HT001425R0002-0002.pdf

0012172372

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this modifciation is:

A. To provide answ ers to questions received in response to this solicitation.

B. Provide revised PWS, based on Q&As. Changes are highlighted in yellow .

C. Compensation Matrix (attachment 1 to this RFP) has been revised and attached to this RFP amendment 0002.. Offerors are instructed to use Comp Matrix Attachment 1 REV 1 and disregard the original Compensation Matrix.

D. Extend solicitation closure to 0900AM EDT Friday 18 October.

E. Populate FAR clause 52.237-7.

See SUMMARY OF CHANGES (below )

1. CONTRACT ID CODE PAGE OF PAGES

J 1 75

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 10-Oct-2024

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X HT001425R0002

X 9B. DATED (SEE ITEM 11)

02-Oct-2024

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

10-Oct-2024

CODE

DHA CONTRACTING OFFICE-(NCR-CD) HT0014

8111 GATEHOUSE ROAD

2ND FLOOR

FALLS CHURCH VA 22042

HT0014 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HT001425R0002

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

ANSWERS TO RFP QUESTIONS

1. QUESTION: If there is an incumbent company, could you share the incumbents name with me?

ANSWER: Current contract number is HT0014-19C-0011. This is an ongoing requirement for the same services as solicited.

2. QUESTION: Will the Government please verify that four separate volumes should be submitted by offerors: I. Technical (with Compensation and Price Matrix), II. Past Performance, III. Price, and IV. RFP

Documents (with Reps & Certs, Business Info, 1449, etc.) (pgs. 80-84)

ANSWER: Yes.

3. QUESTION: Will the Government please clarify what is meant by the following statement: "Proof that offered candidates possess these traits must be provided with each contractor's proposal for a health care worker." (section 5.1.2 pg. 41) In what form does "proof" need to be provided?

ANSWER: paragraph 5.1.2 had been amended with the following: Proof that offered candidates possess these qualifications must be provided by the successful offeror following award of the contract for each health care worker.

4. QUESTION: In relation to the above question, is the Government requiring Resumes for personnel to be submitted with proposals? If yes, in what volume should the Resumes be in, and will they be excluded from page count limitations? (section 5.1.2 pg. 41)

ANSWER: No, as stated in the answer to question three (3) above. Only the successful offeror will be required to provide resumes following contract award.

5. QUESTION: Will the Government please verify that Attachments 5 & 6 - WRNMC CHECKLIST FOR

NON-PRIVELEGE PROVIDERS are to be completed and submitted to the Government with the corresponding required information after contract award, not with the offeror's submittals? (Solicitation, ATTACHMENT 5 & 6 - WRNMMC CHECK LIST FOR NON-PRIVILEGE PROVIDERS, pg. 71)

ANSWER: No, as stated in the answer to question three (3) above. Only the successful offeror will be required to comply with attachments 5 and 6 following contract award.

6. QUESTION: Under the "Instructions" Tab line 3 reads "Compensation for health care providers

(employees) shall not exceed $400,000 per 12 month year." Please clarify if the $400,000 maximum per year is a maximum per individual FTE, or per the total sum of all FTEs? (Attachment 1 - Compensation and Price Matrix)

ANSWER: Per FTE.

7. QUESTION: Tabs labeled "A thru AD" titled Compensation Year X, do not have a column for profit, only have columns to capture cost. How should the bidders account for profit? Can columns G and H be different, representing the bidders profit? (Attachment 1 - Compensation and Price Matrix)

ANSWER: Profit should be encapsulated in column H “total billable hourly rate”. DO NOT change the format of the compensation matrix, no columns should be added or deleted.

8. QUESTION: Section 1.7.1 states that the Place of Performance is WRNMMC. However, Section 1.8 indicates that the NCR and areas outside the NCR are within scope. Would the government provide more detail on the Place of Performance? (Solicitation, Page 30)

ANSWER: Primary location of performance is WRNMMC. However, in accordance with paragraph 1.8 and its sub-paragraphs, contractors may be required to travel within and outside the

NCR.

9. QUESTION: Section 5.2, Would the government provide the expectations/volume of 5.2.6 Compound medications as required? (Solicitation, Page 42)

ANSWER: Minimal compounding requirement – history of compounding pain medications needed.

10. QUESTION: Please confirm that the Technical Volume should include pricing and the "Attachment #1

Compensation & Price Matrix" (Solicitation, Page 80 & 81)

ANSWER: Confirmed. As identified in the table in addendum 252.212-1. The compensation matrix should be accompanied by market research demonstrating the offeror’s knowledge of the labor categories in geographic region where services are to be performed.

11. QUESTION: Part I: Technical Information (e) Please clarify how you would like the Excel file

"Attachment 1 Compensation & Price Matrix" to be part of the "Word" documents (Volumes I and III).

