FA8053-11-R-0003 FINAL RFP.pdf

CODE

(Hour)

PAGE(S)

until 03:00 PM local time 21 Jun 2011

A

X B

X C

D

EX

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G

F 86 - 96

97 - 134

X H 135 - 145 adrianne.krauss@wpafb.af.mil

RATING PAGE OF PAGES

7. ISSUED BY

(Date)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

Previous Edition is Unusable 33-134 STANDARD FORM 33 (REV. 9-97)

Prescribed by GSA

FAR (48 CFR) 53.214(c)

1 145

(If other than Item 7)

15A. NAME 16. NAME AND TITLE OF PERSON AUTHORIZED TO

AND

ADDRESS

SIGN OFFER (Type or print)

OF

OFFEROR

AMENDMENT NO. DATE

15B. TELEPHONE NO (Include area code) 17. SIGNATURE15C. CHECK IF REMITTANCE ADDRESS

IS DIFFERENT FROM ABOVE - ENTER

SUCH ADDRESS IN SCHEDULE.

18. OFFER DATE

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)

2. CONTRACT NO.

FA8053 8. ADDRESS OFFER TO

See Item 7

9. Sealed offers in original and 4 copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if handcarried, in the depository located in

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and

773 ESS/PKJ, Medical, WPAFB conditions contained in this solicitation.

10. FOR INFORMATION

CALL:

A. NAME (NO COLLECT CALLS)

ADRIANNE KRAUSS (937) 255-3904

11. TABLE OF CONTENTS

SOLICITATION/ CONTRACT FORM

SUPPLIES OR SERVICES AND PRICES/ COSTS

2 - 6

X I CONTRACT CLAUSES

DESCRIPTION/ SPECS./ WORK STATEMENT X

PACKAGING AND MARKING

7 - 34 J LIST OF ATTACHMENTS

INSPECTION AND ACCEPTANCE

DELIVERIES OR PERFORMANCE

X K

REPRESENTATIONS, CERTIFICATIONS AND

OTHER STATEMENTS OF OFFERORS

CONTRACT ADMINISTRATION DATA X

SPECIAL CONTRACT REQUIREMENTS

OFFER (Must be fully completed by offeror) 37 - 50 X M

L INSTRS., CONDS., AND NOTICES TO OFFERORS

EVALUATION FACTORS FOR AWARD

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT

(See Section I, Clause No. 52.232-8)

14. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments

AMENDMENT NO. DATE

to the SOLICITATION for offerors and related documents numbered and dated):

FACILITY

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (60 calendar days unless a different period

SOLICITATION, OFFER AND AWARD

X

(X) SEC. DESCRIPTION (X) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE

26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA 28. AWARD DATE

EMAIL:TEL: (Signature of Contracting Officer)

CODE CODE

B. TELEPHONE (Include area code) C. E-MAIL ADDRESS

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

10 U.S.C. 2304(c)( ) 41 U.S.C. 253(c)( ) (4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN ITEM

24. ADMINISTERED BY (If other than Item 7) CODE 25. PAYMENT WILL BE MADE BY CODE

PART IV - REPRESENTATIO NS AND INSTRUCTIO NS

PART III - LIST O F DO CUMENTS, EXHIBITS AND O THER ATTACHMENTS

51 - 84

PART II - CO NTRACT CLAUSES

773 ESS/PKJ - ESG MEDICAL OL, WPAFB

POC: CLARINDA SMITH

2776 C SUITE 200

BLDG 6 AREA B

WRIGHT-PATTERSON AFB OH 45433-7401

937-904-5040

937-656-7520FAX:

TEL:

FAX:

TEL:

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

SOLICITATION

6. REQUISITION/PURCHASE NO.5. DATE ISSUED

20 May 2011

4. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

[ X ]

3. SOLICITATION NO.

FA8053-11-R-0003

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001 1 Each Medical Support Services-Service Type I

FFP

Personnel to support Air Force Medical Service organizations throughout the

United States and its territories in accordance with the Performance Work

Statement included at Section C and the performance requirements included in

Section J. Detailed pricing charts are attached to the RFP. Pricing is by labor category, with separate rates for specifically identified high-cost areas and for all other locations. Task orders will be issued under this contract as outlined in clause H.3. The contract ordering period is five (5) years from the date of contract award. The labor categories included in the contract can be found in Section J, Attachment 3: Position Descriptions – Service Type I.

The maximum dollar amount stated on this CLIN is an estimate only and the total dollar amounts from CLIN 0001 and CLIN 0002 combined cannot exceed

$494,000,000.

FOB: Destination

SIGNAL CODE: A

MAX

NET AMT

ITEM NO SUPPLIES/SERVICES MAX

UNIT UNIT PRICE MAX AMOUNT

0002 1 Each Medical Support Services-Service Type II

FFP

All necessary equipment and labor required to perform full functional services in

Air Force Medical Service organizations throughout the United States and its territories in accordance with the Performance Work Statement (PWS) included in

Section C and the performance requirements included in Section J. Pricing is by service unit rate, with separate rates for specifically identified high-cost areas and for all other locations. Task orders will be issued as outlined in clause H.3. The contract ordering period is five (5) years from the date of contract award. Full functional services can be found in Section J, Attachment 4: Statement of

Objectives.

