NMC-6 Statement of Work V5 RFI 28sep23.pdf

Attachment 1 – Statement of Work

CONTRACTOR TECHNICAL, ADMINISTRATIVE, AND MEDICAL REVIEW AND

RECOMMENDATION SUPPORT SERVICES

FOR

THE U.S. COAST GUARD NATIONAL MARITIME CENTER

MEDICAL EVALUATION PROGRAM

STATEMENT OF WORK

1.0. GENERAL.

1.1. SCOPE. The purpose of this contract is to obtain Contractor technical, administrative, and medical review & recommendation support services for the U.S. Coast Guard (USCG) National Maritime Center (NMC) Medical Evaluation Program. Contractor tasks shall include reviewing and processing merchant mariner medical certificate applications; managing official merchant mariner medical records (electronic) and supplemental medical information; completing data entry related to the process; medical certificate creation; and supporting correspondence related to screening and processing of applications which also includes photo copying, scanning and stuffing envelopes.

NOTE: This Contract is not for clinical medicine. There shall be no interaction with patients and no diagnosing or treatment of conditions. This work is considered to be occupational and administrative medicine. It shall substantially involve reviewing medical documentation and fitness for medical certification decision making based upon that information. Most of the screening work shall be performed by reviewing medical mariner applicants’ medical histories against the established maritime medical guidelines and standards. In addition, there is administrative work involved with processing and maintaining these records.

1.2. BACKGROUND. The mission of the USCG NMC is to issue Merchant Mariner Medical Certificates to fully qualified U.S. merchant mariners. A key component of the Mariner Credentialing Program (MCP) is the Medical Division, staffed by physicians, physician assistants, certified medical assistants, and medical clerks who review and assess applications for Medical Certificates. This staff is comprised of both Government and Contractor personnel.

The Medical Certificate is the USCG’s authorization that a mariner has met the following requirements:

•Have the physical capability to fulfill all the requirements of basic training as required by Section A-VI/1 of STCW;

•Demonstrate adequate hearing and speech to communicate effectively and detect any audible alarms;

•Have no medical condition, disorder or impairment that will prevent the effective and safe conduct of the seafarer’s routine and emergency duties;

•Are not suffering from any medical condition likely to be aggravated by service at sea or to render the seafarer unfit for service or to endanger the health and safety of other personnel on board;

•Are not taking medication that has side effects that will impair judgment, balance or any other requirements for effective and safe performance of routine and emergency duties on board.

1.2.1. The Medical Division is responsible for the review of merchant mariner medical records, both paper based and electronic as outlined in the following core process:

• Mariners apply for medical certificate at one of 17 Regional Exam Centers (REC) directly by email, mail, or fax. Mariners can also apply for medical certification by emailing the application directly to the NMC. Contractor support personnel under this Contract is not required at the RECs. Contractor support personnel shall only be required at the NMC headquarters in Martinsburg, West Virginia.

• RECs forward digital files to the NMC for processing.

• Mariners may also be required to submit additional information directly to the NMC.

• Contractor receives applications and any additional information that may have been submitted to the Medical Division of the NMC. Applications and additional information can be received via fax, mail, and email. All medical certificate applications are processed by the Medical Division. If the application is emailed or faxed to the medical division, Contractor personnel medical clerks shall create an electronic application or update mariner demographic information when necessary, IAW MMS documents. The Contractor’s On-Site Supervisor shall then assign the workload amongst the Contractor staff as necessary.

• The Contractor shall in-process digital or paper upon receipt in the Medical Division.

• The Contractor shall conduct a medical screening based upon the submitted digital or paper documentation; determine medical fitness for certification or if further medical review is needed, create medical certificate. The Contractor shall communicate with the applicant, and/or applicant’s medical provider and others via phone, mail or email; document information in Merchant Mariner Licensing and Documentation (MMLD), Medical Evaluation database; and SharePoint site. This work, including criteria for screening are established in the Code of Federal Regulations (CFR), NMC Mission Management System documents and Commandant Instruction Manual 16721.48, Medical Evaluation databases and SharePoint sites (See SOW, Section 9.0).

