Solicitation_Amendment_1.docx

HT0011-16-R-0028

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 22-Aug-2016 10:00 AM to 24-Aug-2016 10:00 AM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN description has changed from Initial Visit Code 99605 to Initial Visit CPT Code 99605.

CLIN 0002

CLIN 0003

CLIN 0004

The CLIN description has changed from Follow-up Visit Code 99606 to Follow-up Visit CPT Code 99606.

CLIN 0005

CLIN 0006

CLIN 0007

The CLIN description has changed from Additional 15 Increments Code 99607 to Additional 15 Increments CPT Code 99607.

CLIN 0008

The CLIN description has changed from Additional 15 Increments Code 99607 to Additional 15 Increments CPT Code 99607.

CLIN 0009

The CLIN description has changed from Additional 15 Increments Code 99607 to Additional 15 Increments CPT Code 99607.

CLIN 1001

The CLIN description has changed from Follow-up Visits Code 99606 to Follow-up Visits CPT Code 99606.

CLIN 1002

The CLIN description has changed from Follow-up Visits Code 99606 to Follow-up Visits CPT Code 99606.

CLIN 1003

The CLIN description has changed from Follow-up Visits Code 99606 to Follow-up Visits CPT Code 99606.

CLIN 1005

The CLIN description has changed from Additional 15 Increments Code 99607 to Additional 15 Increments CPT Code 99607.

CLIN 1006

The CLIN description has changed from Additional 15 Increments Code 99607 to Additional 15 Increments CPT Code 99607.

CLIN 1007

The CLIN description has changed from Additional 15 Increments Code 99607 to Additional 15 Increments CPT Code 99607.

The following have been added by full text:

QUESTIONS AND ANSWER

1. RFP indicates 100% small business set aside. What is rationale?

A. Base on the dollar value of this requirement the Government determined that it was more adventitious or in the Government’s best interest to make this a 100% small business set a-side.

2. Would you consider revising to include non-profit institutions?

A. No

3. Why is the RPF response period less than 20 days considering you reviewed RFI responses for over 4 months? (Actual question)

A. This is not a complex requirement therefore the Government determined that 15 days is ample time to prepare and submit a response to this RFQ. In additional, the Government intends to make an award No Later Than 30 September 2016.

4. Can you clarify if a bidder can respond to one, two, or all three solicitation areas?

A. On page 14 of the solicitation, ADDENDUM TO 52.212-1 states “The purpose of the pilot program is to award three (3) single, Indefinite Delivery/Indefinite Quantity (IDIQ) Firm Fixed Price (FFP) CLIN contracts….”. Offerors may respond to one, two or all three geographic locations. Successful offerors may be awarded one, two or all three geographic locations, “…to the offerors that are determined to represent Best Value to the Government, utilizing the Trade-off Source Selection methodology.

5. If you are looking for 3 different vendors, how is the government going to achieve economies of scale with 3 vendors for all 3 cities?

A. See response to question 4 above.

6. In evaluation of responses, will more weight be given to vendors who perform face-to-face MTM versus telephonic MTM.

A. The contractor should describe their approach and tools that will be used to meet the requirements for the delivery of MTM services specified in the Solicitation. The evaluation criteria for submitted proposals can be found on page 18 of the solicitation, “Evaluation Criteria – Best Value Tradeoff”.

7. Are there CPT codes for the quarterly targeted medication reviews?

A. Billing Codes: The codes used are the American Medical Association’s Current Procedure Terminology (CPT) codes designated for MTM services. The CPT codes represent the services rendered and are uniform across the healthcare industry. The CPT codes represent 15 minute increments of time spent consulting with patients. Code 99605 is the initial 15 minute period of the initial appointment with the patient. If more time is needed for that appointment, as determined by the service provider, CPT code 99607 is used to bill for further 15 minute increments needed to complete the appointment. On subsequent visits, the first 15 minutes of the appointment are billed with CPT code 99606. If more time is needed for subsequent appointments, CPT code 99607 is used to bill for further 15 minute increments needed to complete the appointment.