The maximum dollar amount stated on this CLIN is an estimate only and the total dollar amounts from CLIN 0001 and CLIN 0002 combined cannot exceed

$494,000,000.

MAX

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0003 Each Travel

COST

The Contractor, including both Contractor Management Staff and HCWs, shall be required to perform periodic travel within the Continental United States (CONUS) as directed by the Government and approved in advance by the Contracting

Officer (CO). The Contractor shall be responsible for obtaining all passenger transportation, lodging, and subsistence. Reimbursement of CONUS travel costs will be in accordance with the Federal Travel Regulations per FAR 31.205-46.

The Contractor shall travel using the lowest cost mode of transportation commensurate with the mission requirements. When necessary to use air travel, the Contractor shall use the tourist class, economy class, or similar accommoodations to the extent they are available and commensurate with the mission requirements. Travel will be reimbursed on a cost reimbursable basis; no profit or fee will be paid.

ESTIMATED COST

0004 Each Expedited Services

COST

If the requesting location deems it imperative that the contractor place MSS personnel to provide services faster than the allotted 45-days for recruiting, qualifying and training activities, the local contracting officer may utilize this

CLIN for non-incumbent expedited hiring fee. The evaluation team will evaluate the contractor-proposed lump sum payment during the task order price evaluation process for reasonableness. For pre-established labor categories and services, the contracted not-to-exceed rates will still apply for expedited placement task orders.

Reference RFP Section H.2.

ESTIMATED COST

0005 1 Each Post Award Conference

FFP

The post award conference will be held approximately 30 calendar days following contract award at Wright-Patterson AFB, OH. The Post Award Conference consists of two (2) days for a post award orientation and Company Training

Managers Development Course. The post award orientation includes all labor and travel costs associated with the orientation to be attended by up to three (3) contractor management staff members at a Government specified location. The

Company Training Managers Development Course includes all labor and travel costs associated with the training for two (2) contractor management staff members at a Government specified location.

This CLIN is $5,000 and satisfies the minimum contract award.

Contract Data Requirements List

FFP

Contract Data Requirements List: IAW DD Form 1423-2, Data Item Numbers

A001 and A002. Costs associated with this CLIN are included in CLINS 0001 and

0002.

CONTRACT MINIMUM/MAXIMUM QUANTITY AND CONTRACT VALUE

The minimum quantity and contract value for all orders issued against this contract shall not be less than the minimum quantity and contract value stated in the following table. The maximum quantity and contract value for all orders issued against this contract shall not exceed the maximum quantity and contract value stated in the following table.

MINIMUM

MINIMUM

AMOUNT

MAXIMUM

QUANTITY

MAXIMUM

AMOUNT

$5,000.00 $494,000,000.00

CLIN DELIVERY/TASK ORDER MINIMUM/MAXIMUM QUANTITY AND CLIN ORDER VALUE

The minimum quantity and order value for the given Delivery/Task Order issued for this CLIN shall not be less than the minimum quantity and order value stated in the following table. The maximum quantity and order value for the given Delivery/Task Order issued for this CLIN shall not exceed the maximum quantity and order value stated in the following table.

CLIN

MINIMUM

QUANTITY

MINIMUM

AMOUNT

MAXIMUM

QUANTITY

MAXIMUM

AMOUNT

$3,000.00

$10,000,000.00

$3,000.00

$10,000,000.00

Section C - Descriptions and Specifications

PERFORMANCE WORK STATEMENT

TABLE OF CONTENTS

Paragraph Title Page

1.0 DESCRIPTION OF SERVICES 8

1.1 Background 8

1.2 Scope 8

1.3 Non-Personal Services 8

1.4 Definitions 8

1.5 Acronyms 12

2.0 SUMMARY OF REQUIREMENTS 12

2.1 Categories 12

2.2 Services 12

2.2.1 Service Type I 13

2.2.2 Service Type II 13

2.3 Contractor Management Staff Responsibilities 14

2.4 General Requirements 16

2.4.1 Travel 16

2.4.2 Certifications 16

2.4.3 Health Requirements 17

2.4.4 Procedure Guidance 17

2.4.5 Work Schedule 18

2.4.5.1 Billable Hours 18

2.4.5.1.1 Non-Duty Days 18

2.4.5.1.2 Unplanned Closures 18

2.4.5.2 Substitute or Temporary Coverage 19

2.4.5.3 Defense Medical Human Resources System – internet (DMHRSi) 19

2.4.6 Conduct 19

2.4.7 Contractor Identification 19

2.4.8 Dress and Appearance 19

2.4.9 English Language Requirement 19

2.4.10 Security Requirements 19

2.4.11 Mission Essential Status 21

2.4.12 MTF Requirements 21

2.4.13 Continued Medical Education/Units 21

2.4.14 Health Insurance Portability and Accountability Act (HIPAA) 21

2.4.15 Records, File, Documents, Data and Work Papers 21

2.4.16 Contractor Furnished Property/Services/Deliverables 22

2.4.17 MHS Learn Pre-placement Training Requirements 25

3.0 SERVICE SUMMARY 27

4.0 GOVERNMENT FURNISHED PROPERTY 30

5.0 APPLICABLE PUBLICATIONS 31

Performance Work Statement (PWS) for

Medical Support Services (MSS)

