DRAFT Performance Work Statement (PWS).pdf

HT940824R0002

Attachment 3 – Performance Work Statement (PWS)

Department of Defense Defense Health Agency

Performance Work Statement

FOR

Integrated Referral Management and Appointing Center (IRMAC) at Eglin Air Force Base, FL 32542

Tyndall Air Force Base, FL 32403 Hurlburt Field, FL 32544

NAS-P, FL 32512

Solicitation Number: HT940824R0002 Version: 1

Date: 22 January 2024

PART 1

1.0 GENERAL INFORMATION

1.1 This is a non-personal services contract to provide Integrated Referral Management and Appointing Centers (IRMAC) Services.

1.2 Description of services/introduction: The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform Integrated Referral Management and Appointing Centers (IRMAC) Services as defined in this Performance Work Statement (PWS). The Contractor shall perform to the standards in this PWS.

1.3 Background: The Department of Defense Military Treatment Facilities (MTF) at the Florida Panhandle, Florida, has a requirement for non-personal services; Integrated Referral Management and Appointing Centers (IRMAC) Services to include, but not limited to Referral Management Clerks, Registered Nurses (RNs), Licensed Practial Nurses (LPNs), Referral Management Leads, a Supervisor (SPV), and a Service Provider Manager (SPM). This is a recurring requirement for services currently being performed at the Florida Panhandle at Eglin AFB, Tyndall AFB, Hurlburt Field, and Navey Air Station (NAS) Pensacola.

1.4 Objectives: The Contractor shall work within the Government-provided facilities and use Government-provided equipment and perform services and support compatible with the medical facility’s operating capacity and its equipment.

1.5 Scope: The scope of this requirement is to procure non-personal services necessary to perform Integrated Referral Management and Appointing Centers (IRMAC) Services. These services include Referral Management Clerks, Registered Nurses (RNs), Licensed Practial Nurses (LPNs), Referral Management Leads, a Supervisor (SPV), and a Service Provider Manager (SPM). The Contractor shall assist eligible medical beneficiaries with appointments, referrals, and registration. organizational tasks in support of the medical facility. The Contractor shall also provide necessary and accurate reports in accordance with DHA regulations during the performance of their duties as related to the PWS. Services shall cover the range of operation of the IRMAC.

1.6 Period of Performance (PoP): The total Period of Performance for this requirement is from 1 June 2024 to 31 October 2024 plus three (3) 12-month option periods. The Contractor must assume responsibilities for the full services no later than 1 June 2024 to avoid a break in service.

1.7 Administrative Specifications

1.7.1 Contractor Representative: The Contractor shall identify the name and telephone number of the Contractors point of contact to the Contracting Officer (CO) in writing prior to beginning performance. The Contractor shall identify in the designation letter any limitations on its representative’s authority to act on behalf of the Contractor. The Contractor shall provide an updated designation letter whenever any changes occur. The Contractor representative may be required to meet with the Government during the performance of this contract at the request of the CO. The Contractor’s Representative shall respond to a request to meet with the CO within 24 hours of notification under routine circumstances.

1.7.2 Place of Performance: The work shall be performed at the military treatment facilities (MTFs) at the Florida Panhandle at Eglin AFB, FL 32542; Tyndall Air Force Base, FL 32403; Hurlburt Field, FL 32544; and NAS-P, FL 32512.

1.7.3 Telework: The Government will authorize situational telework on a case by-case/situational basis. Telework will be approved at the Group Commander on form DD form 2946. (Appendix A) All telework must be approved prior to working the requested telework days. It must also be coordinated with the Contract Officer Representative (COR), so notice can be provided to the CO timely. The usage of telework can also be revoked if needed. Examples include but are not limited to the following: inclement weather, natural disasters, epidemics, or situations involving national, state, or local government safety or security.

1.7.4 Recognized Federal Holidays: The Government recognizes 11 paid holidays per calendar year. The MTF will observe the following federal holidays as listed below. The COR, Contractor, and staff shall coordinate with respective clinics and FREDs to ensure proper clinical coverages is provided during federal holidays.

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Juneteenth Day Christmas Day Independence Day

**Should the official holiday fall on Saturday then the observed holiday is the previous Friday.

Should the official holiday fall on Sunday then the observed holiday is the following Monday.

**The Contractor is advised that any special time off granted by the President or other competent authority is for Government personnel ONLY and does not apply to the contractor personnel.

Contractor personnel shall take their direction concerning their duty status and hours of performance from their management chain and not from Government personnel.

* Family/Down Days: CP may not be required to work on Family/Down Days as listed in Appendix B. The Contractor representative will be notified at the beginning of each year of the Family/Down Days for that calendar year. The Contractor will only be compensated for the actual hours worked.

1.7.5 Hours of Operation: Contract performance requirements are governed by the contract. The Contractor shall provide qualified and trained personnel to cover the required hours of performance. The Contractor shall provide CP for conducting business Monday thru Friday, within the various facilities operational duty hours of 0700 to 1600, except for Federal holidays, when the Government MTF is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings or family/down days.

