MCM PWS Final_v1.pdf

PERFORMANCE WORK STATEMENT (PWS)

FOR

Medical Case Management Coordination Services

1.0 General:

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform Medical Case Management Coordination Services, as defined in this PWS. The purpose of this requirement is to provide medical and dental non-clinical case management and administrative care coordination staffing in support of the Alaska Army National Guard (AKARNG) Medical Activity’s mission of achieving maximum Individual Medical Readiness (IMR). This requirement is designed to be flexible, responsive, and meet the ever-evolving needs of the Government. DoDI

6025.19 establishes aggressive monthly, quarterly, and annual metric goals for the separate IMR elements and for the overall IMR category of Fully Medically Ready (FMR) Soldiers. The ultimate goals are to produce real-time reports based on complete, accurate data. The minimum goal for total force medical readiness (TFMR) is 90 percent, with the ideal goal being 100%. The Alaska (AK) Army National Guard (ARNG) Office of the State Surgeon requires a highly responsive Contractor through whom the Government can quickly obtain needed support and services. This PWS reflects existing National Guard Bureau policies and regulations. It outlines performance metrics and accountability standards which are critical to the success of organizational mission requirements and are to be considered no-fail directives.

1.1.1 AKARNG Office of the State Surgeon requires Medical Case Manager and Administrative Care Coordinator support services. The Medical Case Manager position may be filled by a Registered Nurse (RN), Licensed Vocational/Practical Nurse (LVN/LPN), or Licensed Clinical Social Worker (LCSW). The Administrative Care Coordinator position may be filled by an individual with knowledge, skills, and abilities in medical administrative assistance, terminologies, and vocabularies and who has a demonstrated familiarity with military medical administrative operations. Both positions require strict adherence to HIPAA Privacy Rule standards and practices.

1.1.2 Applicable regulations and minimum acceptable standards for medical support personnel and staff:

1.1.2.1 Regulations – The following regulations apply to this contract.

1.1.2.2 US Code Title 10, Armed Forces, 1094, Licensure Requirements for Healthcare Professionals

1.1.2.3 AR 40-68 Clinical Quality Management

1.1.2.4 CMSA Standards of Practice, version 2010

1.1.2.5 OTSG/MEDCOM Policy Memo 12-002 Clinical Social Work Licensure Policy

1.1.2.6 Minimum Standards for Medical Case Managers:

1.2 Background: The Department of Defense (DoD) TRICARE Management Activity (TMA) values all staff involved in the delivery of high-quality care to service members.

In 2009, a Medical Management Guide was issued by the Office of the Assistant Secretary of Defense for Health Affairs (ASD [HA]) and TMA, Office of the Chief Medical Officer (OCMO), Population Health and Medical Management Division (PHMMD). The Guide covers the components of a Medical Management (MM) program, including applicable principles, implementation concepts, processes, and tools/databases for Utilization Management (UM), Case Management (CM), and Disease Management (DM). It complements the 2001 DoD Population Health Improvement Plan and Guide published by TMA and the Government Printing Office http://www.tricare.mil/ocmo/download/mhs_phi_guide.pdf.

The AKARNG has relied heavily upon contracted Medical CM and Administrative Care Coordination services in recent years. This contract is essential as the AKARNG does not currently have the organic resources necessary to execute these requirements.

Continued utilization of contracted medical CM and care coordination services is necessary to accomplish established medical readiness and Soldier care mission requirements for the AKARNG.

Under legislative mandates, the ASD (HA) submitted an annual report to Congress regarding healthcare delivery for Military Health System (MHS) beneficiaries. The 2009 report documented the MHS goal to providing high-quality care, improving performance through clinical and process outcomes, and increasing patients’ confidence in the care they receive. The Guide describes crucial components of Medical Management (MM) within the MHS, including the link between MM and population health and the dynamics between Utilization Management, CM, and Disease Management in helping reduce unnecessary or inappropriate services and/or duplication of services. In the military setting, CM targets Active Duty Service Members and beneficiaries with complex, multi-system healthcare needs who require care coordination or CM services. Originally, CM almost exclusively targeted in-patients with catastrophic illnesses or injuries. However, a number of developments have served to change that strategy; notably:

- The emergence of the National Committee for Quality Assurance (NCQA):

https://www.ncqa.org/.