Should bidders insert printouts of the Excel tabs or submit the Excel file as an additional file to the

Volumes? (Solicitation, Page 81)

ANSWER: Offerors should populate the compensation matrix and provide separate attachments containing their market research as spoken to in the answer to question number ten (10).

12. QUESTION: Part II: Past Performance (a) notes "(a) Offerors shall submit the information requested below as part of their proposal for both the offeror and any proposed subcontractors for subcontracts expected to exceed 25% of the requirement. The document shall be submitted in Microsoft Word compatible format and shall not be more than one page for the prime contractor and one additional page for each major subcontractor." Would the government please clarify what document they are referring to in the statement? (Solicitation, Page 82)

ANSWER: This pertains to the PPL as written in the sub-paragraphs (1) – (3).

13. QUESTION: Would the government provide a reasonable extension for bidders to review and respond to the Q&A responses provided by the Government? Adequate time between question responses and the due date will allow offerors to adjust submittals appropriately and provide the best solution to the Government.

ANSWER: The solicitation closure is being changed to 18 October 2024 at 0900am EDT.

14. QUESTION: Is there a current incumbent performing these services? If yes, would the Government please provide the incumbents name and the contract number?

ANSWER: See answer provided at question one (1).

15. QUESTION: Solicitation, Section 1.3 Background last sentence states the Medical Clerk will support services for the Pain Clinic – WRNMMC and other locations in the NCR, as need dictates. Can the government please clarify the other locations that may be required for these Medical Clerk services?

(Solicitation, Page 29)

ANSWER: See answer provided at question eight (8).

16. QUESTION: Solicitation, Section 1.8, Contractor Travel refers to Contractor travel that is within the

National Capital Region (NCR) are non-reimbursable yet required travel outside the NCR is also within scope and these travel-related expenses are to be reimbursed off a separate (different) contract. Can the government confirm that the awardee will receive in a timely manner an additional contract award associated with these travel expenses for outside the NCR region and are a part of the scope?

(Solicitation, Page 30)

ANSWER: Paragraph 1.8 has been modified to address travel outside the NCR.

17. QUESTION: Solicitation,1.8.2 refers to forecasted training events and that could be anywhere CONUS or

OCONUS. Can the government please confirm OCONUS training could be required, and these training expenses will be reimbursed on the separate contract awarded contract, as referenced per

Question above? (Solicitation, Page 30)

ANSWER: PWS paragraph (1.8) has been updated with changed in yellow.

18. QUESTION: Solicitation Section 1.11 Security and Common Access Card (CAC) requirements states that performance shall not begin until the complete documentation for a Personnel Background Investigation has been submitted. Can the government please clarify if contractor personnel will be able to commence performance activities prior to receipt of a CAC card? (Solicitation, Page 31)

ANSWER: Contractor will not be able to perform until a CAC card is received.

19. QUESTION: Solicitation,1.15.4 refers to post award conference/periodic progress meetings and that these meetings shall be at no cost to the government. Can the government please clarify if these meetings can be conducted virtually? (Solicitation, Page 32)

ANSWER: Yes, these meetings can be conducted virtually.

20. QUESTION: Solicitation, Part 2, 2.0 Definitions & Acronyms, specifically Backup Personnel, is defined as pre-approved contract personnel designated to move into the position of the primary contract personnel to perform required services for the duration of his/her absence. Can the government please clarify at what duration of time that a Backup Personnel would be required to be provided by the Contractor?

(Solicitation, Page 34)

ANSWER: See Attachement 4, Performance Requirements Summary which not contains definitions for replenishment rate

21. QUESTION: Solicitation,1 Hours of operation Section 1.7.3 stated contractor is responsible for conducting business Monday through Friday, 0600-1700 and Section 2.1 the definition for the Work Week is defined as Sunday through Monday (dependent on workload and mobilization requirements). Can the government please clarify the work weekdays that the Contractor’s personnel will routinely perform?

(Solicitation, Page 35)

ANSWER: Monday through Friday, no weekends or holidays, between 0600-1700 per needs of service.

22. QUESTION: Solicitation, 5.2 Clinical Pharmacist, 5.3 Medical Clerk 5.4 Integrative Medicine Services,

5.5 Pain Nurse and 5.6 Pain Physician – Anesthesiologist, 5.8 Integrative Medicine Registered Nurse, 5.9

Tele Pain Nurse (RN), and 5.10 Licensed Clinical Social Worker (LCSW) – Psychotherapy Specialist

(Mind Body Therapist) all refer to duty outside the regularly scheduled hours in order to meet the needs of the program, meeting, or trainings event may be required. Furthermore, the CLIN line items state

“Overtime is not authorized”. Can the government please clarify if the Contractor’s personnel will be granted an equal amount of unpaid compensatory time off mutually agreed upon by the NCRPI director as in the instance of the Senior Program Manager, or in a different method or accommodations will be provided in the event of any fluctuation to the “Work Week” or in the instance of any unforeseen overtime work? (Solicitation, Pages 42-59)

ANSWER: No anticipated work outside 80 hours per pay period.

