HT001125R0001 Atch 01 PWS.pdf

HT001125R0001 Attachment 01

Department of Defense Defense Health Agency

Performance Work Statement

Health Care Operations and Other DHA Activities

Healthcare Operations, TRICARE Health Plan

TRICARE Health Plan

Solicitation Number: HT001125R0001 Version: Initial

PART 1

GENERAL INFORMATION

1. This is a non-personnel services contract to provide services in support of the TRICARE Health Plan Directorate to include: TRICARE Health Plan (THP), and all subordinate Division chiefs, managers, and staff. Additional requirements include providing services to support the following areas and functions: management and administration of THP programs; management of the Military Health System (MHS) health plan and associated managed health care programs and activities; program and acquisition management of TRICARE purchased health care services; management and administration of programs and activities; operation of elements of Health Care Operations Directorate, THP and the front office operations; and overall accomplishment of the missions, functions, and tasks of the THP enterprise and its organizational entities. 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 This is a non-personal services contract to provide Program Management Support Services.

1.2 Description of services/introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform program management, healthcare reimbursement support, clinical care support and Executive Assistant services as defined in this Performance Work Statement except for those items specified as Government Furnished Property and Services. The contractor shall perform to the standards in this contract.

1.3 Background: The Defense Health Agency (DHA) was stood up on 1 October 2014 and is a Combat Support Agency and an integral part of the Military Health System (MHS). The MHS is a healthcare delivery system responsible for 9.6 million covered lives with robust education and training, and research and development platforms. This highly complex enterprise includes the three Service medical departments and the DHA. The TRICARE Health Plan (THP), Directorate, is a Direct Reporting Organization (DRO) under the Assistant Director, Healthcare Administration (ADHCA), and is comprised of five divisions: Health Plan Design, Integration Support, Private Sector Care Delivery, Private Sector Care Integration Program Management and Customer Support. Collectively, the THP identifies opportunities and executes improvements for increased integration in program and patient care, the development and implementation of metrics, and improves understanding of statutory and contractual requirements. The THP Directorate proactively identifies, actively engages, and fully supports new opportunities for integration to eliminate discrepancies between direct and purchased care; leads comprehensive initiatives to improve integration of care and sharing of information across the direct and purchased care health plan services in support of the Defense Health Networks (DHNs), and the Military Treatment facilities (MTF) Prime Service Areas (PSAs).

1.3.1 The TRICARE Health Plan Health contracts are managed by the THP Program Management Division (PMD), who will require administrative, analytical and program integration support during the acquisition cycle. This Division is responsible for the acquisition planning, strategy development, requirements identification, source selection process, contract transition and contract oversight for the following contracts within the TRICARE Health Plan:

The Managed Care Support Contracts, the TRICARE Overseas Program Contract, the Active Duty Dental Program contract, the TRICARE Dental Program contract for Active Duty Family Members and the TRICARE Dual Eligible Fiscal Intermediary Contract. Additionally, other Divisions within the THP Directorate are responsible for Congressional Correspondence, Healthcare Demonstration projects such as Value-Based Purchasing, Triple E, and any newly developed demonstration projects. The PMO also executes and maintains the pilots and demonstrations framework. This framework outlines the process to plan, execute, monitor, and close all approved pilots and demonstrations.

The Health Plan Operation Support Branch, under the Health Plan Design Division, incorporates TRICARE policy, operations, regulations, and guidance into the TRICARE Manuals to provide direction to the Managed Care Support Contractors (MCSCs). Technical, analytical, and writing support is required to maintain the TRICARE Manuals to ensure proper coordination and efficient publication. The manuals include the TRICARE Policy Manual, the TRICARE Reimbursement Manual, the TRICARE Systems Manual and the TRICARE Operations Manual.

The current manuals electronically reside on the DHA website available to all individuals who have web access (TRICARE Manuals - Home (health.mil). DHA requires the contractor’s management expertise to maintain the DHA web-based system, maintain the software, and provide updates/enhancements to technical functionality. The TRICARE Manuals consists of over 8,000 pages in the T2017 and T5 versions.

The current manuals electronically reside on the DHA website available to all individuals who have web access (TRICARE Manuals - Home (health.mil). DHA requires support to assist in the production, enhancement, and maintenance of the TRICARE Manuals, to include development, editing, publication, and notification of manual changes.

