FA302218U0001.pdf

Combined Synopsis Solicitation:

Outpatient Medical Coder

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation;

submissions are being requested and a written solicitation will not be issued.

(ii) The Solicitation Number is: FA3022-18-U-0001

(iii) The solicitation document and incorporated provisions and clauses are those in effect through the following:

Federal Acquisition Circular (FAC): 2005-96 08-Nov-17

DFARS Publication Notice (DPN): 20171208 08-Dec-17

Air Force Federal Acquisition Circular (AFAC): 2007-1003 03-Oct-17

Size Standard: $15.0M(iv) NAICS code: 621999

This is a(n) 100% small business set aside.

The corresponding index entry is: Medical Case Management Services

(v) Please see attached Pricing Schedule for a list of contract line item number(s) and items, quantities and units of measure, (including option(s), if applicable).

(vi) Description of the Requirement:

Contractor shall provide 1 full-time equivalent (FTE) Outpatient Medical Coder for Columbus AFB, MS per the Performance Work Statement.

(vii) Period of Performance or Delivery Date can be found on the Pricing Schedule.

The FOB point is: Destination

Place of Performance ---or---

Delivery Address

14TH MEDICAL SQUADRON - F1N4C1

201 INDEPENDENCE

TPF M105

COLUMBUS AFB MS 39710-5300

(viii) FAR 52.212-1 Instructions to Offerors -- Commercial Items is hereby incorporated by reference, with the same force and effect as if it were given in full text. In addition to any addendum provided via attachment to this Solicitation, all terms and conditions of FAR 52.212-1 remain in effect.

January 2017

(ix) FAR 52.212-2 Evaluation -- Commercial Items this provision has been tailored to this procurement and is provided via attachment to this Solicitation.

October 2014

(x) Each offeror shall ensure the provision at FAR 52.212-3 including its Alternate I, Vendors Representations and Certifications--Commercial Items are updated at www.sam.gov. Failure to obtain SAM registration MAY result in submissions not being considered for award.

November 2017

(xi) The clause at FAR 52.212-4, Contract Terms and Conditions – Commercial Items is hereby incorporated by reference, with the same force and effect as if it were given in full text.

January 2017

(xii) The clause at FAR 52.212-5, Contract Terms and Conditions Required To Implement Statutes Or Executive Orders

– Commercial Items is hereby incorporated by reference, with the same force and effect as if it were given in full text. All provisions and clauses can be found in the Attachments.

November 2017

(xiii) If any warranties are required beyond those customarily provided on a procurement of this nature, they will be specifically mentioned in the Pricing Schedule located within the Attachments.

(xiv) Defense Priorities and Allocations System (DPAS): N/A

(xv) Questions are due by: December 28, 2017 1000 AM CST

Offers are due: January 11, 2018 1000 AM CST

(xvi) The POC for this solicitation is listed below, all responses, questions and submissions shall be sent to the designee listed below:

POC email: See POC Mailing Address

POC Mailing Address:

495 Harpe Blvd, Suite 256C Columbus AFB, MS 39710 eric.lannon@us.af.mil jonathan.garcia.27@us.af.mil

POC Name: Eric P. Lannon & Jonathan Garcia

POC phone: 662-434-7775 or -2591

List of Attachments:

Attachment

Number Name of Attachment Attachment

DatePages

1 Pricing Schedule 1 22-Dec-17

2 Clause List 2 22-Dec-17

3 52.212-2 -- Evaluation -- Commercial Items (Oct 2014) 1 22-Dec-17

4 Performance Work Statement 15 19-Dec-17

5 Wage Determination 11 21-Dec-17

Attachment 1: Pricing Schedule FA302218U0001Sol. No.

Line Item Description Unit PriceUIQTY Extended Price

0001 Base - Outpatient Medical Coder - 23 Jan 2018 - 22 Jan 2019 1880 HR

1001 Option 1 - Outpatient Medical Coder -- 23 Jan 2019 - 22 Jan 2020 1880 HR

2001 Option 2 - Outpatient Medical Coder -- 23 Jan 2020 - 22 Jan 2021 1880 HR

3001 Option 3 - Outpatient Medical Coder -- 23 Jan 2021 - 22 Jan 2022 1880 HR

4001 Option 4 - Outpatient Medical Coder -- 23 Jan 2022 - 22 Jan 2023 1880 HR

Total Price

Submission Expiration: Vendors may, at their discretion provide additional time; however, all submissions must remain valid for at least days after this solicitation closes.30 Expiration Date:

Small Large Woman-Owned Veteran-Owned OtherBusiness Size (select all that apply):

Signature

Delivery Date or Period of Performance: ___________________

DUNS:

Printed Name

Title

NOTE: The individual signing must have signatory authority for this Entity; signature constitutes agreement to all terms and conditions contained within this solicitation.

CAGE:

Is SAM.gov registration current?

Yes No Unsure

Date

Default NET Terms: 30 Days. List any discount terms offered with pricing.