23. QUESTION: Solicitation, FAR Clause 52.237-7 Indemnification and Medical Liability Insurance (JAN

1997) first paragraph last sentence states “The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than the following amount(s) per specialty per occurrence: *. The amount per occurrence was not provided by the government, can the government please provide this information to offerors? (Solicitation, Page 132)

ANSWER: 1 million dollars per occurrence / 3 million dollars aggregate Has been incorporated into FAR Clause 52.237-7.

24. QUESTION: Page 81 of the Solicitation states "e. The technical (offeror’s market research) shall not exceed 10 pages (page count does NOT include the offeror’s completed Compensation Matrix)" and page

84 states the Technical Volume's Maximum Page Limit shall be "One completed “Attachment 1

Compensation & Price Matrix” and provide supporting Market Research documentation Five (5) 8 1/2’ x

11” pages (front and back side). Eight (8) pages total (this does not include the “Attachment 1

Compensation & Price Matrix”." Will the Government please clarify how many pages the Technical

Volume should be and verify that the Compensation & Price Matrix is excluded from that limit?

(Solicitation, pgs. 81 & 84)

ANSWER: As written in the table within addendum 52.212-1 technical is 10 pages total, which does not include the compensation matrix.

25. QUESTION: Solicitation, Pg. 82 regarding Past Performance states "The document shall be submitted in

Microsoft Word compatible format and shall not be more than one page for the prime contractor and one additional page for each major subcontractor." Can the government clarify if this is one page per citation or a single page for the entire past performance section? (Solicitation, Page 82)

ANSWER: As written in the table within addendum, 52.212-1 PPL is comprised of three (3) 8.5 X

11 double-sided pages. Accompanied by completed PPQs.

26. QUESTION: Will the Government accept completed CPARS finalized within the past 6 months in lieu of

PPQs? (pg. 82)

27. QUESTION: Will the Government evaluate past performance examples from subcontractors if said subcontractor is not a “major” subcontractor, or will the Government only evaluate past performance examples from major subcontractors? (pg. 82)

ANSWER: All information will be assessed.

28. QUESTION: Some Government customers may be unwilling to provide completed PPQs to an offeror for submission with their proposal. Will the Government please provide an alternative (i.e., Contracting

POC with email/phone) for Government customers to send completed PPQs? (pg82)

ANSWER: No.

29. QUESTION: Please clarify the job title / labor category for CLIN 0002 (“Medical Clerk Pharmacist”). (pg.

4)

ANSWER: Compensation matrix has been amended at CLIN X002 to identify “Medical Clerk”.

30. QUESTION: PWS Section 5.2.2.2.4 states that the pharmacist must have or maintain a DEA registration number. There are only 11 states currently authorizing pharmacists to hold registration with the DEA:

California, Idaho, Massachusetts, Montana, New Mexico, Nevada, North Carolina, Ohio, Tennessee, Utah, and Washington. This greatly limits the candidate pool. Will the Government consider waiving this requirement? (pg. 44 PWS 5.2.2.2.4)

ANSWER: Yes, will consider waiver.

31. QUESTION: Will the pain anesthesiologists be working in the Operating Room? If so, please provide the expected case load (e.g., elective vs. emergency surgeries, types of procedures). (PWS 5.6)

ANSWER: Yes, 50% general OR cases and 50% pain cases.

32. QUESTION: Will the tele-pain nurse be working remotely or physically at WRNMMC? PWS 5.9)

ANSWER: Tele-pain blended in-person/remote

33. QUESTION: Can the Government please indicate which (if any) positions are currently vacant?

ANSWER: All positions are filled.

34. QUESTION: Can the Government please indicate for what length of time any vacant positions have been vacant (if any)?

ANSWER: There have been no vacancies for any extended period of time.

35. QUESTION: Will the Government please consider a 4 day extension to the proposal deadline?

ANSWER: See answer at question thirteen (13).

36. QUESTION: Will the Government consider adding approximately 20 hours per FTE in the base year to ensure continuity for the period?

37. QUESTION: Can the Government please provide a word version of Attachment 2 PPQ for ease of use and customer execution?

38. QUESTION: Referencing 52.234-7 on page 132, please confirm the contract liability insurance amounts required. Referencing Attachment 1 Compensation and Price Matrix, will the Government accept a $ value in lieu of a percentage in column F, Fringe Benefits?

ANSWER: A. 1 million dollars per occurrence / 3 million dollars aggregate. (Populate this in the clause itself 52.237-7).

B. No.

39. QUESTION: Referencing page 81, addendum to 52.212-1, Part I, (c), the Government states “No escalation may be included for positions deemed to be covered by the Service Contract Labor Standards

Statute.” Can the Government please clarify this requirement?

