About this file

This is a Request for Proposals (RFP) issued by NAVSUP Fleet Logistics Center Norfolk for pediatric medical services supporting the Educational and Developmental Intervention Services (EDIS) program on behalf of Navy Bureau of Medicine and Surgery (BUMED). The contract will provide Early Intervention Services for infants/toddlers (birth to 36 months) and Related Services for special education students at Department of Defense Education Activity schools overseas. Services will be performed at Military Treatment Facilities in Okinawa, Yokosuka, Guam, Rota, Naples, Sigonella, Bahrain and associated branch clinics.

The RFP uses a two-phase evaluation process, with Phase One requiring contractors to demonstrate a DCAA-approved accounting system. Phase Two proposals are due March 21, 2025 at 4:00 PM EST and must include both cost and non-cost volumes. This is a Cost-Plus-Fixed-Fee contract with a 12-month base period and four 12-month option periods, plus a 6-month option to extend services. Required personnel include Child Psychologists, Speech Language Pathologists, Physical Therapists, Occupational Therapists, Early Childhood Special Educators, and Certified Occupational Therapy Assistants. The evaluation will use a best value trade-off methodology with non-cost factors (Management Approach, Performance Approach, Past Performance, and Socio-economic Plan) being more important than cost. Travel is estimated at $50,000 per year and ODCs at $3,500 per year.

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CODE

(Hour)

PAGE(S)

until local t ime

X

A X B X C

D

EX

X G F 97 - 101

102 - 115 X H 116 - 118 jorge.candelabocaneg@navy .mil

RATING PAGE OF PAGES

7. ISSUED BY

(Date)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

Previous Edition is Unusable 33-134 STANDARD FORM 33 (REV. 9-97)

Prescribed by GSA FAR (48 CFR) 53.214(c)

1 118

(If other than Item 7)

15A. NAME 16. NAME AND TITLE OF PERSON AUTHORIZED TO

AND

ADDRESS SIGN OFFER (Type or print)

OF

OFFEROR

AMENDMENT NO. DATE

15B. TELEPHONE NO (Include area code) 17. SIGNATURE15C. CHECK IF REMITTANCE ADDRESS

IS DIFFERENT FROM ABOVE - ENTER

SUCH ADDRESS IN SCHEDULE.

18. OFFER DATE

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)

2. CONTRACT NO.

N00189 8. ADDRESS OFFER TO

See Item 7

9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if handcarried, in the depository located in

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10. FOR INFORMATION

CALL:

A. NAME (NO COLLECT CALLS)

JORGE E. CANDELA BOCANEGRA 215-697-9675

11. TABLE OF CONTENTS

SOLICITATION/ CONTRACT FORM

SUPPLIES OR SERVICES AND PRICES/ COSTS

1 - 3 4 - 9

X I CONTRACT CLAUSES

DESCRIPTION/ SPECS./ WORK STATEMENT X

PACKAGING AND MARKING

10 - 51 J LIST OF ATTACHMENTS

INSPECTION AND ACCEPTANCE

DELIVERIES OR PERFORMANCE

53 - 54 X K REPRESENTATIONS, CERTIFICATIONS AND

OTHER STATEMENTS OF OFFERORS

CONTRACT ADMINISTRATION DATA 55 - 64 X

SPECIAL CONTRACT REQUIREMENTS

OFFER (Must be fully completed by offeror) 65 - 66 X M

L INSTRS., CONDS., AND NOTICES TO OFFERORS

EVALUATION FACTORS FOR AWARD

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT

(See Section I, Clause No. 52.232-8)

14. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments

AMENDMENT NO. DATE

to the SOLICITATION for offerors and related documents numbered and dated):

FACILITY

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (60 calendar days unless a different period

SOLICITATION, OFFER AND AWARD

X

(X) SEC. DESCRIPTION (X) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE

26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA 28. AWARD DATE

EMAIL:TEL: (Signature of Contracting Officer)

CODE CODE

B. TELEPHONE (Include area code) C. E-MAIL ADDRESS

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

10 U.S.C. 2304(c)( ) 41 U.S.C. 253(c)( ) (4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN ITEM

24. ADMINISTERED BY (If other than Item 7) CODE 25. PAYMENT WILL BE MADE BY CODE

PART IV - REPRESENTATIO NS AND INSTRUCTIO NS

PART III - LIST O F DO CUMENTS, EXHIBITS AND O THER ATTACHMENTS

67 - 95

PART II - CO NTRACT CLAUSES

NAVSUP FLC NORFOLK PHILADELPHIA OFFICE

ATTN: JORGE CANDELA BOCANEGRA 700 ROBBINS AVE

2B

PHILADELPHIA PA 19111-5083 215-697-9675

FAX:

TEL:

FAX:

TEL:

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

SOLICITATION

6. REQUISITION/PURCHASE NO.

N0001820240598

5. DATE ISSUED

12 Feb 2025

4. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

[ X ]

3. SOLICITATION NO.

N0018925RZ022

Section A - Solicitation/Contract Form

SUBMISSION INSTRUCTIONS

It is requested that a proposal be submitted to provide services in accordance with the Performance Work Statement (PWS) and per the attached instructions.

Any references to “quoter” and “quote” within this Request for Proposal shall mean “offeror” and “proposal” respectively.

POINT OF CONTACT

The point of contract (POC) for this Request for Proposals (RFP) is Jorge E. Candela Bocanegra, who may be reached via e-mail jorge.e.candelabocanegra.civ@us.navy.mil

SOLICITATION QUESTIONS

The offeror is encouraged to carefully review all solicitation requirements and, if they have questions concerning the solicitation, should submit one consolidated list of questions concerning the RFP via e-mail to jorge.e.candelabocanegra.civ@us.navy.mil, NO LATER THAN 4:00 PM Eastern Time (ET) on 26 February 2025.