- The development of accreditation standards by the Utilization Review Accreditation Commission (URAC): https://www.urac.org.

While CM continues to focus on catastrophic illness or injury, CM practices are also intensely directed at addressing chronic conditions that are more prevalent in the general patient population. Case managers can affect patient outcomes through proactive interventions across multiple healthcare settings. Additionally, case managers http://www.tricare.mil/ocmo/download/mhs_phi_guide.pdf https://www.ncqa.org/ https://www.urac.org/ are expected to engage community resources and facilitate ongoing and consistent patient education.

The MHS has three primary goals for CM:

a. Improve the care, management, and transition of recovering Service members.

b. Broaden the application of CM to include those with complex and at-risk needs before the Soldier requires complex care.

c. Evaluate the impact of case management on the quality of military health care.

The Army National Guard, recognizing the importance of Medical Readiness after several years of combat deployments, implemented the Case Manager Support Contract in August 2005. At the end of FY09, case managers in 31 states were using the medical non-deployable module to manage their caseloads. During the period of August 2008 to August 2009, 15,292 cases were put into the module; of these, 6,734 were closed by return to duty, fit for duty, or forwarded for an Medical Evaluation Board/Physical Evaluation Board (MEB/PEB). Additionally, readiness increased from 35% fully-ready in FY08 to 44% in FY09. This success resulted from increased targeted funding and a concerted effort by the National Guard Bureau.

On 29 March 2012, the ARNG achieved the Department of Defense (DoD) goal of 75% Fully Medically Ready (FMR) Soldiers per DoD Instruction (DoDI) 6025.19, Individual Medical Readiness (IMR). This monumental accomplishment marked the highest medical readiness percentage the ARNG has achieved in documented history. Over the past year, ARNG readiness has continued to increase to over 80%. Continued utilization of Medical Case Managers and Administrative Care Coordinators is essential to maintaining established medical readiness goals for the ARNG.

1.3 Period of Performance (PoP): The Period of Performance shall be one (1) Base Year of 12 months and three (3) 12-month option years, from 12 December 2025 to 11 December 2029.

1.4 General Information:

1.4.1 Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 days after contract award.

After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.2 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 is primarily focused on what the Government will do 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 acceptable quality level(s) or defect rate(s).

1.4.3 Recognized Holidays: The following are recognized United States (US) holidays.

The Contractor shall not perform services on these days:

1.4.3.1 New Year’s Day: January 1st

1.4.3.2 Martin Luther King, Jr.’s Birthday

1.4.3.3 President’s Day

1.4.3.4 Memorial Day

1.4.3.5 Juneteenth

1.4.3.6 Independence Day: July 4th

1.4.3.7 Labor Day

1.4.3.8 Columbus Day

1.4.3.9 Veteran’s Day: November 11th

1.4.3.10 Thanksgiving Day

1.4.3.11 Christmas Day: December 25th

1.4.4 Place and Performance of Services: The contractor shall provide services In accordance with the AKARNG Alternate Work Schedule (AWS), standard hours of performance in an alternating or variable weekly pattern shall be:

Week A: Monday through Thursday for 9 hours each day (e.g. 8 AM to 5 PM); and Friday for 8 hours (e.g. 8 AM to 4 PM) Week B: Monday through Thursday for 9 hours each day (e.g. 8 AM to 5 PM) Friday off

Typical 2-Week Alternating Schedule Monday Tuesday Wednesday Thursday Friday Week A 7:30 AM –

4:30 PM

7:30 AM –

4:30 PM

7:30 AM –

4:30 PM

7:30 AM –

4:30 PM

7:30 AM –

3:30 PM

Week B 7:30 AM –

4:30 PM

7:30 AM –

4:30 PM

7:30 AM –

4:30 PM

7:30 AM –

4:30 PM

OFF

The alternate work schedule will be adhered to except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings.

Performance shall be at Joint Forces Headquarters (JFHQ), Office of the State Surgeon, Building 49000, Joint Base Elmendorf-Richardson (JBER), Alaska, 99505. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. When hiring personnel, The contractor shall keep in mind that the stability and continuity of the work force are essential. Telework is authorized under special circumstances and only when authorized by the Deputy State Surgeon, AKARNG Office of the State Surgeon.