8. Do we have expected beneficiary volume from selection criteria outside of the Military Treatment Area?

A. As stated in Part 3, Section 3.5 Materials, on page 68 of the solicitation “The DOD/DHA Pharmacy Operations Division will supply a list of beneficiaries to the contractor who are eligible for the program in the designated areas of the pilot program. This population group will consist of TRICARE and TRICARE for Life beneficiaries receiving their medical care and their pharmaceutical care outside of the DoD MTF. “ As stated in 5.1.1.3 on page 70 of the solicitation, “Contractor may continuously enroll new beneficiaries to maintain a target empanelment of 400 beneficiaries until the end of pilot base period. Pilot reporting requires at least 9 months of data on each enrolled beneficiary.”

9. How much bond is required of small business owners to insure against security breach and identify theft?

A. Bonds are not require for this requirement.

10. Must all MTM Pharmacists providers be Employees or are Independent Contactors (1099s) permitted?

A. As stated on page 59, Part 1, “1. General: This is a non-personal services contract to provide for a Military Health System (MHS) implementation of a Medication Therapy Management (MTM) solution. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.”

11. Does TRICARE anticipate additional awards related to this solicitation to assist with Quality Assurance, Patient Satisfaction and or Pharmacists Training?

A. As stated on Page 59, Section “1.2 Background: The National Defense Authorization Act of 2015: Section 726 directs a pilot program to assess MTM under the TRICARE program. This contract will focus on the section of the pilot delivering care outside the Military Treatment Facilities. “The Government does not anticipate additional awards at this time.

12. Is there an annual minimum/base award the solicitation awardee will be guaranteed (dollar amount under this solicitation)?

A. No, The Government does not intend to offer any dollar amount guarantee.

13. How many organizations will be awarded under this solicitation?

A. See response to question 4 above.

14. Will the contractor be provided with access to MHS’s software for enrollment and management of the program?

A. No. Names of eligible beneficiaries and any additional data determined to be necessary as a result of a mutual agreement between the Government and the contractor will be provided to the contractor via a secure server.

15. If no to question 1, is there a MTM software or system that you would prefer the contractor to use?

A. The contractor should describe their approach and tools that will be used to meet the requirements for the delivery of MTM services specified in the solicitation.

16. Who is in charge of billing Tricare for this service, the contractor or the MHS?

A. The Contractor will invoice Defense Health Agency (DHA) through Wide Area Work Flow as stated in the solicitation.

17. Can the Contractor use custom MTM forms in place of the traditional MTM software?

A. The contractor should describe their approach and tools that will be used to meet the requirements for the delivery of MTM services specified in the solicitation.

18. How will the contractor be paid?

A. FAR 52.212-4, DFAR 252.232-7003 and 252.232-7006 and PWS Section 1.6.2.4.3 for instruction on how the contractor must invoice in order to receive payment for the Government.

19. Will the contractor bill the DHA directly for hours worked or will reimbursement come from elsewhere?

A. See question 18 above

20. What is the anticipated time it will take the contractor to complete the necessary security clearances and background checks?

A. PWS Section 1.6.7 “Contractor personnel performing work under this contract must have the appropriate level background investigation at time of the proposal submission and must maintain the level of security required for the life of the contract”.

21. What is the anticipated cost to the contractor to complete the necessary security clearances and background checks?

A. Contract personnel will not be require to have a security clearance. However, a background check is required for contractor personnel to obtain a Common Access Card (CAC) to be able to access data. The background check will be done after contract award and paid for by the Government. Other security should be set up as a standard course of doing business.