Questions should be submitted as early as feasible prior to the above date and time; questions received later may be answered at the discretion of the Government.

QUOTATION SUBMISSION

Phase One

The Contracting Officer will make the source selection utilizing a two-Phase process. Phase One will consist of attestation that the contractor has a DCAA approved accounting system. Offerors shall provide the DCAA audit report. Offerors who do not have an approved accounting system or fail to provide their DCAA audit report shall not be considered for award and shall not be reviewed for Phase Two. Offerors shall submit Phase One and Phase Two together to Jorge E. Candela Bocanegra, via e-mail jorge.e.candelabocanegra.civ@us.navy.mil, no later than 4:00PM 21 March 2025.

DCAA-Audited Accounting System: The offeror shall demonstrate that, as required by FAR 16-301-3(a)(3) and DFARS 252.242-7006 (JAN 2025), its accounting system is adequate for determining costs applicable to the contract. If the offeror has an accounting system that has been determined by DCAA to be adequate for a cost reimbursement contract, the offeror should provide documentation of DCAA’s determination. An offeror’s accounting system must ultimately be determined by DCAA to be adequate for a cost reimbursement contract to be considered eligible for contract award. Offerors may also submit information from any Federal civilian audit agency, or third-party Certified Public Accounting (CPA) firm verifying that the offeror’s accounting system has been audited and determined adequate for determining costs applicable to the contract in accordance with FAR 16.301- 3(a)(1). Rating for Phase One will be PASS/FAIL - Failure to provide evidence as requested herein will result in an “FAIL” rating and the proposal will not receive further evaluation and will not be considered for award.

Phase Two

Phase Two will consist of a Cost and Non-Cost proposals as outlined in section L and M. This requirement will be Outside the Continental United States (OCONUS), contract Type is Cost-Plus-Fixed-Fee (CPFF), with the evaluation procedures utilizing BEST VALUE/TRADE OFF. The offeror’s proposal shall be in the form prescribed by and shall contain a response to each of the areas identified in Solicitation Section L and M, SUBMISSION OF PROPOSALS. The deadline for receipt of proposals is 4:00 PM ET on 21 March 2025. All questions and quotes shall be submitted electronically via email as email attachments to jorge.e.candelabocanegra.civ@us.navy.mil. Any other method of delivery (e.g., hard copy, CD, thumb drive, portal, emailed hyperlink, etc.) will not be accepted.

Proposals shall be received no later than the DATE and TIME FOR RECEIPT OF PROPOSALS specified above & elsewhere in the solicitation. Proposals shall comply with the detailed instructions for the format and content of the proposals contained herein; proposals that do not comply may be considered unacceptable and may render the proposal ineligible for award. All electronic files and versions of quotes shall be submitted in Adobe Acrobat and mailto:jorge.e.candelabocanegra.civ@us.navy.mil mailto:jorge.e.candelabocanegra.civ@us.navy.mil mailto:jorge.e.candelabocanegra.civ@us.navy.mil

Microsoft Office Suite (Excel) formats and be in an unlocked and searchable format. The quoter shall be responsible for ensuring that its submissions are virus free.

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 Lot Labor

COST

See attached Performance Work Statement.

FOB: Destination

PURCHASE REQUEST NUMBER: N0001820240598

PSC CD: Q516

ESTIMATED COST

0002 Lot Travel

COST

Not to exceed $50,000.00.

FOB: Destination

0003 Lot ODC Supplies

COST

Not to exceed $3,500.00.

1001 Lot OPTION Labor

COST

See attached Performance Work Statement.

1002 Lot OPTION Travel

COST

Not to exceed $50,000.00.

1003 Lot OPTION ODC Supplies

COST

Not to exceed $3,500.00.

2001 Lot OPTION Labor

COST

See attached Performance Work Statement.

2002 Lot OPTION Travel

COST

Not to exceed $50,000.00.

2003 Lot OPTION ODC Supplies

COST

Not to exceed $3,500.00.

3001 Lot OPTION Labor

COST

See attached Performance Work Statement.

3002 Lot OPTION Travel

COST

Not to exceed $50,000.00.

3003 Lot OPTION ODC Supplies

COST

Not to exceed $3,500.00.

4001 Lot OPTION Labor

COST

See attached Performance Work Statement.

4002 Lot OPTION Travel

COST

Not to exceed $50,000.00.

4003 Lot OPTION ODC Supplies

COST

Not to exceed $3,500.00.

5001 Lot OPTION Labor

COST

See attached Performance Work Statement.

5002 Lot OPTION Travel

COST

Not to exceed $25,000.00.

5003 Lot OPTION ODC Supplies

COST

Not to exceed $1,750.00.

Section C - Descriptions and Specifications

PERFORMANCE WORK STATEMENT

Statement of Work for The Educational and Developmental Intervention Services (EDIS) Program

In support of the Bureau of Medicine and Surgery (BUMED) 08 March 2024

1. Introduction

Title 20 of U.S. code, Chapter 25A, section 926 requires the Department of Defense (DoD) to implement the Individuals with Disabilities Education Act (IDEA). Title 32 of Code of Federal Regulation (CFR), section 57.4 assigns the delivery of early intervention services (EIS) and related services (RS) to the military medical departments. The Educational and Developmental Intervention Services (EDIS)program was established by the DoD to meet these requirements. The DoD Instruction 1342.12 “Provision of Early Intervention and Special Education Services to Eligible DoD Dependents” and DoD Manual 1342.12 “Implementation of Early Intervention and Special Education Services to Eligible DoD Dependents” are the DoD’s implementing instructions of IDEA. Pursuant to IDEA, the EDIS program provides Early Intervention Services (EIS) to infants/toddlers (birth to 36 months) and Related Services (RS) to students receiving special education in Department of Defense Education Activity (DoDEA) schools overseas. These special education services are available to children and their families in communities supported by Department of Defense (DoD) schools in both domestic and overseas locations.

