HT001125R0011 Atch 01 PWS.pdf

HT001125R0011 Attachment 01

Department of Defense Defense Health Agency

Performance Work Statement

DHA Primary Care Behavioral Health Expert Trainers

Defense Health Agency/Medical Affairs Directorate

Behavioral Health Clinical Management Team, Primary Care Behavioral Health

Solicitation Number:

Version: Initial

Date: 28 FEB 2025

PART 1

1.0 GENERAL INFORMATION

1.1 This is a non-personal services contract to provide Primary Care Behavioral Health (PCBH) program training and implementation support.

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 PCBH program training and implementation support as defined in this Performance Work Statement (PWS) except for those items specified as government furnished property and services. The contractor shall perform to the standards in this PWS.

1.3 Background: Effective August 8, 2013 with the pulication of the Department of Defense Instruction 6490.15, Integration of Behavioral Health Personnel Services into Patient-Centered Medical Home Primary Care and Other Primary Care Service Settings, the Department of Defense formally launched the Primary Care Behavioral Health (PCBH) program under the direction of the Defense Health Agency Program Director. The PCBH program blends two evidence-based collaborative care approaches to the treatment of behavioral health problems in primary care settings: the “care management” and the “primary care behavioral health” models.

PCBH augments traditional primary care operations with additional categories of staff including the Behavioral Health Care Facilitators (BHCF) and Behavioral Health Consultants (BHC) described below.

The DoDI 6490.15 along with the DHA-PI 6025.27, Integration of Primary Care Behavioral Health (PCBH) Services into Patient-Centered Medical Home (PCMH) and Other Primary Care Service Settings within the Military Health System (MHS) and the DHA-PM 6025.01, Primary Care Behavioral Health (PCBH) Standards, specify core competencies, service-delivery requirements, documentation requirements, and services provided by both BHCFs and BHCs.

Further, the instructions include a requirement that PCBH Program Managers ensure installation-level compliance with the standards, requirements, and service delivery models specified as well as the requirement for PCBH expert trainers to assist with training the BHC and BHCF workforce.

Behavioral Health Care Facilitators (BHCFs) are registered nurses who deliver services in accordance with the care management model. The care management model is defined as a population-based model of care focused on a discrete clinical problem (e.g., depression). It incorporates specific pathways using a variety of components that systematically and comprehensively address how behavioral health problems are managed in the primary care setting. Primary Care Managers (PCMs) and BHCFs share information regarding patients, and there is a shared medical record, treatment plan, and standard of care. Typically, there is some form of systematic interface with specialty care.

Behavioral Health Consultants (BHCs) are psychologists, social workers, licensed professional counselors or supervised trainees in any of these disciplines who deliver services in accordance with the primary care behavioral health model. The primary care behavioral health model is defined as a team-based primary care approach to managing behavioral health problems and biopsychosocially influenced health conditions. The model’s main goal is to enhance the primary care team’s ability to manage and treat such problems/conditions, with resulting improvements in primary care services for the entire clinic population. The model incorporates into the primary care team a BHC to extend and support the PCMs and team. The BHC works as a generalist and an educator who provides high volume services that are accessible, team-based, and a routine part of primary care. The BHC operates within a scope of practice and a standard of care that is consistent with primary care and differs from the scope of practice and standard of care in a specialty outpatient mental health clinic.

1.4 Objectives:

Key personnel will provide support towards meeting the following objectives:

• Training BHCs and BHCFs in the PCBH model and care management model, respectively.

• Optimizing BHC and BHCF implementation in PCMHs through mentoring and implementation support activities.

• Advancing the fidelity of the PCBH program through creation of written reports, training materials, and products for dissemination (e.g., articles, posters, and presentations).

1.5 Scope: This award provides services to support the Defense Health Agency (DHA), Medical Affairs Directorate with the ability to provide installation-level training support in order to ensure installations are in compliance with standards, requirements, and service delivery models outlined in current PCBH guidance (e.g., DoDI 6490.15, DHA-PI 6025.27, and DHA- PM 6025.01). The scope of this effort includes services necessary to provide a full range of clinical advisory services within the scope of the mission assigned. Primarily, but not exclusively, services provided will focus on supporting DHA PCBH clinical processes but may include other administrative or scientific applications as well.