The CP shall not exceed 9 hours per day which includes a 1 hour unpaid lunch; not to exceed 40 hours per weekly period. Any deviation to these days and times shall be coordinated through the FRED and will be authorized by the CO. “Make-up” time is prohibited.

The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for any of the specificed reasons. The CP shall meet the preferred dress code of business casual attire during the MTF operational hours.

*NOTE: Location and work hours are subject to change at the discretion of the Market/MTF SME/Functional Requirements Evaluator Designee (FRED). Total hours worked will not exceed 80 for two weeks. The Market/MTF SME/FRED shall give the Contractor and the COR 2 weeks’ notice before changing location or schedule.

1.7.6 Scheduled Absences: The CP shall ensure that scheduled absences do not interrupt service performance. Scheduled absences shall be scheduled at least 30 calendar days in advance and mutually concurred upon by the Functional Requirements Evaluator Designee

(FRED).

1.7.7 Unscheduled absences: The CP shall report to the FRED no later than 2 hours prior to the start of the shift. The FRED will notify the COR and Contractor Representative of reported absence. Failure of the CP to provide notice within the stated timeframe will be considered a no call no show and marked as an absence.

1.7.8 Special Activities: The CP is advised that special activities including but not limited to commander’s calls, sports days, employee quality of life meetings, late reporting, staggered reporting times, early release, physical fitness time, office picnics, and holiday parties are for Government personnel only and do not apply to the Contractor employees.

If any special activity occurs, the CP will continue to perform contract requirements unless expressly excused by the CO. In the event that the CO excuses performance, the Contractor understands that its employees’ participation in such event will not be at Government expense and shall not be invoiced.

1.7.7 Emergency Base Procedures: If the CP is prevented from performing due to acts beyond the CP’s control including emergency base closure the standards in FAR clause 52.212-4(f) and/or 52.249-8 as appropriate will be applied to determine if the non-performance is excusable. In the event of an emergency base closure due to weather or other contingency situation the CO will notify the contractor of any changes in performance requirements. The Contractor shall be responsible for instructing Contractor personnel concerning their duty status. Under no circumstances will the Contractor be paid for services not delivered.

1.7.8 Contractor personnel performing under this contract shall abide by the provisions of MDWI 41-101 Medical Expense and Performance Reporting System (MEPRS). The contractor shall provide documentation or records of units through Wide Area Work Flow (WAWF) under inspector extension code: F1T4AS, F4A400, F2F401, and HT0272.

1.7.9 Emergency Services: Squadron Commanders have been delegated authority to determine which employees are needed to sustain operations during a crisis declared by the National Command Authority. Contract personnel are expected to report to work as usual, unless directed otherwise by their Squadron Commander; this includes telework and/or Restriction of Movement (ROM) situations.

1.8 Contractor Travel: Travel will not be at the expense of the Government.

1.9 Quality

1.9.1 Quality Control (QC): The Contractor shall be responsible for quality control for all work accomplished during the performance of the contract. The Contractor shall maintain a Quality Control Plan (QCP) which ensures the requirements in this PWS are met. At a minimum, the Contractor shall develop quality control procedures that address the areas identified in Part 7, Performance Requirement Summary. The Contractor shall submit the QCP within 15 days after contract award.

1.9.2 Quality Assurance (QA): The Government will periodically evaluate the CP’s performance by appointing CORs to monitor performance to ensure services are received and are acceptable. The CORs will correspond with an assigned FRED to assist in monitoring schedule compliance (days/hours worked) and inspecting work performance.

CORs will evaluate the Contractor performance in accordance with the Government's Quality Assurance Surveillance Plan (QASP) and in Part 7, Performance Requirement Summary of the PWS developed for this requirement.

1.10 Contractor Personnel (CP)

1.10.1 The Contractor and the CP shall comply with all applicable Air Force Instructions (AFI), DoD Regulations, and Florida Panhandle as outlined in Part 2.

1.10.1.1 The Contractor shall ensure that its employees conduct themselves in a professional manner while on the installation and refrain from disruptive, offensive, or otherwise improper behavior that undermines order and discipline. The CO may direct the Contractor to remove from performance of this contract on this installation any contractor employee engaging in such misconduct.

1.10.1.2 CAC requirements: For all contractors who will work in Government facilities, the Facilities Security Officer (FSO)/Company's Security point of contact (POC) will provide the Government all the required information per the DHA CAC request process current version 2.1, January 2018, or more recent when updated.

See process attached at Part 7 of the PWS. A CAC is the standard identification for eligible DoD Contractor personnel.

1.10.1.3 The Contractor shall return all CACs to the COR upon the departure of the Contractor personnel.

1.10.2 Contractor Onboarding and Training: The Contractor shall complete all requirements, training, and forms as prescribed in the following requirements:

1.10.3 MTF Orientation: The CP shall attend the MTF Orientation at the onset of their working at MTF. The MTF Orientation will familiarize the CP with the policies and procedures of the MTF and will be scheduled by the COR within 2 months of employment.