Clauses/Provisions Title Date FAR 52.203-19 Prohibition on Requiring Certain Internal Confidentiality

Agreements or Statements

JAN 2017

FAR 52.204-7 System for Award Management OCT 2016

FAR 52.204-10

Reporting Executive Compensation and First-Tier Subcontract Awards

OCT 2016

FAR 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 FAR 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016

FAR 52.204-19 Incorporation by Reference of Representations and

Certifications

DEC 2014

FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems

JUN 2016

FAR 52.209-6

Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment

OCT 2015

FAR 52.209-10

Prohibition on Contracting with Inverted Domestic Corporations

NOV 2015

FAR 52.219-6 Notice of Total Small Business Set-Aside NOV 2011

FAR 52.219-28

Post-Award Small Business Program Rerepresentation JUL 2013

FAR 52.222-3 Convict Labor JUN 2003 FAR 52.222-21 Prohibition of Segregated Facilities APR 2015 FAR 52.222-26 Equal Opportunity SEP 2016 FAR 52.222-35 Equal Opportunity for Veterans OCT 2015 FAR 52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014 FAR 52.222-37 Employment Reports on Veterans FEB 2016 FAR 52.222-40 Notification of Employee Rights Under the National Labor

Relations Act

DEC 2010

FAR 52.222-41 Service Contract Labor Standards MAY 2014 FAR 52.222-42 Statement of Equivalent Rates for Federal Hires MAY 2014

Employee Class Monetary Wage -- Fringe Benefits Medical Record Clerk GS-4

FAR 52.222-44 Fair Labor Standards Act and Service Contract Labor Standards--Price Adjustment

MAY 2014

FAR 52.222-50 Combating Trafficking in Persons MAR 2015 FAR 52.222-55 Minimum Wages Under Executive Order 13658 DEC 2015 FAR 52.223-18 Encouraging Contractor Policies to Ban Text Messaging

While Driving

AUG 2011

FAR 52.232-33 Payment by Electronic Funds Transfer—System for Award Management

JUL 2013

FAR 52.232-40 Providing Accelerated Payments to Small Business Subcontractors

DEC 2013

FAR 52.233-3 Protest After Award AUG 1996 FAR 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 DFARS 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

DFARS 252.204-7008 Compliance with Safeguarding Covered Defense Information Controls

DFARS 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

DFARS 252.213-7000 Notice to Prospective Suppliers on Use of Past Performance Information Retrieval System—Statistical Reporting in Past Performance Evaluations

JUN 2015

DFARS 252.222-7007 Representation Regarding Combating Trafficking in Persons

JAN 2015

DFARS 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

JUN 2012

DFARS 252.232-7006 Wide Area WorkFlow Payment Instructions MAY 2013 DFARS 252.232-7010 Levies on Contract Payments DEC 2006 DFARS 252.237-7010 Prohibition on Interrogation of Detainees by Contractor

Personnel

JUN 2013

DFARS 252.243-7002 Requests for Equitable Adjustment DEC 2012 AFFARS 5352.201-9101 Ombudsman JUN 2016 AFFARS 5352.242-9000 Contractor Access to Air Force Installations NOV 2012 AFFARS 5352.242-9001 Common Access Cards (CAC) for Contractor Personnel NOV 2012

This provision has been tailored to this solictation and has been provided via full text below.

52.212‐2 ‐‐ Evaluation ‐‐ Commercial Items (Oct 2014)

(a) The Government will award a purchase order resulting from this solicitation to the responsible vendor whose submission conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate quotes:

(i) Price

(ii) Past Performance

NOTE: Quotes will be evaluated on a Lowest Priced, Acceptable Past Performance basis.

The two lowest priced quotes will be evaluated for past performance, if both are found acceptable, award may be made without further consideration. If one or both of the quotes are found unacceptable, the next lowest quote(s) will be considered until award can be made to the lowest priced, quote with acceptable past performance. The government will evaluate past performance through a review of data in the PPIRS database at www.ppirs.gov.

(b) Options. The Government will evaluate submissions for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) Reserved.

(d) The Government reserves the right to communicate with one, some, all, or none of the vendors that provided a submission in response to this solicitation. Such communications may be administrative, clerical, or more substantial in nature.

(e) The Government reserves the right to request additional pricing data to support a fair price and reasonable decision. Examples of such data include, but are not limited to, pricing breakdowns in standard commercial formats or Government provided formats, basis for pricing of specific aspects

(such as increases/decreases between option periods, labor hour estimates, labor categories, etc.), previous contracts with similar work.

(End of Provision)

Performance Work Statement (PWS)

For

Outpatient Medical Coder

14 Medical Group

19 December 2017

Columbus AFB, MS

Table of Contents

1.1. DESCRIPTION OF SERVICES………………………………………………………………3

1.2. EDUCATION AND TRAINING REQUIREMENTS………………………………………..3

1.3. PERSONNEL REQUIREMENTS……………………………………………………………..3

1.4. PERSONNEL……………………………………………………………………………………8

1.5. CREDENTIALS REQUIREMENTS…………………………………………………………..9

1.6. RELATIONSHIP OF THE PARTIES, PROFESSIONAL LIABILITY

RESPONSIBILITY, AND PROCEDURES…………………………………………………11

1.7. HEALTH REQUIREMENTS………………………………………………………………

1.8. EMERGENCY HEALTH CARE……………………………………………………………...13

1.9. HOURS OF OPERATION……………………………………………………………………..13

1.10. ON CALL DUTY/AFTER DUTY RESPONSE. Not applicable for this requirement……..13

1.11. MEDICAL QUALITY ASSURANCE/RISK MANAGEMENT…………………………….14

1.12. ORIENTATION………………………………………………………………………………...14

1.13. CONTINUING EDUCATION REQUIREMENTS…………………………………………..14

1.14. GOVERNMENT COMPUTER ACCESS………………………………………………...…..14

1.15. CUSTOMER COMPLAINTS………………………………………………………………….15

2.1. SERVICES SUMMARY (SS)…………………………………………………………………..15

3.1. GOVERNMENT FURNISHED PROPERTY AND SERVICES……………………………15

4.1. SPECIFIC TASKS………...……………………………………………………………………15

5.1. SECURITY REQUIREMENTS……………………………………………………………….18

6.1. CONTRACT LABOR HOUR REPORTING…………………………………………………19

1.1. DESCRIPTION OF SERVICES

1.1.1. The Contractor shall provide one (1) full-time equivalent (FTE) Outpatient Medical Coder for

Columbus Air Force Base, Mississippi, hereafter referred to as the Medical Treatment Facility (MTF).

