IHS1529600 OP Midlevel PWS Bridge.pdf
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- Solicitation number
- IHS1529600
About this file
This is a Performance Work Statement (PWS) for non-personal healthcare services issued by the Indian Health Service, Great Plains Area, for the Rosebud Service Unit in Rosebud, South Dakota.
The Government requires contractor-provided Physician Assistants (PAs), Nurse Practitioners (NPs), and Certified Nurse Midwives (CNMs) to deliver outpatient primary care and women's health services at Rosebud Indian Health Service Hospital. The contractor must recruit, credential, and manage qualified healthcare providers to maintain continuous clinical coverage in accordance with Government scheduling requirements, primarily Monday through Friday from 0800–1700 local time, with additional call coverage and occasional evening/weekend clinic hours as needed for CNMs. Key objectives include maintaining uninterrupted outpatient services, ensuring timely patient access, delivering safe and evidence-based care, and achieving full compliance with IHS, CMS, AAAHC, and HIPAA requirements. All providers must possess current, unrestricted state licenses, appropriate certification, current BLS certification, DEA registration where required, and eligibility for credentialing and privileging at the facility.
The contractor bears full responsibility for recruitment, primary source verification of qualifications, staffing continuity, and providing replacement personnel. Professional liability insurance must be maintained at $300,000 per occurrence and $1,000,000 aggregate. The contractor must ensure 100% completion of medical documentation in the Electronic Health Record in accordance with Rosebud Medical Documentation Policy, with invoices requiring a completed Health Information Clearance form signed by the contractor, Clinical Director or designee, and the Health Information Department representative. All contractor personnel must comply with IHS security requirements, background investigation standards, Indian Child Protection and Family Violence Prevention Act requirements, and applicable federal suitability standards. The Government furnishes clinical workspace, examination rooms, medical equipment and supplies, EHR access, administrative support, and orientation/training, while the contractor maintains responsibility for all compliance and quality control requirements specified in the accompanying Quality Assurance Surveillance Plan (QASP).
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
INDIAN HEALTH SERVICE
GREAT PLAINS AREA
PERFORMANCE WORK STATEMENT (PWS)
Physician Assistant (PA), Nurse Practitioner (NP), and Certified Nurse Midwife (CNM) Outpatient Department Clinical Services Rosebud Service Unit, Rosebud Indian Health Service Hospital
Contract Type: Non-Personal Health Care Services Contract Place of Performance: Rosebud Indian Health Service Hospital, Rosebud, South Dakota Period of Performance: To Be Determined Requiring Activity: Rosebud Service Unit Contracting Activity: Indian Health Service, Great Plains Area
PERFORMANCE WORK STATEMENT
Provision of Qualified and Credentialed
Physician Assistants (PA) Nurse Practitioners (NP)
Certified Nurse Midwives (CNM) to support outpatient and women's health services, ensuring continuity of patient care, compliance with applicable healthcare standards, and uninterrupted clinical operations at the Rosebud Service Unit.
Prepared By: Dr. Kimberly Montileaux
Deputy Clinical Director Rosebud Service Unit Indian Health Service
Reviewed By: Dr. Marlene Wakefield
Contracting Officer's Representative (COR) II Revision Date: June 12, 2026 Version: PWS Version 1.0
Contract Number: ___________________
ACRONYMS AND ABBREVIATIONS
Acronym Definition AAAHC Accreditation Association for Ambulatory Health Care BLS Basic Life Support CMS Centers for Medicare & Medicaid Services CNM Certified Nurse Midwife COR Contracting Officer's Representative DEA Drug Enforcement Administration HER Electronic Health Record FAR Federal Acquisition Regulation FPPE Focused Professional Practice Evaluation HIPAA Health Insurance Portability and Accountability Act HIM Health Information Management HIS Indian Health Service NP Nurse Practitioner OPD Outpatient Department OPPE Ongoing Professional Practice Evaluation PA Physician Assistant PWS Performance Work Statement QASP Quality Assurance Surveillance Plan PRC Purchased/Referred Care
POINTS OF CONTACT
Program Office
Deputy Clinical Director, Dr. Kimberly Montileaux Rosebud Service Unit 800 Hospital Drive Rosebud, SD 57570 Email: kimberly.montileaux@ihs.gov Work: (605)-747-0434
Work Cell: (605) 319-8254 mailto:kimberly.montileaux@ihs.gov
Contract Administration
Contracting Officer's Representative (COR)
Dr. Marlene Wakefield, COR II Phone: 605-867-3248 Email: marlene.wakefield@ihs.gov
RELATED DOCUMENTS
The following documents are incorporated by reference and apply to performance under this requirement:
• Performance Work Statement (PWS)
• Quality Assurance Surveillance Plan (QASP)
• Applicable Medical Staff Bylaws
• Indian Health Service Policies and Procedures
• HIPAA Privacy and Security Requirements
• CMS Conditions of Participation
• AAAHC Accreditation Standards
• FAR 52.237-7, Identification and Medical Liability Insurance
• Applicable Federal, State, and Tribal Regulations
Quality Assurance Surveillance Plan (QASP)
The Government will monitor contractor performance in accordance with a separately maintained Quality Assurance Surveillance Plan (QASP). The QASP establishes the surveillance methods, performance metrics, acceptable quality levels (AQLs), documentation requirements, and remedies associated with performance under this contract.