1.3.2 Further requirements including the provision of services to assist General offices of the Defense Health Agency; shared service activities supporting an integrated health care delivery system; management of the Military Health System (MHS); management and administration of human resources programs and activities; operation of the HCO Directorate; and overall accomplishment of the missions functions and tasks of and its organizational entities.

1.3.3 The main DHA site location is in Falls Church, VA, with other major DHA elements located in Aurora, CO, San Diego, CA; San Antonio, TX; Great Lakes, IL; and overseas field offices located in Germany, Okinawa, and Puerto Rico. The DHA is organized with the following principal subordinate organizations:

• Defense Health Agency AD-R&PI Administration and Management (J-1/8), includes Administration and Management

• Director Of Operations, Strategy, Plans and Analytics, Education and Training (J3//5//7/)

• Assistant Director Support-Component Acquisition Executive

• DHA Contracting Activity

• Assistant Director ADHCA-DAD-Medical Affairs, DAD-Healthcare Operations, TRICARE Health Plan, Armed Forces Medical Examiner System, and Public Health

• Also includes 9 Defense Health Networks (DHNs) as direct reporting organizations https://manuals.health.mil/ https://manuals.health.mil/

1.3.4 The Director, THP is a DHA senior executive who, as one of DHA's Chief Functional Officers and principal senior leader/managers, serves as the senior program and acquisition official for TRICARE health plan/program requirements. These services will support major missions and functions of THP to include the following:

• Develop and execute program and operational guidance for the delivery of the TRICARE Prime, TRICARE Select, TRICARE Young Adult and TRICARE for Life, health care benefits.

• Provide program and contract management for centralized TRICARE purchased care contracts and program management support for managed health care programs.

• Provides guidance and support to the Deputy Assistant Director (DAD), Healthcare Operations (HCO) and Assistant Director (AD), Healthcare Administration (HCA).

• Provide procurement support for DHA central information management/information technology and other non-purchased care programs.

• Coordinate and administer the Military Health System (MHS) Dental Program.

• Coordinate TRICARE Overseas Programs

• Communicate and market the TRICARE Program and other MHS initiatives to beneficiaries and stakeholders.

• Implement, manage, and oversee beneficiary education/services and customer support programs.

• Provide centralized DHA human resources management, security, facilities, logistics, correspondence management, and other administrative services.

• Conduct studies/evaluations to improve internal DHA operations.

• Conduct patient satisfaction surveys and special studies for the TRICARE health plan and its health programs.

1.4 Objectives: This award provides for services to assist and support the DAD HCO Front Office, Readiness and Operations under the TRICARE Health Plan (THP), Clinical Services and all subordinate chiefs, managers, and staff. Additional requirements include providing services to assist and support the Governance process within the THP PMO, and the management and administration of THP programs; management of the Military Health System (MHS) health plan and associated managed health care programs and activities; program and acquisition management of TRICARE purchased health care services; management and administration of human resources programs and activities within the THP Directorate ; Executive Assistant Support to the HCO Front Office, , support to the TRICARE Overseas Program Office and THP Front Office; and overall accomplishment of the missions, functions, and tasks of the THP enterprise and its organizational entities.

1.5 Scope: This award provides for services to assist and support the Healthcare Operations (HCO) Directorate to include: TRICARE Health Plan (THP), Clinical Services, and all subordinate chiefs, managers, and staff. Additional requirements include providing services to assist and support the ADHCA in the following areas and functions: management and administration of THP programs; management of the Military Health System (MHS) health plan and associated managed health care programs and activities; program and acquisition management of TRICARE purchased health care services; management and administration of human resources programs and activities; operation of the HCO, TRICARE Overseas Program Office and THP Front Office; and overall accomplishment of the missions, functions, and tasks of the THP enterprise and its organizational entities.

1.6 Period of Performance (PoP): The period of performance shall be a (9) month Base Period and (2) 12-month option periods. Included in the first period will be a phase-in period of up to 15 workdays. Included in the final contract period will be a phase-out period of 15 work-days during which the out-going contractor shall provide a check list of all transition out activities and cooperate with any incoming contractor to facilitate a smooth transition. The dates are provided in the contract delivery schedule.