The Contractor shall be responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD-9 diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure

Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.

1.1.2. Contractor Staffing Plan: The Contractor shall establish and maintain a staffing plan for staffing vacant positions with fully qualified health care workers from outside the Government. A copy of the plan shall be forwarded to the Contracting Officer (CO) prior to contract start date. The plan shall include a timeframe for promptly hiring, credentialing, and, if the employee is terminated or quits, a re-hiring proposal as part of the evaluation criteria prior to contract award.

1.2. EDUCATION AND TRAINING REQUIREMENTS

Contractor may have the following recognized Education/Certifications:

1.2.1 Registered Health Information Technologist (RHIT), Registered Health Information Administrator

(RHIA), Certified Professional Coder (CPC), Certified Coder Specialist – Physician (CCS-P) with the appropriate level of experience.

1.2.2 An accrediting institution recognized by the American Health Information Management

Association (AHIMA) and/or American Academy of Professional Coders (AAPC) must accredit education.

1.3. PERSONNEL REQUIREMENTS

1.3.1. Qualifications

1.3.2. Mandatory knowledge and skills.

1.3.3. Position requires excellent computer/communication skills for provider and staff interactions.

1.3.4. Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines

(outpatient), documentation requirements, familiarity with medications and reimbursement guidelines, and encoder experience.

1.3.5. Candidate must have ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.

1.3.6. Contractor may have the following recognized Education/Certifications :

1.3.7. Registered Health Information Technologist (RHIT), Registered Health Information

Administrator (RHIA), Certified Professional Coder (CPC), Certified Coder Specialist – Physician

(CCS-P) with the appropriate level of experience.

1.3.8. An accrediting institution recognized by the American Health Information Management

Association (AHIMA) and/or American Academy of Professional Coders (AAPC) must accredit education.

1.3.8.1. Continued Education Requirements :

1.3.8.2. Contract medical coders will obtain the required continued education hours at no expense to the government in order to maintain current and proper national certification(s) required for the position.

1.3.8.3. Must have successfully completed requirements for International Classification of Diseases, Tenth Revision ICD-10-CM/PCS proficiency certification by AHIMA standards or the AAPC ICD-10-

CM proficiency test prior to their start date.

1.3.8.4. Experience: The applicant must have a minimum of three years’ experience in a production coding environment in multiple specialties in the outpatient setting (physician’s office or ambulatory surgery centers) within the last five years, including assignment of E&M, CPT, and HCPCS codes.

Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, and HCPCS codes. Ancillary specialties

(PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience. Additionally, coding, auditing and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office

(insurance billing, accounts receivable) is NOT a qualifying factor.

1.3.8.5. Two years of outpatient/ambulatory surgery experience may be qualifying if received in a military medical facility.

1.3.8.6. Work Environment/Physical Requirements. The work is primarily sedentary. Requirements may include prolonged walking, standing, sitting or bending. Carrying or lifting of medical records may be required daily. Use of one or more computer programs and monitors may be required daily.

1.4 UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES:

1.4.1 Armed Forces Health Longitudinal Technology Application (AHLTA)

1.4.2 Composite Health Care Systems (CHCS)

1.4.3 Defense Enrollment Eligibility Reporting System (DEERS)

1.4.4 Military Filing System – by sponsor social security number, terminal digit order, color coded and blocked filing system.

1.4.5 Contents of a military medical record, layout, sections, family member prefix designation, forms used in a MTF, and the medical record tracking procedures.

1.4.6 Essentris TM, the client-server version of the Clinical Information System (CIS)

1.4.7 Coding Compliance Editor (CCE) Systems

1.4.8 Biometric Data Quality Assurance Service (BDQAS) – https://bdqas.afms.mil/index2.htm

1.4.9 AFMS Internal Coding Audit Methodology – AFMOA Audit Tool

1.4.10 MHS Coding Guidelines http://www.tricare.mil/ocfo/bea/ubu/codingguidelines.cfm

1.5 PERFORMANCE OUTCOMES:

1.5.1 Responsible for assignment of accurate E&M, ICD-9, CPT and HCPCS codes and modifiers from medical record documentation.

1.5.2 Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external.

1.5.3 Interacts with MTF staff to ensure documentation is clear and supports coding assignments.

Educates MTF staff through individual or group in-services and training sessions.

1.5.4 Maintains a delinquency report of missing records in order to facilitate completion of work within the required Air Force thresholds.

1.6. PERSONNEL

1.6.1. Point of Contact. The contractor shall provide a point of contact that shall be responsible for the performance of the work. The point of contact shall have full authority to act for the Contractor on all matters relating to the operation of this contract. The Contractor shall designate this individual, in writing, to the Contracting Officer’s Representative (COR) before the contract start date.