• The Contractor shall assign digital documentation for medical screening and medical evaluation. When the Contractor recommends that an applicant is medically qualified, a medical certificate is created and printed by the Credential Production department.

1.2.2 The volume of work is forecasted based on expected annual mariner population activity and frequency, whether original, renewal or duplicate medical certificate applications. The average annual volume of work is 75,000 clerical tasks and 65,000 screening tasks required to process medical certificate applications of various types. Each of these applications are delivered to the Medical Division (MED) for processing. Based on current MMLD data, the Medical Division receives an average per-month of 5,000 applications. Of those, 85 to 90% require first level review (screening) for fitness for certification decision.

1.3 PERIOD OF PERFORMANCE.

The period of performance for this contract is inclusive of a one-year Base Period and four (4) one-year Option Periods as follows:

Base Period: March 23, 2024, through March 22, 2025 Option Period One: March 23, 2025, through March 22, 2026 Option Period Two: March 23, 2026, through March 22, 2027 Option Period Three: March 23, 2027, through March 22, 2028 Option Period Four: March 23, 2028, through March 22, 2029

1.4 PLACE OF PERFORMANCE.

The primary place of performance is the USCG National Maritime Center located at 100 Forbes Drive, Martinsburg, WV 25404.

1.5 HOURS OF OPERATION.

Contractor employees shall generally perform all work between the hours of 0600 and 1700 ET, Monday through Friday (excluding Federal holidays).

There may be occasions where operational needs require flexibility, and the Contractor may need to work outside of normal hours. During these circumstances, flexible hours and schedules may be used during performance, subject to prior COR and Contractor agreement. Furthermore, in these instances, the use of agreed-to flexible hours or schedules shall not result in any additional costs incurred against the task order.

1.6 KEY PERSONNEL.

Before replacing any individual designated as Key by the Government, the Contractor shall notify the Contracting Officer no less than 15 business days in advance, submit written justification for replacement, and provide the names and qualifications of any proposed substitutes. All proposed substitutes shall possess qualifications equal to or superior to those of the Key person being replaced. The Contractor shall not replace Key Contractor personnel without acknowledgement from the Contracting Officer.

The Government has designated the On-site Supervisor as Key.

2.0. CONTRACTOR PERSONNEL.

2.1. On-Site Supervisor. The Contractor shall provide an On-Site Supervisor who shall be responsible for all Contractor work performed under this contract.

2.1.1. The On-Site Supervisor shall be a single point of contact for the Contracting Officer and the Contracting Officer’s Representative (COR). The On-Site Supervisor shall be on site and available for Medical Evaluation Division leadership (Division Chief and Operations Chief) during the core hours of 0930AM – 1430PM. The On-Site Supervisor shall be one of the senior level employees provided by the Contractor for this work effort. During any absence of the On- Site Supervisor, only one alternate shall have full authority to act for the Contractor on all matters relating to work performed under this contract. The On-Site Supervisor and all designated alternates shall be able to read, write, speak, and understand English.

2.1.2. The On-Site Supervisor shall be available by phone or e-mail to the Contracting Officer’s Representative (COR) between the hours of 8:00 AM – 4:30 PM EST, Monday through Friday, and shall respond to a request for discussion or resolution of technical problems within two hours of notification.

2.1.3. The On-Site Supervisor shall direct employee participation in the development, maintenance, and administration of the application process. As active participants in the workflow process, Contractor employees may recommend process improvements that will help to improve accuracy and cycle time resulting in improved customer service.

