MQS TAB JA for Other Than Full and Open Competition under FAR Part 6 MQS (V6)_SCO_HCA_SPE SIGNED_Redacted.pdf

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Control Number: FY25-0025

Controlled by: Defense Health Agency (DHA) Controlled by: (EMS-CD) Enterprise Medical Services – Contracting Division CUI Category(ies): Source Selection Limited Dissemination Control: FEDCON

POC:

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Justification and Approval (J&A) for Other than Full and Open Competition Federal Acquisition Regulation (FAR) Part 6

Identification of the Agency and Contracting Activity: Defense Health Agency (DHA), Program Management Office (PMO) - Enterprise Medical Services/Healthcare Portfolio/Medical Support Services. DHA Contracting Activity/Enterprise Medical Services Contracting Division

(EMS-CD).

Nature and/or Description of Action being Approved: Modification to an existing contract.

requests approval to modify the existing Medical "Q"-Coded Services (MQS)

Indefinite Delivery-Indefinite Quantity (IDIQ) contracts identified below to extend the ordering period for a seven (7) month period starting 01 April 2025 through 31 October 2025 pursuant to Defense Federal Acquisition Regulation Supplement (DFARS) 217.204(e)(i)(B). The ordering period for the existing MQS contracts will expire on 31 March 2025. A seven (7) month extension of the ordering period on the existing MQS contracts is needed to allow for continued placement of orders until the award and implementation of the M

QS2-NG program. The DHA is currently in the solicitation phase for the MQS2-NG acquisition, which has combined the current MSS and MQS programs under a single strategic sourcing program. Due to unforeseen delays, the MQS2-NG Small Business (SB) set-aside acquisition will not be awarded prior to the expiration of the current ordering period. A seven-month extension of the ordering period on the existing contracts, is needed to allow for continued placement of orders until the award and implementation of the MQS2-NG SB contracts.

The seven-month extension will not cause the Task Orders to go beyond the 10 years, reason being all Task Order performance shall end on or before .

Description of Supplies/Services and Estimated Value:

The Military Health System (MHS) requires continued non-personal medical support services to supplement medical staff at Department of Defense (DoD) Military Treatment Facilities (MTFs) within the 50 United States of America, District of Columbia, Guam and Puerto Rico with credentialed (privileged and non-privileged) and non-credentialed health care workers in the following

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Contract No. Contractor HT005018D0001 AMG Healthcare Services, Inc HT005018D0002 Locum, Inc. DBA MEDSTAFF National Medical Staffing HT005018D0003 American Hospital Services Group, LLC HT005018D0004 Global Consulting International, Inc HT005018D0005 Global Dynamics, LLC HT005018D0006 Quality Staffing Solutions, Inc HT005018D0008 Catalyst Professional Services, Inc HT005018D0009 Dependable Health Services, Inc HT005018D0010 Frontline National, LLC HT005018D0012 Saratoga Medical Center, Inc HT005018D0013 The Royster Group, Inc HT005018D0014 Dilligas Corp DBA U.S. Got People HT005018D0015 Vighter Medical Group, LLC HT005018D0016 Angel Staffing, Inc HT005018D0017 Concentric Methods, LLC HT005018D0018 Decypher Technologies, Ltd HT005018D0019 Enterprise Resource Planning International, LLC HT005018D0020 Federal Staffing Resources, LLC HT005018D0021 OMV Medical, Inc HT005018D0022 Platinum Business Corporation HT005018D0023 Potomac Healthcare Solutions, LLC HT005018D0024 Quarterline Consulting Services, LLC HT005018D0025 ReadiForce Government Solutions, LLC HT005018D0026 Spectrum Services Group, Inc HT005018D0027 Akahi InGenesis Partners, LLC HT005018D0028 CentralCare, Inc HT005018D0029 Distinctive Health Spectrum Care JV, LLC HT005018D0030 Donald L. Mooney Enterprises, LLC DBA Nurses Etc. Staffing HT005018D0031 GiaMed Alliance JV, LLC HT005018D0032 Luke & Associates, Inc HT005018D0033 Magnificus Corporation HT005018D0034 Matrix Providers, Inc.

HT005018D0035 The Arora Group, Inc.

This is a no-cost modification to extend the ordering period on the existing base contract awards whereas the program ceiling of will remain unchanged.

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the agency's requirements”. The services provided under the MQS single strategic sourcing platform are highly specialized medical services. An award to another source would result in unacceptable delays in providing quality medical care to DoD beneficiaries.

6. Efforts to Obtain Competition:

The EMS-CD is embarking on a competitive Services Category I (S-CAT I) rated Acquisition Program to replace DHA's MQS and MSS enterprise Multiple-Award IDIQ contracts. The next generation Acquisition Program, known as MQS2-NG, was developed to continue the standardization of MHS medical and dental contracts and improve the efficiencies of the DHA in a market-based and enterprise-wide buying approach. The extension of the current ordering period under the existing MQS platform provides for the continued provision of highly specialized services no efforts to obtain competition beyond the MQS2-NG acquisition strategy is reasonable for the short-term need. The notices required by FAR 5.202 will be posted. Additionally, a Waiver Request for DFARS Procedures, Guidance, and Information 206.302-1(d) for posting a Request for Information (RFI) or Sources Sought Notice for Contract Actions Utilizing FAR 6.302-1 is currently being developed for submission and approval by the Head of Contracting Activity for this extension request.

7. Actions to Increase Competition/Remove or Overcome any Barriers to Competition:

The

8. Market Research:

The MQS2-NG Integrated Product Team conducted market research between 28 September 2020 and 29 October 2022 via RFIs, structured interviews, and reviews of industry reports; procurement reports; and Government strategic contracts. The collection and analysis of this data provided the team with a greater understanding of the availability of medical services within the commercial market and vendor capabilities. The Government's findings supported the DHA's proposed strategy to design a contract vehicle to replace two current strategic contract vehicles for professional medical services under the MQS and under the MSS contracts. Based on the findings of market research the DHA is facilitating a new S-CAT I rated Acquisition Program to

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Other Facts:

Procurement History:

Is this a new requirement? No

If 9.a.(1) is No, was the action just prior to this one competed?

IDIQ was awarded and executed in 2018.

(3) If 9.a.(2) is Yes, what has changed where this action cannot be competed?

Not Applicable

b. Additional Information: The EMS-CD Team has been actively engaged in the MQS2-NG acquisition since FY 2020. Despite the many challenges and delays encountered during the solicitation process, (i.e. the COVID 19 Pandemic pre-award protests

), EMS-CD has made significant progress with the award of the MQS2-NG Unrestricted IDIQ while currently conducting source selections for the MQS2-NG solicitation.

Pursuant to DFARS 217.204(e)(i), notwithstanding FAR 17.204(e), the ordering period of a task order or delivery order contract (including a contract for information technology) awarded by DoD pursuant to 10 U.S.C. 2304a— (A) May be for any period up to 5 years; (B) May be subsequently extended for one or more successive periods in accordance with an option provided in the contract or a modification of the contract; and (C) Shall not exceed 10 years unless the head of the agency determines in writing that exceptional circumstances require a longer ordering period. The MQS contracts meet the 10 U.S.C. 2304a definition of task order or delivery order contract, however the contracts do not provide for the option to extend services beyond the established ordering period. Therefore, the Government intends to extend the ordering period via a contract modification.