The QASP is intended as a Government administration tool and does not relieve the Contractor of responsibility for maintaining an effective quality control program to ensure all requirements of this Performance Work Statement are met.
Performance objectives, performance standards, and associated surveillance methods are identified within the QASP and may be revised by the Government during contract administration without requiring modification to this Performance Work Statement, provided such revisions do not alter the substantive requirements of the contract.
PERFORMANCE WORK STATEMENT (PWS)
Physician Assistant (PA), Nurse Practitioner (NP), and Certified Nurse Midwife (CNM) Services
Rosebud Indian Health Service Hospital
Rosebud Service Unit, Great Plains Area IHS
1. Background
The Rosebud Indian Health Service (IHS) Hospital provides comprehensive healthcare services to eligible beneficiaries of the Rosebud Reservation in South Dakota. To support continuity of care and maintain access to outpatient primary care and women’s health services, the Government requires contractor-provided Physician Assistants (PAs), Nurse Practitioners (NPs), and Certified Nurse Midwives (CNMs).
The contractor shall provide qualified, licensed, credentialed, and privileged healthcare providers capable of delivering outpatient primary care and women’s health services in accordance with applicable federal regulations, IHS policies, accreditation standards, and accepted standards of medical practice.
2. Scope
The contractor shall provide all personnel, management, recruitment, scheduling, credentialing support, and professional services necessary to furnish qualified PA, NP, and CNM healthcare providers to the Rosebud IHS Hospital.
Services shall support the Outpatient Department (OPD) and other assigned clinical areas as authorized by the Clinical Director, Deputy Clinical Director or designee.
The contractor shall provide continuous coverage throughout the period of performance in accordance with Government scheduling requirements.
3. Objectives
The objectives of this requirement are to:
• Maintain uninterrupted outpatient healthcare services.
• Ensure timely patient access to qualified healthcare providers.
• Deliver safe, effective, and evidence-based medical care.
• Ensure compliance with IHS, CMS, AAAHC, HIPAA, and applicable regulatory requirements.
• Maintain complete and timely medical documentation.
• Support continuity of patient care through reliable staffing and professional performance.
4. Required Services
4.1 Clinical Care
Contract providers shall:
• Evaluate, diagnose, treat, and manage patients presenting for care.
• Obtain and document medical histories and physical examinations.
• Order, interpret, and act upon appropriate diagnostic tests.
• Develop treatment plans and provide follow-up care.
• Prescribe medications within authorized privileges and applicable laws.
• Provide patient education and counseling.
• Perform procedures within approved privileges and facility capabilities.
• Consult and collaborate with physicians and specialty providers as clinically indicated.
• Provide emergency stabilization and urgent care services consistent with provider scope of practice.
4.2 Certified Nurse Midwife Services
CNMs shall additionally:
• Provide prenatal, intrapartum, postpartum, and gynecological care.
• Participate in assigned call coverage schedules.
• Respond to call-back requirements within established facility response time requirements.
• Support labor and delivery services consistent with granted privileges.
4.3 Medical Documentation
Contract providers shall:
• Complete all patient documentation within the Electronic Health Record (EHR) in accordance with the Rosebud Medical Documentation Policy.
• Document all encounters accurately, completely, and in accordance with applicable standards.
• Complete medical records and any medical record deficiencies prior to departure from assignment.
• Sign, date, and authenticate all entries as required.
• With submission of invoices a completed Rosebud Health Information Clearance form must be completed and signed by the contractor, the Rosebud Clinical Director, Deputy Clinical Director or designee as well as designated representative of the Rosebud Health Information Department.
• Invoices presented for signature and approval to the Clinical Director, Deputy Clinical Director or Designee without this executed HIM Clearance form based on incomplete medical records, or medical record deficiencies will result in invoices for payment not being approved.