2.1.4. The On-Site Supervisor shall control business outcomes and requirements as they pertain to Contractor personnel.

2.1.5. The On-Site Supervisor shall have a minimum of one year in a supervisory role in a healthcare environment.

2.1.6. The On-Site Supervisor shall have the minimum of a High School Diploma or equivalent.

2.2. OTHER SPECIFIC PERSONNEL REQUIREMENTS.

2.2.1. All personnel requirements must include current United States professional certifications for all medical personnel must remain current throughout the lifespan of the contract.

2.2.2. The following chart lists the minimum qualifications for all Contractor personnel:

Position Medical Assistant Medical Clerk On-Site Supervisor

Experience Minimum twelve (12) months experience in respective specialty as listed below.

Minimum 6 months experience.

Minimum of one year in a supervisory role in a healthcare environment

Education High School Diploma or equivalent.

High School Diploma or equivalent.

High School Diploma or equivalent

Licensure Not Required. Not Required. Not Required.

Certifications Any one of the following:

Certified Medical Assistant (CMA), Registered Medical Assistant (RMA), National Certified Medical Assistant (NCMA), Certified Clinical Medical Assistant (CCMA).

None required. None Required.

2.2.3. The Contractor shall not propose Contractor personnel outside of the personnel listed above.

2.2.4. All Contractor personnel must have a successful background National Agency Check with Inquiries (NACI) screening prior to performing any work under this contract.

3.0. REQUIREMENTS.

The Contractor shall be responsible for the following tasks: screening merchant mariner applications for medical certificate; managing official merchant mariner medical records (electronic and paper based); variety of correspondence related to the screening and evaluation processes; record storage/upkeep and preparing mariner records for screening and evaluation;

completing data entry related to the evaluation and credentialing process; and providing professional fitness for certification decision.

NOTE: For all work performed on this contract, the Contractor shall safeguard all medical information and observe all other privacy laws, Personally Identifiable Information (PII), and other sensitive information in accordance with federal law, USCG policy, DHS policy, and any and all federal, local, and other agency regulations with zero incidents occurring.

3.1. PROTECTING MEDICAL INFORMATION AND PREVENTION OF

UNAUTHORIZED DISCLOSURE.

Contractor employees shall safeguard this information against unauthorized disclosure or dissemination in accordance with the law and Government policy and regulation. Any violation, or release of any data, will result in serious personal consequences for the releaser, as well as serious contractual, business, and security consequences for the Contractor.

3.2. SCREENING OF APPLICATIONS/ DOCUMENTATION AND ROUTING.

3.2.1. Screening of Applications/ Documentation and Routing Work Requirements.

The Contractor shall provide Certified Medical Assistants and/or Registered Medical Assistants for technical, administrative, and medical recommendation services including screening of the physical examination forms and any additional medical information, recommending if an applicant’s file requires a medical evaluation, documenting and routing of application digital or paper documentation, and support activities to include creation of the medical certificate with or without operational limitation (refer to volume of digital or paper documentation received in SOW 1.2.2) in accordance with 46 CFR, Commandant Instruction Manual 16721.48., and MMS documents (see SOW, Section 5.0). These documents detail how to perform the work as well as medical evaluation criteria. The Contractor shall:

3.2.1.1. Ensure SharePoint and MMLD system entries are correct, including identifying information medical documentation.

3.2.1.2. Create medical certificate and further routing to credential production.

3.2.1.3. Conduct quality assurance on 10% of correspondence (additional information letters, memos, and other mariner correspondence).

3.2.1.4. Maintain an application inventory which ensures meeting required delivery time of medical certificate to applicants, per 46 CFR, Commandant Instruction Manual 16721.48, and MMS documents.

3.2.1.5. Ensure the medical certificate is complete and accurate for printing.

3.2.1.6. Conduct a 3% quality assurance (QA) check on a quarterly basis of the completed screening applications per MMS. This requirement shall include a quality assurance check of all screeners. The Contractor shall pass a 95% accuracy check. Errors shall be returned for resolution with a quarterly report to the Government.

3.2.1.7. Ensure that all applications are screened on a ‘first-in/first-out’ basis unless otherwise directed by the Government.