1 DESCRIPTION OF SERVICES

1.1 Background. The Air Force Medical Service‘s (AFMS) mission is to provide world-class healthcare for our beneficiaries anywhere, anytime. Robust patient-centered medical support services play an integral role in overall command operations and ultimately direct care activities. The Air Force has a requirement to acquire high quality medical support services in the 50 United States, the District of Columbia and Guam. The contractor shall provide qualified personnel in accordance with the terms and conditions of this contract and with each task order issued under this contract.

1.2 Scope. The AFMS Medical Support Services (MSS) contracts shall serve as a vehicle to provide qualified medical support personnel for routine staffing, temporary increases in workload, new mission support, reorganization support, limited duration need, start-up/shut-down needs, and workforce fluctuations. The services shall supplement

Air Force military personnel, DoD civilian employees or other contracted staff, or may provide a complete full service/operational activity where government personnel ensure the overall performance of the contracted function, but do not perform the individual tasks/services. The contractor shall recruit, qualify, train, place, manage and retain personnel to perform timely and accurate services for the full spectrum of medical support across the nation within

45 calendar days from task order award. Duty locations include all AFMS organizations with the majority of the services at Air Force military treatment facilities (MTFs). A list of locations may be found at Attachment 2 in

Section J.

1.3 Non-Personal Services. The services performed under this contract shall be non-personal services and are not inherently governmental. The prime contractor‘s staff, including all teaming partners, subcontractors and their staff at the corporate level involved in the company‘s or team‘s administration of this contract will hereafter be referred to as ―contractor management staff.‖ The prime contractor retains responsibility for any teaming partner or subcontractor and shall be accountable for their performance. The contractor management staff shall provide all tools, labor and materials required to recruit, qualify, train, place, manage and retain the medical support services supporting healthcare operations for the Air Force in accordance with the terms and conditions of this contract and all subsequent task orders with exceptions outlined in Paragraph 4., Government Furnished Property, below.

1.4 Definitions.

Addendum is a Program Management Office-approved attachment to the standard position description, statement of objectives and task order proposal request that supplements the minimum qualifications (e.g., experience, certifications, mission-essential status), pre-performance requirements of the position providing services, and/or services/objectives. An addendum may not decrease pre-established standards.

Air Force Medical Service Commodity Council (AFMSCC) is a cross-functional group of individuals responsible for the development of Air Force-wide sourcing strategies for medical services. The AFMSCC functions as the program management office for each medical service strategy.

Armed Forces Health Longitudinal Technology Application (AHLTA) is the electronic medical record documentation system designed for the MHS (a.k.a, Composite Health Care Systems).

Beneficiary is a member of the military health system delineated in AFH41-114, Military Health Services System

(MHSS) Matrix, as a person eligible for benefits (care at military treatment facilities).

Certification is official recognition by a national agency or association that the individual worker has successfully completed an approved education program or evaluation process. This includes formal processes designed to assess the knowledge, experience, skills and abilities required to provide quality services.

Composite Health Care System (CHCS) is the computer system used in the DoD for healthcare activities and patient care information (a.k.a, AHLTA).

Commander is an MTF Commander, Flight Commander or other activity head, or a designated representative, (e.g., Contracting Officer‘s Representative (COR), or Department Head of the activity) designated in a particular task order.

Contract Performance Assessment Report System (CPARS) is the government system for reporting contractor performance records IAW with FAR 42.1502 and 42.1503.

Contractor is the offeror identified in block 15A of Standard Form 33. The contractor is an independent contractor and is responsible for its own liability.

Contractor Management Staff is the prime contractor‘s staff, including all teaming partners, subcontractors and their staff at corporate level involved in the company‘s or team‘s administration of this contract. The prime contractor retains responsibility for any teaming partner or subcontractor and shall be accountable for their performance.

Defense Medical Human Resource System – internet (DMHRSi) is a multi-service Government Human Resource tracking tool for manpower, human resource management, labor cost accounting, education and training, and readiness.

Duty Hours are the number of billable hours for a contracted worker. A duty hour is billable to the government whenever the MSS personnel are required to and perform IAW the work schedule at the place of performance.

Equivalency Determination is a formal, contractor request for government review of MSS personnel qualifications that may have equivalent combinations of education and experience, but not those detailed in the contract.

Expedited Services is an ordering option for the requesting location to pay a lump sum fee to require the contractor to place MSS personnel faster than the built-in contracted 45-calendar day recruiting, training, qualifying and placement timeframe. This fee is not available for incumbent personnel and is not used if faster placement occurs, but is not requested in the task order proposal request package.

Full-Time Equivalent is defined as 1880 productive hours for this contract. The government derived the standard man-year by taking 2080 hours less 80 hours for the holidays, less 80 hours for personal leave, less 40 hours for government planned closures.