ANSWER: This verbiage has been removed because none of the labor categories are applicable to the wage determination.

40. QUESTION: Referencing page 81, addendum to 52.212-1, Part I, (d) requests screenshots from Salary.com for 9 CLINS. Will the Government please increase page limitations of this volume to support the space required?

ANSWER: Yes, is market research is requested to be ten (10) pages or less.

41. QUESTION: Referencing page 82, addendum to 52.212-1, Part II, and in consideration of the short suspense, will the Government consider previously completed PPQ and CPAR in lieu of utilization of

Attachment 2?

ANSWER: Yes, as long as the reference is not older than 36 months from the solicitation date.

42. QUESTION: Referencing the summary table beginning on page 84, can the Government please clarify the page limitations on the Technical supporting documentation?

ANSWER: Addendum to 52.212-1 table has been changed to reflect 10 pages for supporting market research.

43. QUESTION: Referencing the summary table beginning on page 84, do PPQ count towards the page count of the Past Performance Volume.

44. QUESTION: Referencing page 86, Addendum to 52.212-2, 2, (2), will the Government please consider a

60-month (5 year) recency period?

45. QUESTION: Referencing page 88, Addendum to 52.212-2, 3, will the Government please consider the addition of a price realism analysis evaluation to ensure it is realistic for the work required?

46. QUESTION: Referencing PWS 5.2, multiple labor categories cite “teaching experience within the last three

(3) years” within the qualifications. Will the Government consider increasing this recency period of this experience to expand the candidate pool?

47. QUESTION: Referencing PWS 5.3.2.2.2, the Medical Clerk must possess knowledge of MHS genesis. This substantially limits the pool of potential candidates. Will the Government consider removing this requirement?

ANSWER: If proposed candidate does not possess MHS Genesis knowledge, there will be a need for on the job training.

48. QUESTION: Referencing PWS 5.4.2.3.2 and 5.4.2.4.1, will the Government consider experience and/or training in other modalities in lieu of acupuncture?

ANSWER: Acupuncture required – will NOT consider experience and/or training in other modalities.

49. QUESTION: We would like to know if this is a brand new contract OR if there is (was) an incumbent performing these services. If not brand new, could you please provide the current / previous contract number?

ANSWER: See answer at question one (1).

50. QUESTION: Is this an 8(a) Set-a-side requirement or TSB? The SF 1449 doesn't have 8(a) checked, only

TSB.

ANSWER: This is a Competitive 8(a) Set-aside as written in amendment one (1) to the solicitation.

51. QUESTION: Are there any vacancies if this isn't a new requirement?

52. QUESTION: It is our understanding that the personnel will get public trust clearances. Is there a need for our company to have a Facility Clearance?

ANSWER: No Need for successful offeror to possess a facility clearance.

53. QUESTION: Is this a new requirement or a recompete of an expiring contract?

ANSWER: Re-competed of on-going requirement.

54. QUESTION: If an expiring contract, can you provide the information on the current contractor, contract # and the total contract amount.

55. QUESTION: Can we submit a CPARS in lieu of a PPQ?

ANSWER: Yes

56. QUESTION: For the Integrative Medicine Physician, which Physician specialty would be a preference for the department... an Acupuncturist, Tai Chi Practitioner, Chiropractor or Holistic Mind-Body

Psychotherapist?

ANSWER: See PWS 5.4 and its sub-paragraphs.

57. QUESTION: For a Joint Venture "JV", would the Government accept past performance from any of the team members?

58. QUESTION: At the end of page 81 it says, "The technical (offeror’s market research) shall not exceed 10 pages." On page 84 in the first row of the table it says "...provide supporting Market Research documentation Five (5) 8 1/2’ x 11” pages (front and back side). Eight (8) pages total (this does not include the “Attachment 1 Compensation & Price Matrix." Are the total pages allowed for the Market Research

8 or 10?

ANSWER: Addendum to 52.212-1 table has been changed to reflect 10 pages.

59. QUESTION: The technical volume is a combination of the Compensation & Price Matrix in Excel and a

Market Research document in Word. Does the government want us to combine the Excel information into the word document or can we have a Word document and an addendum to point to the Excel document as a continuation of Volume I?

ANSWER: Offeror is requested to populate the compensation matrix and submit supporting market research documentation separately.

60. QUESTION: The instructions call for three volumes for submission, but page 84 has a row for a volume IV called RFP documents. Should we make this a fourth separate volume?

61. QUESTION: The Pain Physician (Anesthesiologist) is non personal services, however the solicitation states this will be a Personal Services award. Is this correct?

ANSWER: Paragraph 1.2 of the PWS identifies this as a Hybrid Personal and Non-personal

Services Contract.

62. QUESTION: If this is an existing requirement, for which positions are incumbent HCWs currently performing services? Vacancies?

ANSWER: All positions are on-going with no vacancies.