3.2.1.8. Perform other administrative services required as part of the efforts described above (such as scanning paper records, communicating with others, sending official correspondence, filing and other office administrative actions, including work that is typical in an office setting (copying, drafting, faxing, stapling, etc.).

3.2.2. Screening of Applications/ Documentation and Routing Work Acceptance Criteria.

For monthly work to be accepted as complete, the Contractor must meet the following minimum acceptance criteria:

3.2.2.1. The Contractor shall not exceed a credential cycle-time of 5 days in Ready To Be Screened (RTBS) Medical and 1 day in Being Screened (BS) Medical. The Contractor shall ensure that the credential throughput ratio is at least 1.0 with Ready to Be Screened and Being Screened assignment states. (See Mariner Credentialing Program Report Card for Medical Certificates).

3.2.2.2. The performance report card is generated daily out of a database dashboard tool. The data used to create the report card is derived directly from the MMLD system which Contractors shall use and update daily. The report card is generated daily and shall be available to Contractor management staff. Within this report, the USCG tracks cycle-time and throughput for each MMLD state a medical certificate would pass and established goals associated with those individual states.

3.2.2.3. The Contractor shall perform a minimum of 350 Medical Screenings daily, if available by inventory.

3.3. RECORDS MAINTENANCE IN SUPPORT OF CREDENTIAL EVALUATIONS.

The Contractor shall provide medical clerks for 100% of records maintenance. Medical clerks are cross trained and cross utilized to perform data entry/information management. Upon receipt of application/file the Contractor shall:

3.3.1. Review an average of 8,000 incoming emails per month, and other documents IAW NMC MMS documents (see SOW, Section 5.0).

3.3.2. Prepare digital file for the screening and/or evaluation process IAW NMC MMS documents using various electronic tools, including databases, SharePoint site, spreadsheets, MMLD and other USCG standard business software record.

3.3.3. Track applications electronically using MMLD.

3.3.4. Coordinate categorization process of digital documentation with Government.

3.3.5. Make appropriate entries of digital documentation and transfer digital records to screeners, evaluators, and physicians as required by the Government. Contractor shall be prepared to process 500 digital files per business day. Record processing and transferring files shall be provided daily during duty hours.

3.3.6. Process additional information. The Contractor shall merge incoming documentation with appropriate digital documentation and transfer documentation to appropriate personnel. The Contractor shall process outgoing awaiting information for mailing if USPS mailing is required.

Digital documentation shall be routed and MMLD entries made IAW NMC MMS documents (see SOW, Section 5.0).

3.3.7. Perform other administrative services required as part of the efforts described above (such as converting paper documentation to digital, communicating with others, sending official correspondence and other office administrative actions).

3.3.8. Error rates shall not exceed 5% (i.e., five errors per 100 fields of data entered).

3.4. DATA ENTRY/INFORMATION MANAGEMENT IN SUPPORT OF MARINER

MEDICAL EVALUATIONS.

The Contractor shall:

3.4.1 Make electronic data entries and prepare responses to mariner requests IAW NMC MMS documents (see SOW, Section 5.0).

3.4.2 Work as active participants in the workflow process and shall recommend process improvements that will help to improve accuracy and cycle time resulting in improved customer service.

3.4.3. Perform other administrative services required as part of the efforts described above (such as merging digital records, communicating with others, sending official correspondence, filing and other office administrative actions), including work that is typical in an office setting (copying, drafting, faxing, stapling, etc.).

3.4.4. Demonstrate file accountability within 1 hour of request.

3.5. POST AWARD CONFERENCE.

The Contractor shall attend a Post Award Conference with the Contracting Officer and the COR no later than seven (7) business days after the date of award. The purpose of the Post Award Conference, which will be chaired by the Contracting Officer, is to discuss technical and contracting objectives of the Statement of Work (SOW) and other aspects that require discussing.

The Post Award Conference will be held at the Government’s facility or via teleconference.

