to evaluate and monitor their Behavioral Health status. Complete and chart all service member notes on form SF 600 and maintain in the service member’s official Service Treatment Record, as well as in the electronic database in MEDCHART.
No more than 1 failure to meet standard per contract period
Periodic Inspection – COR will monitor compliance
5.2.10 Provide a monthly E-Case Report to the DSS
Provide a monthly E-Case Report to the Deputy State Surgeon or designee, State Nurse Case Manager, and applicable Unit personnel. The report shall include: Unit and number of new referrals initiated, active cases and number of closed cases.
No more than 1 failure to meet standard per contract period
Periodic Inspection – COR will monitor compliance
5.2.28 Provide on-call services for a dedicated 24/7 crisis hotline
| Each BHC shall provide on-call services for a dedicated 24/7 crisis hotline for one week, every third week. |
| No more than 1 failure to meet standard per contract period |
Periodic Inspection – COR will monitor compliance
5.2.2 Provide Individual Medical Readiness support to include identification and tracking of Soldiers who are not Fully Medically Ready for behavioral health concerns. Cases shall be obtained from home station or mobilization station Soldier Readiness Process events, Soldiers determined non-medically ready through annual Periodic Health Assessment (PHA) events, or through self-referral. Assist Soldiers to become FMR by assisting with and tracking behavioral health appointments, maintaining communication as required with the Soldiers they are managing. All cases managed, regardless of type or duration shall be documented in the E-Case module of MEDCHART. The BHC shall, at a minimum, have a quarterly team meeting with the OSS Director of Psychological Health (DPH) and/or Deputy State Surgeon (DSS) and/or State Surgeon to review all cases in progress.
5.2.3 Coordinate with Soldiers to provide information, referral, outreach, and support services to all soldiers within the WVARNG. The standard expectation for response to Soldier issues shall be two (2) business days with a resolution or follow-up contact.
TECHNICAL EXHIBIT 2
Deliverables Schedule
| PWS Reference / Deliverable Title |
| Frequency |
| Number of Copies |
| Medium/Format |
| Submit To |
1.4.3 Quality Control Plan
| Provide NLT 10 days after contract award |
| 1 |
| Electronic Submission |
| COR |
1.4.5.1.5 Return CAC Card(s) to DEERS office, Submit Receipt
Within 15 calendar days of returning issued CACs to the DEERS office upon departure or dismissal of each contractor employee
| 1 |
| Electronic Submission |
| COR |
1.4.5.3 AT Level 1 Awareness Training Certificates
Provide within 15 calendar days after employee completes training
| 1 |
| Electronic Submission |
| COR |
1.4.5.4 iWATCH Training Certificates
| Provide within 15 calendar days after employee completes training. |
| 1 |
| Electronic Submission |
| COR |
1.4.5.11
OPSEC
Training Certificates
| Provide within 15 calendar days after employee completes training. |
| 1 |
| Electronic Submission |
| COR |
1.4.10.1 Identification Media
| Return within 14 days of employee’s departure from contract performance. |
| Original(s) |
| Hard Copy |
| KO |
TECHNICAL EXHIBIT 3
Estimated Workload Data
This information is provided for historical background only. It is not a guarantee of workload quantities.
| ITEM |
| NAME |
| ANNUAL ESTIMATED QUANTITY |
| 1. |
| Soldier Evaluations |
| 2020 – 215 |
2021 – 220 2022 – 225
| 2. |
| Outreach Efforts |
| 2020 – 3,150 |
2021 – 3,200 2022 – 3,250
| 3. |
| Days in On-Call Status |
| 2020 – 121 |
2021 – 121 2022 – 121
Ver. October 2022
File details come from the government source that posted it. Updated .