63. QUESTION: In paragraph (c) on pg. 81 it states, “No escalation may be included for positions deemed to be covered by the SCA”. Does this mean we cannot escalate SCA positions, or we may not?

ANSWER: See answer at question thirty-nine (39).

64. QUESTION: Will the Government allow for CPARS?

65. QUESTION: Will the Government accept previously completed and signed PPQs?

66. QUESTION: On page 81, the instructions for the Technical Information section indicate that the “technical

(offeror’s market research) shall not exceed 10 pages”, however the table on page 84 states that the market research is limited to “Eight (8) pages total”. Can the Government clarify if the page limitation for the market research is ten pages or eight pages?

67. QUESTION: The instructions on the past performance questionnaire indicate that references should complete the questionnaire and return it to Offerors to submit with their proposal. Occasionally, we have encountered references who are uncomfortable sending the questionnaire back to our firm instead of directly to the Government. Will the Government allow references to submit questionnaires directly to the

Government?

68. QUESTION: PWS 1.8.1 and 1.8.2 references travel to the Annual Pain Care Skills Training events. Will there be a travel CLIN?

69. QUESTION: PWS 4.1.5 references uniforms. Is a uniform other than scrubs required?

ANSWER: No uniform.

70. QUESTION: PWS 5.2.9: this section references the Sole Provider Program and the DPR. Please clarify what those are?

ANSWER: Opioid Safety Program

71. QUESTION: PWS 5.2.2.2.4: Will the provider be initiating drug treatment or have limited prescribing authority as part of a collaborative drug therapy?

72. QUESTION: PWS 5.5.2.1: NLN accreditation is antiquated. We would recommend the last sentence read, “The institution must be accredited by The National League for Nursing Accrediting Commission

(NLNAC), Accreditation Commission for Education and Nursing (ACEN), or the Commission on

Collegiate Nursing Education (CCNE). In lieu of graduation from an NLNAC, ACEN, or CCNE institution, the RN may be a graduate of an accredited nursing program approved by the appropriate State agency.”

ANSWER: Yes, change has been incorporated into 5.5.2.1 on the PWS, higlighted in yellow.

73. QUESTION: The CLIN structure indicates the need for a Medical Clerk Pharmacist (1 FTE), pages 4 – 22, however PWS 5.3 states a Medical Clerk with qualifications in line with a clerk. Please confirm if the position is a Medical Clerk or a Medical Clerk Pharmacist?

ANSWER: See answer at question twenty-nine (29).

74. QUESTION: What is the average turnaround time at WRNMMC from the point a completed HCW package is presented until a start date is authorized, each for non-privileged and privileged positions?

ANSWER: Non-privileged is 6 weeks and privileged 10 weeks.

75. QUESTION: 5.4.2.3.1. states, “Possess board certification in a specialty recognized by the American Board of Medical Specialties.” What is the precise board certification or acceptable board certifications?

ANSWER: Anesthesia, Neurology, and Family Medicine.

76. QUESTION: Would the government consider accepting Contractor Performance Assessment Reports

(CPARs) in lieu of Past Performance Questionnaires (PPQs)? Due to changes in Contracting Officers and

Contracting Officer Representatives (CORs), we have experienced challenges obtaining completed PPQs, as current personnel unfamiliar with the vendors are either unwilling to complete the forms or provide limited responses to the evaluation criteria.

77. QUESTION: Would the government consider allowing offerors to submit previously completed and submitted PPQs? This would relieve the administrative burden on COs/CORs to complete new PPQs.

78. QUESTION: Would the government consider extending the past performance recency period from three to five years to allow for a more comprehensive evaluation of past performance?

79. QUESTION: Please confirm that the Past Performance Volume is a maximum of three (3) pages. Page 82 of the RFP states “The document shall be submitted in Microsoft Word compatible format and shall not be more than one page for the prime contractor and one additional page for each major subcontractor.” This indicates that the prime only has 1 page to discuss their past performance and an additional page per subcontractor.

ANSWER: See answer at question twelve (12).

80. QUESTION: Please confirm if all components of “PART IV: RFP DOCUMENTS” (pg. 83 RFP) can be submitted as a single file or if each component (i.e., Solicitation, Offer, and Award Documents, Representations and Certifications, and Offeror’s Business Information) must be submitted as separate files.

81. QUESTION: Part IV (g) table: "provide supporting Market Research documentation Five (5) 8 1/2’ x 11” pages (front and back side). Eight (8) pages total (this does not include " Can the government clarify if the page count is 5 pages front and back or 8 pages?

82. QUESTION: Part IV (g) table: "Past Performance Listing (PPL) three (3) 8 ½” x 11” double-sided pages.

“Attachment 2 PPQ Templates” - three completed PPQs." Can the government clarify the page count for this volume as attachment 2 PPQ is 4 pages so 3 references would be 12 pages.

ANSWER: Yes, 12 pages.