3.6. STATUS REPORTS.

The Contractor shall provide a monthly status report to the Division Chief and Operations Chief, COR and Contracting Officer via electronic mail. This report shall include a summary of all Contractor work performed, an assessment of technical progress, schedule status, and any Contractor concerns or recommendations for the previous monthly period. These status reports shall address how and why the work performed should be accepted as established in the acceptance criteria established in SOW Sections 3.1.2. The Contractor shall include Oversight Reports in each month’s status report. These Oversight Reports measure the following:

3.6.1. The number of digital or paper documentation reviewed for oversight reporting.

3.6.2. Of those digital or paper documentation reviewed, how many errors were found and what type of errors.

3.6.3. How were these errors corrected and what oversight actions were taken.

3.7. STATUS MEETINGS.

The On-Site Supervisor shall be responsible for keeping the COR informed about Contractor status throughout the performance period of this contract and ensure Contractor activities are aligned with USCG Objectives.

3.7.1 The On-Site Supervisor shall be available to meet with the Contracting Officer and COR upon request to present deliverables, discuss status, exchange information and resolve emergent technical problems and issues. These meetings shall take place at the Government's facility.

3.7.2 At minimum, the On-Site Supervisor shall meet with the COR on a quarterly basis to discuss status, exchange information and resolve emergent technical problems and issues. These meetings shall take place at the Government’s facility or by teleconference.

3.7.3 At the request of the COR or Contracting Officer, the On-Site Supervisor and the upper Contractor management shall meet with the USCG within three (3) days of request to work on any issues that arise.

3.8. GENERAL REPORT REQUIREMENTS.

The Contractor shall provide all written reports in electronic format with read/write capability using applications that are compatible with the USCG Standard Workstation (Microsoft Windows and Microsoft Office Applications).

3.8.1 Due to USCG Internet restrictions, electronic mail attachments over 15 MB in size will not be accepted. The Contractor shall provide any electronic deliverable exceeding the 15 MB size on Government furnished equipment.

3.9. PROTECTION OF INFORMATION.

Contractor access to information protected under the Privacy Act is required under this contract.

Contractor employees shall safeguard this information against unauthorized disclosure or dissemination in accordance with the law and Government policy and regulation.

Contractor access to proprietary information is required under this contract. Contractor employees shall safeguard this information against unauthorized disclosure or dissemination in accordance with DHS Management Directive (MD) 11042.1, Safeguarding Sensitive but Unclassified (SBU) Information. SBU includes information categorized by DHS or other Government agencies as: For Official Use Only (FOUO); Official Use Only (OUO); Sensitive Homeland Security Information (SHSI); Limited Official Use (LOU); Law Enforcement Sensitive (LES); Safeguarding Information (SGI); Unclassified Controlled Nuclear Information (UCNI); and any other identifier used by other Government agencies to categorize information as sensitive but unclassified. The Contractor shall ensure that all Contractor personnel having access to business or procurement sensitive information sign a non-disclosure agreement (DHS Form 11000- 6).

The Contractor shall continue to ensure employees safeguard this information when the new Controlled Unclassified Information (CUI) framework replaces the SBU categorization.

4.0 GOVERNMENT FURNISHED PROPERTY/INFORMATION.

The Government will provide the workspace, equipment and supplies in Martinsburg, WV to perform onsite services required in this contract. The Government will also provide all necessary program and technical documents needed to complete tasks, including Mission Management System (MMS), also known as the NMC Standard Operation Procedures and Merchant Mariner Manual.

The Contractor shall use Government Furnished Property/Information only for the performance of work under this contract and shall be responsible for returning all Government Furnished Property/Information in good working condition, only subject to normal wear and tear.

The Government may (via COR discretion) also provide Information Technology (IT) equipment (e.g., laptops, workstations, etc.), which may include CAC RAS/VPN/VDI capabilities for remote access and teleworking purposes, as Government-Furnished Property (GFP) in support of this task order. Property records of all GFP provided to the Contractor shall be maintained in accordance with the property records guidance managed by the COR, including using the property receipt process to track specific asset(s) provided to the Contractor.

