DHA_PWS_RHRP4_11.1.24_DRAFTV1.pdf

DHA PWS RHRP

Nov 1, 2024

Department of Defense

Defense Health Agency

Performance Work Statement

Remote Health Readiness Program 4th Generation (RHRP-4)

Assistant Director Support (AD-S)

Program Management Office-Enterprise Medical Services (PMO-EMS)

Solicitation Number:

Version: 2.0

Date: 1 November 2024

Nov 1, 2024

PART 1

1. GENERAL INFORMATION

1.1 This is a non-personal services contract to provide medical and dental readiness services to military Service Components (SCs) of the Reserve Components (RCs), Active

Components (ACs) enrolled in TRICARE Prime Remote (TPR), DoD Service Civilians, and members of the Department of Homeland Security (DHS).

1.2 Introduction: The Defense Health Agency (DHA), per Department of Defense

Instruction (DoDI) 6025.19, is responsible for executing the Reserve Health Readiness Program

(RHRP). DHA Procedural Instruction 6200.06 assigns the Director, DHA responsibility for developing, executing, and managing the DoD’s Periodic Health Assessment (PHA) Program. In

2024, the RHRP-4 Core Integrated Product Team changed the name of the program from the

Reserve Health Readiness Program to the Remote Health Readiness Program to align more accurately with the population served by the contract. The Remote Health Readiness Program-

4th Generation will be referred to as RHRP-4.

1.2.1 The mission of the RHRP is to support and complement the DoD Individual Medical

Readiness (IMR) Program in its efforts to promote and sustain a medically ready force throughout the continuum of military operations and deployments. The RHRP is DHA’s primary support for RC and TPR Service Members (SMs). The RHRP provides required IMR (Medical and Dental) services, deployment readiness medical services, physical exams (accession, retention, occupational health, and specialty), and RC dental care. These activities support the

Services’ efforts to meet or exceed established DoD IMR standards, deployment health-related initiatives, and Force Health Protection (FHP) requirements and goals. The RHRP supports the

RC, TPR services members (Army, Navy, and Marine Corps), U.S. Coast Guard SMs (active duty and Reserve) and re-deploying DoD civilians from participating DoD Agencies.

1.3 Background: The RHRP is a recurring requirement since 2001. The optional use contracting vehicle provides capabilities to ensure medical readiness requirements are met for each SC. The requirement for medical readiness support to the Reserve Components has been met through previous contracts such as FEDS HEAL (Federal Strategic Health Alliance), RHRP-

I, RHRP-II, and currently RHRP-3. For FY23, $106.1M total expenses procured 1.6M services.

1.3.1 Objectives: The Contractor shall provide medical, dental, and behavioral health services in the form of assessments, physical exams, laboratory services, diagnostics, audiology services, optometry services, immunizations, dental exams, and dental treatment. The Contractor shall provide services in the United States (the 50 States and the District of Columbia), Commonwealths of Puerto Rico and the Northern Mariana Islands, the territories of American

Samoa, Guam, and the U.S. Virgin Islands. The Contractor shall provide services using the following three modalities Group Events, In-Clinic appointments, and Virtual Health.

1.4 Scope: The Contractor shall establish and maintain a robust network of credentialed providers in all necessary practice areas to provide on-demand medical and dental readiness services based on SC readiness requirements and as described in Part 5 of this Performance

Work Statement (PWS). The Contractor shall provide both face-to-face services and person-to-person services. The Contractor shall create, operate, and maintain both an electronic scheduling capability and a telephonic capability for SMs, SC Leads, and SC delegated personnel to request services by type and modality. The Contractor shall provide assessments, physical exams, Nov 1, 2024 laboratory services, diagnostics, audiology services, optometry services, immunizations, dental exams, and dental treatment. The Contractor shall electronically document the results of the services completed into the appropriate system(s) of record and/or DoD/DHS Component health readiness systems for each SM receiving services.

1.5 Period of Performance (PoP): The PoP begins with a 12-month base year and nine 12-month option years, for a total of ten years.

1.6 Transition:

1.6.1 Transition-in period. The transition-in period is defined as the period during which the contractor prepares to meet all contract requirements, ensuring (among other things) that all incoming personnel are functionally trained and qualified by the full performance start date. The transition-in period will not exceed six months. The full performance start date is XXX 2026. (If a new vendor is not selected, then there will be no transition-in period, and the incumbent contractor will continue performing until the full performance start date in XXX2026.) During the transition-in period, the Contractor shall prepare a plan for phasing-in contractor performance with Initial Operational Capability (IOC) and Full Operational Capability (FOC) and deliver it to the Government no later than (NLT) 10 business days after award. See Contract Data

Requirement List (CDRL) in the Performance Requirements Summary (PRS). The Contractor’s transition-in plan shall identify the processes it will employ for establishing a robust medical and dental network to deliver to SMs the services described in this PWS (Exhibit XX).

1.6.1.1 The Contractor’s transition-in plan shall contain the plan of action and milestones for all electronic interface integration, testing, and demonstration of the capability to the

Contracting Officer’s Representative (COR). The Contractor shall include process flows from data retrieval of the SM readiness data to the SM request of scheduled service to electronic documentation published in the appropriate DoD/DHS system once completed. The Contractor’s transition-in plan shall include process for securely transferring government technical data from the previous vendor through encrypted transmission as applicable. The transition-in plan shall contain a communication plan detailing the new contract, any change in phone numbers, personnel, and websites to provide to the COR.