1.6.2. Availability. The Contractor shall be available for duty five days a week, Monday thru Friday, 7:00 AM until 5:00 PM (defined herein as a “duty day”), excluding Federal Holidays and Family Days.

The Contractor must provide projection of anticipated vacation day(s) or personal matters at least six (6) months in advance. Any late requests made after the clinic schedule has been published must be routed and approved through the Flight Commander Group Practice Manger and/or Chief of Medical Staff

(SGH), unless it’s for an acute illness, or a personal or family emergency.

1.6.3. Arrange for Replacement Staff. The Contractor shall arrange for pre-credentialed locum tenens coverage when the Contractor will be unable to provide service for two or more consecutive weeks.

Locum tenens personnel will have all credentialed accepted through 14 MDG before any service is performed within the MTF.

https://bdqas.afms.mil/index2.htm http://www.tricare.mil/ocfo/bea/ubu/codingguidelines.cfm

1.6.4. Personnel Requirements

1.6.4.1. English Language Requirement. Personnel shall read, understand, speak, and write English well enough to effectively communicate with patients and other healthcare workers.

1.6.4.2 Contractor Personnel shall present a neat appearance and be easily recognized as a contractor employee. A hospital issued nametag will be provided designating “contractor.” Contractor employee shall identify themselves as a contractor personnel by introducing themselves or being introduced as a contractor personnel and displaying distinguishing badges or other visible identification for meetings with Government personnel. Contractor shall appropriately identify themselves as a contractor employee in telephone conversations and in formal and informal written correspondence.

1.6.5. Criminal Background Check Requirement.

1.6.5.1 The Government will conduct criminal background checks on individuals providing childcare services under this contract, using the procedures set forth in DoDI 1402.5, Background Checks on DoD

Individuals in Child Care Services, dated 15 September 2015. Background checks will be based on fingerprints of individuals obtained by a Government law enforcement officer and inquiries conducted through the Federal Bureau of Investigation (FBI) and state criminal history repositories.

1.6.5.2. Contractors shall have the right to obtain a copy of any background check pertaining to them and to challenge the accuracy and completeness of the information contained in the report.

1.6.6. Conflict of Interest. The Contractor shall not be an employee of the United States Government if the employment would create a conflict of interest. The Contractor shall not be a person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval in accordance with DoD Directive 5500.7-R, Joint Ethics Regulation, and Air Force policy.

1.7. CREDENTIALS REQUIREMENTS

1.7.1. Privileging. The credentials of all providers shall be reviewed and privileges granted as outlined in AFI 44-119, Medical Quality Operations. The Contractor is responsible to ensure that the requisite credentials enabling the grating of privileges by the MTF is sufficient to allow for performance of all tasks identified in Section 4 of this PWS.

1.7.1.1. Privileging Requirements. Copies of required certification shall be furnished to the CO prior to performance of this contract. Each required document must be sent in .pdf form, one document per .pdf, to ensure credentialing as soon as possible. See AFI 44-119, Attachment 5, Table A5.4, Credentials

Required for Civilian Providers (Contract and Government Civilian Providers) for required credentialing documents that must be submitted.

1.7.1.2. Initial applications for clinical privileges, to include credentials action history, malpractice history, and completed copies of the below listed documents, shall be submitted to the applicable MTF

Credentials Committee within 30 calendar days from receipt of notice of contract award, or when requested by the COR. Additionally, the Contractor shall be available for interview by the applicable

MTF during the credentialing process.

1.7.1.2.1. Copy of valid, current, unrestricted applicable state medical license and applicable Board

Certification.

1.7.1.2.2. Provider education and training.

1.7.1.2.3. Current BLS and if applicable, ACLS certification based on guidance in AFI 44-102, Medical

Care Management.

1.7.1.2.4. Current certification in PALS, if applicable based on AFI 44-102.

1.7.1.2.5. A signed consent for release of information.

1.7.1.2.6. Copy of Drug Enforcement Agency (DEA) certificate, if applicable.

1.7.1.2.7. A copy of the proposed contractor’s professional resume (curriculum vitae), accompanied by that individuals sworn affidavit of the truthfulness of same, indicating experience, training, and technical expertise in the type of care to be rendered.

1.7.1.2.8. A list of all states in which the contractor currently holds or has held a license to practice related services.

1.7.1.2.9. Certification of current physical examination. The certification shall contain a signed statement by the examining physician stating that the contractor is free of any contagious diseases. Physical examination must be current and within the 12 months prior to the application for privileges.

1.7.1.3. Applications for privileges will be screened through the National Practitioners Data Bank.

1.7.2. Professional staff appointments and clinical privilege actions will be based on review of documents listed in paragraph 1.5.1.2, in accordance with AFI 44-119.

1.7.3. Applications for clinical privileges for replacement contract providers shall be submitted to the applicable MTF Credentials Committee through the COR where services are to be provided no later than 30 calendar days prior to the provider assuming duty.

1.7.4. The Contractor is required to begin full performance of the contract requirements within 30 days of contract award and provide the proposed start day.

1.7.5. The Contractor must submit only complete credentials applications for processing. Incomplete applications (those that do not fully comply with the requirements) will not be accepted by the

Government and will be returned without action.

1.7.6. The Contractor must take specific action, including Primary Source Verification, to ensure the contractor applications have the required prerequisites for privileging and do not have disqualifying impediments for privileges at the applicable MTF. This is a non-delegable responsibility of the

Contractor.