1.6 Period of Performance (PoP):

BASE Start of performance through 12 months OP1: End of base period through 12 months OP2: End of Option Period 1 through 12 months OP3: End of Option Period 2 through 12 months OP4: End of Option Period 3 through 12 months

1.6.1 Transition: Transition-in/transition-out period

1.6.1.1 Transition-in period: Contract start date is 30 MAR 2025; full performance start date is 15 APR 2025. The Contractor shall facilitate an orderly start of performance.

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 during transition and full performance periods.

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: 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. The Contractor shall provide a plan (IAW CDRL 002) for 30 days’ outgoing transition for transitioning work from an active task order to a follow-on contract/order or Government entity. A final outgoing transition plan shall be submitted no later than 180 calendar days before the contract completion date. This transition may be to a Government entity, another Contractor or to the incumbent contractor under a new contract/order. In accordance with the Government-approved plan, the Contractor shall assist the Government in planning and implementing a complete transition from this Contract and/or orders issued under this Contract to a successful provider. This shall include formal coordination with Government staff and successor staff and management. It shall also include delivery of copies of existing policies and procedures, and delivery of required metrics and statistics. This transition plan shall include, but is not limited to:

• Review, evaluation and transition of current support services,

• Transition of historic data to new Contractor system,

• Government-approved training and certification process,

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

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

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 shall be performed remotely with 100% telework. The Contractor will ensure all contracted personnel assigned to this contract sign a telework agreement approved by the COR. Telework agreements shall be renewed annually.

1.7.2 Recognized Federal holidays: Contractor is not required to perform services on the below Federal Holidays.

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

1.7.3 Hours of operation: The contractor is responsible for conducting business 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. Core labor coverage will be from 8:00 a.m. to 5:00 p.m. Monday through Friday or some variant agreed upon at the kick-off meeting. Some mission requirements may require work before or after established core hours.

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: Not applicable.

1.9 Other Direct Costs (ODC): Not applicable.

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 QC program is the means by which the work complies with stated requirements. A Quality Control Plan (QCP) shall be due no later than 10 days after contract award. A comprehensive QCP shall be submitted to the CO and COR within 5 working days when changes are made thereafter. 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

(IAW CDRL 001.

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).

1.10.3 Program Management Plan (IAW CDRL 004)

The Contractor shall develop a Program Management Plan that shall require Government approval. It will be used to manage, track and evaluate the Contractor’s performance. The

Program Management Plan shall consist of control policies and procedures in accordance with standard industry practices for project administration, execution and tracking.

The Program Management Plan shall include the following:

• Identification of milestones where Government information/activity is required and timeline dependencies for subsequent Contractor activities;

• An Integrated Master Management Plan (IMMP) describing the Contractor’s overall management approaches, policies and procedures including suggested project metrics;

and,

• A detailed staffing plan.

The Program Management Plan shall be due ten (10) calendar days after the award of the order.

As part of the Program Management Plan, the Contractor shall maintain a recall roster in the event the Government is required to recall or account for all contractors.

1.10.4 Monthly Progress Report (MPR) (IAW CDRL 005)

The Contractor shall ensure that an MPR is submitted outlining the expenditures, billings, progress, status, and any problems/ issues or opportunities encountered in the performance of this task, such as cost efficiencies, lessons learned and suggested performance improvement actions/recommendations. The contractor shall work with the COR on the MPR format. The MPR shall include the labor hours expended, by labor category, for each task and sub-task. The report is due no later than 45 Days After Contract Award (DACA)and by the fifteenth (15th) of each month thereafter.

The Contractor shall require all subcontractors to provide input to the MPR where there are critical or significant tasks related to the prime contract. Critical or significant tasks shall be defined by mutual agreement between the Government and Contractor.

1.10.5 Subcontractor Expenditures Plan (IAW CDRL 006)

The Contractor shall prepare and deliver a Subcontract Expenditures Report that discloses actual subcontract expenditures by company name, business size standard (i.e. Woman Owned Business, Veteran Owned Business, etc.), and other socioeconomic programs (i.e. Indian Incentive Program, Historically Black Colleges and Universities and Minority Institutions, etc.).

To be submitted 30 Days After Contract Award (DACA).