2. Background

The Navy Bureau of Medicine and Surgery (BUMED), Force Medical Readiness (N10D), Office of Family Readiness is responsible for the policy and oversight of the Navy EDIS program. EDIS Services are required at Military Treatment Facilities (MTFs) Outside the Continental United States (OCONUS) in communities supported by the DoDEA schools. OCONUS Navy EDIS programs are located in the Pacific and Atlantic Regions to include:

USNH Okinawa, Japan; USNH Yokosuka, Japan; USNH Guam; USNH Rota, Spain; USNH Naples, Italy; USNH Sigonella, Italy; US NBHC Bahrain; and any associated branch clinics.

3. Scope

This Statement of Work (SOW) applies to all positions encompassed within the contract, which includes services in the Allied Health and Assistant labor bands. The Contractor shall provide Health Care Workers (HCWs) in accordance with the terms and conditions of the contract. Contract services shall provide qualified personnel to fulfill EDIS educational services as outlined in in federal regulations, Department of Defense (DoD) policy, and BUMED policy. Qualified personnel for the EDIS program covered under this contract include Early Childhood Special Educators (ECSE), Speech Language Pathologists (SLP), Occupational Therapists (OT), Physical Therapists (PT), Child Psychologists and Certified Occupational Therapy Assistants (COTA). The contractor is responsible to fill personnel vacancies with qualified staff in a timely and efficient manner. Failure to fulfill personnel obligations may result in non-compliance with federal regulation and therefore a negative current clinical assessment may result in the issuance of a Contract Discrepancy Report (CDR) notice by the Contracting Officer in accordance with Federal Acquisition Regulation (FAR) 52.249-12.

The EDIS program requires the provision of Early Intervention Services (EIS) and Related Services (RS) which encompasses:

• EIS (birth up to 3 years old) includes: educational services to improve the functional independence of infants/toddlers with a developmental delay through supportive partnerships with their families.

• RS (ages 3 up to 22) Supports special education students in DoDEA overseas to enable them benefit from their special education program.

The term MTF refers to the Military Treatment Facility or other federal medical treatment facility. The Contractor personnel will be assigned to a primary MTF; however, the majority of services shall be provided in a natural or least restrictive environment. Examples of service settings include children’s homes, Department of Defense

Education Activity (DoDEA) schools, child-care homes, childcare centers, and other community settings. Travel will be required of all contractor personnel to provide the services in the natural settings, and to serve children in remote locations. Possession of a valid motor vehicle operator’s license is required.

Status of Forces Agreement (SOFA): SOFAs may be applicable in certain performance locations for this requirement. SOFA is a multilateral or bilateral agreement that generally establishes the framework under which U.S. military personnel operate in a foreign country and how domestic laws of the foreign jurisdiction apply toward U.S. personnel in that country. It is the contractor's responsibility to coordinate with the COR, local SOFA offices, and/or other offices for information about obtaining SOFA stamps or letters, visas, and/or any other requirements necessary for employment in the country where the position is located. All fees associated with SOFA stamps, working permits and/or visas shall not be reimbursed by the Government.

4. Tasks

4.1. Early Intervention Services (EIS)/ Related Services (RS) Services

4.1.1. The EDIS program requires the provision of EIS/ RS which encompasses: EIS (birth to 2 years inclusive) includes: developmental services for infants and toddlers with disabilities that are provided under the supervision of a Military Department, including evaluation, Individualized Family Service Plan (IFSP) development and revision, service coordination and implementation of services as outlined on the IFSP.

4.1.2. All HCWs shall:

4.1.2.1. Participate in peer review activities.

4.1.2.2. Provide EIS in accordance with DoD and BUMED policy. EIS services include but are not limited to:

child find and public awareness activities, developmental screening, development evaluation, development of and revisions to an Individualized Family Service Plan (IFSP), service coordination and implementation of services as outlined on the IFSP.

4.1.2.3. Provide RS in accordance with DoD and BUMED policy. RS service may include psychological evaluation and physical therapy and/or occupational therapy evaluation and services to enable a child with a disability to receive a Free and Appropriate Education (FAPE) as described in the child’s Individualized Education Program (IEP). Therapy services beyond the scope of special education are medical in nature are excluded from the IEP.

4.2. General Duties for All Personnel

4.2.1. Contractor personnel shall perform a full range of duties consistent with their labor category, education, training, experience, clinical privileges (as applicable), and assigned position. General duties that apply to all personnel or across certain labor categories are given below. Additional and/or supplemental duties which are labor category specific, program specific, or service area specific, are contained in Section 4.3 through 4.8. Duties that apply to all Contractor personnel are as follows:

4.2.1.1. Participate in peer review and performance improvement activities.

4.2.1.2. Practice aseptic techniques as necessary. Comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes, and the use of universal precautions to prevent the spread of infections.

4.2.1.3. Function with an awareness and application of safety procedures.

4.2.1.4. Perform efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Anticipate potential problems/emergencies and make appropriate interventions. Notify Government supervisor, director, or other designated person regarding problems that the HCW is unable to manage.

4.2.1.5. Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner.