1.6.2 Transition-Out Period. The Contractor shall, upon the Contracting Officer’s written notice, (1) furnish phase-in, phase-out services for up to 180 days after this contract expires and

(2) negotiate in good faith a plan with the successor contractor to deliver required phase-in, phase-out services. The plan negotiated by the parties shall specify a training program and a date for transferring responsibilities for each division of work described in the plan and shall be subject to the Contracting Officer’s approval. The Contractor shall provide sufficient experienced personnel during the phase-in, phase-out period to ensure that the services called for by this contract are maintained at the required level of proficiency.

1.6.2.1 The Contractor shall prepare and deliver to the Government a transition-out plan that facilitates the accomplishment of a seamless, low-risk transition from the incumbent to the incoming contractor at the expiration of the contract. The Transition-Out Plan is part of the

Contract Data Requirement List (CDRL) in the Performance Requirements Summary and is due

NLT 30 days after award. The Contractor’s transition-out plan shall include transfer of government technical data and shall comply with Common Access Card (CAC) requirements.

The Contractor shall also provide data and reports from the telephonic scheduling process as property of the Government.

Nov 1, 2024

1.6.2.1.1 The Contractor shall comply with transition-out requirements of the DHA for contractors who have been issued a CAC or who generate “records”, as defined by DoDI

5015.02.

1.7 Administrative specifications

1.7.1 Place of performance: The Contractor shall provide readiness services within CONUS and OCONUS (for US territories only) by one of the three modalities: in-clinic, group event, or virtual health.

1.7.2 Recognized Federal holidays:

New Year’s Day Birthday of Martin Luther King, Jr.

Washington’s Birthday Memorial Day

Juneteenth Independence Day

Labor Day Columbus Day

Veteran’s Day Thanksgiving Day

Christmas Day

1.7.3 Hours of operation: The Contractor shall perform as described in Part 5.

1.8 Contractor travel: The Contractor shall travel personnel to support Group Events (GE) as requested by the Service Components. Exhibit XX lists all locations to which contractor personnel traveled to support Group Events in FY24. The Contractor shall be authorized travel expenses consistent with the cost principles and procedures in Federal Acquisition Regulation

(FAR) Part 31.2, Travel Costs, and the limitations of funds specified in this contract. All travel requires Government approval/authorization and notification to the Contracting Officer

Representative (COR).

1.9 Other Direct Costs (ODC): TBD

1.10 Quality

1.10.1 Quality Control (QC): The Contractor shall develop and maintain an effective QC program to ensure services are performed in accordance with this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure nonrecurrence of defective services. The Contractor’s Quality Control (QC) program shall document the work complies with stated requirements. The Contractor shall submit an initial QC Plan (QCP) within 30 days after contract award and an updated QCP within 5 business days after incorporating any updates/changes to the plan. (CDRL).

1.10.2 Quality Assurance (QA): The Government will evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan

(QASP). The QASP provides a systematic method for the Government to evaluate performance and to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.11 Contractor personnel

1.11.1 For all contractors who will work in Government facilities, the Facilities Security

Officer (FSO)/Company's Security point of contact (POC) will provide the Government all the required information per the DHA CAC request process current version 2.1, January 2018, or

Nov 1, 2024 more recent when updated. See process attached at Part 7 Section 7.1.1 of the PWS. A CAC is the standard identification for eligible DoD contractor personnel.

1.11.2 Common Access Card (CAC) requirements. All Contractors performing work on this contract shall have a minimum of TIER 1 adjudicated investigation for Non-Critical, Non-

Sensitive positions.

1.11.3 The Contractor shall identify a limited number of personnel who will support design, development, operations, and security of Information Systems (IS) who shall complete a minimum of a TIER 3 Non-Critical, Sensitive investigation, per DHA-AI 5200.04.

1.11.3.1 The Contractor shall return the CACs of departing contractor employees to the

COR within three business days after the employees depart.

1.11.4 Contractor onboarding and training. The Contractor shall complete all requirements, training, and forms as prescribed in the following requirements:

1.11.4.1 The Contractor shall comply with DHA onboarding requirements for contractor personnel needing to be issued CAC identification, including DoD- and DHA-directed training and forms submission before those personnel may access the DHA network. The Contractor shall complete the following:

1.11.4.1.1 Sign a DHA Acceptable User Policy (AUP), and

1.11.4.1.2 DHA-approved training for Health Insurance Portability and Accountability

Act (HIPAA) and Privacy Act and DoD Cyber Awareness Training initially and annually thereafter.

1.11.4.2 Contractor personnel shall complete all required training associated with delivering required readiness services (See Exhibit XX Readiness Training Requirements) NLT three (3) days prior to providing requested service.

1.11.5 Licensing Requirements:

1.11.5.1 The Contractor shall ensure that all Contractor providers (of all types) and nurses who deliver services under this contract (whether as direct Contractor employees or as part of the

Contractor’s network of providers) are currently licensed to render professional health care services in each state in which they render services to SMs. The license must be at full clinical practice level to meet this requirement. A temporary license at the full clinical practice level is acceptable. When a state does not license a specific category of individual professional provider, certification by a qualified accrediting organization is required. Certification must be at full clinical practice level. A temporary certification at the full clinical practice level is acceptable.

1.11.5.2 The Contractor shall instruct any providers rendering telehealth/virtual health services (as that term is defined by applicable state laws) to follow telehealth-specific regulatory, licensing, credentialing and privileging, malpractice and insurance laws and rules for their profession in both the jurisdiction (site) in which they are practicing as well as the jurisdiction

(site) where the patient is receiving care, and shall ensure compliance as required by appropriate regulatory and accrediting agencies.