1.4.4.1 Telework: The Government may permit telework by Contractor employees when determined to be in the best interest of the Government in meeting work requirements.

In furtherance of Continuity of Operations Planning (COOP), a telework program may be enacted to ensure that the Government's mission-critical operations stay operational during times of national emergency or incidents of national significance. Telework shall be at no additional cost to the Government.

1.4.4.2 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by Contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.4.3 The contractor’s employees shall become familiar with and obey the regulations of the installation including fire, traffic, safety and security regulations while on the installation. Contractor employees will only enter restricted areas when required to do so and only upon prior approval of authorized personnel. All Contractor employees shall carry proper identification on their person at all times, and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance. The Government reserves the right to direct the removal of a Contractor for misconduct, security reasons, any overt evidence of communicable disease, or other circumstances which endanger or threaten the personnel and/or mission of the Government. Removal of Contractor employees for reasons stated above does not relieve the contractor from responsibility for total performance of this contract.

1.4.5 Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in Contractor security matters or processes.

1.4.5.1 For contractors requiring Common Access Card (CAC): The CAC is the DoD Federal Personal Identity Verification (PIV) credential. CAC issuance requirements are as follows:

In accordance with Department of Defense Manual (DoDM) 1000.13-M-V1, DoD Identification (ID) Cards, January 23, 2014 (Including.Change 1, July 28, 2020), initial issuance of a CAC requires, at a minimum, the completion of an Federal Bureau of Investigation (FBI) fingerprint check with favorable results and submission of a National Agency Check with Inquiries (NACI) (or investigation approved in Federal Investigative Standards) to the Under Secretary of Defense for Intelligence (USD(I)) approved investigative service provider. The issuance of a CAC will be based on four criteria: (a) eligibility for a CAC; (b) verification of DoD affiliation from an authoritative data source;

(c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-2, Personal Identity Verification (PIV) of Federal Employees and Contractors, August 2013, and DoD Manual 5200.02, Procedures for the DoD Personnel Security Program (PSP), April 3, 2017, and (d) verification of a claimed identity. Sponsorship and enrollment information about each applicant must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either the Real-Time Automated Personnel ID System (RAPIDS) using the DD Form 1172-2, or the Trusted Associate Sponsorship System (TASS).

1.4.5.1.1 HSPD-12 Background Investigation Requirements: The contractor shall ensure that all Contractor and subcontractor personnel whose duties require CAC card issuance obtain them, and shall process all CAC card applications. The contractor shall ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form at the earliest possible date and that this form is forwarded to the COR immediately. The COR will review the form for completeness and accuracy and forward it to the National Guard Bureau (NGB) Personnel Security manager who will initiate the investigation process via the PSIP.

Contractor personnel will then receive two e-mail messages; the first will confirm that the investigative service provider has received the request, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system. Upon completion of the e-QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the background investigation (BI) will be initiated. The contractor shall ensure immediate compliance with all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system.

The contractor is cautioned that the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from two to six weeks and shall factor this lead time into its hiring/placement process. The contractor shall make all reasonable efforts to ensure that Contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

1.4.5.1.2 Trusted Associate Sponsorship System (TASS): The contractor shall process CAC applications through the TASS, the procedures for which are described below.

Although there is no requirement for The contractor to designate a “Corporate Facility Security Officer" (FSO) to serve as its single point of contact for the BI, the TASS application process and other CAC and security-related matters, such designation facilitates these processes. If an FSO is not established, all Contractor employees requiring a CAC will be required to process their own applications. The submission process for CAC applications is as follows:

1. The contractor's FSO or Contractor employee shall submit requests for a CAC via email to the designated TASS Trusted Agent (TA). The TASS TA for this requirement will be: SPC Ryan White, (907) 428-6508, ryan.c.white44.mil@mail.mil

2. The Government will establish a TASS application account for each CAC Request and will provide each Contractor employee a USER ID and password, via email, to the FSO. The FSO or Contractor employee shall access the TASS account and complete the CAC application (entering/editing Contractor information as applicable) at:

https://www.dmdc.osd.mil/tass/. The FSO or Contractor employee shall follow up to ensure that the TA is processing the request.