22. Can the contractor charge a setup fee to offset the cost of becoming security compliant?

A. See question 21 above.

22. Is there training provided to the contractor on how to work with the CPAR and WAWF systems post award?

A. Training for WAWF is located at https://wawf.eb.mil/xhtml/unauth/home/login.xhtml and training for CPARS is located at https://www.cpars.gov/

23. In section 1.6.5 on pg 62, does this mean that the contractor must have an onsight presence in these area codes? Since the MTM service is being provided remotely does this simply reference that these area codes are where the 1200 patients are, or is it where the contractor must be from? (Actual question)

A. The zip codes provided in the RFP Section 8.6 Attachment 6 define the aggregate locations from which the Government will identify and select potential candidates for participation in the MTM pilot. The contractor should describe the approach that will be used to meet the requirements for the delivery of MTM services specified in the solicitation.

24. Has there been a date set for the post award conference?

A. No, post award conference is requested by the individual contractor and may be granted after the announcement of the award.

25. Does the DOD have a preference at this time on the contractor using either Video conferencing or telecommunication for the MTM sessions? Can there be a flexibility to use both on a patient by patient basis?

A. The contractor should describe their approach and tools that will be used to meet the requirements for the delivery of MTM services specified in the solicitation.

26. What has the DOD budgeted to be the ceiling for the award amount for this service?

A. The Government cannot discuss the budget of this requirement at this time.

27. The solicitation document indicates that this pilot is set aside for small business defined as a size standard of $7,500,000. Is the size standard based on the company’s total annual revenue or another measure (e.g. EBIDTA, profit)?

A. A size standard is usually stated in number of employees or average annual receipts.

28. Additionally, are companies larger than $7,500,000 not eligible to respond?

A. Companies with size larger than $7,500,000 are not eligible for award.

29. Has a contractor performed similar work to this for the government in the past? If available, please provide the incumbent contract number.

A. FAR 52.212-1, Section 5 (b), “This is not an existing requirement”.

30. If you are unable to provide a contract number, is it safe to assume this is a new requirement for the government?

A. See question 29 above.

The following have been modified:

PERFORMANCE STATEMENT OF WORK

PERFORMANCE WORK STATEMENT (PWS)

Medication Therapy Management Defense Health Agency (DHA) Pharmacy Operations Division (POD)

PART 1

General Information

1. General: This is a non-personal services contract to provide for a Military Health System (MHS) implementation of a Medication Therapy Management (MTM) solution. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1. Description of Services/Introduction: The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items necessary to perform MTM services as defined in this Performance Work Statement (PWS). The Contractor shall perform to the standards in this contract.

1.2. Background: The National Defense Authorization Act of 2015: Section 726 directs a pilot program to assess MTM under the TRICARE program. This contract will focus on the section of the pilot delivering care outside the Military Treatment Facilities. The pilot program will focus on improving patient use and outcomes of prescription medications for eligible TRICARE beneficiaries, to include TRICARE for Life beneficiaries. Hereafter, they will be referred to as beneficiaries. Per NDAA 2015, Section 726, the pilot will include beneficiaries with more than one chronic medical condition and taking more than one medication. The program office has decided to focus on enrolling beneficiaries with 3 or more chronic medical conditions in order to focus MTM services on the population most likely to benefit. The pilot will run for not less than two years. The Defense Health Agency (DHA) Pharmacy Operations Division (POD) will identify patients meeting MTM pilot criteria in the catchment area and provide a list with contact information to the Contractor. A process will be established to securely communicate patient health information between DHA POD and the Contractor. To assess the feasibility and desirability of including MTM as part of the TRICARE benefit, DHA POD will centrally monitor the benefit of services as measured by: per member per month total healthcare costs, per member per month pharmacy costs, utilization of healthcare services (e.g. emergency room visits, hospitalizations and provider visits), medication adherence and relevant biomarkers (e.g. hemoglobin A1c, cholesterol panel, blood pressure, etc.).

1.3. Objectives: The objective of this PWS is to identify the work needed to provide MTM services required in this pilot program. This pilot will focus on TRICARE beneficiaries, to include TRICARE for Life beneficiaries, receiving medical care and pharmaceutical care outside of Department of Defense (DoD) Medical Treatment Facility.