Period Of Performance

(POP)

Number of Months

Transition In ~0.5 Base Period 9 Option Period 1 12 Option Period 2 12 Transition Out ~0.5

1.6.1 Non-Disclosure / Non-Use Agreement – (CDRL 001)

The Contractor shall ensure that the Non-Disclosure Statement (Attachment 03) is signed by all staff assigned to or performing on this Task order before performing any work, including all subcontractors and consultants. The Non-Disclosure/ Non-Use statement shall 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 will constitute default on the part of the Contractor.

1.6.1 Transition: Transition-in/transition-out period is included in the first period will be a phase-in period of up to 15 workdays. Included in the final contract period will be a phase-out period of 15 work- days during which the out-going contractor shall provide a check list of all transition out activities and cooperate with any incoming contractor to facilitate a smooth transition. The dates are provided in the contract delivery schedule.

1.6.1.1 Transition-in period (CDRL 006): Full performance start date is, October 8, 2025.

Transition-in performance is defined as phase-in period of up to 15 workdays. During the transition-in period, the contractor shall prepare to meet all contract requirements and ensure incoming personnel are functionally trained and qualified on the full performance start date except cybersecurity requirements, which must be fully adhered to during transition and full performance periods. The Contractor shall immediately notify the COR and Contracting Officer if events occur that threaten an orderly transition. The outgoing vendor is responsible for full performance of the requirement during this period. Phase-in activities shall include:

• Coordination with Government representatives.

• Review, evaluation and transition of current support services.

• Complete Government-required training and provide verification that staff possess

Government-required certifications.

• Transfer of hardware warranties, software licenses, and maintenance agreements (if applicable).

• Transfer of all business and/or technical information and documentation.

• Transfer of maintenance updates and patches, and schedules for updates and patches (if applicable).

• Orientation program to introduce Government personnel, programs, and users to the Contractor's team, tools, methodologies, and business processes.

• Assignment / distribution of Government owned assets, including facilities, equipment, furniture, phone lines, computer equipment, etc., including the transfer of Government Furnished Equipment (GFE) and Government Furnished Information (GFI), and GFE inventory management assistance.

• Comply with applicable DHA briefing and personnel in-processing procedures.

• Coordinate with the Government to account for Government keys, ID/access cards, and security codes resulting in mitigation of access issues for all personnel.

1.6.1.1.1 The contractor shall comply with transition-in requirements of the DHA, as listed in paragraph 1.11.1, for contractors needing to be issued Common Access Card (CAC) identification, including Department of Defense (DoD) and DHA-directed training and forms submission, prior to network access.

1.6.1.2 Transition-out period (CDRL 007): The transition-out plan shall facilitate the accomplishment of a seamless transition from the incumbent to an incoming contractor/Government personnel at the expiration of the contract. See Part 7, Technical Exhibit 1 The outgoing contractor is responsible for full performance during this period. Phase-out activities shall include:

• Formal coordination with Government staff and successor contractor staff and management.

• Electronic delivery of copies of existing policies and procedures, and delivery of required metrics and statistics. Providing URLs or other intra-agency sites to retrieve documentation shall suffice.

• Review, evaluation and transition of current support services.

• Transition of historic data to new Contractor.

• Government-required training and certification process.

• Transfer of hardware warranties, software licenses, and maintenance agreements (if applicable).

• Transfer of all business and/or technical information and documentation.

• Transfer of maintenance updates and patches, and schedules for updates and patches (if applicable).

• Orientation program to introduce successor contractor personnel to current programs, users, tools, methodologies, and business processes.

• Disposition and transfer of Government owned assets, including facilities, equipment, furniture, phone lines, computer equipment, etc.

• Transfer of Government Furnished Equipment (GFE) and Government Furnished

Information (GFI), and GFE inventory management assistance.

• Comply with applicable DHA briefing and personnel out-processing procedures.

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

1.6.1.2.1 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 DoD (records manual), including DoD-directed disposition of records, and others displayed on the In/Out (I/O) Processing Portal.

1.7 Administrative specifications

1.7.1 Place of performance: The work to be performed under this contract will be primarily performed at Government facilities located at 7700 Arlington Boulevard, Falls Church, VA 22042-5101, 8111 Gatehouse Road, Falls Church, VA 22042, 16401 E. Centretech Parkway, Aurora, CO 80011-9043, 7800 IH 10 West, Suite 400, San Antonio, TX 78230. Staff may also telework, as approved by the Contracting Officer’s Representative. The contractor may be asked to support activities at other official alternate worksites, where the primary location is identified in paragraph 1.2.3, above.