4.2.1.6. Participate in the implementation of the Family Advocacy Program (FAP) as directed. Participation shall include, but not be limited to, appropriate educational screening, evaluation, service, documentation, and reporting.

4.2.1.7. Exercise awareness and sensitivity to patient/significant others' rights, as identified within the MTF.

4.2.1.8. Maintain an awareness of responsibility and accountability for own professional practice.

4.2.1.9. As a member of a professionally diverse team, the HCW shall be respectful and contribute in a positive manner to team building and morale.

4.2.1.10. Contractor shall ensure staff maintains contemporary knowledge, skills and abilities commensurate with an individual’s role and defined by scope of practice and practice setting.

4.2.1.11. Attend and/or comply with all annual training classes required by the Command and the

Department of Defense, to include but not limited to online annual training provided by the MTF:

disaster training, infection control, Sexual Harassment, Bloodborne Pathogens, Fire and Safety, Chemical, Biological, Radiological, Nuclear and Explosives (CBRNE), and all other required training.

4.2.1.12. Actively participate in the command’s Performance Improvement Program. Participate in meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist.

4.2.1.13. Participate in the provision of in-service training to clinic staff members. Provide training and/or direction as applicable to supporting Government employees (e.g., hospital corpsmen, students, etc.).

4.2.1.14. Attend and participate in various meetings as directed.

4.2.1.15. Perform timely, accurate, and concise documentation of EDIS processes.

4.2.1.16. Operate and manipulate automated systems such as MHS Gensis as required to meet the needs of the EDIS program. Participate in clinical staff Performance Improvement (PI) and Risk Management (RM) functions, as prescribed by the Commanding Officer. Maintain DoD email account as directed.

The HCW shall be responsive to all email and voicemail communications.

4.2.1.17. Exercise appropriate delegation of tasks and duties in the direction and coordination of health care team members, patient care, and clinic activities.

4.2.1.18. Maintain documentation of all evaluation, treatment, and intervention in Special Needs Program Management Information System (SNPMIS) provided in accordance with DoD and BUMED directives and prepare such records and reports as may be required. All records and reports must be legible. Abbreviations must be only those listed in local instructions.

4.2.1.19. The HCW shall comply with the HIPAA (Health Insurance Portability and Accountability Act) privacy and security policies of the treatment facility. Providers shall obtain/maintain a National Provider Identifier (NPI) in accordance with DoD and MTF policy/instruction, as applicable.

https://nppes.cms.hhs.gov/

4.3. Child Psychologist Support

4.3.1. The HCW shall perform a full range of clinical child psychology services within the scope of clinical privileges granted by the Commanding Officer.

4.3.2. Provide child psychological intake, evaluation and consultation to assist a child with a disability to benefit from special education and to receive FAPE under the child’s IFSP or IEP.

4.3.3. Document medical evaluations within Genesis.

4.3.4. Document EDIS evaluations and services within Special Needs Program Management Information System

(SNPMIS).

4.3.5. Serve as the primary source of expertise for the early intervention and special education teams in areas mental and behavior health to support special education needs.

4.3.6. Assess and assist families to identify and clarify their concerns, priorities, resources, goals and strategies to meet the needs of their infant or toddler. Assist the family to access evaluation appointments and ensure that all components of the evaluation and the families’ concerns are understood by the EDIS team prior to assessment. This may include providing information, requesting referrals, and assisting families in accessing resources or services and resolving disputes.

4.3.7. Participate in multi-disciplinary evaluations and assessments to determine the presence or absence of a developmental delay in the area of developmental delay and behavioral health.

4.3.8. Determine need for additional consultation (e.g., audiology, pediatrics, optometry, developmental pediatrics or psychology).

4.3.9. Assist to develop goals, outcomes and plans for children who are determined eligible for EIS/RS under the Individuals with Disability Education Act (IDEA).

https://nppes.cms.hhs.gov/

4.3.10. Provide instruction and demonstration to parents, teachers, and caregivers on appropriate activities to facilitate the child's development.

4.3.11. Meet with educational team to develop and review children's Individualized Family Service Plan (IFSP) and/or Individual Education Program (IEP).

4.3.12. Determine presence or absence of a developmental delay.

4.3.13. Determine the level and type of services appropriate and develop goals for intervention and related services.

4.3.14. Provide family centered consultation and foster confidence and competence in families. Identify constraints to accessing services and develops strategies to overcome the constraints. Assist families with coordinating EDIS and medical appointments, and child or respite care as needed. Assist families with identifying and utilizing available service providers, informal supports, and advocacy services within the community.

4.3.15. Consult with medical staff on issues such as referral procedures, available resources and service coordination.

4.3.16. Consult with, and/or provide, technical assistance to other EDIS team members, Child Development Center (childcare center) staff, family childcare providers and extended family members regarding the provision of EIS/RS to children.

4.3.17. Consult with school-based teachers to ensure seamless transitions to preschool programs as needed.

4.4. Occupational Therapist Support

4.4.1. Participate in the EDIS Centralized System of Personnel Development (CSPD) to ensure that necessary requirements are established, and qualifications are maintained to adequately EIS.

4.4.2. Provide EIS Occupational Therapy services within a transdisciplinary primary service provider model to children ages 0 months through 2 years, inclusive.

4.4.3. Provide RS Occupational Therapy services to children ages 3 through 21 years, inclusive within the

DoDEA school system.

4.4.4. Serve as the primary source of expertise for the EDIS team that addresses the functional needs of an child in the following areas: oral motor; dressing; selfcare (activities of daily living/ADL); fine and gross motor;

sensorimotor development; adaptive behavior and play; adaptive equipment; splinting; orthotic, and prosthetic devices.