1.4. Scope: This award provides for a MHS implementation of an MTM pilot in the purchased care sector of the MHS. The purchased care sector refers to medical and pharmaceutical care that is provided to DoD beneficiaries outside of a Military Treatment Facility.

1.5. Period of Performance: The period of performance shall be two years. The Period of Performance reads as follows:

· Base Period – Date of award + 12 months

· Option Period I – End of Base Period + 12 months

1.6. General Information:

1.6.1 Quality Control: Not applicable for this task.

1.6.2 Quality Assurance: The Government will review monthly progress reports concerning start-up, enrollment and encounters, quarterly reports on peer review and annual reports updating the current estimated return on investment and will attend regular task performance review meetings with the Contractor to survey quality of products and services.

1.6.2.1 Quality Assurance Surveillance Plan (QASP): The Government shall evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government must do to ensure that the Contractor has performed in accordance with the performance standards throughout the contract term. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s). The Government will review monthly performance and progress reports and will attend regular task performance review meetings with the Contractor to survey quality of products and services.

Further, the QASP provides the Contracting Officer Representative (COR) with a proactive way to avoid unacceptable or deficient performance, and provides verifiable input for the required Past Performance Information Assessments. The QASP will be finalized immediately following award and a copy provided to the Contractor after award. The QASP is a living document and may be updated by the Government as necessary.

1.6.2.2 Performance Requirements Summary Matrix: By monitoring the Contractor, the COR will determine whether the performance levels set forth in the order have been attained. Tracking of delivery of services will be based on the MTM Current Procedure Terminology (CPT) codes. Performance standards are specified in the Performance Requirements Summary Matrix in Attachment 1, Section 8.1 of this PWS.

1.6.2.3 Performance Evaluation Process: The Contractor Performance Assessment Reporting System (CPARS) has been adopted by DHA to electronically capture assessment data and manage the evaluation process. CPARS is used to assesses a Contractor’s performance and provide a record, both positive and negative, on a given contract during a specific period of time. The CPARS process is designed with a series of checks and balances to facilitate the objective and consistent evaluation of Contractor performance. Both government and Contractor program management perspectives are captured on the CPAR form and together make a complete CPAR. Once the Assessing Official completes the proposed assessment for the period of performance, the CPARS is released to the appropriate Government Contractor Representative for their review and comments. User ID and Password will be provided to the designated Government Contractor Representative upon issuance of a contract. The Contractor has 30 days after the Government's evaluation is completed to comment on the evaluation. The Government Contractor Representative must either concur or non-concur to each CPAR. If the Contractor concurs with the proposed assessment and the Reviewing Official does not wish to see the CPAR, the Assessing Official may close out the CPAR. Otherwise, they must forward the CPAR to the Reviewing Official for them to review, enter comments if appropriate, and close out. The Reviewing Official may, at their option, direct the Assessing Official to forward every CPAR to them for review.

1.6.2.4 Inspection and Acceptance: The Contracting Officer Representative (COR) specified in the COR appointment letter is responsible for inspection and acceptance of all incoming shipments, documents, and services.

1.6.2.4.1 Acceptance Criteria: Certification by the Government of satisfactory services provided is contingent upon the Contractor performing in accordance with the performance standards contained in the Performance Requirements Summary Matrix (PWS Attachment 1, Section 8.1) and all terms and conditions of this order, including all modifications.

1.6.2.4.2 Contractor Payment Processing: The Contractor is responsible for properly preparing and forwarding to the appropriate Government official, the invoice and receiving report or Public Voucher for payment. When the direct submission process is used, the Contractor shall submit the invoice or public voucher directly to the payment office and concurrently submit a copy to the COR.