4.1. CONTRACTOR FURNISHED PROPERTY.

The Contractor shall furnish all facilities, materials, and equipment necessary to fulfill the requirements of this task order, except for the Government Furnished Property/Information specified in Section 4.0.

5.0. TELEWORK.

Telework will be available on a case-by-case basis, subject to contractor’s policies and procedures, and COR approval. Contractor’s telework policies and procedures shall be consistent with OPM telework guidelines.

6.0 EMPLOYEE CONDUCT

The Contractor’s employees shall comply with all applicable Government regulations, policies, and procedures (e.g., fire, safety, sanitation, environmental protection, security, “off limits” areas, possession of weapons, and dress code) when visiting or working at Government facilities.

The Contractor shall ensure that Contractor employees always present a professional appearance and that their conduct shall not reflect discredit on the United States, DHS, or the USCG.

6.1. REMOVING EMPLOYEES FOR MISCONDUCT OR SECURITY REASONS.

The Government may, at its sole discretion, direct the Contractor to remove any Contractor employee from USCG facilities for misconduct or security reasons. Removal does not relieve the Contractor of the responsibility to continue providing the services required under this SOW.

The Contracting Officer will provide the Contractor with a written explanation to support any removal.

6.2. CONFLICT OF INTEREST. The Contractor shall not employ any person in the performance of these requirements whose employment would, or could even appear to, cause a conflict of interest.

7.0. SECTION 508 COMPLIANCE.

Section 508 of the Rehabilitation Act (29 U.S.C. 794d), as amended by the Workforce Investment Act of 1998 (P.L. 105-220), August 7, 1998, requires that when Federal agencies develop, procure, maintain, or use electronic and information technology, they must ensure that it is accessible to people with disabilities, unless it would pose an undue burden to do so.

Federal employees and members of the public who have disabilities must have access to and use of information and services that is comparable to the access and use available to non-disabled Federal employees and members of the public. For additional information, please refer to FAR

39.2 or http://www.section508.gov.

Section 508 of the Rehabilitation Act, as amended by the Workforce Investment Act of 1998 (P.L. 105-220) requires that when Federal agencies develop, procure, maintain, or use electronic and information technology, they must ensure that it is accessible to people with disabilities.

Federal employees and members of the public who have disabilities must have equal access to and use of information and data that is comparable to that enjoyed by non-disabled Federal employees and members of the public.

All EIT deliverables within this work statement shall comply with the applicable technical and functional performance criteria of Section 508 unless exempt. Specifically, the following applicable standards have been identified:

36 CFR 1194.21 – Software Applications and Operating Systems, applies to all EIT software applications and operating systems procured or developed under this work statement including but not limited to GOTS and COTS software. In addition, this standard is to be applied to Web-based applications when needed to fulfill the functional performance criteria. This standard also applies to some Web based applications as described within 36 CFR 1194.22.

36 CFR 1194.31 – Functional Performance Criteria applies to all EIT deliverables regardless of delivery method. All EIT deliverable shall use technical standards, regardless of technology, to fulfill the functional performance criteria.

Exceptions for this work statement have been determined by DHS and only the exceptions described herein may be applied. Any request for additional exceptions shall be sent to the COR and determination will be made in accordance with DHS MD 4010.2. DHS has identified the following exceptions that may apply:

36 CFR 1194.3(b) – Incidental to Contract, all EIT that is exclusively owned and used by the Contractor to fulfill this work statement does not require compliance with Section 508. This exception does not apply to any EIT deliverable, service or item that will be used by any Federal employee(s) or member(s) of the public. This exception only applies to those Contractors http://www.section508.gov/ assigned to fulfill the obligations of this work statement and for the purposes of this requirement, are not considered members of the public.