Key Management Personnel include the contractor‘s program manager(s) and any other contractor management personnel who will be involved in day-to-day contracting operations.

Military or Medical Treatment Facility (MTF) is an Air Force hospital, medical center or clinic, providing outpatient and/or inpatient healthcare services for authorized personnel.

MHS Learn is the DoD centralized, web-based platform that provides the medical workforce with a single source for managing, delivering and tracking learning. The website is https://mhslearn.satx.disa.mil.

MSS Personnel are the support personnel recruited and hired by the contractor management staff to perform the services as described in this contract.

MSS Company Training Manager is a contractor management staff member who received government-sponsored training and is responsible for the initial MHS Learn training (Anti-Terrorism, CHCS/AHLTA, OGE Interacting with Government Employees for Contractors Training, and HIPAA) for MSS personnel based on government-defined learning paths during the life of the contract.

Medical Expense & Performance Reporting System (MEPRS) is the DoD accounting system for finances, personnel and workloads within MTFs (see also DMHRSi above).

National Agency Check with written Inquiries (NACI) is the personnel security investigation that the government conducts on MSS personnel performing under this contract. MSS personnel are placed in public trust positions and require only a suitability determination and not a higher-level investigation or clearance.

Performance Work Statement (PWS) means a Statement of Work for performance-based acquisitions that describe the required results in clear, specific and objective terms with measurable outcomes.

Placing or placement means the contractor has recruited, qualified and trained MSS personnel, coordinated an official start of work date with the requesting location and contracting officer, and the MSS personnel has began performing duties as required by the task order.

Planned Closures are days that Air Force leadership designates as a minimal manning/liberal leave days for government employees and at smaller locations, can result in a planned facility closure. In order for hours to be billed, MSS personnel must have been performing at their work locations in direct support of PWS requirements.

Qualifying is the process by which the contractor screens potential applicants to ensure that MSS personnel possess the qualifications required by the PWS and meet any additional qualification requirements specified in Section J, Attachment 3, Position Descriptions, addendum and/or the task order.

Quality Assurance Personnel/Evaluator (QAP/QAE) is/are the individual(s) designated to conduct performance quality assessment functions. The QAP/QAE serves as an on-site technical manager assessing contractor performance against contract performance standards. Also known as Contracting Officer‘s Representative (COR) or

Contracting Officer‘s Technical Representative (COTR).

Recruiting is the contractor management staff‘s process by which MSS personnel outside of the government are located, contacted and hired for specific positions/services.

Replacement Personnel are permanent replacements for departing MSS personnel that are fully qualified to perform services.

Requesting Locations are AFMS organizations located in the 50 United States and its territories (District of

Columbia and Guam). These locations may use this contract to acquire services (Reference Section J, Attachment 2, Potential Requesting Locations).

Retention is the contractor management staff‘s program to retain high quality MSS personnel to support continuity of AFMS operations.

Services Summary or Acceptable Quality Levels (AQL) is the critical performance objective and the minimum level of acceptable performance that the contractor must meet in order to be considered a satisfactory performer.

Services summary objectives directly correlate with the contractor‘s annual performance assessment report.

Service Type I is one of two ordering configurations offered to requesting locations. Under Service Type I, the contractor management staff will provide a wide range of MSS personnel (full-time and/or part-time) meeting the minimum qualifications and the desired performance outcomes outlined in the position description. The MSS personnel will supplement Air Force military, DoD government employees or other contracted personnel and must meet all work productivity and performance standards.

Service Type II is one of two ordering configurations offered to requesting locations. Under Service Type II, the contractor management staff shall independently provide a complete full service operational activity with the purpose, scope and objectives detailed in a Statement of Objectives, subject only to the government‘s surveillance of performance requirements. The contractor management staff is responsible for the performance of the entire scope of operations and is required to be self-sufficient in meeting AFMS standards. Contractors bid and are paid ―by units‖ (e.g. number of encounters coded ) rather than hours. The contractor management staff shall properly staff, train and manage their workforces in order to successfully meet the required objectives and AFMS standards.

Substitute personnel are temporary employees providing backfill for permanent contract staff members that will be returning to the requesting location. The coverage is required for scheduled or unscheduled absences exceeding 80 consecutive hours.

Task Order (TO) is an order for services placed against an established contract.

Task Order Proposal Request (TOPR) is a complete package defining the AFMS requirement generated by the local contracting office to request proposals from awardees under this contract and subsequently order services.

Unplanned Closure is the closure of a federal facility due to natural disasters, military emergency, severe weather, or any other reason that is not planned.

1.5 Acronyms List.

AF Air Force

AFMS Air Force Medical Service

CO Contracting Officer

CDRL Contract Data Requirements List

FAR Federal Acquisition Regulation

MAC Medical Affirmative Claims

MSA Medical Service Account

MTF Military Treatment Facility

MAJCOM Major Command

PWS Performance Work Statement

QAP Quality Assurance Personnel

MSS Medical Support Services

2 SUMMARY OF REQUIREMENTS

2.1 Categories. The contractor management staff shall provide a variety of capabilities including, but not limited to, the following functional breakdown:

2.1.1 Clerical support services: Relates to clerical or medical office work including, but not limited to, medical receptionists, secretaries and office clerks for business departments; medical clinics, appointment centers, mailrooms and inpatient wards.