4.4.5. Perform initial intake and screening of the family and child. Assess and assist families to identify and clarify their concerns, priorities, resources, goals and strategies to meet the needs of their infant or toddler.

Assist the family to access evaluation appointments and ensure that all components of the evaluation and the families’ concerns are understood by the EDIS team prior to assessment. This may include providing information, requesting referrals, and assisting families in accessing resources or services and resolving disputes.

4.4.6. Participate in multi-disciplinary evaluations and assessments to determine the presence or absence of a developmental delay in the areas of communication, cognition, physical (motor), social-emotional development and adaptive (self-help) development. Administer and interprets standardized tests to determine the extent of a developmental delay.

4.4.7. Determine need for additional consultation (e.g., audiology, pediatrics, optometry, developmental pediatrics or psychology).

4.4.8. Implement plans for children who are determined eligible for EIS/RS under the Individuals with Disability Education Act (IDEA).

4.4.9. Provide instruction and demonstration to parents, teachers, and caregivers on appropriate activities to facilitate the child's motor development.

4.4.10. Conduct developmental screenings.

4.4.11. Meet with educational team to develop and review children's Individualized Family Service Plan

(IFSP) and/or Individual Education Program (IEP).

4.4.12. Provide progress and status reports to determine the need for changes in frequency, duration or intensity of service.

4.4.13. Perform Occupational Therapy and comprehensive developmental evaluations.

4.4.14. Determine presence or absence of a developmental delay.

4.4.15. Determine the level and type of services appropriate and develop goals for intervention.

4.4.16. Provide family centered services that support and foster confidence and competence in families.

Identify constraints to accessing services and develops strategies to overcome the constraints. Assist families with coordinating EDIS and medical appointments, and child or respite care as needed. Assist families with identifying and utilizing available service providers, informal supports, and advocacy services within the community.

4.4.17. Consult with medical staff on issues such as referral procedures, available resources and service coordination.

4.4.18. Provide Occupational Therapy intervention services to children and their families as specified in the IFSP. Services may be direct or indirect, as well as consultative or home-based.

4.4.19. Provide Occupational Therapy intervention services to children as specified in the IEP. Services may be direct or indirect, as well as consultative.

4.4.20. Consult with or provide technical assistance to other EDIS team members, Child Development Center (childcare center) staff, family childcare providers and extended family members regarding the provision of EIS/RS to children.

4.4.21. Consult with school-based teachers to ensure seamless transitions to preschool programs as

4.4.22. Serves as an IFSP family service coordinator on assigned infants/toddlers and their families.

4.5. Physical Therapist Support

4.5.1. Participate in the EDIS Centralized System of Personnel Development (CSPD) to ensure that necessary

4.5.2. Provide EIS Physical Therapy services within a transdisciplinary primary service provider model to children ages 0 months through 2 years, inclusive.

4.5.3. Provide RS Physical Therapy services to children ages 3 years through 21 years, inclusive within the DoDEA school system.

4.5.4. Serve as the primary source of expertise for the EDIS team that addresses the functional needs of a child in the following areas of fine and gross motor skills, splinting; orthotic, and prosthetic devices.

4.5.5. Perform initial intake and screening of the family and child. Assess and assist families to identify and clarify their concerns, priorities, resources, goals and strategies to meet the needs of their infant or toddler.

Assist the family to access evaluation appointments and ensure that all components of the evaluation and the families’ concerns are understood by the EDIS team prior to assessment. This may include providing information, requesting referrals, and assisting families in accessing resources or services and resolving disputes.

4.5.6. Participate in multi-disciplinary evaluations and assessments to determine the presence or absence of a developmental delay in the areas of communication, cognition, physical (motor), social-emotional development and adaptive (self-help) development. Administer and interprets standardized tests to determine the extent of a developmental delay.

4.5.7. Determine need for additional consultation (e.g., audiology, pediatrics, optometry, developmental pediatrics or psychology).

4.5.8. Implement plans for children who are determined eligible for EIS/RS under the Individuals with Disability Education Act (IDEA).

4.5.9. Provide instruction and demonstration to parents, teachers, and caregivers on appropriate activities to facilitate the child's motor development.

4.5.10. Conduct developmental screenings.

4.5.11. Meet with educational team to develop and review children's Individualized Family Service Plan

(IFSP) and/or Individual Education Program (IEP).

4.5.12. Provide progress and status reports to determine the need for changes in frequency, duration or intensity of service.

4.5.13. Perform Physical Therapy and comprehensive developmental evaluations.

4.5.14. Determine presence or absence of a developmental delay.

4.5.15. Determine the level and type of services appropriate and develop goals for intervention.

4.5.16. Provide family centered services that support and foster confidence and competence in families.

Identify constraints to accessing services and develops strategies to overcome the constraints. Assist families with coordinating EDIS and medical appointments, and child or respite care as needed. Assist families with identifying and utilizing available service providers, informal supports, and advocacy services within the community.

4.5.17. Consult with medical staff on issues such as referral procedures, available resources and service coordination.

4.5.18. Provide Physical Therapy intervention services to children and their families as specified in the IFSP. Services may be direct or indirect, as well as consultative or home-based.

4.5.19. Provide Physical Therapy intervention services to children as specified in the IEP. Services may be direct or indirect, as well as consultative.

4.5.20. Consult with or provide technical assistance to other EDIS team members, Child Development Center (childcare center) staff, family childcare providers and extended family members regarding the provision of EIS/RS to children.