1.11.6 Malpractice Insurance: The Contractor shall determine the medical malpractice coverage required in the state for each of its providers (whether employed by the Contractor or a provider in the Contractor’s network) and ensure that each provider complies with this

Nov 1, 2024 requirement. In the absence of a state law requirement for medical malpractice insurance coverage, the Contractor shall determine the local community standard for medical malpractice coverage and the Contractor shall maintain necessary documentation evidencing both the standard and compliance by its providers. In no case shall any provider (e.g., physician, dentist, nurse practitioner, physician assistant, advance practice nurse, advance practice registered nurse, audiologist, optometrist, or behavioral health specialist) delivering services under this contract not have the minimum required medical malpractice coverage. The Contractor shall be solely liable for and expressly agrees to indemnify the Government for the costs of defense and any liability resulting from services provided to SMs by its providers. As an alternative, the

Contractor shall ensure that all vendor network provider agreements used by the Contractor require the provider to agree to indemnify, defend, and hold harmless the Government from all claims, judgments, costs, liabilities, damages, and expenses, including attorney's fees, whatsoever, arising from any acts or omissions in the provision of medical services by the provider to eligible SMs.

1.11.6.1 The Contractor shall ensure all licensed dental and clinical providers and support staff performing services under this contract have not been precluded from participation in government healthcare insurance programs (e.g., are not on the Office of Inspector General, Department of Health and Human Services, List of Excluded Individuals/Entities) and have current licenses, registrations, and certifications according to industry standard and as required for the specific state, commonwealth, district or Territory in which they are providing contract services to include compliance with any requirements of the jurisdiction(s) in which they and the

SM are located.

1.11.7 Physical Security: The Contractor shall follow DHA and local security guidelines when group events occur at government facilities or on government property.

1.11.8 Access Control: The Contractor shall follow local guidance to access Government installations or Government facilities (when such access is necessary) and shall use only specified gates or routes. The Contractor shall not enter any restricted area without an authorized escort.

1.11.9 Emergency Procedures:

1.11.9.1 The Contractor shall document an Emergency Procedure Plan (EPP) for each modality, which includes contingencies for electronically documenting completed readiness services. The Contractor shall submit the EPP within 15 Days After Contract Award (DACA).

1.11.9.2 The Contractor shall follow prescribed processes for notifications of emergencies.

(Exhibit XX)

1.11.9.3 The Contractor shall create a quick response team who shall assist in IT downtimes and emergencies as described in Part 6.

1.11.10 Key personnel (Contractor): The Contractor shall provide personnel with requisite qualifications to fill the Key Personnel positions listed in paragraph 1.11.9.3 below. Key

Personnel are considered essential to the work described within the PWS, and personnel in the

Key Personnel positions must meet the pertinent education and experience requirements described in paragraph 5.9.

1.11.10.1 The Contractor shall submit in writing to the Contracting Officer (KO) and COR any proposed changes (replacements, substitutions, etc.) to its Key Personnel (with appropriate

Nov 1, 2024 documentation) 30 days prior to the key person on-boarding into a position on the contract. In any of these events, the Contractor shall promptly notify the KO.

1.11.10.2 All Key Personnel shall have CACs.

1.11.10.3 Personnel in the following positions are Key Personnel:

1.11.10.3.1 Program Manager (PM) and Alternate Program Manager (APM)

1.11.10.3.2 Chief Medical Officer (CMO)

1.11.10.3.3 Chief Information Officer (CIO)

1.11.10.3.4 Chief Dental Officer (CDO)

1.11.10.3.5 Group Event Coordinator (GEC) and Alternate Group Event Coordinator

1.12 Data Rights: The Government has unlimited rights to all documents and materials developed under this contract (except in cases where DFARS Subpart 227 and the associated

DFARS clauses dictate otherwise, as applicable), including telephone call recordings and transcripts and web chat transcripts, and all deliverables under the contract. These documents and materials may not be used or sold by the contractor without written permission from the

Contracting Officer. All materials supplied or developed for the Government shall become the sole property of the Government and may not be used for any other purpose unless otherwise agreed in writing. This right does not abrogate any other Government rights.

1.12.1 Materials means all items in any format and includes, but is not limited to, data, reports, documents, pamphlets, advertisements, surveys, studies, software and computer programs, films, tapes, and/or sound reproductions. Ownership includes the right to copyright, patent, register and the ability to transfer these rights.

1.12.2 For materials that are delivered under the contract, but that incorporate pre-existing materials not produced under the contract, the contractor will grant to the Government a nonexclusive, royalty-free, irrevocable license in such materials to translate, reproduce, distribute, prepare derivative works, publicly perform, and publicly display. The Contractor will warrant and represent that it has all rights and permissions, including intellectual property rights, moral rights and rights of publicity, necessary to grant such a license. The Contractor shall provide the Government prompt written notice of each notice or claim of infringement received by the contractor with respect to any data delivered under this contract.

1.12.3 The Government shall receive, at a minimum, Government Purpose license rights to intellectual property first produced and delivered in the performance of this contract in accordance with the terms of DFARS clauses 252.227-7013 and 252.227-7014. This includes all rights to source code and any and all documentation created in support thereof.

1.12.4 The Contractor, upon request of the Government, shall deliver copies of all commercial licenses required to support this contract, including (but not limited to) those required to establish, operate, or maintain the Electronic Scheduling Capability and the Status

Dashboard and associated applications.

1.13 Reporting

1.13.1 Non-Disclosure Agreement (NDA): The Contractor shall ensure that all contractor personnel who will obtain access to proprietary, classified, or confidential information or any information release of which is protected or governed by law or regulation complete and sign a

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DHA contractor NDA (DHA Form 49) prior to beginning work on the contract or an associated task order. The Contractor also shall execute an NDA on behalf of the company. The NDA shall be executed not later than first day of an employee’s employment and be renewed upon the exercise of a contract/task order option period. Assignment of staff who have not executed an

NDA or have failed to adhere to the terms of the NDA shall constitute default on the part of the

Contractor. The Contractor shall maintain originally signed NDAs of individual employees and provide a copy of the NDAs to the COR.