1.6.2.4.3 Wide Area Workflow – Receipt and Acceptance: The Contractor is responsible for submitting invoices and initiating receiving reports electronically through Wide Area Work Flow – Receipt and Acceptance (WAWF) for goods and services rendered under this Contract. For fixed price contracts, the WAWF 2 IN 1 format (for services), and the COMBO format (only for supplies or equipment), are the preferred methods of processing electronic invoices and receiving reports within DHA. Back up documentation (such as timesheets, etc.) can be included and attached to WAWF documents as requested by the responsible COR. Attachments created in any Microsoft Office product are attachable to the invoice in WAWF.

Contractor personnel (WAWF Vendor role) shall self-register at the web site: https://wawf.eb.mil/, and be activated by the Contractor’s designated Electronic Business Point of Contact. WAWF training is available on the internet at https://wawftraining.eb.mil/wbt

The contractor shall submit invoices for payment and initiate receiving reports every month.

The Government shall process invoices for payment and associated receiving reports every month.

Prior to submitting the first WAWF-RA electronic form for a given contract, contractors should first coordinate with the assigned DHA COR.

When initiating documents within WAWF, contractors must use the appropriate two-part DHA location code to include the Government Acceptor DoDAAC / Extension (Ext) fields as displayed within the WAWF application and illustrated below:

Service Acceptor / Extension: XXXXXX / XXXXXXX

1.6.2.4.4 Invoice Review: The COR may reject or require correction of any deficiencies found in the invoice or receiving report. In the event of a rejected invoice or receiving report, the Contractor must be notified in writing by the COR of the specific reasons for rejection.

1.6.2.4.5 Delivery Address: All deliverables shall be submitted to the COR, designated in the COR appointment letter.

1.6.2.4.6 Method of Delivery: Electronic copies shall be delivered using Microsoft Office suite of tools (for example, MS Word, MS Excel, MS PowerPoint, MS Project, or MS Access format), unless otherwise specified by the COR. Electronic submission shall be made via email, unless otherwise agreed to by the COR

1.6.2.4.7 Government Acceptance Period: The COR will have ten (10) workdays to review draft deliverables and make comments. The Contractor shall have five (5) workdays to make corrections. Upon receipt of the final deliverables, the COR will have two (2) workdays for final review prior to acceptance or providing documented reasons for non-acceptance. Should the Government fail to complete the review within the review period the deliverable will become acceptable by default, unless prior to the expiration of the ten (10) work days the Government notifies the Contractor in writing to the contrary. The final submission should be deemed approved if the Government has not rejected it in 30 days.

The COR will have the right to reject or require correction of any deficiencies found in the deliverables that are contrary to the information contained in the Contractor’s accepted proposal. In the event of a rejected deliverable, the Contractor will be notified in writing by the COR of the specific reasons for rejection. The Contractor shall have five (5) workdays to correct the rejected deliverable and return it per delivery instructions.

1.6.3 Recognized Holidays: No observance of holidays will be recognized. However, government personnel will not be available during recognized national holidays.

1.6.4 Hours of Operation: The Contractor is responsible for conducting business during normal business hours. The Contractor must, at all times, maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS.

1.6.5 Place of Performance: The work to be performed under this contract will be performed in an area of zip codes defined by the MHS, (Orlando, Denver and Houston) and in a site defined by the Contactor. For the applicable zip codes see PWS Attachment 6.

1.6.6 Type of Contract: The government will award an Indefinite Delivery, Indefinite Quantity Contract.

1.6.7 Security Requirements: Security Requirements: Contractor personnel performing work under this contract must have the appropriate level background investigation at time of the proposal submission and must maintain the level of security required for the life of the contract. The Contractor shall abide by the attached “Defense Health Agency, Office of Administration, Support Services Division, Personnel Security Branch Instructions for Contractor Access to DoD IT Systems” (PWS Attachment 4) for personnel security requirements to determine appropriate background investigation level for Contractor’s personnel.

1.6.7.1 Physical Security: The Contractor shall employ physical security safeguards involved in the operation of its services to prevent the unauthorized access, disclosure, modification, destruction, use, etc., of DoD Sensitive Information (SI) and to otherwise protect the confidentiality and ensure the authorized use of SI.