1.7.2 Recognized Federal holidays The contractor is not required to perform services on federal holidays. See https://www.opm.gov/policy-data-oversight/snow-dismissal-procedures/federal-holidays/ for the dates on which these holidays are observed.

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

1.7.3 Hours of operation: The contractor is responsible for conducting business during normal business hours at the Government facility assigned, from 0800-5:00PM, Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons.

1.7.4 Emergency Services:. On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours.

1.8 Contractor travel: Contractor will be required to travel within the Continental United States (CONUS) and within the National Capital Region (NCR) during the performance of this contract to attend meetings, conferences, and training. The contractor may be required to travel to off-site training locations and ship training aids to these locations in support of this PWS.

Contractor will be reimbursed travel expenses consistent with the substantive provisions of the Joint Travel Regulations (JTR) and the limitation of funds specified in this contract. All travel requires Government approval/authorization and notification to the COR. The estimated travel requirements are:

http://www.opm.gov/policy-data-oversight/snow-dismissal-procedures/federal-holidays/ http://www.opm.gov/policy-data-oversight/snow-dismissal-procedures/federal-holidays/

From To

# Of Option Period Round

Trips Falls Church, VA-to Wisconsin 3 Aurora, CO Wisconsin 2 Falls Church to Aurora, CO 6 Falls Church to San Diego, CA 4 San Antonio, TX Falls Church VA 4 Aurora, CO Falls Church VA 6 Falls Church San Antonio, TX 6 Falls Church Seattle, WA 3 Falls Church New York, NY 6 Falls Church Irving, Texas 3 Falls Church Baltimore, MD 3 Falls Church Boston, Mass 3 Falls Church Portland, MA 3 Falls Church Menwith Hill, UK 1 Falls Church Croughton, UK 1 Falls Church Incirlik, Turkey 1 Falls Church Schinnen, Netherlands 1 Falls Church TAO EA AOR/Germany 1 Falls Church SME various Locations 6 Total Trips 63

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): The Government anticipates no requirement for Other Direct Costs for supplies or services not under a labor category.

1.10 Quality

1.10.1 Quality Control (QC): (CDRL 002)- 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 QC program is the means by which the work complies with stated requirements. The QCP will initially be submitted within 30 days after contract award. After acceptance of the QCP, the contractor shall obtain the contracting officer’s acceptance in writing of any proposed change to its QCP. The contractor shall continually assess the state of compliance with the schedule, quality, and performance requirements, and shall take proactive steps to determine and implement improvements. After acceptance of the Quality Control Plan (QCP) the contractor shall receive the CO’s acceptance in writing of any proposed change to his QC system.

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). This plan 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 CAC requirements: A CAC is a standard identification for eligible DoD contractor personnel and is required for access to certain DHA facilities and IT systems. See Attachments 04 and 05 for instructions to request contractor CACs.

1.11.1.1 The contractor shall return all CACs to the COR upon the departure of the contractor(s).

1.11.2 Contractor onboarding and training. The contractor shall complete all training and forms required for facility access and for access to IT systems, according to local procedures and the place of performance.

1.11.2.1 Reserved.

1.11.2.2 Reserved.

1.11.2.3 Reserved.

1.11.3 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.11.4 Key control: The contractor shall establish and implement methods of making sure all keys/key cards issued to the contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued to the contractor by the Government shall be duplicated. The contractor shall develop procedures covering key control that shall be included in the QCP. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas.

The contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the CO.

1.11.4.1 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction of the CO, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the contractor.

In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the contractor.

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

1.11.5 Lock combinations: RESERVED.

1.12 Key personnel (Contractor): The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the CO.

The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 8:00 a.m. to 4:30 p.m., Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons. The contractor agrees that during the first 180 days of the contract performance period no key personnel substitutions will be permitted unless such substitutions are necessitated by an individual's sudden illness, death or termination of employment. In any of these events, the contractor shall promptly notify the Contracting Officer and provide the information required by the paragraph below. After the initial 180 day period, all proposed substitutions must be submitted in writing, at least 15 days (30 days if a security clearance is to be obtained) in advance of the proposed substitutions to the CO. Requests for approval of substitutions under this contract must be in writing and provide a detailed explanation of the circumstances necessitating the proposed substitutions. They must contain a complete resume for the proposed substitute or addition, and any other information requested by the CO or needed by him to approve or disapprove the proposed substitutions. The CO or an authorized representative will evaluate such requests and promptly notify the contractor of his approval or disproval thereof in writing.