Orientation attendance shall be required of the CP during Government paid working hours.

1.10.4 In/Out Processing: All CP performing service under this contract are required to inprocess through the assigned medical treatment facilities (MTFs) Contract Personnel Management Office, FL Panhandle. Reporting instructions will be provided to the Contract Agency upon qualification/approval of a CP. During inprocessing, the CP will be issued the following items, when eligible/if applicable – CAC, facility ID badge, keys, etc. Upon departure or termination of the contract, the CP will outprocess the facility at Eglin AFB, Tyndall AFB, Hurlburt Field, or NAS-Pensacola; and will return all Government issued items – CAC, facility ID badge,keys, etc., to the Contract Personnel Management Office.

1.10.5 Health Requirements and Immunizations: Prior to contract performance, the Contractor shall provide proof of immunization or immunity form or screening for the following diseases according to Air Force guidelines equivalent to that provided to active work Armed Forces: COVID-19, Hepatitis B, MMR (Measles, Mumps, and Rubella), Varicella, Tdap (Tetanus, Diphtheria, and Pertussis), Tuberculosis (TB), HIV (Contractor who has direct patient care) and influenza for all personnel. Contractor shall control and prevent disease in accordance with AFI 48-105 Surveillance Prevention and Control of Diseases and Conditions of Public Health or Military Significance, and the American Public Health Association Publication, Control of Communicable Diseases Manual, and the Centers for Disease Control and Prevention (CDC) publication, Morbidity and Mortality Weekly Report, Air Force Policy (as applicable), Immunizations and AFI 48-110, Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases.

1.10.6 Medical Tests: The CP shall not obtain medical tests or procedures at the MTFs, unless identified in Section 3. The Contractor shall be responsible for the cost of any emergency medical services received.

1.10.7 Influenza Immunization: The CP shall receive the current influenza immunization, at Contractor’s expense, unless contraindicated by allergy; as an example, difficulty breathing, itching, and other symptoms of anaphylactic hypersensitivity, this exemption requires a Physicians diagnosis. Proof of vaccination will be required annually.

MEDICAL EMPLOYEE HEALTH PROGRAM REQUIREMENTS

Medical Employee Health Program Requirements

References:

Medical Group Instruction 48-115, Medical Employee Health Program, 16 November 2018 Air Force Instruction 44-130, Infection Prevention and Control Program, 1 May 2021 (or DHA equivalent) Air Force Joint Instruction (AFJI) 48-110, Immunizations and Chemoprophylaxis, 16 February 2018 (or DHA equivalent) Centers for Disease Control Morbidity and Mortality Weekly Report (MMWR), Immunization of Healthcare Workers, 25 November 2011, / 60(RR07);1-45 Centers for Disease Control Morbidity and Mortality Weekly Report (MMWR), Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-care Settings, 30 December 2005, Vol 54/No. RR-17

MEHP Immunization / Screening Requirement

Presumptive evidence of immunity to measles, mumps and rubella includes any of the following

Measles, Mumps, Rubella (German Measles) NOTE: If contractor personnel with 2 documented doses of MMR vaccine is tested serologically and determined to have negative or equivocal measles titer results, it is not recommended that the person receive an additional dose of MMR vaccine. Such persons should be considered to have presumptive evidence of measles immunity.

1. Written documentation of vaccination with 2 doses of live measles, mumps, and rubella or MMR vaccine administered at least 28 days apart

OR

2. Laboratory evidence of immunity (Positive “Convalescent” Measles, Mumps and Rubella immunoglobulin G (IgG) in the blood; equivocal results should be considered negative) OR

3. Laboratory confirmation in the contractor personnel record that the contractor personnel had measles, mumps and rubella disease (Positive “Acute” Measles, Mumps, and Rubella immunoglobulin M (IgM) in the blood OR

4. Birth before 1957 (The majority of persons born before 1957 are likely to have been infected naturally and may be presumed immune)

Tuberculosis (TB) Screening NOTE: Contractor personnel with a baseline positive or newly positive test result for M.

tuberculosis infection (i.e., TST or BAMT) or documentation of treatment for LTBI or TB disease should receive one chest radiograph result to exclude TB disease (or an interpretable copy within a reasonable time frame, such as 6 months).

1. Two-step tuberculin skin test (TST) for M.

tuberculosis (BAMT)) that was performed within the previous 12 months OR

2. An approved blood assays for M. tuberculosis (BAMT)) that was performed within the previous 12 months 3.

http://www.med.navy.mil/sites/nmlc/public_docs/Physical%20Exa m%20and%20Immunization%20Form.pdf

Varicella (Chicken Pox) All contractor personnel born after 1966 require proof of varicella immunity. Evidence of immunity includes

1. Written documentation of vaccination with 2 doses of varicella vaccine OR

2. Laboratory evidence of immunity or laboratory confirmation of disease OR

3. Diagnosis or verification of a history of varicella disease by a health-care provider OR

4. Diagnosis or verification of a history of Herpes Zoster by a health-care provider

Tetanus, Diphtheria and Pertussis (Tdap).