1.7.7. The Contractor will submit applications for only those contract providers who can reasonably be anticipated to render the actual, substantial performance on the contract. The submission of primary contract providers for credentialing who lack the requisite qualifications, or who will not work at all, is unacceptable, and will be considered a failure to perform.

1.8. RELATIONSHIP OF THE PARTIES, PROFESSIONAL LIBAILITY RESPONSIBILITY,

AND PROCEDURES

1.8.1. Relationship of the Parties. This is a personal services contract as defined in Federal Acquisition

Regulation (FAR) 37.104. The contractor who furnishes services under this contract is subject to the day-to-day supervision and control of employees of the United States Government. The Flight

Commander or appointed individual will perform as the Government Supervision and control where the services are performed.

1.8.2. Professional Liability Responsibility. The contractor’s status as a personal servant of the United

States Government entitles him/her to applicable coverage of the Federal Tort Claims Act as provided in the Medical Malpractice Immunity Act, 10 U.S.C. 1089. Therefore, the contractor shall not be financially liable for claims for personal injury or death, allegedly caused by the negligence of the contractor, which occur within the scope of work performed by the contractor under this contract, and are not otherwise compensated for, or covered by, private insurance. Such claims will be processed in accordance with the procedures established by those statutes, implementing regulations, and as set out below. The Contractor is not required to maintain medical malpractice liability insurance, and the

Government will not reimburse or otherwise pay for such insurance should any be purchased.

1.8.3. Claims Procedures. If any suit or action is filed or any claim is made against the contractor, which occurred as a result of work performed by the healthcare providers under this contractor, the contractor shall:

1.8.3.1. Immediately notify the COR and promptly furnish copies of all pertinent papers received.

1.8.3.2. Cooperate with the Government, without further compensation, in the processing, review, settlement or defense of the suite, action or claim.

1.8.3.3. Authorize Government representatives to settle or defend the claim and to represent the healthcare provider in, or take charge of, any litigation involved in such an action. The healthcare provider may, at his own expense, participate in defense of such claim or litigation.

1.8.4. Denial/Termination of Privileges.

1.8.4.1. Actions to limit, suspend, or revoke clinical privileges shall be in accordance with the procedures outlined in AFI 44-119.

1.8.4.2. The CO and the Contractor shall be notified by the COR as soon as possible when the necessity to exercise such authority becomes apparent. The COR will also provide the CO and the Contractor with copies of documentation initiating the revocation process if such actions become apparent.

1.9. HEATH REQUIREMENTS

1.9.1. Pre-assignment Medical Evaluation: No contract employee shall perform health care services under this contract unless a pre-assignment medical evaluation has been performed not more than 14 calendar days prior to submission of credentials. The purpose of this medical evaluation is to determine if the individual, from a medical standpoint, possesses the minimum physical abilities needed to perform the proposed job without significant risk to personal health or the health and safety of other. As a minimum, the individual shall be free of physical defects or medical conditions which might reasonably be expected to place other workers, patients, or the public at risk. Not later than five (5) days prior to the commencement of performance of health care services under this contract by any employee, the

Contractor shall provide to the Public Health Flight certification that such employees have completed the medical evaluation requirements identified below. This certification shall state the date on which the examination was completed, the doctor’s name that performed the examination and a statement concerning the physical health of the individual. Initial documentation is required for: MMR

(immunization or titer levels for Rubella and Rubeola), history of chick pox disease of positive titer

(varicella vaccination must be accomplished if lack of immunity), TB Mantoux skin test (IPPD) if positive, minimum requirement will be follow-up with contractor physician and a chest x-ray. A physician must provide documentation of “no active respiratory disease”, Hepatitis B vaccination/series are required for all personnel with occupational risk of exposure (declination are not acceptable, this is a condition of employment) and if the employee will be involved in exposure-prone procedures (ex:

dentist, dental hygienist) they will have their HbsAg status determined. This is to be done by providing documentation of the HbsAb (if positive they will be referred to the MTF Credentials committee to determine scope of practice). If, in the opinion of the evaluating medical practitioner, the individual is found to be qualified for duty, the medical statement shall include the following wording: “(NAME OF

EMPLOYEE) possesses the minimum physical abilities to perform the proposed duties of a (insert job title). He/she has documented proof of immunization against/immunity to Rubeola, rubella, and hepatitis

B and does not have an active infectious condition which might place other at risk.” If, in the opinion of the evaluating medical practitioner, the individual does not possess the minimum capabilities needed to perform the proposed job or does not meet the conditions of employment or will pose a risk to other, the medical statement shall contain the following working: “For medical reasons, (NAME OF EMPLOYEE) is not qualified for employment as a (insert job title).”

1.9.2. Annual Medical Evaluation. All contractor employees performing health care services under this contract shall complete annual medical evaluations as required by the MTF hospital employee health program. The contractor shall provide to the COR a certificate, as described above, documenting the results of this evaluation.

1.9.3. Preventative, Prophylactic, and Follow-up Procedures. The contractor shall ensure he/she is in compliance with preventive, prophylactic and follow-up procedures, as well as infection control and employee health program procedures, as established by the MTF. Required preventive, prophylactic and follow-up procedures will be provided by the Government to the contractor in the military MTF. The contractor shall reimburse payment for these services. If care is received elsewhere, the contractor shall provide written verification of treatment.

1.10. EMERGENCY HEALTH CARE

1.10.1. The MTF will provide emergency health care for the contractor for injuries occurring while on duty in the MTF. These services will be billed to the contractor at the current full reimbursement rate.