1.10.6 Monthly Trainer Productivity Metrics (IAW CDRL 007)

The project coordinator will prepare and submit a summary of psychologist productivity metrics on a monthly basis (i.e., mentoring calls, review of clinical documentation and recordings, trainings provided, additional implementation support activities conducted, and training products developed). NLT 52 DACA, NLT the 22nd of each month. The contractor shall work with the COR on the MPR format

1.10.7 Contingency Operations Plan (IAW CDRL 008)

The Contractor shall prepare and submit a Contingency Operations Plan to the Government. The Contingency Operations Plan shall be due ten days after the award of the order, and shall be updated on a quarterly basis. The Contingency Operations Plan shall document Contractor plans and procedures to maintain DHA support during an emergency. The Contingency Operations Plan shall include the following:

• A description of the Contractor’s emergency management procedures and policy

• A description of how the Contractor will account for their employees during an emergency

• Planned temporary work locations or alternate facilities

• How the Contractor will communicate with the COR and PCBH Program Director during emergencies

• A list of primary and alternate Contractor points of contact, each with primary and alternate:

• Telephone numbers

• E-mail addresses

• Procedures for protecting Government furnished equipment (if any)

• Procedures for safeguarding sensitive and/or classified Government information (if applicable)

1.11 Contractor personnel

1.11.1 CAC requirements: 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 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.

1.11.1.1 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 requirements, training, and forms as prescribed in the following requirements:

1.11.2.1 Reserved.

1.11.2.2 Reserved.

1.11.2.3 Reserved.

1.11.2.4 Reserved.

1.11.3 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use.

1.11.4 Reserved.

1.11.5 Reserved.

1.12 Personnel Qualifications:

1.12.1 Subject Matter Expert (Functional) Psychologist. Each psychologist must have a doctoral degree in professional (i.e., clinical, counseling, or combined) psychology from a graduate program accredited by the American Psychological Association (APA) or Canadian Psychological Association (CPA) at the time the degree was granted; must have completed a professional psychology internship program that was accredited by the APA or CPA at the time the program was completed; must hold a current license to practice psychology; must have 10 years post-doctorate experience, of which at least 2 years is on providing services in the Primary Care Behavioral Health model of care (described in section 1.3), and for an exceptional candidate, the minimum post-doctorate experience can be waived; conduct systematic reviews of professional literature; must be able to conduct program evaluation activities including data maintenance, data analysis, and written reports; develop training products based on current professional evidence and clinical practice guidelines; produce professional reports, manuscripts, and presentations; deliver presentations, teach and train members of multi-disciplinary primary care medical teams; and have subject matter expert level knowledge of evidence-based practices and clinical practice guidelines relevant to the practice of the Primary Care Behavioral Health model of care.

Post-Award Qualifications/Standards include a minimum level of Subject Matter Expertise (SME) in the PCBH and Care Management Models (models described above in section 1.3) and clinical practice and training/mentoring skills: Each psychologist must demonstrate SME in the PCBH model and the care management model. Each psychologist must attend both the BHC and BHCF initial trainings (if not previously taken and passed) and must demonstrate all of the following during role play appointment, verbal interview and documentation review, within the two quarters after hiring and additional spot-checks at the discretion of the COR.

• Pass 100% of PCBH core competencies as outlined in the BHC and BHCF Core Competency Tools. Attendance of the BHC and BHCF initial trainings do not need to be repeated if previously completed with 100% pass of core competencies.

• Demonstrate SME level knowledge of DHA practice standards, policies, and procedures during a verbal interview and evaluation of skills during role play clinical encounters.

• Demonstrate familiarity of MHS GENESIS BHC and BHCF documentation by both direct observation of documentation skills during role play clinical encounters and review of documentation using BHC and BHCF Peer Review standards.

• Demonstrate familiarity of BHCF support tools in MHS GENESIS by both verbal interview and direct observation of skills.

• Demonstrate Expertise as Trainer/Mentor: Each psychologist must effectively train/mentor BHCs and BHCFs during implementation support activities. To demonstrate expertise in this area, each psychologist must pass 100% of competencies on the BHC and BHCF trainer core competency tools demonstrated during role play clinical encounters and observation of training/mentoring contacts and 100% of competencies on the DHA PCBH Expert Trainer Core Competency Tool demonstrated during observations of training, mentoring, and verbal interview.

1.12.2 Operations Specialist. The operations specialist must have a high level of expertise with the following systems: Microsoft Access, Microsoft Teams, Microsoft Outlook, Microsoft Excel, Microsoft Word, Microsoft Power Point, Adobe Acrobat.

