IHS1529600 J_A Redacted.pdf

Sole Source Justification (SSJ) for Bridge Contract – Advanced Practice Provider Services

This document is a Sole Source Justification submitted by the Rosebud Service Unit (HHS-Indian Health Services) for a bridge contract award to NativeArc LLC for midlevel provider services. The acquisition seeks to procure qualified, licensed, credentialed Physician Assistants, Nurse Practitioners, and Certified Nurse Midwives to support outpatient primary care and women's health services for eligible American Indian and Alaska Native beneficiaries at the Rosebud Indian Health Service Hospital in South Dakota. The performance period runs from September 1, 2026, through February 28, 2027 (six months), with an estimated 3,298 hours and anticipated pricing on a fixed-rate basis. Fiscal year 2026 Medicaid funds will support the award.

The justification cites 41 U.S.C. § 3304(a)(2)—unusual and compelling urgency—as the statutory authority for sole source procurement. The document establishes that NativeArc is the only responsible source capable of meeting the Government's immediate requirement without unacceptable disruption to patient care and clinical operations. Market research confirmed no alternative contract vehicles, staffing vendors, or Federal sources could provide fully credentialed, privileged providers within the necessary timeframe. The Government determined that transitioning to a new contractor would require extensive recruitment, credentialing, background investigation, and onboarding processes that cannot be completed before the current contract expires, risking service lapse and adverse impact on patient access and continuity of care. The justification explicitly notes that the bridge acquisition is temporary and that full and open competition for a follow-on requirement will proceed upon completion of acquisition planning and solicitation development.