1.13.2 Government’s Contracting Officer Representative (COR): 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 KO 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.

1.13.3 Post Award Conference (PAC): The Contractor shall attend any PACs convened by the contracting activity or contract administration office in accordance with FAR Subpart 42.5.

The PACs will be scheduled by the KO within XX days after contract award.

1.13.4 Periodic Progress Meetings/ Monthly Progress Reviews (MPR): The KO, COR, and other Government personnel, as appropriate, will meet on a defined schedule with the Contractor to review the contractor's performance. At these meetings the KO will apprise the Contractor of how the Government views the Contractor's performance and the Contractor will apprise the

Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.14 Contractor Identification

1.14.1 The Contractor shall ensure that contractor and subcontractor personnel performing services in a Government facility or on Government property wear identification badges that display their name and the name of their company. The Contractor shall further ensure that contractor and subcontractor personnel provide for a clear distinction from Government personnel. Contractor employees shall not act, advertise, or presume to be Government employees, agents, or representatives. Contractor employees shall appropriately identify themselves as contractor employees at all times, including in telephone conversations, formal and informal written correspondence (paper and electronic), and in any other situation where their actions could be construed as acts of Government officials, unless, in the judgment of the

Government, no harm can come from the contractor employees failing to identify themselves.

Contractor employees shall be introduced as contractor personnel and display distinguishing visible identification at all times whether in conversations, meetings, or when engaging in other forms of communication with Government personnel.

1.14.2 The Contractor shall ensure that contractor and subcontractor personnel refrain from using their retired or reserve component military rank or title (as applicable) in any written or

Nov 1, 2024 verbal communications associated with providing services under this contract or an associated task order.

1.14.3 Dress and Appearance: The Contractor shall ensure that its personnel dress in a neat, professional manner in good keeping with standard health care practices, be easily recognized and provide professional, modest appearance in keeping with normally accepted community standards of dress for the work being performed. In all cases, contractor employee clothing and appearance shall be neat and clean.

1.15 Media Inquiries: Neither the Contractor nor its employees shall respond to any media inquiries. Any inquiries from the media shall be promptly relayed to the Government

RHRP Director. The Contractor shall not provide interviews, comments, or any other response without the knowledge and approval of the Government RHRP Director.

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PART 2

2. DEFINITIONS, ACRONYMS, AND APPLICABLE PUBLICATIONS/

INSTRUCTIONS

2.1 Definitions:

ACCEPTABLE QUALITY LEVEL (AQL): The minimum level of performance a contractor shall meet to be satisfactory on this contract.

ACCEPTABLE USER POLICY (AUP): The practices users must agree to in order to use a network or other resource.

ASSESSMENT: The process by which information is gained through evaluation criteria pertaining to the medical/dental readiness of a service member.

CONTRACTING OFFICER (KO): A person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

CONTRACTING OFFICER’S REPRESENTATIVE (COR): An individual designated and authorized in writing by the KO to perform specific technical or administrative functions. This individual does NOT have authority to change the terms and conditions of the contract.

DATA EXCHANGE PLATFORM (DXP): Intermediary platform that facilitates the secure exchange and interoperability of health-related data between multiple healthcare systems, providers, and organizations within and outside DoD that leverage healthcare related information. The service acts as a centralized conduit, ensuring that data is properly transformed, validated, routed, and managed according to specific healthcare standards and regulatory compliance requirements, such as HIPAA and Federal Information Security Management Act

(FISMA).

The core functionalities of the Data Exchange Platform include:

• Data Transformation: The service converts health data formats to ensure compatibility between disparate systems.

• Routing and Integration: The service intelligently routes health data to the appropriate destination, based on predefined rules and criteria, enabling seamless integration with

Electronic Health Record (EHR) systems, clinical applications, and other healthcare platforms.

• Security and Compliance: Ensures encryption, audit logging, and access control measures that comply with healthcare privacy laws and DoD security standards.

• Data Validation: Verifies the accuracy and integrity of the exchanged data, identifying errors, gaps, or duplications before sharing with end recipients.

• Monitoring and Auditing: Tracks data transactions, providing insights for auditing purposes and ensuring transparency and accountability across the exchange.

• This service streamlines communication between entities that handle healthcare related data, reducing duplication, improving patient care, and supporting population health functions in both civilian and military healthcare settings.

ELECTRONIC HEALTH RECORD (EHR): A digital version of a patient’s paper chart that stores their medical history and other health information.

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EMERGENCY: An unexpected situation requiring immediate attention to include indicating harming themselves or others.

EXAM (Exam in person): A physical examination that includes a variety of tests or assessments in a physical setting.

FACE-TO-FACE: An encounter when the individuals (provider and patient) are physically in the presence of each other.

GROUP EVENTS: A modality by which readiness services are provided to a group of service members from the same or multiple service components.

IN-CLINIC: A modality by which readiness services are provided in a private-sector clinical setting.

KEY PERSONNEL: Employees of the contractor, or any subcontractor(s), affiliates, joint venture partners, or team members, and consultants engaged by any of these entities and are essential to the work being performed under contract.

LICENSED HEALTHCARE PROVIDER: Medical Doctor (MD), Doctor of Osteopathy (DO), Nurse Practitioner (NP), Advance Practice Nurse, or Physician Assistant (PA), Psychologist, Psychiatrist licensed within a state(s) to provide clinical assessments and treatment.

LICENSED DENTAL PROVIDER: Any Dental Physician licensed within a state(s) to provide dental exams and treatment.

MENTAL HEALTH ASSESSMENT: A series of health screenings designed to identify mental health concerns.