4.5.21. Consult with school-based teachers to ensure seamless transitions to preschool programs as

4.5.22. Serves as an IFSP family service coordinator on assigned infants/toddlers and their families.

4.6. Speech-Language Pathologist Support

4.6.1. Participate in the EDIS Centralized System of Personnel Development (CSPD) to ensure that necessary

4.6.2. Provide EIS speech language pathology services within a transdisciplinary primary service provider model to children ages 0 months through 2 years, inclusive.

4.6.3. Serve as the primary source of expertise for the EDIS team that addresses the functional needs of a child in the following areas of oral motor, articulation, expressive language, receptive language, and social language skills.

4.6.4. Perform initial intake and screening of the family and child. Assess and assist families to identify and clarify their concerns, priorities, resources, goals and strategies to meet the needs of their infant or toddler.

Assist the family to access evaluation appointments and ensure that all components of the evaluation and the families’ concerns are understood by the EDIS team prior to assessment. This may include providing information, requesting referrals, and assisting families in accessing resources or services and resolving disputes.

4.6.5. Participate in multi-disciplinary evaluations and assessments to determine the presence or absence of a developmental delay in the areas of communication, cognition, physical (motor), social-emotional development and adaptive (self-help) development. Administer and interprets standardized tests to determine the extent of a developmental delay.

4.6.6. Determine need for additional consultation (e.g., audiology, pediatrics, optometry, developmental pediatrics or psychology).

4.6.7. Implement plans for children who are determined eligible for EIS under the Individuals with Disability Education Act (IDEA).

4.6.8. Provide instruction and demonstration to parents, teachers, and caregivers on appropriate activities to facilitate the child's speech and language development.

4.6.9. Conduct developmental screenings.

4.6.10. Meet with educational team to develop and review children's Individualized Family Service Plan

(IFSP).

4.6.11. Provide progress and status reports to determine the need for changes in frequency, duration or intensity of service.

4.6.12. Perform speech, language and comprehensive developmental evaluations.

4.6.13. Determine presence or absence of a developmental delay.

4.6.14. Determine the level and type of services appropriate and develop goals for intervention.

4.6.15. Provide family centered services that support and foster confidence and competence in families.

Identify constraints to accessing services and develops strategies to overcome the constraints. Assist families with coordinating EDIS and medical appointments, and child or respite care as needed. Assist families with identifying and utilizing available service providers, informal supports, and advocacy services within the community.

4.6.16. Consult with medical staff on issues such as referral procedures, available resources and service coordination.

4.6.17. Provide Speech Language Pathology intervention services to children and their families as specified in the IFSP. Services may be direct or indirect, as well as consultative or home-based.

4.6.18. Consult with or provide technical assistance to other EDIS team members, Child Development Center (childcare center) staff, family childcare providers and extended family members regarding the provision of EIS to children.

4.6.19. Consult with school-based teachers to ensure seamless transitions to preschool programs as

4.6.20. Serves as an IFSP family service coordinator on assigned infants/toddlers and their families.

4.7. Early Childhood Special Educator (ECSE) Support

4.7.1. Participate in the EDIS Centralized System of Personnel Development (CSPD) to ensure that necessary

4.7.2. Provide EIS ECSE services within a transdisciplinary primary service provider model to children ages 0 months through 2 years, inclusive.

4.7.3. Serve as the primary source of expertise for the EDIS team that addresses the functional needs of a child in the following areas of child development across all developmental domains.

4.7.4. Perform initial intake and screening of the family and child. Assess and assist families to identify and clarify their concerns, priorities, resources, goals and strategies to meet the needs of their infant or toddler.

Assist the family to access evaluation appointments and ensure that all components of the evaluation and the families’ concerns are understood by the EDIS team prior to assessment. This may include providing information, requesting referrals, and assisting families in accessing resources or services and resolving disputes.

4.7.5. Participate in multi-disciplinary evaluations and assessments to determine the presence or absence of a developmental delay in the areas of communication, cognition, physical (motor), social-emotional development and adaptive (self-help) development. Administer and interprets standardized tests to determine the extent of a developmental delay.

4.7.6. Determine need for additional consultation (e.g., audiology, pediatrics, optometry, developmental pediatrics or psychology).

4.7.7. Implement plans for children who are determined eligible for EIS under the Individuals with Disability Education Act (IDEA).

4.7.8. Provide instruction and demonstration to parents, teachers, and caregivers on appropriate activities to facilitate the child's speech and language development.

4.7.9. Conduct developmental screenings.

4.7.10. Meet with educational team to develop and review children's Individualized Family Service Plan

(IFSP).

4.7.11. Provide progress and status reports to determine the need for changes in frequency, duration or intensity of service.

4.7.12. Perform comprehensive developmental evaluations.

4.7.13. Determine presence or absence of a developmental delay.

4.7.14. Determine the level and type of services appropriate and develop goals for intervention.

4.7.15. Provide family centered services that support and foster confidence and competence in families.

Identify constraints to accessing services and develops strategies to overcome the constraints. Assist families with coordinating EDIS and medical appointments, and child or respite care as needed. Assist families with identifying and utilizing available service providers, informal supports, and advocacy services within the community.

4.7.16. Consult with medical staff on issues such as referral procedures, available resources and service coordination.

4.7.17. Provide ECSE intervention services to children and their families as specified in the IFSP.

Services may be direct or indirect, as well as consultative or home-based.

4.7.18. Consult with or provide technical assistance to other EDIS team members, Child Development Center (childcare center) staff, family childcare providers and extended family members regarding the provision of EIS to children.

4.7.19. Consult with school-based teachers to ensure seamless transitions to preschool programs as

4.7.20. Serves as an IFSP family service coordinator on assigned infants/toddlers and their families.

4.8. Certified Occupational Therapy Assistant Support

4.8.1. Participate in the EDIS Centralized System of Personnel Development (CSPD) to ensure that necessary requirements are established and qualifications are maintained to adequately EIS.