1.13 Data rights:

The Government will retain rights to all data produced in the course of developing, deploying, training, using and supporting DHA or other federal agencies that utilize this order.

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

1.14 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 IAW

CDRL 003.

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

2.0 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.

2.2 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 BHC Behavioral Health Consultant BHCF Behavioral Health Care Facilitator 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 DACA Days After Contract Award 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 DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DISA Defense Information System Agency DoD Department of Defense DoDD Department of Defense Directive DoDI Department of Defense Instruction 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 EULA End User License Agreement 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

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 MedCOI Medical Community of Interest MHS Military Health System MIL-STD Military Standard MPR Monthly Progress Report MTFs Military Treatment Facilities NCR National Capitol Region NDA Non-Disclosure Agreement NIAP National Information Assurance Partnership NIST National Institute of Standards and Technology NLT No Later Than OCONUS Outside Continental United States (includes Alaska and Hawaii) OPM Office of Personal Management OSD Office of the Secretary of Defense P-ATO Personal Authorization to Operate P&R Personnel and Readiness PCBH Primary Care Behavioral Health PCMH Patient-Centered Medical Home 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 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 SME Subject Matter Expert SP Special Publication SPRS Supplier Performance Risk System SRM Sustainment, Restoration and Modernization SRG Security Requirements Guides STIG Security Technical Implementation Guides TOS Terms of Service US United States UFC Unified Facilities Criteria VPN Virtual Private Network XML Extensible Markup Language

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

2.3.1 DoDI 6490.15, Integration of Behavioral Health Personnel (BHP) Services Into Patient- Centered Medical Home (PCMH) Primary Care and Other Perimary Care Service Settings

2.3.2 DHA-PI 6025.27, Integration of Primary Care Behavioral Health (PCBH) Services into Patient-Centered Medical Home (PCMH) and Other Primary Care Service Settings within the Military Health System (MHS)

2.3.3 DHA-PM 6025.01, Primary Care Behavioral Health (PCBH) Standards

PART 3

3.0 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:

Role-based access to DHA networks and enterprise applications.

Access to Standard Operative Procedures and other relevant policies for the execution of the work.

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:

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:

Latptops, as currently configured and based on current form factor, such as the HP ProBook 650 G8 Notebook or equivalent.

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. Functional roles can be determined within the Contracting Office, and requested within the PIEE/GFP Module system.

Contractor Responsibilities:

A key contractor responsibility is to work with the CO and COR to ensure the PIEE/GFP Module data, to include the PIEE/GFP Attachment, provides a timely, complete and accurate accounting of the GFP applicable to the contract/task order. Contractors are required to report the receipt of any GFP shipped to them, regardless of whether it is listed on the GFP Attachment for their contract. Similarly, contractors are required to utilize the GFP Module application in conjunction with the shipment of GFP to the Government, or in reporting Property Loss of GFP issued (such as destruction or loss). Discrepancies or disputes regarding property shipped to or shipped from the contractor must be reported via the GFP Module application, with the CO having authority over final designation of status.

The contractor shall report semi-annually 100% inventories, reconciliations, and final disposition of GFP provided by the government. Final invoices will not be paid pending GFP reconciliation.

Contractors shall be aware of and ensure compliance with applicable FAR Part 45, DFARS 245 and 252.245, Defense Pricing and Contracting Policies, Procurement Integrated Enterprise Environment Standards, DHA Administrative Instruction 094 and DHA Guidance.

https://wawf.eb.mil/piee-landing/ https://wawf.eb.mil/piee-landing/ https://dodprocurementtoolbox.com/

3.5 Materials: The Government:

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

☐ IS providing Materials in support of this contract/task orders. The Government-provided Materials are described below:

PART 4

4.0 CONTRACTOR FURNISHED ITEMS AND SERVICES

4.1 Services: The Contractor:

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

☒ WILL provide Contractor Furnished Services required in support of this contract/task orders.

These Services are described below:

4.2 General: The contractor shall furnish all supplies, equipment, facilities and services required to perform work listed under Section 5 of this PWS that are not already listed under Section 3.4 of this PWS.

PART 5

5.0 SPECIFIC TASKS

5.1 Task 1 Task Management: The Contractor shall provide sufficient management to ensure that this task is performed efficiently, accurately, on time, and in compliance with the requirements of this document. Contractor employees shall be reachable by telephone during normal work hours or, for psychology services, during normal work hours of BHCs and BHCFs assigned for mentoring.