83. QUESTION: Will the government accept CPARS in place of PPQs?

84. QUESTION: Could you please confirm who the current incumbent contractor is for this requirement?

85. QUESTION: Can you provide the contract number under which the incumbent is currently performing?

86. QUESTION: Is the incumbent contractor eligible to bid on this new opportunity, or are there any restrictions that would prevent them from submitting a proposal?

ANSWER: Yes, the incumbent is eligible and there are no restrictions preventing the incumbent from submitting a proposal.

87. QUESTION: Will there be any adjustments to the proposal submission deadline, as Monday, the 14th, is a federal holiday? Should we anticipate an extension to the due date as a result?

ANSWER: See answer at question thirteen (13).

52.217-5 EVALUATION OF OPTIONS (JUL 1990)

Except when it is determined in accordance with FAR 17.206(b) not to be in the Government's best interests, the

Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. Evaluation of options will not obligate the Government to exercise the option(s).

(End of provision)

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 14-Oct-2024 09:00 AM to 18-Oct-2024 09:00 AM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0002

The CLIN description has changed from Medical Clerk Pharmacist (1 FTE) to Medical Clerk (1 FTE).

CLIN 1002

CLIN 2002

CLIN 3002

CLIN 4002

The following have been modified:

PERFORMANCE WORK STATEMENT

PART 1

1.0 GENERAL INFORMATION

1.2 Description of services/introduction: This is a hybrid Personal and Non-Personal Services contract. Contractor shall provide the following support: Clinical Pharmacist (1 FTE), Medical Clerk (1 FTE), Integrated Medicine

Physician (1 FTE), Pain Nurse (2 FTEs), Pain Physician (1 FTE), Sr. Program Manager (1 FTE), Integrative

Medicine Nurse (RN), Tele-Pain Nurse (1 FTE), and Licensed Clinical Social Worker (1 FTE). These Direct Health

Care Providers shall support the National Capital Region Pain Initiative at Walter Reed National Military Medical

Center, Bethesda, MD.

1.3 Background: The NCRPI includes programs to improve access to pain care, quality of pain services, integrative modalities and palliative care for all beneficiaries across the National Capital Region Medical Directorate and beyond. The program supports the command’s philosophy of Better Care, Better Health, Lower Cost, and Increasing

Soldier Readiness. The NCRPI is sponsored by the NCR Medical Directorate (MD), and is headquartered at

WRNMMC. It falls under the Pain Management Service, Anesthesia Department, and Department of Surgery. The

Medical Clerk will support services for the Pain Clinic-WRNMMC and other locations in the NCR, as need dictates.

1.4 Objectives: The services consist of providing direct healthcare provider support. See tasks and responsibilities for each labor category in PART 5 of this Performance of Work Statement (PWS).

1.5 Scope: The Contractor shall provide qualified personnel, necessary to perform the required services. See PWS

PART 5 for details.

1.6 Period of Performance (PoP): Base year: 12/1/2024 – 30 September 2025

1.7 Administrative specifications

1.7.1 Place of performance: The work shall be performed at Walter Reed National Military Medical Center

(WRNMMC). Duty Hours: Monday – Friday 0600 – 1700

1.7.2 Recognized Federal holidays: The contractor is not required to perform services on the following 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 Christmas Day

Independence Day

1.7.3 Hours of operation: The contractor is responsible for conducting business Monday thru Friday, 0600 – 1700, 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. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.8 Contractor travel: In accordance with Department of Defense Instruction (DoDI) 4515.14 (Change 1, dated 24

May 2017) the National Capital Region (NCR) is defined as the District of Columbia; Montgomery, Prince George’s and Frederick Counties in Maryland; Arlington, Fairfax, Loudoun, and Prince William Counties in Virginia.

Required travel (as specified by this contract and the Contracting Officer Representative) within the NCR for performance of services on this contract is within scope and any NCR travel-related expenses are non-reimbursable.

Required travel outside the NCR is also within scope, but these travel-related expenses are to be invoiced against the

TRAVEL CLIN on this contract. Official travel expenses shall be for allowable travel costs IAW FAR 31.

1.8.1 The following labor categories may be required to travel outside the NCR to support or be an instructor at the

NCRPIs Annual Pain Care Skills Training: Clinical Pharmacist, Pain Physician-Anesthesiologist, Integrative

Medicine Registered Nurse, Senior Program Manager, Tele-Pain Nurse and the Licensed Clinical Social Worker.

1.8.2 These Annual Pain Care Skills Training events are forecasted. This training has been conducted at locations such as Naval Medical Center, San Diego, CA and the Air Force Academy, Colorado Springs, CO but can be anywhere CONUS or OCONUS with a military or government facility based on the need and resources. These training events are anticipated to be up to three (3) full days in length.