4.4 Collaboration and Communication
Contract providers shall:
• Maintain professional working relationships with staff and patients.
• Participate in clinical meetings and quality improvement activities as requested.
• Communicate effectively regarding patient care transitions and referrals.
5. Performance Requirements
The contractor shall ensure:
Staffing Continuity
• Continuous provider coverage for all scheduled shifts.
• No unfilled shifts without prior Government approval.
• Timely replacement of unavailable providers.
Clinical Documentation
• 100% completion of required patient documentation in accordance with the Rosebud Medical Documentation Policy.
• Documentation compliant with CMS, IHS, and accreditation requirements.
Credentialing and Privileging
• 100% compliance with credentialing and privileging requirements before providers begin services.
Attendance
• Providers report for scheduled duty assignments as scheduled.
• Contractor shall be prompt with arrival on scheduled days.
• Contractor maintains staffing reliability and minimizes disruptions to patient care.
Privacy and Security
• 100% compliance with HIPAA and Privacy Act requirements.
• Protection of all patient information and Government systems.
6. Place of Performance
Primary performance location:
Rosebud Indian Health Service Hospital, Outpatient Clinic Department, Women’s Health Department.
Additional clinical areas may be assigned by the Government within the Rosebud Service Unit.
7. Hours of Operation
Normal duty hours are:
• Monday through Friday
• Approximately 0800–1700 local time with half hour unpaid lunch
CNM call coverage and occasional evening/weekend clinic coverage may be required.
Specific schedules shall be established by the Government.
8. Government-Furnished Property and Services
The Government shall provide:
• Clinical workspace
• Examination rooms
• Medical equipment and supplies
• EHR access
• Administrative support
• Orientation and facility-specific training
• Government forms and documentation systems
9. Contractor Responsibilities
The contractor shall:
• Recruit and provide qualified personnel.
• Verify provider qualifications through primary source verification.
• Maintain professional liability insurance.
• Ensure all providers meet licensing requirements.
• Ensure compliance with all applicable federal, state, and IHS requirements.
• Maintain staffing continuity throughout the contract period.
• Provide replacement personnel when necessary.
10. Professional Qualifications
Providers shall possess:
• Current, unrestricted PA, NP, or CNM license from a U.S. state, territory, or Puerto Rico.
• Current certification is appropriate to specialty.
• Current Basic Life Support (BLS) certification.
• DEA registration, when required by privileges.
• Eligibility for credentialing and privileging at Rosebud IHS.
• Professional experience consistent with assigned duties.
11. Security and Background Requirements
All contractor personnel shall comply with:
• IHS security requirements.
• Background investigation requirements.
• Indian Child Protection and Family Violence Prevention Act requirements.
• Applicable federal suitability standards.
12. Insurance Requirements
The contractor shall maintain professional liability insurance with minimum coverage of:
• $300,000 per occurrence
• $1,000,000 aggregate
Evidence of insurance shall be provided prior to performance.
13. Applicable Regulations and Standards
Services shall comply with:
• Federal Acquisition Regulation (FAR)
• FAR 52.237-7 Identification and Medical Liability Insurance
• IHS Policies and Procedures
• Medical Staff Bylaws
• HIPAA
• CMS Conditions of Participation
• AAAHC Standards
• Applicable Federal and State laws
14. Deliverables
Deliverable Requirement Frequency
Provider Credentials Package
Complete and acceptable for credentialing
Prior to arrival
Time and Attendance Records
Verified and accurate Weekly
Medical Record Documentation
Completed and authenticated Daily
Required Certifications and Licenses
Current and valid Continuous
Insurance Documentation Current and valid Prior to performance and renewal
1. Contracting Officer (CO) Authority
1.1. No person other than the Contracting Officer has authority to bind the Government with respect to this contract.
1.2. No action or omission of any government employee or representative other than the Contracting Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract.
1.3. In no event shall any of the following be effective or binding on the Government or imputed to the Contracting Officer with respect to this contract:
1.3.1. An understanding or agreement between the Contractor and anyone other than the Contracting Officer;
1.3.2. A purported modification or change order issued by anyone other than the Contracting Officer;
1.3.3. A promise by anyone other than the Contracting Officer to provide additional funding or make payments; or
1.3.4. An order, direction, consent, or permission from anyone other than the Contracting Officer to:
1.3.4.1. Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling; or
1.3.4.2. Expend hours in excess of a specified level of effort.
| ACRONYMS AND ABBREVIATIONS |
| POINTS OF CONTACT |
| Program Office |
| Contract Administration |
RELATED DOCUMENTS
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