2.1.2 Certified support services: Positions that require holding appropriate certification credentials that qualify the individual to perform specified functions or practice specified skills. Examples falling into this category include transcriptionists, medical record technicians, medical coders and medical coding auditors.

2.1.3 Medical specialized support services: Services that impact financial or patient treatment processes. For example, utilization/referral management activities, medical billing offices (MAC and MSA) and beneficiary services representatives are unique support services in this subcategory.

2.1.4 Technical support services: Indirect operational services that affect patient treatment capabilities. Supply, logistics and equipment support positions fall into this category.

2.2 Services. Task orders will specifically define the scope of the requirement and schedule of deliverables.

Section J, Attachment 3 includes 31 common MSS labor categories (Service Type 1) and Section J, Attachment 4, provides five (5) complete services or operational activities (hereafter referred to as service/operational activity or

Service Type 2) identified as future requirements for the AFMS. It is not possible to determine the precise types or amount of services the AFMS will order during the term of the contract.

2.2.1 Service Type I: The contractor management staff shall provide a wide range of MSS personnel (full-time and/or part-time) as determined by the requesting location. The MSS personnel will supplement Air Force military, DoD government employees and/or other contracted personnel. For Service Type I positions, the contract uses a position description to convey the minimum qualifications and the desired performance outcomes. The contractor management staff shall accomplish the assigned work by employing qualified personnel with the appropriate combination of education, experience, knowledge, training, abilities, skills and physical capabilities. The contract deems a full-time equivalent (FTE) as 1880 productive hours per year. Requesting locations will define a part-time equivalent‘s (PTE) hours based on need. The Program Management Office, with approval of the contracting officer, may add standardized position descriptions for new AFMS approved labor categories that are within the overall scope of this contract at any point during the life of the contract. The contractor management staff shall price the new positions as needed.

2.2.1.1 Formal Education. Each position description will have minimum formal education requirements.

Equivalent combinations of successfully completed post-high school education and experience may satisfy minimum requirements if approved in writing by the contracting officer and the requesting location official. If the contracting management staff requests to use other education and experience to meet specialized education requirements, then such education or experience must include courses directly related to a specific support function. The government is not required to accept, approve or otherwise sanction minimum formal education requirement waiver requests.

Section H.3.f.(3) outlines the education and experience substitution process requirements.

2.2.1.2 Experience. Each position description will have detailed minimum experience requirements. Equivalent combinations of successfully completed education and experience may also qualify if approved in writing by the contracting officer and the requesting location official. If the contractor management staff requests to use other experience or education requirements to satisfy minimum requirements, then such experience or education must be directly related to the position. The government is not required to accept, approve or otherwise sanction minimum experience requirement waiver requests. Section H.3.f.(3) outlines the education and experience substitutions process requirements.

2.2.1.3 Other Knowledge, Skills and Abilities. The AFMS details specific knowledge, skills and abilities in each of the position descriptions. For example, medical terminology, medical ethics, telephone etiquette, customer service, communication and computer skills required, and per minute typing ability will be listed as requirements.

2.2.1.4 Physical Requirements. Each position‘s physical requirements will be contained in the position descriptions. In most cases, the positions or services do not require any unusual physical demands (the majority of time is spent stationary at a desk and computer terminal). However, the position descriptions may describe prolonged sitting, walking, bending, and/or abilities to carry up to a specified weight or capability to reach high shelving units with the assistance of step ladders to retrieve and file medical records.

2.2.2 Service Type II: The government may request that the contractor management staff provides a complete full service/operational activity subject only to government surveillance of overall compliance with the SOW provided by the contractor (where there are no Air Force military personnel, DoD civilian employees or other contracted staff performing the Statement of Objective (SOO) services at the requesting location). The AFMS will detail the purpose, scope, objectives for the service in the SOO. The contractor management staff is responsible for the performance of the entire scope of the operations and is required to be self-sufficient in meeting AFMS standards and objectives. The task order proposal request will provide specific details regarding beneficiary population, historical workload, and constraints unique to the requesting location(s). The contractor develops the Statement of

Work (SOW) as its technical section of its proposal illustrating full understanding of the requirement which may be, in whole or in part, incorporated into the task order as a contractual document. The contractor management staff determines staffing models to perform successfully. Where regulations require minimum qualifications for MSS operations, the contractor management staff shall provide details regarding qualifications (education, experience, etc.) in the SOW. The Program Management Office, with approval of the contracting officer, may add new SOOs for new services approved by the AFMS within the overall scope of this contract during the life of the contract. The contractor may be required to price the new full service/operational activities.

2.2.2.1 Formal Education. For MSS personnel providing a Service Type II operation, the contractor‘s staffing model shall incorporate the minimum education requirements as outlined in the corresponding Service Type I position description. For example, if the contracting management staff proposes to use a medical coding auditor to perform services in a Medical Coding and Auditing Service, the medical coding auditor must meet the minimum education qualifications as set forth in the medical coding auditor Service Type I position description. If corresponding Service Type I positions are not proposed, the contractor will provide position descriptions and qualifications. Section H.3.f.(3) outlines the education and experience substitution process requirements.