3. The Government will inform The contractor's applicant, via email, of one of the following:

a. Approval.* Upon approval, the information is transferred to the DEERS database and an email notification is sent to The contractor with instructions on obtaining their CAC. The contractor proceeds to a RAPIDS station (RAPIDS Site Locator:

http://www.dmdc.osd.mil/rsl/).

b. Rejection.* The Government, in separate correspondence, will provide reason(s) for rejection.

c. Return. Additional information or correction to the application required by the contractor employee.

*The contractor shall maintain records of all approved and rejected applications.

1.4.5.1.3 At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor employee by SSN and two forms of identification. Identity source documents must come from the list of acceptable documents included in Form I-9, OMB No. 1615- 0047, "Employment Eligibility Verification." Consistent with applicable law, at least one document from the Form I-9 list shall be a valid (unexpired) State or Federal Government-issued picture ID. The Identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of an ID. The photo ID requirement cannot be waived, consistent with applicable statutory requirements. The Verification Officer will capture primary and alternate fingerprints, picture, and updates to DEERS, and will then issue a CAC. Issued CACs will be valid for no longer than three years, or until the individual's contract end date (inclusive of any options), whichever is earlier.

https://www.dmdc.osd.mil/tass/

1.4.5.1.4 The contractor shall return issued CACs to the DEERS office upon departure or dismissal of each Contractor employee, and shall obtain a receipt for each card and provide it to the TA/COR.

1.4.5.1.5 The contractor shall manage requests for new or renewal CAC cards in sufficient time to ensure that all Contractor employees have them when needed to perform work under this contract. The contractor shall provide at least 10 calendar days advance notice to the TA, unless there are extenuating circumstances approved by the COR or KO.

1.4.5.1.6 The contractor obtains their DoDID number when the CAC card is issued.

When the CAC is approved, a .mil email address is generated. The contractor must complete Cyber Awareness training, IT User Agreement, Acceptable Use Policy (AUP) and any other requirements in effect at time of request and submit a work order on https://www.aesmp.army.mil/csm (search for “New Access Request”) requesting an email account.

1.4.5.2 For contractors that do not require a CAC, but require access to a DoD facility or installation: Contractor and all associated sub-Contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), and applicable installation, facility and area commander installation/facility access, and local security policies and procedures (provided by a Government representative).

1.4.5.3 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time Contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.5.4 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the Army Enterprise Infostructure (AEI). Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

https://www.aesmp.army.mil/csm

1.4.5.4.1 Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

1.4.5.4.2 Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://informationassurance.us.army.mil).

1.4.5.4.3 Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

1.4.5.4.4 Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

1.4.5.4.5 Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.5.5 Protection of Personally Identifiable Information (PII). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, The contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

1.4.5.6 AT Level 1 Awareness Training (AT): All Contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete Level 1 AT within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected Contractor and subcontractor employee to the COR within 15 calendar days after completion of training. Level 1 AT is available at https://jko.jten.mil/courses/AT-level1/launch.html

1.4.5.7 Information Assurance (IA)/Information Technology (IT) Training: All Contractor employees and associated subcontractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually thereafter. All Contractor employees performing services involving IA/IT functions shall comply with DoD and Army workforce training requirements in DoDD 8140.01, DoD 8570.01-M and AR 25-2 within six months of the start of contract performance. In accordance with DoD 8570.01-M, DFARS 252.239.7001 and AR 25-2, Contractor employees performing Information Assurance Technical (IAT) functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award.

https://informationassurance.us.army.mil/ https://jko.jten.mil/courses/AT-level1/launch.html https://jko.jten.mil/courses/AT-level1/launch.html

1.4.5.8 Information Awareness: All Contractor employees with access to a Government information system shall successfully complete the DoD Information Assurance awareness training prior to access to the IS and then annually thereafter.

(https://ia.signal.army.mil/DoDIAA/).

1.4.5.9 iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program. This local developed training shall be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor shall report completion for each Contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training.