5.2. Task 2 - Psychology Services

The Primary Care Behavioral Health section of Medical Affairs Directorate requires contractor services consisting of Subject Matter Expert (Functional) Psychologists to support the PCBH program and work being done throughout DHA MTFs by PCBH staff, including Behavioral Health Consultants (BHCs--psychologists, social workers, licensed professional counselors, or supervised trainees in any of these disciplines who deliver services in accordance with the primary care behavioral health model) and Behavioral Health Care Facilitators (BHCFs--typically registered nurses who deliver services in accordance with the care management model).

The Subject Matter Expert (Functional) Psychologists shall be responsible for providing support for the PCBH program in the following five areas:

• Providing program visibility via reports on implementation support activities (IAW CDRL 009) to PCBH Program Director and PCBH Program Managers via training/mentoring and reporting tasks and deliverables, as listed in section 7.2.

• Providing training/mentoring to PCBH staff in the delivery of care via the PCBH model and care management model for increased growth in skill competencies via mentoring calls, reviewing clinical documentation and recordings, leading trainings, and conducting other implementation support activities.

• Identifying and correcting program drift as specified in the core competency tools. (i.e., deviation in clinical practice away from the care management and PCBH models) and through training and mentoring contacts to reduce threats to program fidelity as specified in the core competency tools.

• Providing verbal and written recommendations to improve implementation of the program at the MTF to PCBH Program Director and PCBH Program Managers.

• Providing clinic level recommendations to MTF leadership for program optimization.

To successfully complete these requirements, the following tasks must occur (see QASP for Method of Surveillance and required documentation).

5.2.1 Task 2a - Trainer/Mentor: Each psychologist will effectively train and mentor BHCs and BHCFs in areas related to the delivery of care via the PCBH and care management models, respectively. To accomplish this, each psychologist will clearly articulate and review with the trainee the mentor role in a manner consistent with the scope of mentor services; establish and maintain a continuous learning relationship involving predictable phone or video teleconference training over time (making time available for unplanned emergent discussions); provide assessment, training and mentorship services to trainees in core competencies as outlined in the BHC and BHCF Core Competency Tools and clinical pathway and implementation support materials. Training and mentoring will occur during webinar and virtual classroom trainings, mentorship calls, review of trainee medical documentation, and MTF implementation support activities. Each psychologist must be reachable by telephone.

The schedule of mentorship contacts via telephone or videoconference and requirements of implementation support activities will follow the most current PCBH program guidance.

5.2.2 Task 2b: Each psychologist shall be responsible for performing specific administrative requirements related to scheduling of their meetings and preparation of reports as described above.

5.2.3 Task 2c: Each psychologist shall provide the following support:

• Write and/or edit a variety of written products for dissemination (e.g., reports, articles, posters, and presentations) that involve presentation of technical and professional subject matter within the scope of this contract; assure conclusions drawn are valid and supportable by reference to the facts and monitor and manage the timely production and quality of the products.

• Participate in creation of training materials (e.g., presentations, web-based trainings, video demonstrations, audio recordings) for use in training BHCs, BHCFs, and/ PCMH staff.

• When approved by organizational leadership, conduct presentations, demonstrate posters, or provide technical expertise at conferences, symposia, or similar psychological health event.

5.3 Task 3 - Operations Support:

Provide operations support for the PCBH program, consisting of developing and maintaining repository as directed (e.g., Sharepoint, shared drive, etc.) for authoritative documents, products, trainings, etc., for PCBH and PCMH related projects, trainings, and pathways. Coordinate for BHC, BHCF and PCMH trainings and assist with preparation of training materials. Maintain training completion trackers and roster/contact information for PCBH staff and related to PCMH clinical pathways. Coordinate internal and external workgroups. Provide project coordination services consisting of assisting with implementation, execution, administration, and evaluation of PCBH and PCMH projects. Communicate with personnel across the MHS to schedule trainings, respond to questions, verify training attendance. Be reachable by telephone.

5.3.1 When using education/certification in conjunction with labor categories, the COR in coordination with the CO must establish a review process of contractor personnel to ensure labor category requirements are met.