2.2.2.2 Experience. For MSS personnel providing a Service Type II operation, the contractor‘s staffing model shall incorporate the minimum experience requirements outlined in the corresponding Service Type I position description if those types of labor categories are to be used. If corresponding Service Type I positions are not proposed, the contractor will provide position descriptions and qualifications. Section H.3.f.(3) outlines the education and experience substitution process requirements.

2.2.2.3 Other Knowledge, Skills and Abilities. For MSS personnel providing a Service Type II operation, the contractor‘s staffing model shall incorporate the other minimum knowledge, skills and abilities requirements outlined in the corresponding Service Type I position description if those types of labor categories are to be used. If corresponding Service Type I positions are not proposed, the contractor will provide position descriptions and qualifications in the contractor-developed SOW.

2.2.2.4 Physical Requirements. For MSS personnel providing a Service Type II operation, the contractor‘s staffing model shall incorporate the minimum physical requirements outlined in the corresponding Service Type I position description if those types of labor categories are to be used. If corresponding Service Type I positions are not proposed, the contractor will provide position descriptions and qualifications in the contractor-developed SOW.

2.3 Contractor Management Staff Responsibilities.

2.3.1 The contractor management staff shall maintain a Business Plan, detailing a clear teaming/organizational structure and business approach to meet performance requirements that ensure the following:

2.3.1.1 A strong willingness to perform AFMS requirements by maintaining an acceptable level of task order participation;

2.3.1.2 A strategy to provide coverage for all requesting locations and the full spectrum of labor categories and services; and

2.3.1.3 A clear business process to perform at least 50 percent of the overall services annually.

2.3.2 The contractor management staff shall maintain a robust and flexible Human Resource Management Plan for the full spectrum of medical support services outlined in the contract across a national geographic scope that:

2.3.2.1 Recruits and places MSS personnel to work in the military healthcare environment in a maximum of 45 calendar days;

2.3.2.2 Trains MSS personnel before arriving at the requesting location, and outlines a process for maintaining complete and accurate training records for MSS personnel. Requires the mandatory use of MHS Learn for pre-placement training requirements (Reference Section C, Paragraph 2.4.17);

2.3.2.3 RESERVED.

2.3.2.4 Qualifies MSS personnel with a thorough verification and validation process to ensure MSS personnel meet government minimum qualification requirements;

2.3.2.4.1 Manages the currency of qualifying factors (health, security, certifications and initial/annual training requirements) including continuing education units.

2.3.2.5 Complies with government security requirements;

2.3.2.6 Schedules an appointment with the requesting location‘s security manager no later than 14 calendar days prior to the MSS personnel‘s required start date for the MSS personnel‘s first duty day to allow for the completion of the required security investigation package (Reference Section C, Paragraph 2.4.10);

2.3.2.7 Tracks and manages the currency of qualifying factors (health, security, Basic Life Support (BLS) and initial/annual training including continuing education units, if applicable);

2.3.2.8 Ensures timely replacement of fully qualified personnel for continuation of services due to turnover such that position vacancies do not exceed 30 consecutive calendar days; and

2.3.2.9 Provides substitute/temporary coverage for planned or unplanned absences greater than 80 consecutive hours.

2.3.2.10 The contractor management staff retains employee management and supervisory responsibility because of the employee-employer relationship. This includes, but is not limited to, initial and refresher training as required by each labor category and administrative support (i.e., time reporting, leave processing, pay, annual corporate appraisals). The contractor management staff must have clear organizational authority and responsibility between employees and the contractor to effectively manage and control the MSS personnel performance. The contractor management staff shall accomplish this requirement without requiring government employees to engage in the contractor‘s corporate operational or human resource management processes. The government will provide input through the contracting officer and Contracting Officer‘s Representative (COR) at contract level in immediate, monthly, quarterly or annual program status reports rather than individual MSS personnel performance reports.

2.3.2.10.1 The contractor management staff shall not use or request government staff members to record arrival or departure times, report absenteeism, sign payroll timesheets or complete corporate appraisal reports for MSS personnel. The contractor shall have an internal process in place to confirm hours worked by its employees and conduct its own personnel performance assessments.

2.3.3 The contractor management staff shall have a Performance Management Plan that ensures the following:

2.3.3.1 A quality assurance program to ensure MSS personnel perform within Air Force timeliness and accuracy standards for accomplishment of tasks and delivery of services;

2.3.3.2 An effective methods to monitor and report on government service summary and deliverables (see CDRL, Section J, Attachment 13);

2.3.3.3 A process to ensure compliance with contracted not-to-exceed (NTE) rates for pre-established positions/services as well as option year contracted NTE rates;

2.3.3.4 Standard communication and routine interaction to monitor and maintain satisfactory customer service through a strong commitment to respond to a requesting location‘s concerns or problems and take appropriate action to correct performance issues in a timely, responsive manner;

2.3.3.5 An approach that ensures a stable workforce with minimal turnover of personnel and an acceptable overall fill rate; and

2.3.3.6 A process to monitor and expend billable hours/units obligated on task orders(s).

2.4 General Requirements.

2.4.1 Travel:

2.4.1.1 The contractor shall be required to perform periodic travel within the Continental United States. Reference

Section B, CLIN 0003. Travel expenses may or may not be reimbursed. Each task order will identify travel requirements and whether such expenses shall be reimbursed.