1.4.5.10 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training. Level 1 OPSEC training is available at http://cdsetrain.dtic.mil/opsec/.

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.6.1 Key Control. NOTE: All references to keys include key cards, badges, and proximity devices which grant access to secured or restricted areas. The contractor shall establish and implement methods of ensuring that no keys/key cards issued by the Government are lost or misplaced or are used by unauthorized persons. No keys issued by the Government shall be duplicated. The contractor shall include procedures covering key control in the QCP. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The contractor shall immediately report any occurrences of lost or duplicated keys/key cards to the COR.

1.4.6.1.1 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction by the KO, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the Government replaces or re-keys the locks, the Government will deduct the total cost of lock replacement or re-keying from the monthly payment due the contractor. In the event a master key is lost or duplicated, the Government will replace all locks and keys for that system, and will deduct the total cost from the monthly payment due the contractor.

https://ia.signal.army.mil/DoDIAA/ http://cdsetrain.dtic.mil/opsec/

1.4.6.1.2 The Contactor shall prohibit the use of the Government issued keys/key cards by any persons other than the contractor’s employees. The contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than contactor employees engaged in the performance of services in those areas, or personnel authorized entrance by the KO.

1.4.6.2 Lock Combinations: The contractor shall establish and implement methods of ensuring that no lock combinations are revealed to unauthorized persons. The contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the contractor’s QCP.

1.4.7 Special Qualifications: The non-clinical nurse case manager requires the expertise as dictated by the “practice of nursing” - the systematic application of substantial specialized knowledge and skills derived from the biological, physical, and behavioral sciences, to the care, treatment, counsel, and health teaching of individuals who are experiencing changes in normal health processes or who require assistance in the maintenance of health and the prevention or management of illness, injury, or disability.

The contractor is responsible for providing the credentialing service which documents and verifies that the contracted Medical Case Manager and Administrative Care Coordinator meet standards as directed by AR 40-68. Medical Case Managers must be licensed in accordance with Chapter(s) 4-8 and/or 7-10. Further, the contractor is required to provide proof of Professional Liability Insurance for all medical personnel supporting AKARNG medical mission requirements. Non-clinical personnel may be covered by the contractor’s General Liability Insurance Policy.

1.4.7.1 Registered Nurse Minimum Standard

1.4.7.1.1 Active, unrestricted registered nurse license from any US jurisdiction

1.4.7.1.2 Able to meet all licensure requirements in AR 40-68, Ch. 4-8

1.4.7.1.3 Active (unexpired) BLS certification by the American Heart Association or

American Red Cross

1.4.7.1.4 Criminal record free of felony conviction

1.4.7.2 Social Worker Minimum Standard

1.4.7.2.1 Active, unrestricted clinical social work license from any US jurisdiction

1.4.7.2.2 Able to meet all licensure requirements in AR 40-68, Ch. 4-8 and/or Ch. 7-10

1.4.7.2.3 Active (unexpired) BLS certification by the American Heart Association

1.4.7.2.4 Criminal record free of felony conviction

1.4.7.3 Other – Alaska may have a requirement for an advanced practice registered nurse or physician’s assistant as a reviewer or supervisor. If so, refer to AR 40-68 Ch. 4-8 and 7-4 for licensing guidelines. The minimum standard is:

1.4.7.3.1 Active, unrestricted clinical social work license from any US jurisdiction

1.4.7.3.2 Able to meet all licensure requirements in AR 40-68, Ch. 4-8 and/or Ch. 7-10

1.4.7.3.3 Active (unexpired) BLS certification by the American Heart Associatio

1.4.7.3.4 Criminal record free of felony conviction

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR Subpart 42.5. The KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM): The contractor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO.

The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR, to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that Contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure Contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: All Contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “Contractor” displayed. The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles passes) to the KO or COR on the day of a contractor’s termination, resignation, or departure.

1.4.11 Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and Contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at

FAR 22.17.

1.4.12 Contractor Travel:

The contractor may be required to travel to off-site AKARNG locations during the performance of this contract to provide MCM services or to attend meetings.

The contractor will be authorized travel expenses consistent with the substantive provisions of the Joint Travel Regulation (JTR) and the limitation of funds specified in this contract. All travel requires COR recommendation for approval and/or authorization by the KO prior to travel arrangements being made.