MOBILE: Capabilities available via cell phone, this DOES NOT include application development for cell phones.

MODALITY: A method by which readiness services are provided (i.e., group event, in-clinic, virtual health).

NON-PERSONAL SERVICES CONTRACT: A contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees.

PERSON-TO-PERSON: Face-to-face, telephonic, or video conference dialogue with an individual that is conducted in a private setting to foster trust and openness in discussing sensitive health concerns.

PERIODIC HEALTH ASSESSMENT (PHA): Assessment required for maintaining Service

Member readiness standards.

PHAQ (PHA Questionnaire): Term utilized by the Department of the Air Force to refer to the patient-completed questionnaire at the beginning of the PHA.

POST-DEPLOYMENT HEALTH ASSESSMENT (PDHA): Assessment that occurs 30 days before or after SM redeployment.

POST-DEPLOYMENT HEALTH REASSESSMENT (PDHRA): Health screen that occurs 90 -

180 days after SM redeployment, designed to protect and evaluate the health of those returning from combat.

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POST-DEPLOYMENT MENTAL HEALTH ASSESSMENT: Assessment that occurs as part of the PDHA, 30 days before or after SM redeployment which include a series of deployment health screenings designed to identify mental health concerns.

PRE-DEPLOYMENT HEALTH ASSESSMENT: Assessment that occurs 120 days before SM deployment.

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

The Government may either prepare the QASP or require the offerors to submit a proposed quality assurance surveillance plan for the Government’s consideration in development of the

Government’s plan.

SERVICE COMPONENT APPROVER: Role defined as person who can approve requested service.

SERVICE COMPONENT DESIGNEE: Any Government representative delegated or designated by the SC, including points of contact at the service unit level (i.e. Unit POC).

SERVICE COMPONENT LEAD: Key Government Requirements Owner from each Service.

Army National Guard of the United States, Army Reserve, Marine Corps Reserve, Navy

Reserve, Air National Guard of the United States, the Air Force Reserve, and US Coast Guard and Reserve. Any Service TRICARE PRIME remote Leads.

SERVICE COMPONENT SCHEDULER: Role defined as person who scheduled the service, can be the Service Component Lead, Service Component Designee, or the Service Member.

SERVICE MEMBER (SM): A member of the uniformed services, consisting of the Army, Navy, Air Force, Marine Corps, and Coast Guard. This includes Active duty, full-time duty, Reserve duty, and part-time duty personnel.

SUPPORT STAFF: Clinical Medical or Dental trained staff who assist providers.

TRAINED HEALTH CARE PERSONNEL: Health care personnel who have received Program-specific training.

TRICARE PRIME REMOTE: Managed care option for Active-Duty SM’s whose home or work address is greater than 50 miles or one hour's drive time from a military hospital or clinic.

UNIT IDENTIFICATION CODE (UIC): A six-character alphanumeric code that uniquely identifies each United States Department of Defense entity. The Air Force uses a variation of the

UIC, called a Personnel Accounting Symbol (PAS) code, which is a unique four-character alphanumeric code. The Marines use a five-character alphanumeric identifier called a Reporting

Unit Code (RUC) in addition to the UIC.

VENDOR NETWORK: All healthcare providers delivering readiness services under the contract via the in-clinic, group event, or virtual health modalities.

VIRTUAL HEALTH (also TELEHEALTH): Use of telecommunications and information technologies to provide health assessment, treatment, diagnosis, intervention, consultation, supervision, education, and information across distances provided person-to-person.

2.2 Acronyms:

AC Active Component

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ACS-DAL Agile Core Services – Data Access Layer

AD-S Assistant Director Support

APM Alternate Program Manager

AQL Acceptable Quality Level

ASA Average Speed to Answer

ASIMS Aeromedical Services Information Management System

AUP Acceptable User Policy

BAA Business Associate Agreement

BCP Business Continuity Plan

BLS Basic Life Support

B2B Business-to-Business

CAC Common Access Card

CAGE Commercial and Government Entity

CAOHC Council for Accreditation in Occupational Hearing Conservation

CDC Centers for Disease Control

CDO Chief Dental Officer

CDRL Contract Data Requirements List

CDS Corporate Dental System

CIO Chief Information Officer

CMO Chief Medical Officer

CMMC Cybersecurity Maturity Model Certification

CONUS Continental United States (excludes Alaska and Hawaii)

COOP Continuity of Operations Plan

COR Contracting Officer’s Representative

CUI Controlled Unclassified Information

DACA Days After Contract Award

DC3 DoD Cyber Crime Center

DCWF DoD Cyber Workforce Framework

DD Defense Department

DEERS Defense Enrollment Eligibility Reporting System

DENCLASS Dental Classification Application

DFARS Defense Federal Acquisition Regulation Supplement

DHA Defense Health Agency

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DHS Department of Homeland Security