Qualifications for all key personnel are listed below:

1.12.1 Contract Program Manager

• Master’s Degree in Healthcare Administration required.

• Department of Defense Program Management (PM) experience minimum 2 years within the last 5 years.

• Prior military experience at the O-4 level/above desired, preferably within the Military

Heathcare System.

1.12.2 Clinical Nurse, PSC Issues

• Bachelor's degree in Nursing. Masters preferred, can be in Healthcare Administration or MBA.

• Department of Defense Program Management (PM) experience preferred, minimum 2 years within the last 5 years.

• Program Management Professional (PMP certified) required

• Experience in the operations and organization of the Department of Defense Military

Health System desired

1.12.3 Clinical Nurse, Medical Management/Utilization Management

• Bachelor's degree in Nursing. Masters preferred, or other clinically related Health

Service degree.

• Department of Defense Program Management (PM) experience preferred, minimum 2 years within the last 5 years.

1.12.4 Clinical Nurse, Case management

Service degree.

• Department of Defense Program Management (PM) experience preferred, minimum 2 years within the last 5 years.

1.12.5 Clinical Nurse, Clinical Program Manager

Service degree.

• Department of Defense Program Management (PM) experience preferred, minimum 2 years within the last 5 years.

1.12.6 Dental Professionals

• Doctorate Degree in Dental Surgery must hold current licensure throughout the performance of contract.

• Prior experience as dental care provider at a military Dental Treatment Facility preferred

• Experience reviewing preauthorization’s and reviewing private sector dental treatment plans, preferred

• Private sector dental plan experience preferred, minimum 2 years within the last 5 years.

1.13 Data rights: Rights to Documents and Other Materials: All documents and materials developed or produced under this contract – regardless of whether such documents and materials are identified as deliverables under the contract – shall be the sole property of the Government.

The contractor may not use such documents and materials for any non-Governmental purpose without the advance written permission of the Contracting Officer or the Contracting Officer’s Representative. All contract deliverables shall be free of content such as logos, slogans, or other trademarks to which the contractor asserts exclusive rights.

1.14 Reporting

1.14.1 Contractor Manpower Reporting (CMR): RESERVED.

1.14.2 Non-Disclosure Agreement (NDA): 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 associated with DHA acquisitions shall be required to complete and sign a DHA contractor NDA (DHA Form 49) prior to beginning work on the subject contract. The contractor shall execute an NDA on behalf of the company and shall ensure that all staff assigned to, including all subcontractors and consultants, or other personnel performing on contract/Task order execute an NDA protecting the procurement sensitive information of the Government and the proprietary information of other contractors. The NDA shall be executed not later than first day of employment and to be renewed upon exercising a contract option period. 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. The contractor shall maintain originally signed NDAs of individual employees and provide copy to the COR.

1.14.3 Government’s 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 CO and contractor of any deficiencies; coordinate availability of government furnished property; and provide site entry of contractor personnel. A letter of designation issued to the 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.

1.14.4 Post award conference/periodic progress meetings: The contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with FAR Subpart 42.5. The CO, COR, and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance.

At these meetings the CO 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.

1.15 Contractor Identification

1.15.1 Contractor personnel performing services in a contractor capacity in a Government facility are required to possess and wear an identification badge that displays his or her name and the name of their company. All contractor personnel shall identify themselves as contractor support personnel in all forms of communication with all entities with whom DHA/Deputy Assistant Director for Acquisition (DAD-A)/Head of the Contracting Activity (HCA) has business dealings. The contractor shall: Answer all telephone calls and have a personalized voice message with an introductory statement that includes the fact that the person is contractor support personnel. Ensure all those with whom the person interacts in any face-to-face dealings while supporting the DAD-A understands that the person is contractor support personnel.

Include a title block in all emails that states the fact that the person is contractor support personnel. Ensure all those with whom the person interacts in any face-to-face dealings while supporting DHA/DAD-A/HCA understands that the person is contractor support personnel.

1.15.2 Contractor personnel will be required to attend meetings or otherwise communicate with Government and/or other contract representatives to meet the requirements of this order.

Contractor personnel shall make their contractor status known during introductions.

1.15.3 Contractor personnel, while performing in a contractor capacity, are prohibited from using their retired or reserve component military rank or title in any written or verbal communications associated with the contracts in which they provide services.