4.8.2. Provide EIS services under the direction of an Occupational Therapist within a transdisciplinary primary service provider model to children ages 0 months through 2 years, inclusive.

4.8.3. Provide RS services under the direction of an Occupational Therapist to children ages 3 through 21 years, inclusive within the DoDEA school system.

4.8.4. Under the direction of an Occupational Therapist, serve as a source of expertise for the EDIS team that addresses the functional needs of a child in the following areas: oral motor; dressing; selfcare (activities of daily living/ADL); fine and gross motor; sensorimotor development; adaptive behavior and play; adaptive equipment.

4.8.5. Under the direction of an Occupational Therapist, perform initial intake and screening of the family and child. Assist families to identify and clarify their concerns, priorities, resources, goals and strategies to meet the needs of their infant or toddler.

4.8.6. Under the direction of an Occupational Therapist, implement plans for children who are determined eligible for EIS/RS under the Individuals with Disability Education Act (IDEA).

4.8.7. Under the direction of an Occupational Therapist, provide instruction and demonstration to parents, teachers, and caregivers on appropriate activities to facilitate the child's motor development.

4.8.8. Provide progress and status reports on EIS and RS for the review of the Occupational Therapist.

4.8.9. Under the direction of an Occupational Therapist, provide family centered services that support and foster confidence and competence in families. Identify constraints to accessing services and develops strategies to overcome the constraints. Assist families with coordinating EDIS and medical appointments, and child or respite care as needed. Assist families with identifying and utilizing available service providers, informal supports, and advocacy services within the community.

4.8.10. Under the direction of an Occupational Therapist, provide intervention services to children and their families as specified in the IFSP. Services may be direct or indirect, as well as consultative or home-based.

4.8.11. Under the direction of an Occupational Therapist, provide intervention services to children as specified in the IEP. Services may be direct or indirect, as well as consultative.

4.8.12. Under the direction of an Occupational Therapist, consult with or provide technical assistance to other EDIS team members, Child Development Center (childcare center) staff, family childcare providers and extended family members regarding the provision of EIS/RS to children.

4.8.13. Under the direction of an Occupational Therapist, consult with school-based teachers to ensure seamless transitions to preschool programs as needed.

4.9. Program Management Support

4.9.1. The Program manager will ensure vacancies are filled with qualified applicants and keep the COR up to date on all vacancies and hiring actions.

4.9.2. The program manager will oversee onboarding requirements (passport, SPOT, DOCPER, SOFA, etc) are met for new hires and report any delays for onboarding to the COR.

4.9.3. The program manager will submit monthly status reports to ensure all contract requirement are met.

4.9.4. The program manager will respond directly to the COR for all contract updates.

4.9.5. The program manager will ensure all services with the contract are provided in a timely and efficient manner and will report any issues or concerns to the COR.

4.9.6. The program manager will mitigate any contract personnel issues and report any issues to the COR. The program manage will develop Performance Improvement Plans for any contract personnel deficiencies and track and report progress to the COR.

4.9.7. The program manager will ensure contract personnel adhere to standards of practice and clinical practice guidelines as established by their clinical/practice communities and professional associations (e.g.

American Physical Therapy Association, American Speech Language and Hearing Association, American Occupational Therapy Association, Council for Exceptional Children, American Psychological Association).

4.9.8. The program manager will ensure the contract personnel follow contemporary evidence based practices and have age-related competencies for the specific population (e.g. pediatric trained).

4.9.9. The program manager will ensure the contract personnel participate in peer review activities as established by the military medical treatment facility.

5. Other Pertinent Information

5.1. Acronyms—

Abbreviation Definition APA American Psychological Association

ASHA American Speech-Language and Hearing Association ADOS Autism Diagnosis Observation Schedule ADS Ambulatory Data System

APTA American Physical Therapy Association BLS Basic Life Support

BUMED The Bureau of Medicine and Surgery CAC Common Access Card CCC Certificate of Clinical Competence CDC Center for Disease Control

CNACI Childcare National Agency Check and Inquiries CDR Contractor Discrepancy Report COR Contracting Officer Representative

CBNR Chemical, Biological, Radiological and Nuclear CFY Clinical Fellowship Year

COTA Certified Occupational Therapy Assistant CR Credentials Record

CSPD Centralized System of Personnel Development DHA Defense Health Agency DHS Department of Homeland Security

DMLSS Defense Medical Logistics Standard Support DoD Department of Defense

DoDEA Department of Defense Education Activity ECSE Early Childhood Special Educator FAP Family Advocacy Program

FAPE Free and Appropriate Education FOIA Freedom of Information Act FTC Federal Trade Commission FTR Federal Travel Regulations

HCW Healthcare Worker HHS Health and Human Services

HIPAA Health Insurance Portability and Accountability Act HIA Health Manpower and Personnel Data System IAW In Accordance With IEP Individualized Education Program EIS Early Intervention Services

IDEA Individuals with Disabilities Education Act IFSP Individualized Family Service Plan JTR Joint Travel Regulations

MHS Military Health System

MOA Memorandum of Agreement MOU Memorandum of Understanding MTF Military Treatment Facilities NPI National Provider Identifier OT Occupational Therapist PII Personally Identifiable Information PHI Protected Health Information POC Points of Contact PT Physical Therapist

PWS Performance Work Statement QC Quality Control RS Related Services

SLP Speech Language Pathologist SNPMIS Special Needs Program Management Information

System

5.2. Period of Performance: The base period of performance for this requirement is 01 August 2024 through 31 July 2025. The resultant task order will include four (4) 12-month option periods pursuant to FAR 52.217- 9 consecutively following the base period. The resultant task order will also include FAR 52.217-8, Option to Extend Services, to provide an option to extend services for up to six-month thereafter, if necessary.