1.4.13 Data Rights: The Government has unlimited rights to all documents/materials 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 KO. 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.

1.4.14 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting The contractor from participation in subsequent contracted requirements which may be affected by the OCI.

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2 Contracting Officer (KO): A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the Government. Note: The only individual who can legally bind the Government.

2.1.3 Contracting Officer Representative (COR): An employee of the U.S. Government designated by the KO to monitor Contractor performance. Such appointment will be in writing and will 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.

2.1.4 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.5 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.6 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.7 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.8 Quality Assurance: The Government procedures to verify that services being performed by The contractor are performed according to acceptable standards.

2.1.9 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of Contractor performance.

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

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

2.2 Acronyms:

AEI Army Enterprise Infostructure AR Army Regulation AT/OPSEC Antiterrorism/Operational Security

BI Background Investigation CM Contract Manager CMRA Contractor Manpower Reporting Application COR Contracting Officer Representative DA Department of the Army DD254 Department of Defense Contract Security Classification Specification DFARS Defense Federal Acquisition Regulation Supplement DoD Department of Defense FAR Federal Acquisition Regulation GFP/M/E/S Government Furnished Property/Material/Equipment/Services HQDA Headquarters, Department of the Army HSPD Homeland Security Presidential Directive IA Information Assurance IS Information System(s) KO Contracting Officer NGB National Guard Bureau OCI Organizational Conflict of Interest PII Personally Identifiable Information PIPO Phase In/Phase Out POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program SSN Social Security Number TE Technical Exhibit USD(I) Under Secretary of Defense for Intelligence

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S):

The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include desk space, telephones, computers and other items necessary to maintain an office environment.

3.2 Materials: Office supplies

3.3 Equipment: Telephone, copier, scanner, facsimile, laptop, mouse, monitor

3.4 Services: The Government will provide NGB centric training for eCase, MODS and

MEDCHART.

3.5 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct its employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1. This includes all property, materials, and equipment required if/when contractors telework.

4.2 Secret Facility Clearance: N/A

5.0 Requirements: The intent of this requirement is to provide case management services for the Army National Guard in support of surge and contingency requirements as well as its steady-state mission. The contractor shall furnish all labor and services required to provide a wide range of Medical and Dental Case Management support services. Contractors shall make every effort to maintain and utilize all avenues of communication with AKARNG military and civilian personnel. Any changes to the initial staffing will be completed through a bilateral supplemental agreement.

5.1 The contractor shall provide at a minimum a Licensed Vocational/Practical Nurse (LVN/LPN) (or equivalent as determined by state law requirements), Registered Nurse (RN) or Licensed Clinical Social Worker as Non-clinical Case Managers to provide IMR support to the Army National Guard. Personnel assigned to this requirement shall possess the required technical skills and expertise to perform the functions with minimum guidance. Minimum guidance is not defined as minimum communication.

Contractors are required to be accounted for at all times during standard and special duty times as detailed herein. Technical skills for the Nonclinical Case Manager includes PC proficiency, specifically Microsoft Office (Excel, Word, PowerPoint) and basic Internet research and network navigation skills.

5.1.1 Medical Case Management personnel will be experienced and qualified in their respective functional areas. Contactor personnel shall not perform inherently Governmental functions (i.e., representation of Government, decision authority, etc.).

Contractor employees carry out specific duties outlined herein and hold no position of authority, make no organizational decisions, and do not have authorization to dictate or control any aspect of operations that are not within their immediate scope of work.

5.1.2 The Medical Case Management contractor employee is accountable for tracking medical readiness and profile status of ALL AKARNG Soldiers.

5.1.3 The Medical Case Management Contractor employee is accountable for medical case management charting for ALL AKARNG Soldier encounters in eCase

(MEDCHART).

5.1.4 The Medical Case Management Contractor employee will coordinate profile exams/evaluations and audiology exams at Periodic Health Assessment exam centers, during Soldier Readiness Processing (SRP), M-Days (Drill) and during the performance of duties during standard and special hours as outlined herein.