All contractor personnel, regardless of age, will receive a one-time dose of the Combined Tetanus, Diphtheria and Pertussis (Tdap) vaccine if not previously vaccinated. Contractor personnel will receive Td boosters every 10 years thereafter.

Influenza Immunization against seasonal influenza each year is required unless there is a documented medical contraindication.

Hepatitis B Virus (HBV) Vaccine and Immunity NOTE: All high-risk (1) and exposure-prone

(2) contractor personnel who do not have a protective concentration of anti-HBs (>10 mIU/mL) after completion of the second vaccination series (i.e., after receiving a total of 6 doses) will be tested for Hepatitis B surface antigen (HBsAg) and Hepatitis B core antibody (anti- HBc) to determine infection status.

Completion of three doses of hepatitis B vaccine and serologic testing for Hepatitis B surface antibody (anti- HBs) within 30-60 days after completion of the three dose vaccination series is required for all contractor personnel with direct patient care duties.

http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.

html.

http://www.med.navy.mil/sites/nmlc/public_docs/Physical%20Exam%20and%20Immunization%20Form.pdf http://www.med.navy.mil/sites/nmlc/public_docs/Physical%20Exam%20and%20Immunization%20Form.pdf http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html

(1) High-risk personnel: Personnel who have direct contact with patients or blood/body fluids, and are at ongoing risk for injuries with sharp instruments/needlesticks.

(2) Exposure-prone personnel: Medical and dental providers, Registered Vascular Technicians, and technicians who perform invasive procedures with sharp instruments in a poorly visualized or highly confined anatomic site, as defined by the most current CDC guidelines. All exposure-prone personnel are also high-risk.

1.10.8 The Contractor shall provide the CO with copies of CP resume and proof of background investigation prior to acceptance and in-processing. In-processing will begin once notification of acceptance has been given.

1.10.9 Nonpersonal services health care workers licensure: Nonpersonal services health care workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in the U.S. jurisdiction within which the non personal services health care worker is performing. (if applicable)

1.10.10 Nonpersonal services health care workers medical malpractice insurance requirements: The Contractor is required to indemnify the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The Contractor is required to maintain medical liability insurance, in a coverage amount acceptable to the Contracting Officer, which is not less than the amount normally prevailing within the local community for the medical specialty concerned; and Contractor is required to ensure that its subcontracts for provisions of health care services, contain the requirements of the clause at FAR 52.237-7, including the maintenance of medical liability insurance. The Contractor shall obtain evidence of insurability concerning medical liability insurance from the apparent successful offeror prior to contract award and shall obtain evidence of insurance demonstrating the required coverage prior to commencement of performance. (if applicable)

1.11 Physical Security

1.11.1 The CP shall comply with Force Protection Condition (FPCON) procedures, Random Antiterrorism Measures (RAMS) and local search/identification requirements.

The CP shall safeguard all government property, including controlled forms, provided for contractor use. At the close of each work period, government training equipment, facilities, support equipment, and other valuable materials shall be secured.

1.11.2 Weapons, Firearms, and Ammunition: Contractor personnel are prohibited from possessing weapons, firearms, or ammunition, on themselves or within their Contractor-owned vehicle or privately-owned vehicle while at Eglin AFB, Tyndall AFB, Hurlburt Field, or NAS-Pensacola.

1.11.3 Smoking in AF Facilities: The CPs are advised that the AF has placed restrictions on the smoking of tobacco products in AF facilities. AFI 40-102, Tobacco Free Living, outlines the procedures used by the commander to control smoking in our facilities.

Contractor personnel and visitors are subject to the same restrictions as Government personnel. Smoking is permitted only in designated smoking areas.

1.11.4 Traffic Code: All applicable Traffic Codes will be enforced and apply to all personnel operating vehicles at Eglin AFB, Tyndall AFB, Hurlburt Field, or NAS- Pensacola. The Governing instruction for all Traffic Codes is AFI 31-218(I), Motor Vehicle Traffic Supervision and AFMAN 31-116, Air Force Motor Vehicle Traffic Supervision. For a complete listing of all Florida Panhandle Traffic Codes and all other applicable traffic policies and procedures, please contact the CO.

1.11.5 Cell Phone Usage: CPs are advised that DoD Instruction (DoDI) 6055.04 prohibits cellular telephone usage when approaching, entering or exiting any installation gate. Cell phone usage by drivers on installations is prohibited in moving vehicles unless used with a hands-free device. The installation Security Forces Squadron (SFS) is strictly enforcing this regulation. Those found in violation of this regulation are subject to be ticketed.

1.11.6 Base Fire Prevention Program: The CP will be required to comply with the applicable Fire Prevention Program, for each contracted location. The applicable directive is AFI 91-203, Air Force Consolidated Occupational Safety Instruction.