1.11. HOURS OF OPERATION

1.11.1. Core patient care hours are 7:00 am – 5:00 pm, Monday thru Friday. The contractor should follow command announcements for reporting to work as it relates to inclement weather or base closures.

1.11.2. Federal Holidays/MTF Closure. The contractor will not provide routine services on federal holidays. The following federal holidays are observed by Columbus Air Force Base:

New Year’s Day 1 January Martin Luther King, Jr’s Day 3rd Monday of January President’s Day 3rd Monday of February Memorial Day Last Monday of May Independence Day 4 July Labor Day 1st Monday of September Columbus Day 2nd Monday of October Veteran’s Day 11 November Thanksgiving Day 4th Thursday of November Christmas Day 25 December

Holidays occurring on Saturday will be observed the proceeding Friday. Those occurring on a Sunday will be observed the following Monday. Additional holidays consist of designated Wing stand down and Presidential appointed down days. All applicable planned closure dates will be incorporated in the contract as non-billable days.

In addition to the days designated as holidays, the Government observes the following days: Any other day designated by Federal Statute and any other day designated by Executive Order.

The Contractor will not provide routine services during Department of Defense (DoD), AF or Wing declared down-days, or events which result in medical facility closure. (Some exceptions may apply as directed by the MDG COR staff).

NOTE: For squadron functions, the contractor will not be reimbursed or paid for these events. However, attendance at alternate duty location directed by the CO or the MTF COR supervisor shall be reimbursed.

1.12. ON CALL DUTY/AFTER DUTY RESPONSE. NOT APPLICABLE FOR THIS

REQUIREMENT.

1.13. MEDICAL QUALITY ASSURANCE/RISK MANAGEMENT (QA/RM)

1.13.1. Health care providers shall participate in QA/RM activities to the extent required by AFI 44-119 and the individual MTF QA/RM plan or regulation. This includes, but is not limited to, peer review at a minimum of 10 encounters per month.

1.13.2. The government will evaluate the contractor’s professional, and differentiated from administrative, performance under this contract using quality assurance standards specified in

AFI 44-119.

1.14. ORIENTATION

1.14.1. The Contractor shall participate in the MTF orientation and service/clinic specific orientation prior to furnishing services under this contract. Clinic orientation must occur within five (5) duty days of employment start date. MTF orientation must occur within 30 days of employment start date.

1.15. CONTINUING EDUCATION REQUIREMENTS

1.15.1 Credentialed Providers. Continuing Medical Education (CME): Health care providers registered or certified by national/medical associations shall continue to meet the minimum standards for the CME to remain current as prescribed in AFI 41-117, Medical Service Officer Education. CME shall be obtained at no additional cost to the Government and shall be reported to the COR and MTF Credentials

Committee annually on the first normal duty day in January for the previous calendar year. Periodic

CME may be conducted at the MTF and will be available, at no cost, to any healthcare provider desiring to attend.

1.15.2. Annual Training Requirements: All contract employees must complete any mandatory and annual training required IAW DoD, air Force Instructions, Medical facility training requirements, and regulatory agencies (AAAHC, Health Insurance Portability and Accountability Act (HIPAA), Joint

Commission on Accreditation of Healthcare Organizations (JCAHO), Health Services Inspection (HIS), AF Computer Security Policy, and AF Safety Policy). They must complete any additional training as dictated by facility or work-center.

1.16. GOVERNMENT COMPUTER ACCESS

1.16.1. The contractor will ensure that all Contract employees comply with the requirement to obtain the minimum personnel security investigations as prescribed by DoD 5200.2-R and AFI 31-501, paragraphs

3.27.3.7 to 3.27.3.7.2. The contractor will work with the MTF to ensure that the pre-employment screening process for each employee is classified as ADP I, II, III (as defined in DoD 5200.2-R0 includes the appropriate investigations and that each contract employees have the appropriate questionnaires and forms to be completed. All completed forms will be reviewed by the contractor and forwarded to the MTF for processing. The contractor understands that, while the MTF Commander may allow contractor personnel to temporarily occupy noncritical sensitive positions pending National

Agency Check (NAC), employee will be immediately removed from the position if at any time the NAC receives unfavorable adjudication, or, if other unfavorable information that would affect the NAC becomes known.

1.17. CUSTOMER COMPLAINTS

1.17.1. Any customer complaints will be documented on the Customer Complaint Record (CCR). A copy of the CCR is attached to the PWS as Appendix 3.

2.1. SERVICES SUMMARY (SS)

2.1.1. The contract service requirements are summarized in the objectives that relate to mission essential items. The performance thresholds describe the minimum acceptable levels of service for each requirement. The COR will provide surveillances to inspect delivery of services on a Satisfactory or

Unsatisfactory basis. These thresholds are critical to mission success.

Performance Objective

PWS Para Performance Threshold

Method of Surveillance

Personnel Requirements

1.3 And 1.6. 90% Compliance Periodic

Arrange for Replacement Staff

1.6.3. 100% Compliance 100% verification

Patient Sensitivity 4.1.3 95% Compliance Customer Complaint Documentation 4.1.10 95% Compliance Periodic

3.1. GOVERNMENT FURNISHED PROPERTY AND SERVICES

3.1.1 Equipment/Officer Furniture. The provider shall have joint use of all available equipment for performing services required by this contract.

3.1.2. Personal Protective Equipment (PPE). The Government will furnish the provider with appropriate PPE. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform or laboratory coat.