1.16 Contractor Access to Health Affairs (HA)/DHA Network(s)

1.16.1 FSO/Company's Security POC shall notify the DHA Personnel Security Office after being awarded a contract that requires access to a DoD system (If applicable, if not delete 1.16.1 and

1.16.2 and replace to 1.16 Reserved). Contractor personnel requiring access to the HA/DHA networks for performance of their tasks require a background investigation and the security awareness training. The contractor shall be prepared for this process as it could take two (2) or more weeks. The FSO/Security POC shall submit a Standard Form (SF) 85/86 to DHA's Personnel Security Office for a background investigation.

1.16.2 Company's FSO/Security POC must notify the Personnel Security Office when the contractor has submitted the SF-85/86. The FSO/Security POC, or the COR must notify the DHA Personnel Security Office in writing of a contractor's termination from the contract, including the termination date.

1.17 Personnel Security

1.17.1 The contractor shall comply with DoD 8570.01-M, “Information Assurance Workforce Improvement Program, CH4” November 10, 2015 as amended; 8500.01, “Cybersecurity”, dated March 14, 2014; DoD Manual (DoDM) 6025.18, “Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule Compliance in DoD Health Care Programs” dated March 3, 2019, Department of Defense Instruction (DoDI) 6025.18 “HIPAA Privacy Rule Compliance in DoD Health Care Programs”, dated March 13, 2019; and DoDM

5200.02 “Procedures for the DoD Personnel Security Program (PSP),” incorporation change 3, effective September 24, 2020. Contractor responsibilities for ensuring personnel security include, but are not limited to, meeting the following requirements:

1.17.1.1 Follow the DHA Personnel Security Office guidelines for submittal of security clearances. Contact the DHA Personnel Security Office for guidance on the appropriate background investigation required for personnel on the contract. The DHA Personnel Security Office can be reached at (703) 275-6038.

1.17.1.2 Initiate, maintain, and document personnel security investigations appropriate to the individual’s responsibilities and required access to Controlled Unclassified Information (CUI).

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

PART 2

DEFINITIONS, ACRONYMS, AND APPLICABLE

PUBLICATIONS/INSTRUCTIONS

2.1 Definitions:

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

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

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

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

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

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

2.1.7 Deliverable: Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.8 Key Personnel: Contractor personnel considered to be essential to the work being performed and requiring certain experience, education, certification or other qualifications.

2.1.9 Purchased Care Contract: Contracts for delivery of health care to TRICARE beneficiaries through sources other than Military Treatment Facilities. These include Managed Care Support, TRICARE Dental Program, and TRICARE Overseas contracts.

2.1.10 Quality Control: All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.11 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.12 Work Day: The number of hours per day the Contractor provides services in accordance with the contract.

2.1.13 Work Week: Monday through Friday, unless specified otherwise.

2.2 Acronyms:

AIS Automated Information System APL Approved Products List APL AQL Acceptable Quality Level ARRT Acquisition Requirements Roadmap Tool ATO Authority to Operate B2B Business-2-Business CAC Common Access Card CAP Cloud Access Point CCEVS Common Criteria Cybersecurity Evaluation and Validation Scheme CDI Covered Defense Information CE Computer Environment CDRL Contract Data Requirement List CIO Chief Information Officer CJCSM Chairman of the Joint Chiefs of Staff Manual CMMC Cybersecurity Maturity Model Certification CMR Contractor Manpower Reporting CNSSI Committee on National Security Systems Instruction CO Contracting Officer(s) CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTR Contracting Officer's Technical Representative CSP Cloud Service Provider CSSP Cyber Security Service Provider CUI Controlled Unclassified Information DAD-A Deputy Assistant Director for Acquisition DC3 DoD Cyber Crime Center DD Form 254 Department of Defense Contract Security Requirement List (if applicable) DB Design-Build DBB Design-Bid-Build DEERS Defense Enrollment and Eligibility Reporting System DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DISA Defense Information System Agency DMDC Defense Manpower Data Center DoD Department of Defense DoDD Department of Defense Directive DoDI Department of Defense Instruction DR Disaster Recovery