1.12 Security

1.12.1 General Security Requirements: The CP shall follow all guidelines found in the Security Requirements for Solicitation and Contract clauses.

1.12.2 Internal Operating Instructions (OI): The CP shall abide by the MTF’s current OIs for internal circulation control, the protection of resources, and the regulated entry into Air Force controlled areas during normal, simulated, and actual emergency operations.

1.12.3 Reporting Requirements: The CP shall comply with AFI 71-101, Volume 1, Criminal Investigations (Chapter 2, paragraph 2.7) and Volume-2, Protective Service Matters, (Paragraph 1.2). Contractor shall report to Security Forces any information or circumstances which may pose a threat to DoD or Contractor, CP, resources, or DoD information.

1.12.4 Removal of Contractor Personnel (CP): The Government, through the CO, reserves the right to require immediate removal from contract performance on the installation or any Government facility, any individual whose actions raise reasonable suspicion that patient care or services may be compromised in any way, or that pose a threat of harm to other Contractor/Government personnel or self. Removal under other circumstances will be subsequent to, and at the direction of the CO only.

1.12.4.1 If a situation meriting removal occurs as outlined in the previous paragraph, the COR will contact the CO and the contractor’s representative within 24 hours. A meeting may be required with the CO, COR, and Contractor representative to discuss further action.

1.12.4.2 The CO will notify the Contractor if and when permanent removal is required. In the event of a disagreement between the Government and the Contractor, the decision from the CO will be final.

1.12.4.3 The CP may be required to submit to drug/alcohol testing. The Government may require temporary or permanent removal from contract performance any individual who refuses or fails testing.

1.12.5 Government Computer Access Requirements: If this contract requires CP to have access to government computers, the CP requiring access shall successfully initiate a Tier 1 (T1) background investigation, before inprocessing to the facility. The investigation shall be submitted by the Government at no additional cost to the Contractor. All CP affected by this requirement must have completed an acceptable submission that complies with all directions within 30 calendar days of Contract Award or Notice of Award or they must have a current, favorable background investigation or a higher level investigation, i.e., a security clearance. To begin this process, the CP must complete, within 15 calendar days after Contract Award or Notice of Award, the Standard Form 85, Questionnaire for Non- Sensitive Positions, and the OF 306, Declaration for Federal Employment (this form is also used for CP), as well as any other forms to support the initiation of a T1. The SF 85 and OF 306 may be downloaded from https://www.opm.gov/forms. The contractor shall notify the COR or the Security Manager (SM) or Security Assistant (SA) when the forms are complete. The CP will then be scheduled by the SM/SA for two or more appointments to complete the security package. After receipt of favorable fingerprints and submission of the T1 to OPM, the CP will be scheduled for inprocessing and will be issued a CAC. If at any point after submission of the investigation, disqualifying information is discovered or developed, the Government reserves the right to deny computer access and the CAC will be revoked. In this instance the CO will notify the Contractor of the denial and will request a new candidate for the position as the individual will no longer be allowed to perform work on this contract. The T1 adjudication process normally takes 2 to 5 months after submission of the investigation to OPM. The Contractor shall comply with DoDM 5200.02_AFMAN 16-1405, Air Force Personnel Security Program requirements.

1.12.6 Installation Access: Criminal History Check will be conducted on all prime/subcontractor employees requiring base access. The Contractor shall provide the CO and the Information Protection Office a current list of employees needing access within 3 working days after receiving Contract Award or Notice of Award. The list shall include employee’s name, date of birth, social security number, state driver’s license/state ID number and state of issue. Notifications of contractor employee additions and deletions shall be provided with the same information listed above and within 3 working days.

Within 10 business days after receipt of the list, the Government will notify the Contractor that installation access passes are available for those employees clearing the criminal history https://www.opm.gov/forms check. The duration of any pass issued will not exceed 1 year or the duration of the contract, whichever is shorter. This process will be repeated at the exercise of any option period or any new incoming personnel.

1.12.7 Additional Security Requirements: Tier 1 background investigations will be IAW Homeland Security Presidential Directive 12 (HSPD-12).

1.12.8 Unescorted Entry to Restricted/Controlled Areas: Not Applicable.

1.12.9 Key Control: The Contractor personnel shall establish, implement, and safeguard all keys /key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. The CP shall not duplicate issued keys and shall report lost keys to the COR, FRED, and CO immediately. The CP will be charged for lost keys, re-keying, and lock replacement as applicable. NOTE: The Contractor shall develop procedures covering key control that shall be included in the QCP. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas.

1.12.9.1 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction of the CO, 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 replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

1.12.9.2 The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor’s employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the CO.

1.13 Data

1.13.1 Government Data: The Contractor shall manage all data created for Government use or legally controlled by the Government, in support of the functional activity or required by AF publication, in accordance with (IAW) the records management procedures in AFI 33-322, Records Management Program, Air Force Manual (AFMAN) 33-363, Management of Records, and the Air Force Records Disposition Schedule (AFRDS) located at https://www.my.af.mil/gcssaf61a/afrims/afrims/rims.cfm.