1.9 Other Direct Costs (ODC): Not applicable.

1.10 Quality

1.10.1 Quality Control (QC): The Contractor shall establish a complete QC program to ensure that the requirements of the contract are provided as specified. The quality control plan shall incorporate current quality assurance programs in place at the MTF, in their own QC, to ensure that the medical services are provided at a level of quality that meets MTF standards. The Contractor shall establish and maintain a complete Quality Control Plan

(QCP) that shall ensure the requirements of the contract are provided as specified in Section four (4) of the PWS.

Within thirty calendar days after contract award, three copies of a comprehensive written QCP shall be submitted to the COR and within five (5) working days when changes are made thereafter.

1.10.2 Quality assurance: 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 Security and Common Access Card (CAC) requirements: Upon award of the contract, the contractor will immediately contact the COR for processing procedures to meet the security requirements, for information needed to access the installation/MTF initially, as well as in-processing forms. The MTFs are restricted access military installations. HCPS shall not begin performance until the complete documentation for a Personnel Background

Investigation has been submitted. An Identification (ID) badge, the Common Access Card (CAC) and the vehicle registration will not be issued until complete documentation has been submitted to the appropriate Installation, MTF, or other Security Manager(s), as required at the facility. The CAC card is required for access to Government computer databases and also is presented to the security guards when entering the military installation. If a background investigation results in an unfavorable finding, the contracting officer will notify the contractor and the contractor employee will not be granted access to the facility, will not be able to perform services at the facility, and must return all identification badges, CAC cards, and other items issued previously issued by the government.

1.11.1 The Automated Data Processing/Information Technology (ADP/IT) levels and position sensitivity designation for positions under this contract is:

1.11.1.1. ADP/IT II: Non-critical sensitive position.

1.11.2 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: Contractor HCP may be issued keys. The Contractor HCP shall safeguard the keys from loss, theft or destruction, and must display all keys signed for at scheduled or unscheduled key control inspections. The

Contractor shall be required to reimburse the Government for lost keys, or lockset (if locksets are required to be replaced) as a result of lost keys. The cost of replacement of keys/locksets may be deducted from payments to the

Contractor.

1.11.4.1 The contractor shall be responsible for any keys issued by the Government to contract HCPs for use in the

MTF. The keys shall not be duplicated. Lost keys and/or locks shall be reported to the issuing party, Department

Chief, or COR immediately upon discovery of the loss.

1.11.5 Lock combinations: N/A

1.11.6 PII/PHI, and Federal Information Requirements (refer to Clause Section for DHA Procedures, Guidance and

Information 224.90 if applicable).

1.12 Reserved

1.12.1 Reserved

1.13 Reserved.

1.14 Government training: The Contractor shall ensure that all Contractor employees attend or successfully complete all mandatory Government training. The training typically encompasses matters of security and safety, and is provided during billable time at no cost to the Contractor.

1.15 Reporting

1.15.1 Contractor Manpower Reporting (CMR): The Office of the Secretary of Defense (OSD) Personnel and

Readiness (P&R) operates and maintains a secure data collection site where the Contractor shall report Contractor manpower (including subcontractor manpower). Contracts with a total value of $3 million or more for services shall completely fill in all the information in the format using the following web address http://www.ecmra.mil/.

http://www.ecmra.mil/

1.15.1.1 Reporting period shall be the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 October of each calendar year. Contractors may use a direct

Extensible Markup Language (XML) data transfer to the database server or fill in the fields on the website. The

XML direct transfer is a format for transferring files from a Contractor’s system to the secure website without the need for separate data entries for each required data element at the website. The specific formats for the XML direct transfer may be downloaded from the website.

1.15.1.2 Service portfolio groups are further defined in DFARS PGI 237.102-74 Taxonomy for the acquisition of service and supplies and equipment.

1.15.1.3 Contractors shall direct questions to the help desk at: http://www.ecmra.mil/.

1.15.2 Non-Disclosure Agreement (NDA): All DHA Government 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.

1.15.3 Contracting Officer Representative (COR): The COR will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract;

perform inspections necessary in connection with contract performance; maintain written and oral communications with the Contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor Contractor's performance and notifies both the 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.

1.15.4 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 Federal

Acquisition Regulation 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.

http://www.ecmra.mil/

PART 2

2.0 DEFINITIONS & ACRONYMS

2.1 Definitions:

AMBULATORY DATA MODULE (ADM). An automated clinical information system used for statistical documentation of ambulatory medical care. The computerized system is designed to monitor and track ambulatory encounters and to document patient diagnoses and treatment in order to support management of patient care.

ANCILLARY PERSONNEL: These personnel are commonly referred to as radiology, pathology, and/or medical and pharmacy technicians/technologists. Also, clerks, secretaries, and receptionists are personnel commonly considered administrative personnel.

BACKUP PERSONNEL: Pre-approved contract personnel designated to move into the position of the primary contract personnel to perform required services for the duration of his/her absence.