8.0 DELIVERABLES.

ITEM SOW DELIVERABLE / EVENT DUE BY

3.5

Post-Award Conference

No later than 7 business days after initial contract award

2 3.6 Status Reports Monthly

3.7

Status Meetings

Quarterly, and within 3 days after receipt of request by the COR

8.1 FINAL REVIEW AND APPROVAL OF DELIVERABLES ONLY BY USCG

PERSONNEL.

Contract employees acknowledge that at all times and for all assignments, only Government personnel can make the final review and approval of materials developed by the Contractor for use by the USCG.

9.0. REFERENCES.

9.1. Coast Guard Mission Management System (Work Instructions and Processing System – Standard Operating Procedures

9.2. 46 Code of Federal Regulations (CFR), Parts 1-40, Subchapter B.

http://www.uscg.mil/nmc/regulations/ http://www.ecfr.gov/cgi-bin/text-idx?SID=c63c1d87af1695d5a4baf4096d5506c0&mc=true&tpl=/ecfrbrowse/Title46/46cfrv1_02.

tpl#0 This reference is also widely available under other locations on the internet.

9.3. National Maritime Center Medical Certificate Website:

https://www.dco.uscg.mil/nmc/medical_certificate/

9.4. Merchant Mariner Medical Manual COMDINST M16721.48

https://media.defense.gov/2019/Sep/11/2002181050/-1/-1/0/CIM_16721_48.PDF. After award these documents are always available upon request and are publicly available online, including any updates to this document that may be executed.

9.5. Medical Division database.

9.6. NMC6 Medical Evaluation Division SharePoint site.

http://www.uscg.mil/nmc/regulations/ http://www.ecfr.gov/cgi-bin/text-idx?SID=c63c1d87af1695d5a4baf4096d5506c0&mc=true&tpl=/ecfrbrowse/Title46/46cfrv1_02.tpl&0 http://www.ecfr.gov/cgi-bin/text-idx?SID=c63c1d87af1695d5a4baf4096d5506c0&mc=true&tpl=/ecfrbrowse/Title46/46cfrv1_02.tpl&0 http://www.ecfr.gov/cgi-bin/text-idx?SID=c63c1d87af1695d5a4baf4096d5506c0&mc=true&tpl=/ecfrbrowse/Title46/46cfrv1_02.tpl&0 https://www.dco.uscg.mil/nmc/medical_certificate/ https://media.defense.gov/2019/Sep/11/2002181050/-1/-1/0/CIM_16721_48.PDF

9.7. Mariner Credentialing Program Report Card for Medical Certificates, as continually updated.

10.0 GOVERNMENT TERMS & DEFINITIONS.

ADC Application Distribution Center AI Additional Information AIP Application-In Processing BE Being Evaluated BS Being Screened CAC Common Access Card CFR Code of Federal Regulations CMA Certified Medical Assistant COR Contractor Officer Representative CVS Contractor Verification System DHS Department of Homeland Security DOD Department of Defense IAW In accordance with MED Medical Division MCP Mariner Credentialing Program MLD Mariner Licensing and Documentation Program MMLD Merchant Mariner Licensing and Documentation System NMC National Maritime Center MCP Mariner Credentialing Program MMS Mission Management System: formal documentation of rules, regulations, policy, practices, processes, measures, and other requirements of the Mariner Credentialing Program

PA Physician Assistant PHI Protected Health Information PQE Professional Qualification Evaluation Branch QA Quality Assurance REC Regional Examination Center RTBE Ready to be Evaluated RTBS Ready to be Screened OSS On-Site Supervisor SOW Statement of Work SPS NMC6 Medical Evaluation Division SharePoint site STATES The production line “stops” in the workflow (from application to issuance) where work is performed, status documented, and duration at that production line point (cycle time) is documented within MMLD, as the work moves to the next production stop/process.

STCW Standards for Training, Certification, and Watch keeping for Seafarers USCG Unites States Coast Guard