1.13.1.1 All financial, statistical, personnel, and/or technical data which is furnished, produced, or otherwise available to the CP during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. The Contractor shall https://www.my.af.mil/gcssaf61a/afrims/afrims/rims.cfm not release any of the above information without prior written consent of the CO.

1.13.2 Freedom of Information: The CP shall not respond to any Freedom of Information Act request or release any information in response to a Freedom of Information request.

Any request for information received by the CP under the Freedom of Information Act will be referred to the CO.

1.14 Reporting

1.14.1 Contractor Manpower Reporting (CMR): Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported any time during the FY, all data shall be reported no later than 31 October of each calendar year. The Contractor shall direct questions to the CMRA help desk.

1.14.2 Government’s COR: The CORs monitor and assist in contract administration.

The CORs are authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the Contractor concerning technical aspects of the contract; issue written interpretations of technical requirements from the FRED, including monitor contractor's performance and notifies both the CO and contractor of any deficiencies; coordinate availability of government furnished property; and provide site entry of contractor personnel. A letter of designation issued to the CORs, a copy of which is sent to the Contractor, states the responsibilities and limitations of each COR, especially with regard to changes in cost or price, estimates, or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting contract.

1.14.3 Functional Requirements Evaluator Designees FRED: Carries out inspection and surveillance duties as described in the QASP. FREDs will be appointed in writing to the COR. FREDs monitor schedule compliance (days/hours worked), inspect deliverables (work performance), and submit monthly surveillance documentation to the COR in accordance with the specific contract terms.

1.14.4 Reports: The CP shall submit reports to the COR and/or credentials office (as applicable) for use in monitoring performance. Such reports may include:

Initial – Effective date of award; Quarterly – 1st Qtr (October 1), 2nd Qtr (January 1), 3rd Qtr (April 1), and 4th Qtr (July 1); Annual – September 5

Report Timeline

Health and Immunization requirements Initially

Personnel Changes Quarterly

Basic Life Support (BLS) As accepted by American Heart Association (AHA) (Heart Savers, Admin) (Providers course) or American Red Cross

Initially and upon expiration date *

Competency and currency of licensure/registration Initially and upon expiration date *

Security requirements Initially eCMRA Reports Annually (No Later than 31 October every year) Contractor Quality Control Plan Initially Invoices submitted in WAWF Monthly

*Note: In accordance with Military Training Network (MPN 7 February 07), this training will not be provided by the Government.

1.14.5 Contractor Manpower Reporting Application (CMRA): The Contractor shall report ALL Contractor labor hours (including Sub-Contractor labor hours) required for performance of services provided under this contract via a secure data collection site. The Contractor is required to completely fill in all required data fields at SAM.gov.

1.14.5.1 Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported any time during the FY, all data shall be reported no later than 31 October of each calendar year.

Contractors shall direct questions to the CMRA help desk.

1.14.6 Uses and Safeguarding of Information: Information from the secure web site is considered to be proprietary in nature when the contract number and Contractor identity are associated with the direct labor hours and direct labor dollars.

At no time will any data be released to the public with the Contractor name and contract number associated with the data.

1.15 Personnel Security

1.15.1 If this contract requires CP to have access to government computers, the CP requiring access shall successfully initiate a Tier 1 (T1) background investigation, before inprocessing to the facility. The investigation shall be submitted by the government at no additional cost to the contractor. All CP affected by this requirement must have completed an acceptable submission that complies with all directions within 15 calendar days of Contract Award or Notice of Award or they must have a current, favorable background investigation or a higher level investigation, i.e., a security clearance. To begin this process, the CP must complete, within 15 calendar days after Contract Award or Notice of Award, the Standard Form 85, Questionnaire for Non-Sensitive Positions, and the OF 306, Declaration for Federal Employment (this form is also used for CP), as well as any other http://www.ecmra.mil/ forms to support the initiation of a T1. The SF 85 and OF 306 may be downloaded from https://www.opm.gov/forms. The Contractor shall notify the COR or the Security Manager (SM) or Security Assistant (SA) when the forms are complete. The CP will then be scheduled by the SM/SA for two or more appointments to complete the security package.

After receipt of favorable fingerprints and submission of the T1 to OPM, the CP will be scheduled for inprocessing and will be issued a CAC. If at any point after submission of the investigation, disqualifying information is discovered or developed, the Government reserves the right to deny computer access and the CAC will be revoked. In this instance the CO will notify the contractor of the denial and will request a new candidate for the position as the individual will no longer be allowed to perform work on this contract. The T1 adjudication process normally takes 2 to 5 months after submission of the investigation to OPM. The contractor shall comply with DoDM 5200.02_AFMAN 16-1405, Air Force Personnel Security Program requirements.

1.15.2 Initiate, maintain, and document personnel security investigations appropriate to the individual’s responsibilities and required access to Controlled Unclassified Information

(CUI).