DIB Defense Industrial Base

DLMC Deployment Limited Medical Condition

DMDC Defense Manpower Data Center

DNA Deoxyribonucleic Acid

DoD Department of Defense

DoDD Department of Defense Directive

DoDI Department of Defense Instruction

DoDM Department of Defense Manual

DOEHRS-HC Defense Occupational Environmental Health Readiness System-Hearing

Conservation

DPCLO Defense Privacy and Civil Liberties Office

DRHA Deployment Related Health Assessment

DRP Disaster Recovery Plan

DSA Data Sharing Agreements

DSAA Data Sharing Agreement Application

DUA Data Use Agreement

DXP Data Exchange Platform

EHR Electronic Health Record

FAR Federal Acquisition Regulation

FedRAMP Federal Risk and Authorization Management Program

FEDS HEAL Federal Strategic Health Alliance

FHP Force Health Protection

FISMA Federal Information Security Management Act

FOC Full Operational Capability

FSO Facilities Security Officer

GEC Group Event Coordinator

HCA Head of the Contracting Activity

HCP Healthcare Provider

HHS Health and Human Services

HIPAA Health Insurance Portability and Accountability Act

HITECH Health Information Technology for Economic and Clinical Health

HIV Human Immunodeficiency Virus

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HL7 Health Level 7

HTTP HyperText Transfer (Transport) Protocol

HTTPS HyperText Transfer (Transport) Protocol Secure

IAW In Accordance With

IA Information Assurance

IMR Individual Medical Readiness

IOC Initial Operational Capability

IPT Integrated Product Team

IS Information Systems

ISP Internet Service Provider

IT Information Technology

JKO Joint Knowledge Online

JSON JavaScript Object Notation

KO Contracting Officer

MEDCHART Medical Electronic Data Care History and Readiness Tracking

MedCOI Medical Community of Interest

MHA Mental Health Assessment

MHS Military Health System

MODS Medical Operational Data System

MOHT Military Occupational Hearing Test

MPR Monthly Progress Review

MRRS Medical Readiness Reporting System

NDA Non-Disclosure Agreement

NIOSH National Institute for Occupational Safety and Health

NIST National Institute of Standards and Technology

NLT Not (or No) Later Than

OCONUS Outside Continental United States (includes Alaska and Hawaii)

ODC Other Direct Costs

OPM Office of Personnel Management

PAC Post Award Conference

PHA Periodic Health Assessment

PHI Protected Health Information

PIEE Procurement Integrated Enterprise Environment

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PII Personally Identifiable Information

PMO Program Management Office

PMO-EMS Program Management Office-Enterprise Medical Services

POC Point of Contact

PoP Period of Performance

PRS Performance Requirements Summary

PWS Performance Work Statement

PM Program Manager

QA Quality Assurance

QAP Quality Assurance Program

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Plan

RC Reserve Components

RHRP Remote Health Readiness Program

RUC Reporting Unit Code

SAAR System Authorization Access Request

SC Service Component

SFTPs Secure File Transfer Protocols

SI Sensitive Information

SM Service Member

SP Special Publication

SPRS Supplier Performance Risk System

TMA TRICARE Management Activity

TPR TRICARE Prime Remote

UIC Unit Identification Code

US United States

US-CERT United States Computer Emergency Readiness Team

VPN Virtual Private Network

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

2.3.1 Public Law

10 U.S.C. §§ 1074a, 10149, 10206

10 U.S.C. §§ 1074f, m, n

Nov 1, 2024

10 U.S.C. § 1090a (2023)

Pub. L. No. 104-191 (1996)

Pub. L. No. 112-81 (2012)

2.3.2 Code of Federal Regulation

48 CFR Federal Acquisition Regulations System

2.3.3 Department of Defense

AR 40-562/BUMEDINST 6230.15B/AFI 48-110_IP/CG COMDTINST M6230.4G,

“Immunizations and Chemoprophylaxis for the Prevention of Infectious

Disease,” 7 Oct 2013

AR 40-63/SECNAV 6801.1/AFI 44-117, "Ophthalmic Services," 14 Apr 2015

DoDD 5124.02, “Under Secretary of Defense for Personnel and Readiness (USD

(P&R)),” 23 Jun 2008

DoDD 5136.13, “Defense Health Agency,” 30 Sep 2013

DoDD 6200.04, “Force Health Protection,” 9 Oct 2004

DoDD 6490.02E, “Comprehensive Health Surveillance,” 8 Feb 2012

DoDI 1241.01 "Reserve Component (RC) Line of Duty Determination for Medical and Dental Treatments and Incapacitation Pay Entitlements," 19 Apr 2016

DoDI 1332.18 "Disability Evaluation System (DES)," 10 Nov 2022

DoDI 1332.45, "Retention Determination for Non-Deployable Service Members," 30

Jul 2018

DoDI 3021.41, “Operational Contract Support,” 20 Dec 2011

DoDI 5015.02 "DoD Records Management Program," 24 Feb 2015

DoDI 6025.18-R "DoD Health Information Privacy Regulation," March 13, 2019

DoDI 6025.19, “Individual Medical Readiness Program,” 13 Jul 2022

DoDI 6040.06, "The Separation History and Physical Examination for the DoD

Separation Health Assessment Program," 14 Apr 2016

DoDI 6055.01, "DoD Safety and Occupational Health (SOH) Program," 14 Oct 2014

DoDI 6055.05, "Occupational and Environmental Health (OEH)," 11 Nov 2008

DoDI 6055.12, "Hearing Conservation Program," 14 Aug 2019

DoDI 6130.03, Volume 1 "Medical Standards for Appointment, Enlistment, or

Induction in the Armed Forces"

DoDI 6130.03, Volume 2, "Medical Standards for Military Service: Retention" 4 Sep

DoDI 6200.05, "Force Health Protection Quality Assurance (FHPQA) Program," 16

Jun 2016

Nov 1, 2024

DoDI 6200.06, “Periodic Health Assessment (PHA) Program,” 8 Sep 2016

DoDI 6205.02, “DoD Immunization Program,” 23 Jul 2019

DoDI 6480.04, "Armed Services Blood Program," 7 Jan 2022

DoDI 6490.03, "Deployment Health," 19 Jun 2019

DoDI 6490.04, "Mental Health Evaluations for Members of the Military Services," 4