2.4.2 Certifications:

2.4.2.1 Basic Life Support. At a minimum, all MSS personnel working within an MTF must maintain current certification with either the American Heart Association Basic Life Support (BLS) (Course C) or the American Red

Cross CPR/BLS (Heart Saver) Course. The contractor management staff shall ensure that MSS personnel obtain initial training at no cost to the government prior to duty start date so that MSS personnel arrive in their positions fully qualified; however, the government may offer refresher training for MSS personnel on a space-available basis.

If MSS personnel receive training within the facility, the time spent in the training course will NOT be billable to the government. The government will not pay for recertification training obtained outside the MTF.

2.4.2.2 Position/Service Specific Certifications. Section J, Attachment 3 and Attachment 4, provide the position descriptions and statement of objectives for the pre-established medical support services. The Air Force may also detail any additional certification requirements in the individual task order proposal request addendum.

2.4.3 Health Requirements:

2.4.3.1 In accordance with Air Force Joint Instruction 48-110 and Air Force Instruction (AFI) 48-105, all MSS personnel shall follow the methods for controlling and preventing disease as described in 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 (MMWR), and its supplements. For the purposes of this contract, the AFMS considers MSS personnel ―healthcare personnel‖ to whom these requirements apply. Therefore, MSS personnel must comply with all MMWR guidelines. For purposes of this contract, CDC recommendations are considered requirements.

2.4.3.1.1 At least five (5) calendar days prior to start of work, the contractor management staff is required to supply a complete employee qualification record (Reference Paragraph 2.4.16) providing proof of immunization of MSS personnel working within MTFs for the following diseases: hepatitis B, influenza, measles, mumps, rubella, varicella, TDap, and proof of a negative TB skin test completed within the past 12 months (if positive, proof of negative chest X-ray within the past 12 months), hepatitis A and poliovirus. After start of work, the government will provide post blood borne exposure protocols according to applicable AFIs.

2.4.3.1.2 RESERVED.

2.4.3.1.3 Tuberculosis. In those areas where there is a higher risk of transmission of tuberculosis, MTF policy may direct MSS personnel be tested more frequently at no cost to the government.

2.4.3.1.4 Information Tracking. The AFMS will track immunization information in DoD computer systems for all

MSS personnel. However, the contractor management staff must have their own process and system of tracking the currency of health requirements and should not rely on the government for future compliance.

2.4.3.1.5 Medical Tests. The MTF will not perform any medical tests or procedures required by the contract for non-beneficiaries except in the rare case of post-exposure IAW Air Force, DoD and CDC guidelines or recommendations. Except in the case of post-exposure, expenses for all required tests and/or procedures shall be borne by the contractor management staff or MSS personnel, not the government.

2.4.3.1.6 Health Notifications. Contractor management staff shall inform the government if MSS personnel report a pregnancy to the contractor management staff. The government will notify the contractor management staff of any work hazards. If work hazards exist, it will be the government‘s decision whether the worker continues work in the environment and/or if temporary accommodations can be made.

2.4.4 Procedure Guidance:

2.4.4.1 MSS personnel shall perform duties IAW the requesting location‘s operating instructions and higher-level

DoD or Air Force directives. MSS personnel shall not change (or deviate from) established objectives for services without prior recommendation to, and approval of, the MTF Commander or authorized representative.

2.4.5 Work Schedule. For Service Type I task orders, the requesting location will establish the available work schedule and the total billable hours in the individual task order proposal request. For Service Type II, the requesting location will establish the minimum hours of operation for the service as well as the total units for completion in the individual task order proposal request.

2.4.5.1 Billable Hours or Units. For Service Type I, in order for hours to be billable, MSS personnel must have been performing at their work locations in direct support of PWS requirements. For Service Type II, in order for units to be billable, the units must have been completed and meet the definition of a completed unit as outlined in the statement of objectives.

2.4.5.2 Duty Hours. The requesting location will convey any constraints on the hours MSS personnel can work in the task order proposal request. For the majority of AFMS operations, these positions/services usually work day-shift hours, no weekends and no Federal Holidays. For inpatient facilities, the requesting location may require duty hours to include shift work and Federal Holidays. For all locations, there may be occasions when unique taskings or short suspenses (such as retirement of records, special inventories or coding audits) require employees to adjust work schedules to meet workload demands. The contractor management staff must submit proposed variation of a work schedule at least 14 calendar days in advance to the contracting officer for coordination and approval by MTF officials. The government must specifically approve overtime if the contractor management staff wishes to bill the government for overtime.