1.15.3 DHA Personnel Security Office does not deny any access to any automated information system (AIS), network, or Controlled Unclassified Information (CUI). If a contractor receives an unfavorable background investigation, the request for access will be sent back to the FSO for further action. Any unfavorable adjudication will result in DHA Personnel Security Office not signing off on any access request.

https://www.opm.gov/forms

PART 2

2.0 DEFINITIONS, ACRONYMS, AND APPLICABLE

PUBLICATIONS/INSTRUCTIONS

2.1 Definitions:

2.1.1 Category D: Information Technology (IT) and Telecommunications Services (called D- Services)

2.1.2 Category R: Support (Professional/Administrative/Management) Services (called R- Services)

2.1.3 Contracting Officer (CO): A person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.1.4 Contracting Officer’s Representative (COR): An individual, including a contracting officer’s technical representative (COTR), designated and authorized in writing by the CO to perform specific technical or administrative functions. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.5 Functional Requirements Eveluator Designee (FRED): An individual, with technical background, designated to monitor the technical function of this requirement. This individual CANNOT direct the Contractor or it’s employees to any task that is outside of the scope of this requirement. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.6 Nonpersonal services contract: a contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees.

2.1.7 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance. The Government may either prepare the QASP or require the offerors to submit a proposed quality assurance surveillance plan for the Government’s consideration in development of the Government’s plan.

2.2 Acronyms:

AIS Automated Information System AoR Area of Responsibility APL Approved Products List APL Acceptable Quality Level ARRT Acquisition Requirements Roadmap Tool ATO Authority to Operate

BA Budget Advisor B2B Business-2-Business CAC Common Access Card CAP Cloud Access Point CCEVS Common Criteria Cybersecurity Evaluation and Validation Scheme CDI Covered Defense Information CE Computer Environment CDRL Contract Data Requirement List CIO Chief Information Officer CJCSM Chairman of the Joint Chiefs of Staff Manual CMMC Cybersecurity Maturity Model Certification CMR Contractor Manpower Reporting CNSSI Committee on National Security Systems Instruction CO Contracting Officer(s) CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTR Contracting Officer's Technical Representative CSP Cloud Service Provider CSSP Cyber Security Service Provider CUI Controlled Unclassified Information DAD-A Deputy Assistant Director for Acquisition DC3 DoD Cyber Crime Center DD Form 254 Department of Defense Contract Security Requirement List (if applicable) DB Design-Build DBB Design-Bid-Build DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DISA Defense Information System Agency DoD Department of Defense DoDD Department of Defense Directive DoDI Department of Defense Instruction DSAs Data Sharing Agreements DSAA Data Sharing Agreement Application DMZ Demilitarized Zone DoDM Department of Defense Manual DPCLO DHA Privacy and Civil Liberties Office DUA Data Use Agreement eMSM Enhanced Multi-Service Markets EULA End User License Agreement EVM Earned Value Management FAR Federal Acquisition Regulation FCI Federal contract information FE Facilities Enterprise FedRAMP Federal Risk Authorization and Management Program FRED Functional Requirements Evaluator Designee FISMA Federal Information Security Modernization Act

FRCS Facility Related Control Systems FSO Facilities Security Officer GPC Government Purchase Card HA Health Affairs HIPAA Health Insurance Portability and Accountability Act HCA Head of the Contracting Activity HIT Health Information Technology IGCE Independent Government Cost Estimate IA Information Assurance IO Initial Outfitting I/O In/Out Processing Portal IPv Internet Protocol Version IS Information System ISP Internet Service Provider IT Information Technology ISCM Information Security Continuous Monitoring IV&V Independent Verification & Validation MAC Medical Affirmative Claims MedCOI Medical Community of Interest MHS Military Health System MIL-STD Military Standard MIPR Military Interdepartmental Purchase Request MTFs Military Treatment Facilities NCR National Capitol Region NDA Non-Disclosure Agreement NIAP National Information Assurance Partnership NIST National Institute of Standards and Technology OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs OPM Office of Personal Management OSD Office of the Secretary of Defense P-ATO Personal Authorization to Operate P&R Personnel and Readiness PGI Procedures, Guidance and Information PDT Project Delivery Team PHI Protected Health Information PII Personally Identifiable Information PIT Platform Information Technology PK Public Key PKI Public Key Infrastructure POA&M Plan of Action and Milestones POC Point of Contact PMO Program Management Office PoP Period of Performance PP Personal Property PPSM Ports, Protocols, and Services Management

PRS Performance Requirements Summary PSP Personnel Security Program PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Plan RA Resource Advisor RFP Request for Proposal RFQ Request for Quotation RMF Risk Management Framework SP Special Publication SPRS Supplier Performance Risk System SRM Sustainment, Restoration and Modernization SRG Security Requirements Guides STIG Security Technical Implementation Guides TOS Terms of Service TPC Travel Purchase Card US United States UFC Unified Facilities Criteria VPN Virtual Private Network XML Extensible Markup Language