3.1.3. Forms. The MTF will provide required government forms used in the performance of services.

3.1.4. Supplies. The MTF will provide medical and non-medical supplies commonly used in the facility for the care and management of patients.

4.1. SPECIFIC TASKS

4.1.1. Work Requirement:.

4.1.2. Patient Lists. Patient lists, no matter how developed shall be treated as privileged information.

Lists and/or names of patients shall not be disclosed to or revealed in any way for any use outside the

MTF without prior written permission by the Chief of the Medical Staff.

4.1.3. Patient Sensitivity. Contract personnel shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships. Personnel receiving complaints validated by the COR and Chief of the Medical Staff shall be subject to counseling and, depending on the nature and severity of the complaint, separation from performing services under this contract.

4.1.4. Release of Medical Information. Contract personnel shall only release medical information obtained during the course of this contract to the patient, legal guardian, or other MTF staff involved in the care and treatment of that individual patient.

4.1.5. Judgement and Decisions. Educate and counsel patient/families about their potential risk for diseases or injuries; make appropriate recommendations/referrals; conduct education and counseling in

1:1 or group setting, as appropriate.

4.1.6. Coordination. Coordinate with appropriate individuals/departments regarding delays in service that my impact quality.

4.1.7. Communication. Demonstrate strong customer service skills and foster development of those skills throughout entire MTF.

4.1.7.1. Communicate and collaborate with the appropriate members of the health care team to ensure that needs of assigned patients are met without duplication of effort.

4.1.7.2. Make the health care and MTF system as responsive to patients’ needs as possible.

4.1.7.3. Establish and maintain good interpersonal relationships with co-workers, families, peers, and other health team members.

4.1.8. Infection Control and Safety. The contractor shall comply with all MTF infection control and safety procedures, practices, and standards.

4.1.9. Health Insurance Portability and Accountability Act (HIPAA): All individuals performing services at the MTF are required to complete HIPAA Act Privacy Rule Training and will be held accountable for complying with the MTF’s specific health information privacy and security policies and procedures.

4.1.10. Documentation.

4.1.11. Support during Military Training. Contract personnel may periodically be required to continue clinical operation while DoD employees attend mandatory training or other DoD specific activities.

4.1.12. Attendance at Meetings. The provider personnel shall attend and participate in meetings, professional staff conferences, and other appropriate professional activities as directed.

4.1.13. Professional Qualities. Participate in professional development activities and maintain professional affiliations. Attend conferences and workshops related to duties. Maintain current knowledge of disease management, preventive screening standards and requirements, and current trends in population-based health management. Actively participate in ongoing improvement projects associated with disease management, prevention, and population-based health management.

4.1.14. The Joint Commission (TJC) and Unit Effectiveness Inspection (UEI). The Contractor shall meet all applicable TJC and UEI standards during the performance of this contract.

4.1.15. Communication.

5.1. SECURITY REQUIREMENTS

5.1.1. Security Requirements for Unclassified Services. The contractor shall fully adhere with the provisions of referenced publications by submitting the appropriate forms to obtain and maintain a suitability determination to perform under this contract. The contractor shall ensure the following is accomplished prior to the required or planned start date in the MTF:

5.1.1.1. Schedule an appointment with the Unit Security Manager at the MTF where services are provided. The appointment shall be scheduled at least 14 calendar days before the required start date and arranged for the contractor’s first day of work at the MTF. The contractor cannot start work earlier than the scheduled appointment date with the Unit Security Manager.

5.1.1.2. Complete the Standard Form 85P (SF-85P), Questionnaire for Public Trust Positions, in a secure website called Electronic Questionnaires for Investigations Processing (e-QIP) or (in some cases) completes the SF-85P from a downloadable form on the Office of Personnel Management (OPM) website when the Unit Security manager establishes an account in e-QIP or provides other directions to the contractor before the scheduled appointment date. The unit Security manager may provide instructions with regard to faxing or emailing signature forms for the SF-85P as well as information on completing the

FD-258, Applicant Fingerprint Card, before the appointment date.

5.1.1.3. Contractor performing for the Government under this contract are in non-sensitive public trust positions designated as Automated Information Systems III positions IAW DoD Directive 5200.2-R. In compliance with DoD Directive 5200.2 and AFI 31-501, a National Agency Check with written Inquiries

(NACI), is required for all AIS III positions.

5.1.2. The Contractor shall have a favorable investigation, verified through the Joint Personnel

Adjudicating System (JPAS) as a condition of employment under this contract. The Contractor understands that, while the MTF commander may allow him/her temporary or interim access to

Government systems in non-sensitive positions pending the outcome of the NACI (usually through a 90 day waiver), this contract requires the immediate removal of a contractor from the position if the NACI returns with unfavorable or denied adjudication. In addition, the Government will immediately suspend the contractor computer access if the NACI is returned with an adjudication of “no determination made.”

The MTF Commander will determine whether to allow the contractor to continue in the public trust position or deny computer access, which requires the contractor to be removed from the position.

5.1.3. The contractor shall comply with all requirements and procedures IAW Air Force Federal

Acquisition Regulation Supplement (AFFARS) Clause 5353.242-9000, Contractor Access to Air Force

Installations, and local clause CAFB 00006, Columbus AFB Installation Security Requirements and

Information; these will be incorporated into the contract.