DSAs Data Sharing Agreements DSAA Data Sharing Agreement Application DMZ Demilitarized Zone DoDM Department of Defense Manual DPCLO DHA Privacy and Civil Liberties Office DUA Data Use Agreement eMSM Enhanced Multi-Service Markets EER (see TED EER) EULA End User License Agreement EAS IV MEPRS Data Repository ET2 Emerging Treatment and Technologies EVM Earned Value Management FAR Federal Acquisition Regulation FCI Federal contract information FE Facilities Enterprise FedRAMP Federal Risk Authorization and Management Program FISMA Federal Information Security Modernization Act FRCS Facility Related Control Systems FSO Facilities Security Officer HA Health Affairs HIPAA Health Insurance Portability and Accountability Act HCA Head of the Contracting Activity HIT Health Information Technology HPOS Health Plan Operations Support IGCE Independent Government Cost Estimate IA Information Assurance IO Initial Outfitting I/O In/Out Processing Portal IPv Internet Protocol Version IS Information System ISP Internet Service Provider IT Information Technology ISCM Information Security Continuous Monitoring IV&V Independent Verification & Validation M2 MHS Mart MCS Managed Care Support MCSC Managed Care Support Contractor MDR MHS Data Repository MedCOI Medical Community of Interest MHS Military Health System MIL-STD Military Standard MTFs Military Treatment Facilities NCR National Capitol Region NDA Non-Disclosure Agreement NDAA National Defense Authorization Act NIAP National Information Assurance Partnership

NIST National Institute of Standards and Technology OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs OPM Office of Personal Management ORDM Operations Reporting Data Mart OSD Office of the Secretary of Defense P-ATO Personal Authorization to Operate PCC Purchased Care Contractor P&R Personnel and Readiness PGI Procedures, Guidance and Information PDT Project Delivery Team PHI Protected Health Information PII Personally Identifiable Information PIT Platform Information Technology PK Public Key PKI Public Key Infrastructure POA&M Plan of Action and Milestones POC Point of Contact PMO Program Management Office PoP Period of Performance PP Personal Property PPSM Ports, Protocols, and Services Management PRS Performance Requirements Summary PSC Private Sector Care PSP Personnel Security Program PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Plan RFP Request for Proposal RFQ Request for Quotation RMF Risk Management Framework SP Special Publication SPRS Supplier Performance Risk System SRM Sustainment, Restoration and Modernization SRG Security Requirements Guides STIG Security Technical Implementation Guides TAO TRICARE Area Office TE Technical Exhibit TED TRICARE Encounter Data TED EER TRICARE Encounter Data Error THP TRICARE Health Plan TOP TRICARE Overseas Program TOPD TRICARE Overseas Preferred Dentists

TOM TRICARE Operations Manual TOS Terms of Service TPM TRICARE Policy Manual TRM TRICARE Reimbursement Manual TSM TRICARE Systems Manual US United States USFHP US Family Health Plan UFC Unified Facilities Criteria VPN Virtual Private Network XML Extensible Markup Language

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

2.3.1 The following is a list of publication references related to this contract:

• DHA Procedural Instruction Number 6015.02 - Beneficiary Counseling and Assistance Coordinator (BCAC) and Debt Collection Assistance Officer (DCAO)

• https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/Beneficiary%20 Counseling%20and%20Assistance%20Coordinator%20(BCAC)%20and%20Debt%20Co llection%20Assistance%20Officer%20(DCAO).pdf

• DHA Procedural Instruction Number 6000.05 - TRICARE Prime Travel Benefit Program (PTB) and Combat-Related Disability Travel (CRDT) Program

• https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/TRICARE%20P rime%20Travel%20Benefit%20Program%20(PTB)%20and%20Combat- Related%20Disability%20Travel%20(CRDT)%20Program.pdf

• DHA Procedural Instruction Number 6000.12 - TRICARE Medical Plan Enrollment Instructions and Management Responsibilities