Place of Performance: Performance will take place in several MTFs located OCONUS. Locations include USNH Okinawa, Japan; USNH Yokosuka Japan; USNH Guam; USNH Rota, Spain; USNH Naples, Italy;

and USNH Sigonella, Italy; US NBHC Bahrain; and any associated branch clinics. Branches include but not limited to, Yokota Japan, Sasebo Japan, Misawa Japan, and Atsugi Japan. Primary place of performance for the program management support will be onsite at the Navy Bureau of Medicine and Surgery, 7700 Arlington Boulevard Falls Church, VA. 22042. The program management support place of performance shall be one hundred percent (100%) government site.

5.2.1. Each region (Pacific and Atlantic) will specify the work schedule of each HCW.

5.3. Level of Effort—

Labor Category

Location

Base(hours)

OY1 OY2

OY3

OY4

6mo Option

Total Hours

Child Psychologist Bahrain 1,912 1,912 1,912 1,912 1,912 956 10,516 Child Psychologist Yokosuka, Japan 1,912 1,912 1,912 1,912 1,912 956 10,516 Speech-Language Pathologist Okinawa, Japan 1,912 1,912 1,912 1,912 1,912 956 10,516 Speech-Language Pathologist Yokosuka

(Sasebo) Japan 1,912 1,912 1,912 1,912 1,912 956 10,516

Speech-Language Pathologist Guam 1,912 1,912 1,912 1,912 1,912 956 10,516 Speech-Language Pathologist Yokosuka

(Iwakuni) Japan 1,912 1,912 1,912 1,912 1,912 956 10,516

Speech-Language Pathologist Naples Italy 1,912 1,912 1,912 1,912 1,912 956 10,516 Speech-Language Pathologist Sigonella Italy 1,912 1,912 1,912 1,912 1,912 956 10,516 Speech-Language Pathologist Rota Italy 1,912 1,912 1,912 1,912 1,912 956 10,516 Speech-Language Pathologist Okinawa Japan 1,912 1,912 1,912 1,912 1,912 956 10,516 Physical Therapist Okinawa Japan 1,912 1,912 1,912 1,912 1,912 956 10,516 Physical Therapist Guam 1,912 1,912 1,912 1,912 1,912 956 10,516 Physical Therapist Rota Spain 1,912 1,912 1,912 1,912 1,912 956 10,516

Occupational Therapist Okinawa Japan 1,912 1,912 1,912 1,912 1,912 956 10,516 Occupational Therapist Guam 1,912 1,912 1,912 1,912 1,912 956 10,516 Occupational Therapist Sigonella Italy 1,912 1,912 1,912 1,912 1,912 956 10,516 Occupational Therapist Sigonella

(Bahrain) Italy 1,912 1,912 1,912 1,912 1,912 956 10,516

Certified Occupational Therapy Assistant (COTA)

Okinawa Japan 1,912 1,912 1,912 1,912 1,912 956 10,516

Early Childhood Special Educator

Yokosuka (Sasebo) Japan

1,912 1,912 1,912 1,912 1,912 956 10,516

Early Childhood Special Educator

Yokosuka (Iwakuni) Japan

1,912 1,912 1,912 1,912 1,912 956 10,516

Early Childhood Special Educator

Guam 1,912 1,912 1,912 1,912 1,912 956 10,516

Early Childhood Special Educator

Rota Spain 1,912 1,912 1,912 1,912 1,912 956 10,516

Early Childhood Special Educator

Naples Italy 1,912 1,912 1,912 1,912 1,912 956 10,516

Early Childhood Special Educator

Sigonella Italy 1,912 1,912 1,912 1,912 1,912 956 10,516

Early Childhood Special Educator

Sigonella (Bahrain) Italy

1,912 1,912 1,912 1,912 1,912 956 10,516

Program Manager General 1,912 1,912 1,912 1,912 1,912 956 10,516 Total Hours All 49,712 49,712 49,712 49,712 49,712 24,856 273,416

5.4. Minimum Qualification

5.4.1. The Contractor shall provide personnel having the specified minimum levels of training and experience. General qualifications that apply to all HCWs are given in Section 5. Specific qualifications for various labor categories are given in 5.5.

5.4.1.1. HCW shall comply with the standards of the Joint Commission, applicable provisions of law, and the rules and regulations of any and all governmental authorities pertaining to licensure and regulation of health care personnel and medical treatment facilities, the regulations and standards of medical practice of the MTF and the bylaws of the MTF’s medical staff. Adhere to and comply with all Department of the Navy, Bureau of Medicine and Surgery and local instructions and notices which may be in effect during the term of the contract.

5.4.1.2. HCWs shall read, write, speak, and understand the English language fluently and maintain good communication skills with patients and other health care personnel.

5.4.1.3. HCWs shall be physically capable of performing all services required.

5.4.1.4. HCWs shall be in good standing and under no sanction or suspension by the Federal

Government.

5.4.1.5. HCWs shall be in good standing, and under no restrictions, with the state licensure board in any state in which a license is held or has been held within the last 10 years.

5.4.1.6. Each HCW shall possess and maintain current certification in one of the following: American

Heart Association Basic Life Support (BLS) or American Red Cross Basic Life Support (BLS) for Healthcare Providers or American Heart Association or American Red Cross Healthcare Provider Course. HCWs who do not hold current certification must acquire certification prior to initiating contract performance. Web based classes do not meet these standards.

Certification cards must display the American…

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