5.1.5 The Medical Case Management Contractor employee will develop and share treatment plans as required by programmatic regulation through DoD approved communication channels on a regular basis (no less than weekly) with appropriate medical facilities (e.g. local, state, federal health care agencies), administrative and clinical personnel organic to, and outside of, the AKARNG State Surgeon’s Office and authorized members of individual Units.

5.1.6 The Medical Case Management Contractor employee will log all referrals in MEDCHART (eCase).

5.1.7 The Medical Case Management Contractor employee will submit all case Management, medical documentation, and profile concerns to the full-time AKARNG Provider, Health Systems Specialists, MEB staff, and authorized individual Unit personnel (e.g. Unit Medical Readiness Personnel, S-1, Unit Commander or designee) as appropriate.

5.1.8 The contractor employee will participate in Periodic Health Assessment (PHA) events as determined by the needs of the state, individual Units, and by the mission of AKARNG medical authority.

5.1.9 The contractor employee will ensure Soldiers referred by military and civilian providers are followed in accordance with established case management methods and those outlined herein.

5.1.10 The contractor employee will case manage AKARNG Soldier care from the identification of the injury or condition to when the Soldier is either:

5.1.10.1 Considered medically ready/return to duty; or,

5.1.10.2 Administratively separated from the military.

5.1.11 The contractor employee will follow the regulations and policies applicable to Individual Medical Readiness (IMR) and deployment, to include AR 40-502 and other applicable guidance including current and newly implemented Federal and State level policies.

5.1.12 The contractor employee will secure all medical documentation received from

Soldiers and/or their medical teams and ensure they are placed in or transferred to appropriate electronic health record systems as well as the Soldier’s hard copy record via the records custodian or Unit Administrator/S1 NCO/Officer.

5.1.13 The contractor employee will maintain Soldier medical records in accordance with Army Regulation (AR) 40-66.

5.1.14 The contractor employee will provide Records Custodians, Providers, Health Systems Specialists, or delegate(s) with all relevant medical/dental documentation.

5.1.15 The contractor will obtain releases of information (DD Form 2870) from every Soldier with whom medical and/or dental records are exchanged.

5.1.16 The contractor employee will provide AKARNG Soldiers health education and approved resources available to improve individual, Unit, and force medical and dental readiness.

5.1.17 The contractor employee will maintain strict adherence to Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards and guidelines to include annual training requirements.

5.1.18 The Medical Case Management Contractor employee will review and track AKARNG Soldiers’ Periodic Health Assessment/Soldier Readiness Processing (PHA/SRP) lab results.

5.1.19 The Medical Case Management Contractor employee will contact Service Mem-bers consistent with treatment plans to educate on healthy lifestyle modifications (e.g.

tobacco cessation, personal hygiene, etc.) to enhance individual and force readiness.

5.1.20 The contractor employee will upload medical documents of case managed Soldiers into Health Readiness Record (HRR) in MEDCHART.

5.1.21 Upon receipt and upload of all medical documents, the contractor employee will stamp or mark documents for verification recording time/date of action.

5.1.22 The contractor employee will index uploaded medical documents.

5.1.23 The contractor employee will enter immunizations, designation of pregnancy, eye exams, and medical warning tags.

5.1.24 The contractor employee will provide copies or originals (as appropriate) of all medical documents and artifacts received for case management to Records Custodian in AKARNG State Surgeon’s Office to be filed in Soldiers’ records.

5.1.25 The contractor employee will ensure all administrative charting in eCase is completed.

5.1.26 The Medical Case Management Contractor employee will track all Soldiers’ medical appointments through communication with Units and Soldiers ensuring attendance, compliance with medical/dental directives, and submittal of follow-up documentation.

5.1.27 The contractor employee will log in eCase all contact with AKARNG Soldiers (email, voice call, personal interview, etc.).

5.1.28 The contractor employee will communicate with delegated Government personnel (Providers, Health Systems Specialists, MEB staff, etc.) tracking AKARNG Soldier compliance/noncompliance.

5.1.29 The contractor employee will report on key encounters at sync meetings the Wednesday before and after Pre- and Post-PHA, SRP, and Drill events.

5.1.30 The contractor employee will monitor all available and relevant health information systems ensuring all scheduled services (e.g.