2.4.5.3 Non-Duty Days. MSS personnel may not be able to perform on government non-duty days, or other times when government offices may be closed. In accordance with Paragraph 2.4.5.1, non-duty days or planned closures, are not billable to the government. The Air Force will designate non-duty days in the task order proposal request.

2.4.5.4 Unplanned Closures. In the event of an unplanned closure of the facility due to natural disasters, military emergency or severe weather, the contractor management staff will be allowed to bill the government for Service

Type I performance only if (1) Local base policy and base access procedures prevent MSS personnel from performing duties at the requesting location, and (2) the MSS personnel was scheduled to work but unable to work because of the unplanned closure. The contractor management staff cannot bill the government for hours during the unplanned closure unless both conditions are met. Therefore, if MSS personnel are on leave (planned or unplanned) during a local base closure, the time is not billable. Base exercises are not considered unplanned closures. Since service is productivity-based, no consideration for unplanned closures is given for Service Type II performance because the workload will be completed on another duty day.

2.4.5.5 Replacement of MSS Personnel. The contractor management staff shall replace permanent MSS personnel at the earliest possible date ensuring vacancy(s) do not exceed 30 calendar days. The consecutive calendar days begin on the departing MSS employee‘s last duty day at the requesting location.

2.4.5.6 The contractor management staff must provide substitute or temporary coverage for permanent MSS personnel for any planned or unplanned absences over 80 consecutive hours. The MTF may request coverage for shorter-term absences in the task order proposal request.

2.4.5.6.1 The contractor management staff shall ensure that all MSS temporary or permanent replacement staff are fully qualified, meet all pre-placement requirements and are ready to perform within the required timeframe.

2.4.5.6.2 If the contractor management staff fails to provide routine services as required in the contract for absences greater than ten (10) consecutive duty days (80 hours), the government reserves the right to procure such services from another source until the contractor management staff restores the capability to perform. When the government exercises its right to procure these services from another source, the government will reduce subsequent MSS payment(s) by the amount it cost to procure the temporary services. The government will furnish the contractor management staff with a copy of this billing invoice upon contractor request.

2.4.5.7 MSS personnel, regardless of service type or labor category, will be required to personally record hours worked in the Defense Medical Human Resources System – internet (DMHRSi) system as mandated by the AFMS.

2.4.6 Conduct: The contracting officer may request that any contractor management staff or MSS personnel whose conduct, in the opinion of the contracting officer, interferes with proper order or professionalism in the performance location, be removed from such installation. Failure to comply with such a request may be cause for action under the termination clauses in Section I, Contract Clauses.

2.4.7 Contractor Identification: All contractor management staff and MSS personnel shall be clearly identified as such at ALL times, including conversations, mail, e-mail, fax, and/or other electronic communication whether communicating with government personnel, other contractor personnel, or with the public when supporting this contract. Likewise, the contractor shall abide by all applicable laws and regulations when using government equipment and services in performing this contract. At a minimum, contractor management staff and MSS personnel shall clearly identify themselves as contractors by (1) wearing badges that clearly and legibly identify themselves as contractors, (2) using the label ―Contractor‖ in e-mail addresses IAW Federal Acquisition Regulation (FAR) 37.114, Special Acquisition Requirements, (3) opening all phone conversations with a statement materially similar to, ―[office name], I am [employee name], a [prime contractor‘s company name] employee,‖ including the employing contractor‘s name in the letterhead and/or signature block of any written correspondence, and (4) any other means necessary. MSS personnel shall wear contractor-supplied badges in addition to government provided badges when required at requesting locations. MSS personnel shall wear both badges (the MTF-issued identification badge and the contractor badge) above the waistline during duty hours.

2.4.8 Dress and Appearance: MSS personnel shall maintain good personal hygiene and a well-groomed, professional appearance. Unless otherwise identified in the task order proposal request, business casual dress attire is appropriate. Business casual excludes denim, t-shirts, shorts and tennis shoes. If a uniform (i.e., scrubs, etc.) is mandatory, the requesting location will provide details in the task order proposal request. The contractor management staff shall provide required uniforms at no expense to the government.

2.4.9 English Language Requirement: MSS personnel shall read, understand and be understood, speak, and write

English fluently as determined by the MTF QAP/COR and contracting officer.

2.4.10 Security Requirements:

2.4.10.1 MSS personnel under this contract will have access to and/or process information requiring protection under the Privacy Act of 1974 on unclassified automated information systems (AIS). Because of this access, MSS personnel working for the government under this contract are in non-sensitive public trust positions designated as

Automated Information Systems III (formally ADP III) positions IAW DOD Directive 5200.2-R. In compliance with DOD Directive 5200.2-R and AFI 31-501, a National Agency Check with written Inquiries (NACI) is required for all AIS III positions.

2.4.10.2 The contractor management staff shall fully adhere to the provisions in referenced publications by having all MSS personnel who are performing under this contract submit the appropriate forms to obtain and maintain a positive suitability determination to continue performing under this contract. The contractor management staff shall ensure that the following is accomplished by MSS personnel:

2.4.10.2.1 Schedule Appointment: The contractor management staff shall schedule an appointment for new MSS personnel on the first day of…