• https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/TRICARE%20 Medical%20Plan%20Enrollment%20Instructions%20and%20Management%20Responsi bilities.pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/Beneficiary%20Counseling%20and%20Assistance%20Coordinator%20(BCAC)%20and%20Debt%20Collection%20Assistance%20Officer%20(DCAO).pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/Beneficiary%20Counseling%20and%20Assistance%20Coordinator%20(BCAC)%20and%20Debt%20Collection%20Assistance%20Officer%20(DCAO).pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/Beneficiary%20Counseling%20and%20Assistance%20Coordinator%20(BCAC)%20and%20Debt%20Collection%20Assistance%20Officer%20(DCAO).pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/Beneficiary%20Counseling%20and%20Assistance%20Coordinator%20(BCAC)%20and%20Debt%20Collection%20Assistance%20Officer%20(DCAO).pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/Beneficiary%20Counseling%20and%20Assistance%20Coordinator%20(BCAC)%20and%20Debt%20Collection%20Assistance%20Officer%20(DCAO).pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/TRICARE%20Prime%20Travel%20Benefit%20Program%20(PTB)%20and%20Combat-Related%20Disability%20Travel%20(CRDT)%20Program.pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/TRICARE%20Prime%20Travel%20Benefit%20Program%20(PTB)%20and%20Combat-Related%20Disability%20Travel%20(CRDT)%20Program.pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/TRICARE%20Prime%20Travel%20Benefit%20Program%20(PTB)%20and%20Combat-Related%20Disability%20Travel%20(CRDT)%20Program.pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/TRICARE%20Prime%20Travel%20Benefit%20Program%20(PTB)%20and%20Combat-Related%20Disability%20Travel%20(CRDT)%20Program.pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/TRICARE%20Prime%20Travel%20Benefit%20Program%20(PTB)%20and%20Combat-Related%20Disability%20Travel%20(CRDT)%20Program.pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/TRICARE%20Medical%20Plan%20Enrollment%20Instructions%20and%20Management%20Responsibilities.pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/TRICARE%20Medical%20Plan%20Enrollment%20Instructions%20and%20Management%20Responsibilities.pdf https://info.health.mil/cos/admin/pubs/DHA%20Publications%20Signed/TRICARE%20Medical%20Plan%20Enrollment%20Instructions%20and%20Management%20Responsibilities.pdf

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

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

3.1 Services: The Government:

☐ Will NOT provide Government Furnished Services in support of this contract/task order. As a result, this paragraph is Not Applicable.

☒ WILL provide Government Furnished Services required in support of this contract/task orders. These Services are described below: provide:

Role-based access to information technology services, such as network drives, document libraries, and enterprise systems.

3.2 Facilities: The Government:

☐ Will NOT provide Facilities in support of this contract/task order. As a result, this paragraph is Not Applicable.

☒ WILL provide Facilities in support of this contract/task orders. The Government provided Facilities are described below:

The Government may provide assigned office space, subject to availability, and will provide access to temporary hoteling space.

3.3 Utilities: The Government:

☒ Will NOT provide Utilities in support of this contract/task order. As a result, this paragraph is Not Applicable.

☐ WILL provide Utilities in support of this contract/task orders. The Government provided Utilities are described below:

3.4 Equipment: The Government:

☐ Will NOT provide Equipment in support of this contract/task order. As a result, this paragraph is Not Applicable.

☒ WILL provide Equipment in support of this contract/task orders. The Government provided Equipment is described below:

The Government will provide laptop computers. As these laptops are available to the contractor for performance of services away from a Government facility, agency policy requires management of laptops as Government Furnished Equipment. See Attachment 07, Government Furnished Property.

3.4.1 Procurement Integrated Enterprise (PIEE), GFP Module Application The contractor shall be responsible for obtaining and maintaining access, training and successful operation of the PIEE/GFP Module application for the entirety of the contract/task order PoP.

The PIEE GFP Module application is located at the following website: https://wawf.eb.mil/piee-landing/. Access to PIEE/GFP Module application training materials and in-depth information applicable to the contractor’s responsibilities regarding GFP can be found at the following website: https://dodprocurementtoolbox.com/.

Contracting Office Responsibilities:

The Contracting Office shall ensure close coordination and validation of the GFP items with the COR and DHA Accountable Property Officer prior to uploading the GFP Attachment into the PIEE/GFP Module. At the time GFP is anticipated and identified, the Government will upload the GFP Attachment into the PIEE/GFP Module. It is the Contracting Office’s responsibility to prepare, upload and maintain the GFP Attachment in the PIEE/GFP Module in accordance with the GFP Attachment instructions provided at the DoD Procurement Toolbox. The CO and COR shall manage and keep an inventory of any GFP associated with contract/task orders awarded through DHA, in accordance with applicable FAR Part 45, DoD FAR Supplement (DFARS) 245 with respective clauses, DHA AI 095 and PD 45-01 following the change in disposition of items listed on that PIEE/GFP Module Attachment.

The contracting office will also review, acknowledge, reject and/or approve shipment orders provided by the contractor as appropriate.