1.6.7.2 Key Control: Not applicable for this task.

1.6.7.3 Lock Combinations: Not applicable for this task.

1.6.8 Special Qualifications: All pharmacists delivering MTM services must have successfully completed at least a Doctor of Pharmacy (Pharm.D.) recognized by the American Council on Pharmaceutical Education as well as have a current, active, valid and unrestricted license to practice pharmacy in a State, a territory of the United States, or the District of Columbia. Providers of care should have appropriate training or sufficient work experience to provide MTM services to patients, IAW the American Pharmacists Association and the National Association of Chain Drug Stores Foundation, Medication Therapy Management in Pharmacy Practice: Core Elements of an MTM Service Model Version 2.0. This could also include completion of an accredited PGY1 and/or PGY2 pharmacy residency program, receipt of a MTM training certificate from a recognized training purveyor, completion of a proprietary MTM training program or 3 years of experience in delivering MTM services directly to patients. The Government reserves the right to review the training credentials of contractor employees who will deliver MTM services to TRICARE beneficiaries.

1.6.9 Post Award Conference/Periodic Progress Meetings: The Contractor shall attend any post award conference convened by the contracting activity or contract administration office via teleconference or at the contracting activity in accordance with Federal Acquisition Regulation Subpart 42.5. The Contractor shall also plan and conduct regular, routine meetings quarterly with the Government to review progress and status of activities under this contract. Each review shall provide insight into expenditures, staffing, progress, risks, and status (if applicable) of Government Furnished Equipment (GFE), including Contractor purchased, Government owned items. The Contractor shall provide project briefings addressing cost/price, schedule, performance, and status of each key element of this contract, noting any problems or risks and alternative and recommended solutions. These meetings shall be at no additional cost to the government.

The Contractor shall ensure that agendas (Deliverable 1) and meeting materials (Deliverable 2) are provided to Government participants prior to the meeting and that data presented at program reviews is current within not more than ten (10) days.

1.6.10 Contracting Officer Representative (COR): The COR will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting Contract. Contracting Officers will determine whether the duties and responsibilities of the COR meet the criteria for filing a Confidential Financial Disclosure Report (OGE Form 450) as set forth in section 2634.904 of Title 5, Code of Federal Regulations (Reference (h)), and section 7-300 of DoD 5500.07-R (Refer to DoDI 5000.72). CORs designated as OGE Form 450 filers will submit a new entrant report and, if applicable, annual reports thereafter to the supervisor through the Contracting Officer to the ethics counselor for final review and certification

1.6.11 Key Personnel: The Contractor shall designate a single Task Manager (TM) to serve as the Contractor’s primary point of contact for all contract activities and issues. The Contractor shall ensure that its TM provides sufficient management of each contract to ensure that the task is performed efficiently, accurately, on time, and in compliance with the requirements. The Contractor TM shall coordinate as necessary with the Contractor Program Manager and the COR to ensure that the task is managed consistently with overall contract requirements. The Contractor TM shall ensure timely and accurate submission of invoices.

1.6.12 Identification of Contractor Employees: All contract personnel attending meetings and working in other situations where their Contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by Contractors are suitably marked as Contractor products or that Contractor participation is appropriately disclosed.

1.6.13 Contractor Travel: Not applicable for this task.

1.6.14 Other Direct Costs: Not applicable for this task.

1.6.15 Data Rights: The Government has unlimited rights to all documents/material and data produced under this contract. All documents and materials produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the Contractor without written permission from the Contracting Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.6.16 Transition Out Period: In accordance with this contract, the Contractor shall provide a plan (Deliverable 3) for 30 days outgoing transition for transitioning work from an active contract to a follow-on contract/order or Government entity; the outgoing transition is part of the option performance period. This transition may be to a Government entity, another Contractor or to the incumbent Contractor under a new contract/order. In accordance with the Government-approved plan, the Contractor shall assist the Government in planning and implementing a complete transition from this Contract and/or orders issued under this Contract to a successful provider. This shall include formal coordination with Government staff and successor staff and management. It shall also include delivery of copies of existing policies and procedures, and delivery of required metrics and statistics. This transition plan shall include, but is not limited to:

· Coordination with Government representatives,

· Review, evaluation and transition of current support services,

· When applicable, Transfer of Government Furnished Equipment (GFE) and Government Furnished Information (GFI), and GFE inventory management assistance,

· Turn-in of all government keys, ID / access cards, and security codes.

1.6.17 Monthly Progress Report: The Contractor shall prepare and deliver Progress Reports (Deliverable 6 Monthly Encounter Report and Deliverable 7 Quarterly Patient Specific Report) in accordance with a mutually agreed upon format between the Government and the Contractor. The monthly progress reports should address the enrollment activity as well as the encounter activity from the previous month.

The MPR should outline deliverables submitted; problems encountered, and schedule deviations to include but not limited to monthly activities, monthly system availability report and system utilization report (i.e. web-based utilization, mobile utilization).

PART 2

DEFINITIONS & ACRONYMS

2. DEFINITIONS AND ACRONYMS:

2.1 DEFINITIONS:

CONTRACTOR

A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1. ACRONYMS:

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3 GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Services: Not applicable for this task.

3.2. Facilities: Not applicable for this task.

3.3. Utilities: Not applicable for this task

3.4. Equipment: Not applicable for this task.

3.5. Materials: The DOD/DHA Pharmacy Operations Division will supply a list of beneficiaries to the contractor who are eligible for the program in the designated areas of the pilot program. This population group will consist of TRICARE and TRICARE for Life beneficiaries receiving their medical care and their pharmaceutical care outside of the DoD MTF.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1. General: The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under Section 3 of this PWS.

4.2. Secret Facility Clearance: Not applicable for this task.

4.3. Materials: The Contractor shall furnish all materials, supplies, and equipment necessary to meet the requirements under this PWS.

4.4. Equipment: The Contractor shall provide all equipment necessary to meet the requirements under this PWS.

PART 5

SPECIFIC TASKS

5. SPECIFIC TASKS:

The Contractor shall provide services for an MTM solution. This solution should be consistence with the services outline in PWS Attachment 7.

5.1 Task Heading: MTM functional/technical requirements

Table 5.1.1 Functional Requirements:

5.1.2 Technical Requirements:

PART 6

OTHER TERMS, CONDITIONS, AND PROVISIONS

6. OTHER TERMS, CONDITIONS and PROVISIONS

6.1. Non-Disclosure / Non-Use Agreement: The Contractor shall ensure that the Non-Disclosure Statement (PWS Attachment 3) (Deliverable 11) is signed by all staff assigned to or performing on this Contract before performing any work, including all Sub-Contractors and consultants. The Non-Disclosure / Non-Use statement will be cosigned by a corporate official (Contractor Task Manager or higher). The Contractor shall also ensure that all staff understand and adhere to the terms of the non-disclosure statement, protecting the procurement sensitive information of the Government and the proprietary information of other Contractors. Assignment of staff who has not executed this statement or failure to adhere to this statement shall constitute default on the part of the Contractor.

6.2. Enterprise Architecture (EA): N/A

6.3. Protection of Information:

6.3.1. Dissemination of Information/Publishing: There shall be no dissemination or publication, except within and between the Contractor and any subcontractors or specified Integrated Product/Process Team (IPT) members who have a need to know, of information developed under this order or contained in the reports to be furnished pursuant to this order without prior written approval of the Contracting Officer. Approval for publication will require provisions which protect the intellectual property and patent rights of both DHA and the Contractor.

6.4. Contractor Employees

6.5.1. Contractor Identification: The Contractor shall ensure that Contractor personnel identify themselves as Contractors when attending meetings, answering Government telephones, providing any type of written correspondence, or working in situations where their actions could be construed as official Government acts.