2.3 Applicable Publications, DHA Administrative Instructions (AI), etc.

DoDM 5200.02_AFMAN 16-1405, Air Force Personnel Security Program

Current known publications under DHA are as follows:

DHA-AI 5200.02 Information Security Program

DHA-AI 5200.04 Personnel Security Program

DHA-AI 5400.01 Privacy and Civil Liberties Compliance

DHA-AI 5015.01 Records Management Program

DHA-PI 3200.02 Clinical Investigations Program (CIP) in Military Medical Treatment Facilities (MTFs)

DHA-PM 6010.13, Volume 1 Medical Expense and Performance Reporting System (MEPRS) for Fixed Military Medical and Dental Treatment Facilities (DTFs): Business Rules

DHA-PM 6010.13, Volume 2 Medical Expense and Performance Reporting System (MEPRS) for Fixed Military Medical and Dental Treatment Facilities (DTFs): Business Rules

DHA-PI 6205.34 Guidance for the DoD Influenza Vaccination Program (IVP)

DHA-AI 1025.01 Military Medical Treatment Facilities Annual Regulatory/Triennial Training Requirements

DHAPI 6010.02, Prescription Drug Monitoring Program

DHAPI 6025.39, Medical Ethics in the Military Health System

DHAPI 6025.31, Military Medical Treatment Facility Pharmacy Operations

DHAPI 6025.20, Medical Management Program within the Military Health System

DHA-PI 6000.04 Military Health System (MHS) Clinical Communities

PART 3

3.0 GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

The Requiring Activity Authority has assessed the need for Government Furnished Property, Equipment, and Services and determined:

3.1 Facilities Access and Resource Usage. The Government will provide, without cost to the Service Provider the facilities, equipment, supplies and services listed below.

3.1.1 Facility Usage. The Service Provider shall use general Government facilities, equipment, supplies, and services for the performance of this contract and return the facilities to the Government in the same condition as received, fair wear and tear and approved modifications excepted.

3.1.2 Automatic Data Processing Equipment (ADPE). The Government will furnish ADPE for mission accomplishment. The Service Provider shall designate an ADPE custodian(s) in writing, for the equipment. The Service Provider shall use ADPE for controlling and tracking data and information, as well as any other duties related to contract performance. The Service Provider shall not use Government furnished ADPE or services for non-contractual related purposes. The Service Provider shall adhere to AFI 33-112 Government Computer Systems para 19, AFI 33-119 Electronic Mail (E-mail) Management and Use as in paragraphs 1.1. through 1.1.3.and AFI 33-129 Transmission of Information Via the Internet Governing proper use of Government computers as in paragraphs 1.1. through 1.1.3.No later than five days prior to the start of the basic contract period, the Service Provider and a Government representative shall jointly inventory the listed equipment. The Service Provider shall comply with all computer system and ADPE accountability and security procedures required by the Government.

(*Air Force reference may be replaced with Navy or DHA specific references.)

3.1.3 Office/Administrative Supplies. The Government shall provide the Service Provider the minimum amount of office/administrative supplies necessary to accomplish the requirements in this PWS. Office/Administrative supplies include but are not limited to computer disks, paper, toner and file folders. All supply requests shall be approved by the QAP prior to ordering. Appointment supervisor shall order through flight supply custodian.

3.2 The Government will provide the Contractor the current Electronic Health Record System, Managed Care Program (MCP), and scheduling end user access to book all direct care appointments according to furnished protocols and hospital/clinic regulation MGI 41-202 for appointing and referral management.

(*Air Force reference may be replaced with Navy or DHA specific references.)

3.3 Services. The Government will provide utilities, postal, telephone, custodial services, refuse collection, fire protection, emergency medical service, security forces, computer services and rodent control services.

3.3.1 Utilities. The Government will furnish utility services including water, sewer, and electric for Service Provider use, in Government-furnished facilities. However, if Service

Provider personnel require utility services that do not exist within a facility or area of work, it shall be the Service Provider’s responsibility to provide such utility service.

3.3.2 Postal Service. Official Government or Service Provider mail that is generated as a result of performance of this contract will be handled via the Base Information Transfer System (BITS) at Government expense.

3.3.3 Telephone Service. Government supplied phones shall be used solely for official business and shall not be used to transact personal business by the Service Provider or his/her employees. The Government will provide telephone instruments, telephone lines, data lines, and repair services for such instruments and lines for services outlined in this Performance Work Statement.

3.3.4 Custodial Service. Custodial services will be provided to the facilities to the extent of service listed in the current custodial contract.

3.3.5 Refuse Collection. Refuse collection services will be provided as listed in the current base refuse collection contract.

3.3.6 Fire Prevention and Protection. The Government will provide fire prevention protection, inspection, and maintenance of Government furnished fire extinguishers and systems.

Fire Department telephone extension is 911 for emergencies.

3.3.7 Emergency Medical Service. In the event of an emergency, contact 911. If transport is necessary, the Service Provider employee shall reimburse the respective agency for any expenses for services incurred.

3.3.8 Security Forces. The Government will provide general security service.