Mar 2013

DoDI 6490.07, “Deployment-Limiting Medical Conditions for Service Members and

DoD Civilian Employees,” 5 Feb 2010

DoDI 6465.01, "Erythrocyte Glucose-6-Phosphate Dehydrogenase Deficiency

(G6PD) and Sickle Cell Trait Screening Programs," 17 Jul 2015

DoDI 6485.01, "Human Immunodeficiency Virus (HIV) in Military Service

Members," 7 Jun 2013

DoDI 8580.02-R, "DoD Health Information Security Regulation," 12 Aug 2015

DFARS 207.503

DFARS 252.225-7040

DoD Manual 6025.18 "Implementation of the Health Insurance Portability and

Accountability Act (HIPAA) Privacy Rule in DoD Health Care Programs," 13

Mar 2019

DoDM 6055.05, “Occupational Medical Examinations: Medical Surveillance and

Medical Qualification,” 27 Jul 2022

IT LEVEL DESIGNATION ON DD FORM 2875 SYSTEM AUTHORIZATION

ACCESS REQUEST MEMO, 8 September 2020

DOD MANUAL 5200.02 PROCEDURES FOR THE DOD PERSONNEL

SECURITY PROGRAM (PSP), October 29, 2020

6025.18-R, “Department of Defense Health Information Privacy Regulation,” January

24, 2003, (or its successor)

DoD 5400.11-R, “Department of Defense Privacy Program,” May 14, 2007, (or its successor)

DoD Directive 5400.11-R, “Department of Defense Privacy Program,” October 29, DoD Directive 8580.02-R, “Department of Defense Health Information Security

Regulation,” July 12, 2007 (or its successor)

Office of the Secretary of Defense Memorandum, “Safeguarding Against and

Responding to the Breach of Personally Identifiable Information (PII),” dated

June 5, 2009

Title XIII, Subtitle D of Public Law 111-5 (also known as “Health Information

Technology for Economic and Clinical Health (HITECH) Act”)

Nov 1, 2024

Title 45, Code of Federal Regulations, Part 160, “General Administrative

Requirements,” January 10, 2014

Office of the Secretary of Defense Memorandum, “Use of Best Judgment for

Individual Personally Identifiable Information (PII) Breach Notification

Determinations,” August 2, 2012, (or its successor issuance)

2.3.4 Air Force

AFI 10-250, "Individual Medical Readiness," 22 Jul 2020

AFI 10-403, "Deployment Planning and Execution," 17 Apr 2020

AFI 33-332 "Air Force Privacy and Civil Liberties Program," 10 Mar 2020

AFI 44-105, "The Air Force Blood Program," 10 Jan 2019

AFI 44-117, "Ophthalmic Services," 14 May 2015

AFI 44-172, "Mental Health," 13 Nov 2015

AFI 44-178, "Human Immunodeficiency Virus Program," 4 Mar 2014

AFI 48-133, "Duty Limiting Conditions," 7 Aug 2020

AFI 48-170, "Periodic Health Assessment," 7 Oct 2020

AFMAN 41-210, "Tricare Operations and Patient Administration," 10 Sep 2019

AFMAN 47-101 "Managing Dental Services," 25 Jul 2018

AFPD 47-1, "Dental Services," 9 May 2018

DAFI 48-122, "Deployment Health," 9 Oct 2020

DAFI 48-127, "Occupational Noise and Hearing Conservation Program," 26 Feb

DAFMAN 48-105, "Public Health Surveillance," 11 Oct 2023

DAFMAN48-123, "Medical Examinations and Standards," 8 December 2020

2.3.5 Army

AR 25-22, "The Army Privacy and Civil Liberties Program," 30 Sep 2022

AR 40-5, “Medical Services Army Public Health Program,” 12 May 2020

AR 40-35, "Preventive Dentistry and Dental Readiness," 21 Jul 2016

AR 40-66, "Medical Record Administration and Healthcare Documentation," 4 Jan

AR 40-501, “Standards of Medical Fitness,” 27 Jun 2019

AR 40-502, "Medical Readiness," 27 Jun 2019

AR600-10, “Identification, Surveillance, and Administration of Personnel Infected with HIV,” 22 Apr 2014

AR 635-40, "Disability Evaluation for Retention, Retirement, or Separation," 19 Jan