6.5.2. Attendance at Meetings: Contractor personnel may be required to attend meetings or otherwise communicate with Government and/or other contract representatives to meet the requirements of this order. Contractor personnel make their Contractor status known during introductions.

6.5.3. Use of Military Rank by Contractor Personnel: Contractor personnel, while performing in a Contractor capacity, are prohibited from using their retired or reserve component military rank or title in all written or verbal communications associated with the contract under which they provide services.

6.5.4. Personally Identifiable Information (PII), Protected Health Information (PHI) and Federal Information Laws:

6.5.4.1 General Requirements Overview - Personally Identifiable Information (PII), Protected Health Information (PHI) and Federal Information Laws This Section addresses the Contractor’s requirements under The Privacy Act of 1974 (Privacy Act), The Freedom of Information Act (FOIA), and The Health Insurance Privacy and Accountability Act (HIPAA) as set forth in applicable statutes, implementing regulations and DoD issuances. In general, the Contractor shall comply with the specific requirements set forth in this section and elsewhere in this Contract. The Contractor shall also comply with requirements relating to records management as described herein.

This Contract incorporates by reference the federal regulations and DoD issuances referred to in this Section. If any authority is amended or replaced, the changed requirement is effective when it is incorporated under contract change procedures. Where a federal regulation and any DoD issuance govern the same subject matter, the Contractor shall first follow the more specific DoD implementation unless the DoD issuance does not address or is unclear on that matter. DoD issuances are available at http://www.dtic.mil/whs/directives.

For purposes of this Section, the following definitions apply.

DoD Privacy Act Issuances means the DoD issuances implementing the Privacy Act, which are DoDD 5400.11 (May 8, 2007 thru Change 1 September 1, 2011) and DoD 5400.11-R (May 14, 2007).

HIPAA Rules means, collectively, the HIPAA Privacy, Security, Breach and Enforcement Rules, issued by the U.S. Department of Health and Human Services (HHS) and codified at 45 CFR Part 160 and Part 164, Subpart E (Privacy), Subpart C (Security), Subpart D (Breach) and Part 160, Subparts C-D (Enforcement), as amended by the 2013 modifications to those Rules, 78 FR 5566-5702 (January, 25, 2013) (with corrections at 78 FR 32464 (June 7, 2013). Additional HIPAA rules regarding electronic transactions and code sets (45 CFR Part 162) are not addressed in this Section and are not included in the term HIPAA Rules.

DoD HIPAA Issuances means the DoD issuances implementing the HIPAA Rules in the DoD 6025.18-R (January 24, 2003), DoDI 6025.18 (December 2, 2009), and DoD 8580.02-R (July 12, 2007).

DHA Privacy Office means the DHA Privacy and Civil Liberties Office. The DHA Privacy Office Chief is the HIPAA Privacy and Security Officer for DHA, including the National Capital Region Medical Directorate (NCRMD).

Service-Level Privacy Office means a privacy office of one of the military Services (Army, Navy, or Air Force). The Service-Level Privacy Offices have authority over Privacy Act and HIPAA compliance by the military Services. [This definition is applicable to this Contract if the Government party to this Contract is one of the Services or a Service component. In that case, this Section may need Service-specific provisions in addition to this definition.]

Breach means actual or possible loss of control, unauthorized disclosure of or unauthorized access to PHI or other PII (which may include, but is not limited to PHI), where persons other than authorized users gain access or potential access to such information for any purpose other than authorized purposes, where one or more individuals will be adversely affected. The foregoing definition is based on the definition of breach in DoD Privacy Act Issuances as defined herein.

HHS Breach means a breach that satisfies the HIPAA Breach Rule definition of a breach in 45 CFR 164.402.

6.5.4.2 Records Management:

When creating and maintaining official government records, the Contractor shall comply with all federal requirements established by 44 U.S.C.