BENEFICIARIES OF THE MILITARY HEALTHCARE SYSTEM: Those individuals entitled to care at the MTF

IAW AR 40-3.

CLINICAL PRIVILEGES: Authorization by the government body to provide specific patient care and treatment services in the organization, within well-defined limits, based on the individual’s license, education, training, experience, competence, judgment, and physical and mental health.

CONTINUING EDUCATION: Education beyond initial professional preparation that is relevant to the type of patient care delivered in the organization that provides current knowledge relevant to the individual’s field of practice and that is related to findings from quality assurance activities.

CONTRACTING OFFICER. A person with authority to enter into contracts; administer or terminate contracts.

Make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

CONTRACTING OFFICER’S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to monitor contractor performance. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

DEFENSE ENROLLMENT ELIGIBILITY REPORTING SYSTEM (DEERS): A computerized system that maintains current eligibility status for all eligible health care beneficiaries.

MILITARY TREATMENT FACILITIES (MTF): Military hospital or clinic.

MILITARY DATES are written by placing the day of the month, followed by the first three letters of the month, followed by the last two digits of the year, i.e., September 02, 2024 - 02 Sep 24; November 10, 2024 - 10 Nov 24;

May 1, 2024 - 01 May 24.

MILITARY TIME is measured using a 24-hour clock, i.e.:

8:00 a.m. = 0800

9:10 a.m. = 0910

Noon = 1200

8:00 p.m. = 2000

9:10 p.m. = 2110

Midnight = 2400

12:01 a.m. = 0001

PHYSICAL SECURITY. Actions that prevent the loss or damage of government property.

PRIME SOURCE VERIFICATION: Confirmation from a primary source (granting agency) or a service that confirms credentials from a primary source that the information provided by the health care provider is current, correct, and substantiates qualifications.

QUALITY ASSESSMENT AND IMPROVEMENT (QA& I): An ongoing program designed to objectively and systematically monitor and evaluate the quality and appropriateness of patient care, to pursue opportunities to improve patient care, and to resolve identified problems.

QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

QUALITY CONTROL (QC): Those actions taken by the Contractor to control and ensure that performance of duties meet the requirements of the contract.

SUBCONTRACTOR. One that enters into a subcontract and assumes some of the obligations of the primary

Contractor.

TRAINING HOLIDAYS: Training holidays are days designated by the MTF Director either the workday preceding or following a legal public holiday. The number of training holidays may vary from year to year.

WORK DAY. The number of hours per day the Contractor HCP provides services.

WORK WEEK. Is defined as Sunday through Monday (dependent on workload and mobilization requirements).

2.2 Acronyms:

ACOR - Alternate Contracting Officers Representative

ADP - Automated Data Processing

AHA - American Hospital Association

AMA - American Medical Association

ANA - American Nurses Association

AOD - Administrative Officer of the Day

APHP - Adolescent Partial Hospitalization Program

AR - Army Regulation

BCLS - Basic Cardiac Life Support

BLS - Basic Life Support

CFR - Code of Federal Regulations

CHAMPUS - Civilian Health and Medical Program of the Uniformed Services

CLIN - Contract Line Item Number

CME - Continuing Medical Education

CONUS - Continental United States (excludes Alaska and Hawaii)

COR - Contracting Officer Representative

COTR - Contracting Officers Technical Representative

COTS - Commercial Off the Shelf

CPGs - Clinical Practice Guidelines

CT - Computed Tomography Technologist

DA - Department of the Army

DCS - Deputy Director for Clinical Services

DEA - Drug Enforcement Administration

DMHRSi - Defense Medical Human Resources System Internet

DMRC - Deployment Medical Readiness Clinic

DOD - Department of Defense

DODI - Department of Defense Instruction

ECFMG - Educational Commission for Foreign medical Graduates

EFT - Electronic Funds Transfer

FAR - Federal Acquisition Regulation

FBCH - Fort Belvoir Community Hospital

FIPS PUB - Federal Information Processing Standards Publication

FSO - Facility Security Officer

FTE - Full Time Equivalent

GS - General Schedule

HCAA - Health Care Acquisition Activity

HCCSO - Health Care Contract Support Office

HCP - Health Care Provider

HIPAA - Health Insurance Portability & Accountability Act of 1996

HSPD - Homeland Security Presidential Directive

IEP - Individualized Education Program

JC - Joint Commission

KO - Contracting Officer

MEDCEN - Medical Center

MEDCOM - Medical Command

MEDDAC - Medical Department Activity

MHS - Military Health System

MRI - Magnetic Resonance Imaging Technician

MT - Mammography Technician

MTF - Military Treatment Facility

NACI - National Agency Check with Inquiries

NASW - National Association of Social Workers

NCOIC - Noncommissioned Officer in Charge

OCONUS - Outside Continental United States (includes Alaska and Hawaii)

OIC - Officer-in-Charge

OMB - Office of Management and Budget

OSHA…