PART 6

6.0 INFORMATION TECHNOLOGY & SECURITY

6.1 All work under this contract is unclassified

6.2 The TIER 1 or TIER 2 levels and position sensitivity designation for positions under this contract is: Not applicable

6.3 Personally Identifiable Information (PII)/Protected Health Information (PHI), Procurement, and Federal information requirements:

6.3.1 Business Associate Agreement (BAA). The DHA meets the definition of a covered entity under the HIPAA Rules and the DoD HIPAA Issuances. By performance of this contract, the contractor meets the definition of Business Associate and shall complete a Business Associate Agreement in accordance with Attachment 05, paragraph 8.

6.3.2 Data Sharing Agreements (DSAs) and Data Use Agreements (DUAs): Contractors requiring access to PII, which includes PHI, or access to de-identified data, are subject to the DHA Privacy and Civil Liberties Office (DPCLO) (Privacy Office) Data Sharing Program. This program requires DHA to enter into DSAs with parties outside the MHS who use or create MHS data. A DHA contract may use the term Data Use Agreement (DUA) rather than DSA. DSAs assure that outside parties protect MHS data in accordance with the Privacy Act and the HIPAA Rules. To apply for a DSA, the contractor submits a Data Sharing Agreement Application (DSAA) to the DHA DPCLO. The contractor submits the DSAA even if a subcontractor will be the party accessing MHS data. After review and approval of the DSAA, the Privacy Office provides a DSA to the contractor for execution. See also Attachment 05.

6.3.3 Processing Procurement Sensitive Information: All individuals shall seek guidance from the CO regarding the coordination of documents, dissemination, and transmission of procurement sensitive information. Procurement sensitive information shall not be transmitted electronically unless encryption is utilized. Depending on a particular procurement, other restrictions may apply.

6.4 Training

6.4.1 reserved

Contractor employees performing cybersecurity/cyberspace functions shall comply with the following requirements:

6.4.1.1 Training: All contractor and associated subcontractor employees working Cybersecurity Information Assurance (IA)/Cyberspace functions must comply with DoD training requirements in Department of Defense Directive (DoDD) 8140.01 and DoD 8570.01-M. Contractors shall identify, document, track, and report qualifications of contract support personnel who perform cyberspace work roles.

6.4.1.2 Certification: The contractor shall ensure that personnel accessing IS have the proper and current IA certification to perform IA functions at contract award in accordance with DoD 8570.01–M, IA Workforce Improvement Program. The contractor shall meet the applicable IA certification requirements as outlined in DFARS 252.239-2001, including:

6.4.1.2.1 DoD-approved IA workforce certifications appropriate for each category and level as listed in the current version of DoD 8570.01–M; and

6.4.1.2.2 Appropriate operating system certification for IA technical positions as required by DoD 8570.01–M.

6.4.1.2.2.1 Upon request by the Government, the contractor shall provide documentation supporting the IA certification status of personnel performing IA functions.

6.4.1.2.2.2 Contractor personnel who do not have proper and current certifications shall be denied access to DoD IS for the purpose of performing IA functions.

6.4.2 User requirements: All contractor employees that require access to DHA IT must comply with the requirements of DHA-Procedural Instruction 8140.01, Acceptable Use of DHA IT, to include those contract employees with privileged access.

6.5 Cybersecurity Requirements for Non-DoD IT or Covered Contractor IS: Reserved.

6.6 Risk Management Framework (RMF) for DoD IT: Reserved.

6.7. Facility Related Control Systems: Reserved.

6.8. System Communications – Reserved.

6.9 MHS Demilitarized Zone (DMZ) Medical Community of Interest (MedCOI) Business-to-Business (B2B) Gateway. Reserved.

6.11 System Authorization Acess Request (SAAR), Defense Department (DD) Form 2875

6.11.1 The contractor shall submit the most current version of DD Form 2875, “System Authorization Access Request (SAAR), in accordance with CO guidance for all contractors that use the DoD Gateways to access Government IT systems and/or DoD applications shall. A DD Form 2875 shall be completed for each contractor employee who will access any system and/or application on a DoD network. The DD Form 2875 shall clearly specify the system and/or application name and justification for access to that system and/or application.

6.11.2 The contractor shall submit the completed DD Form 2875 to the DHA IT Security for verification of Tier I or Tier II Designation. The DHA Personnel Security will verify that the contractor employee has the appropriate background investigation completed or a request for background investigation has been submitted to the Office of Personal Management (OPM).

Acknowledgment from OPM that the request for a background investigation has been received and that an investigation has been scheduled will be…