DA PAM 40-501, “Army Hearing Program,” 8 Jan 2015

DA PAM 40-506, “The Army Vision Conservation and Readiness Program,” 15 Jul

2.3.6 Navy

BUMEDINST 1300.3A, "Suitability Screening for Individuals Nominated for

Individual Augmentee and Support Assignments to Overseas Contingency

Nov 1, 2024

Operations, and Specific Temporary Additional Duty Assignments," 6 Jul

BUMEDINST 1300.3B, “Suitability Screening for Individuals Nominated for

Individual Augmentee and Support Assignments to Overseas Contingency

Operations, and Specific Temporary Additional Duty Assignments,” 6 Jul

BUMEDINST 1300.4, “Redeployment Screening Procedures for Individuals

Returning from Overseas Contingency Operations Support Assignments,” 23

Oct 2012

BUMEDINST 1300.6, "General Deployability Assessment In Support of Operational

Medical Readiness," 21 Feb 2023

BUMEDINST 6100.9, “Mental Health Assessment for Members of the Armed Forces

Deployed in Support of Contingency Operations,” 21 Jul 2024

BUMEDINST 6110.14A, "Assessing, Documenting, and Reporting Individual

Medical Readiness Data," 22 Dec 2023

BUMEDINST 6224.8C, “Tuberculosis Surveillance and Control Program,” 25 Apr

MANMED Chapter 6, “Dental Corps,” 6 Mar 2017

MANMED Chapters 15-20

MANMED Chapter 22, “Preventive Medicine and Occupational Health,” 8 Jun 2012

MILPERSMAN 1910-158, “Separation by Reason of Unsatisfactory Participation In

The Ready Reserve,” 6 Jun 2020

OPNAVINST 1300.20A, “Deployability Assessment and Assignment Program,” 3

Oct 2023

OPNAVINST 5100.19E, “Navy Safety and Occupational Health (SOH) Program

Manual for Forces Afloat,” 30 May 2007

OPNAVINST 5100.23G, “Navy Safety and Occupational Health (SOH) Program

Manual,” 30 Dec 2005

OPNAVINST 6100.3A, Ch-1, “Deployment Health Assessment Tools,” 1 Feb 2016

OPNAVINST 6530.2E, “Donor Support for Department of the Navy Blood

Program,” 1 Apr 2019

OPNAVINST 6530.4B, “Department of the Navy Blood Program,” 13 Aug 2007

OPNAV M-5100.23, “Navy Safety and Occupational Health Manual,” 18 Jun 24

RESPERSMAN 6000-010, “Reserve Medical,” 30 Jan 2024

SECNAVINST 1770.5, “Management and Disposition of Line of Duty Benefits for

Members of the Navy and Marine Corps Reserve,” 23 Aug 2018

SECNAVINST 5300.30F, "Management of HIV, HBV and HCV in the Navy and

Marine Corps," 27 Dec 2018

SECNAVINST 6120.3A, "Periodic Health Assessment for Individual Medical

Readiness," 14 Jun 2019

SECNAVINST 7850.4E, “Disability Evaluation Manual”

2.3.7 Coast Guard

2.3.7.1 COMDTINST 6000.9, “Health Information System (HIS),” 29 Dec 2023

COMDTINST 6150.3A, “Coast Guard Period Health Assessment (PHA),” 13 Feb

COMDTINST M6000.1F, “The Coast Guard Medical Manual,” 13 Sep 2022

Nov 1, 2024

COMDTINST 6230.3D, “Coast Guard Anthrax Vaccine Immunization Program

(AVIP),” 19 Feb 2019

COMDTINST M6230.9A, “Coast Guard Human Immunodeficiency Virus (HIV)

Program,” 8 Nov 2018

COMDTINST M6260.32, “Coast Guard Occupational Medicine Manual,” 5 Jun 2018

2.3.8 DHA

DHA-PI 6200.06, 9 May 2017

DHA PI 6490.03, “Deployment Health Procedures,” 17 Dec 2019

DHA PGI 211.106 “Proper Identification of Contractor Personnel,” 4 Apr 2014

DHA-PI 6025.53 IMR, DoDI 6490.03, DHA-PI 6490.03, DoDI 6040.46 (in-rewrite), DAFI 48-110, as well as a variety of serve-level policies that we propose to add: DAFMAN 48-123, DAFI 48-133, DAFI 48-170, DAFI 48-122, DAFI

48-110

DHA Memo, "Revised Armed Forces Reportable Medical Events Guidelines and

Case Definitions," 30 Jun 2017

2.3.9 Industry Publication and Other References

Joint Publication 1-02, “Department of Defense Dictionary of Military and

Associated Terms,” Jan 2020

ASD (HA) Memo “Guidelines for Tuberculosis Screening and Testing,” 20 Apr 2012

ASD (HA) Memo “Policy for Pre- and Post-deployment Serum Collection,” 14 Mar

Nov 1, 2024

PART 3

3. GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3.1 The Requiring Activity Authority has assessed the need for Government Furnished

Property, Equipment, and Services and determined:

3.1.1 Services: The Government will provide access to the EHR Repositories and/or

Medical Readiness Systems for all Services, the majority of which are available through the Data

Exchange Platform (DXP) (see PWS paragraph 6.11).

3.2 Facilities: The Government will provide a physical location for conducting group events.

3.2.1 Utilities: The Government will provide utilities in support of group events whenever possible. The Government will meet with the Contractor prior to Group Events to assess what utilities will be required and whether the Government can provide them.

3.3 Equipment: The Government will not provide equipment in support of this contract and its task orders.

3.4 Materials: The Government will provide access to the DHA Learning Management

System, Joint Knowledge Online (JKO), and other training materials as stated in this contract/task order in Exhibit XX.

Nov 1, 2024

PART 4

4. CONTRACTOR FURNISHED ITEMS AND SERVICES

4.1 General: The Contractor shall furnish all supplies, equipment, facilities and services required to perform work listed under Section 5 of this PWS.

4.2 General Liability Insurance: The Contractor shall have liability insurance to cover any actions on the part of the Contractor or its subcontractors which result in injury or death to patients, staff, visitors, or other Contractors.

4.3 Services: The Contractor will provide Contractor Furnished Services required in support of this contract/task orders.

4.4 The Contractor shall provide originating site locations for virtual health appointments’ person-to-person scheduling with a phone number, and in-clinic appointments.

4.5 Materials: The Contractor shall provide all required materials and supplies necessary to meet the requirements of the PWS.

4.6 Equipment: The Contractor shall provide all required equipment necessary to meet the requirements of the PWS.

4.7 Utilities: In some circumstances, the Contractor will be required to provide utilities

(e.g., latrine facilities, generators, water supply, internet, and sanitation) to support Group

Events—based on the site location (some locations may be situated in austere environments).

The Contractor shall provide wireless internet service with bandwidth adequate to support Group

Events. The Contractor shall coordinate with the Government prior to each Group Event to determine utility requirements, and where Contractor provision of utilities is necessary, the

Contractor shall provide such utilities in order to successfully fulfill the requirements associated with conducting Group Events, as described elsewhere in this PWS (see PWS paragraph 5.7.8).

Nov 1, 2024

PART 5

5. SPECIFIC TASKS

5.1 Provider Networks. The Contractor shall establish and maintain robust, nationwide networks of individual medical and dental providers who produce high quality outcomes.