6.1. CONTRACT LABOR HOUR REPORTING

6.1.1. Contractor Manpower Reporting:

The Contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the Columbus AFB Licensed Practical Nurse

Service via a secure data collection site. The contractor is required to completely fill in all required data fields at http://www.ecmra.mil. Reporting inputs will be for the labor executed during the period of performance for each Government Fiscal year. Contractors may direct questions to the CMRA help desk.

6.1.2. Uses and Safeguarding of Information. Information from the secure web site is considered to be proprietary in nature when the contractor 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 contractor number associated with the data.

http://www.ecmra.mil/

WD 15-5158 (Rev.-3) was first posted on www.wdol.gov on 08/01/2017

REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2015-5158 Daniel W. Simms Division of | Revision No.: 3 Director Wage Determinations| Date Of Revision: 07/25/2017 Note: Under Executive Order (EO) 13658, an hourly minimum wage of $10.20 for calendar year 2017 applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2015. If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10.20 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in calendar year 2017. The EO minimum wage rate will be adjusted annually.

Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

State: Mississippi

Area: Mississippi Counties of Alcorn, Calhoun, Chickasaw, Choctaw, Clay, Itawamba, Lafayette, Lee, Lowndes, Monroe, Noxubee, Oktibbeha, Pontotoc, Prentiss, Tishomingo, Union, Webster, Winston **Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

01000 - Administrative Support And Clerical Occupations 01011 - Accounting Clerk I 13.07 01012 - Accounting Clerk II 14.67 01013 - Accounting Clerk III 16.41 01020 - Administrative Assistant 18.13 01035 - Court Reporter 15.73 01041 - Customer Service Representative I 11.07 01042 - Customer Service Representative II 11.39 01043 - Customer Service Representative III 13.59 01051 - Data Entry Operator I 11.63 01052 - Data Entry Operator II 12.69 01060 - Dispatcher, Motor Vehicle 16.29 01070 - Document Preparation Clerk 12.84 01090 - Duplicating Machine Operator 12.84 01111 - General Clerk I 11.52 01112 - General Clerk II 12.57 01113 - General Clerk III 14.12 01120 - Housing Referral Assistant 17.25 01141 - Messenger Courier 9.25 01191 - Order Clerk I 13.77 01192 - Order Clerk II 15.47 01261 - Personnel Assistant (Employment) I 13.97 01262 - Personnel Assistant (Employment) II 15.62 01263 - Personnel Assistant (Employment) III 17.42 01270 - Production Control Clerk 18.78 01290 - Rental Clerk 11.72 01300 - Scheduler, Maintenance 13.82 01311 - Secretary I 13.82 01312 - Secretary II 15.46

Friday, December 22, 2017

01313 - Secretary III 17.25 01320 - Service Order Dispatcher 14.89 01410 - Supply Technician 18.13 01420 - Survey Worker 12.63 01460 - Switchboard Operator/Receptionist 11.64 01531 - Travel Clerk I 11.31 01532 - Travel Clerk II 11.88 01533 - Travel Clerk III 12.50 01611 - Word Processor I 11.06 01612 - Word Processor II 12.42 01613 - Word Processor III 13.89 05000 - Automotive Service Occupations 05005 - Automobile Body Repairer, Fiberglass 19.21 05010 - Automotive Electrician 15.70 05040 - Automotive Glass Installer 15.02 05070 - Automotive Worker 15.02 05110 - Mobile Equipment Servicer 13.61 05130 - Motor Equipment Metal Mechanic 16.38 05160 - Motor Equipment Metal Worker 15.02 05190 - Motor Vehicle Mechanic 16.38 05220 - Motor Vehicle Mechanic Helper 12.88 05250 - Motor Vehicle Upholstery Worker 14.27 05280 - Motor Vehicle Wrecker 15.02 05310 - Painter, Automotive 15.70 05340 - Radiator Repair Specialist 15.02 05370 - Tire Repairer 12.52 05400 - Transmission Repair Specialist 16.38 07000 - Food Preparation And Service Occupations 07010 - Baker 10.37 07041 - Cook I 9.35 07042 - Cook II 10.47 07070 - Dishwasher 8.80 07130 - Food Service Worker 8.97 07210 - Meat Cutter 13.77 07260 - Waiter/Waitress 8.68 09000 - Furniture Maintenance And Repair Occupations 09010 - Electrostatic Spray Painter 17.12 09040 - Furniture Handler 10.91 09080 - Furniture Refinisher 16.36 09090 - Furniture Refinisher Helper 12.30 09110 - Furniture Repairer, Minor 14.37 09130 - Upholsterer 16.60 11000 - General Services And Support Occupations 11030 - Cleaner, Vehicles 9.73 11060 - Elevator Operator 9.97 11090 - Gardener 14.76 11122 - Housekeeping Aide 9.81 11150 - Janitor 9.81 11210 - Laborer, Grounds Maintenance 11.33 11240 - Maid or Houseman 8.98 11260 - Pruner 10.99 11270 - Tractor Operator 13.62 11330 - Trail Maintenance Worker 11.33 11360 - Window Cleaner 11.08 12000 - Health Occupations 12010 - Ambulance Driver 17.11 12011 - Breath Alcohol Technician 16.78 12012 - Certified Occupational Therapist Assistant 22.42 12015 - Certified Physical Therapist Assistant 24.65 12020 - Dental Assistant 14.03 12025 - Dental Hygienist 26.46 12030 - EKG Technician 20.88

12035 - Electroneurodiagnostic Technologist 20.88 12040 - Emergency Medical…