RFP 75H70527R00001 Area Wide Teleradiology.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

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4. ORDER NUMBER 6. SOLICITATION ISSUE

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7. FOR SOLICITATION

INFORMATION CALL:

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8. OFFER DUE DATE/

9. ISSUED BY

13b. RATING

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CODE

16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

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17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

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REQUEST

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REQUEST

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PROPOSAL

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SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

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UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

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AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % :

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

UNRESTRICTED OR

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

8(A)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED

1. REQUISITION NUMBER

IHS1532056

5. SOLICITATION NUMBER

75H70527R00001

Mary Simon mary.simon2@ihs.gov

15. DELIVER TO

Bemidji Area Office 2225 Cooperative CT NW Bemidji, MN 56601

AREA WIDE TELERADIOLOGY SERVICES

IAW ATTACHED PWS

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

621512

19M

04/01/2027 10/13/2026

LOCAL TIME

11/12/2026

STOCK RECORD (S/R)

STANDARD FORM 1449 (REV. 11/2021) BACK

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

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41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

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42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS

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32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

75H70527R00001 Area Wide Teleradiology Services

SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 CONTRACT ADMINISTRATION DATA

Contract Administration: All contract administration matters will be handled by the following individuals:

CONTRACTOR NAME AND ADDRESS:

EIN/TIN____________

UIE SAMS__________

CAGE______________

NAME: ______________

TELEPHONE: ________

EMAIL: _____________

LOCATION OF SERVICE:

Red Lake Service Unit Cass Lake Service Unit 24760 Hospital Drive 425 7th Street NW Red Lake, MN 56671 Cass Lake, MN 56633

CONTRACTOR REGISTRATION: All required information must be in the System for Award Management (SAM) at www.sam.gov.

GOVERNMENT:

Mary Simon Indian Health Service 2225 Cooperative Ct NW, Rm 202 Bemidji, MN 56601 mary.simon2@IHS.Gov

The associated North American Industrial Classification System (NAICS) code: 621512, Teleradiology Equipment and Service PSC: Q522 Medical-Radiology

CONTRACT TYPE: Firm Fixed Price, Indefinite Delivery-Indefinite Quantity (IDIQ). Task orders issued will be Firm Fixed Price.

INVOICES: In accordance with the Prompt Payment Act, payment will be due 15 days after receipt of services or receipt of a proper invoice, whichever is later.

INVOICE INSTRUCTIONS:

mailto:mary.simon2@IHS.Gov

Electronic Invoicing and Payment Requirements - Invoice Processing Platform (IPP) Payment requests must be submitted electronically through the U. S. Department of the Treasury's Invoice Processing Platform System (IPP).

"Payment request" means any request for contract financing payment or invoice payment by the Contractor. To constitute a proper invoice, the payment request must comply with the requirements identified in the applicable Prompt Payment clause included in the contract, or the clause 52.212-4 Contract Terms and Conditions - Commercial Items included in commercial item contracts. The IPP website address is: https://www.ipp.gov.

Under this contract, the following documents are required to be submitted as an attachment to the IPP invoice:

- A copy of the Contractor's invoice shall be included with the IPP invoice. If no invoice is attached, the Invoice will be rejected;

- Contractor's Invoice shall contain:

* Contract number

* SAM's Registration - Unique Identity Number (UEI Number)

* EIN or Tax ID Number

* List of deliverables;

- Timesheets if applicable - Number of hours worked with corresponding labor category and rate

HHSAR 352.232-71 Electronic Submission of Invoice Payment Requests (Feb 2022)

(a) Definitions.

Payment request means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements identified in FAR 32.905(b), "Content of Invoices" and the applicable Payment clause included in this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system. Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.

(c) The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing in accordance with HHS procedures.

(d) If alternate payment procedures are authorized, the Contractor shall include a copy of the Contracting Officer's written authorization with each payment request.

Unless otherwise agreed to by the contracting officer per HHSAR 352.232-71(c), the use of IPP shall take precedence over previously established invoicing procedures.

Improperly prepared invoices or statements shall be returned to the contractor and may delay payment.

CONTRACT TYPE: Firm Fixed Price, Indefinite Delivery-Indefinite Quantity (IDIQ). Task Orders will be Firm Fixed Price.

The quantities in the Schedule are for pricing purposes and basis for evaluation for award and do not represent what the Government will order. The Government is using the Indefinite-Delivery, Requirements type contract because exact quantities cannot be predetermined.

The Government will issue orders in accordance with the Ordering and Requirements Clauses as needs arise and the contractor will be reimbursed for exact quantities performed at the prices quoted.

THE TOTAL MAXIMUM CONTRACT value, defined as the sum of contractor payment streams associated with all task orders against this master IDIQ Contract shall not exceed 5M.

THE MINIMUM GUARANTEE ORDER(S) QUANTITY for this IDIQ Contract award is $10K, provided that the contractor can successfully provide Radiologists for Interpretation Services.

PERIOD OF PERFORMANCE: Base Plus 4 Option Years

BID SCHEDULE: BASE PLUS 4 OPTION YEARS

Teleradiology Services

Base Year: 4/01/2027-03/31/2028

CLIN Imaging Type Category

Est Quantity Unit Proposed Cost

Extended Annual Cost

0001 General Radiology

8550 Each

0002 Ultrasound 1920 Each 0003 CT 4450 Each 0004 MRI 500 Each 0005 DEXA Scans 200 Each 0006 Mammography 1155 Each 0007 Echocardiograms 96 Each

Option Year One: 4/01/2028-03/31/2029

CLIN Imaging Type Category

Est Quantity Unit Proposed Cost

Extended Annual Cost

0008 General Radiology

8550 Each

0009 Ultrasound 1920 Each 0010 CT 4450 Each 0011 MRI 500 Each 0012 DEXA Scans 200 Each 0013 Mammography 1155 Each 0014 Echocardiograms 96 Each

Option Year Two: 4/01/2029-03/31/2030

CLIN Imaging Type Category

Est Quantity Unit Proposed Cost

Extended Annual Cost

0015 General Radiology

8550 Each

0016 Ultrasound 1920 Each 0017 CT 4450 Each 0018 MRI 500 Each 0019 DEXA Scans 200 Each 0020 Mammography 1155 Each 0021 Echocardiograms 96 Each

Option Year Three: 4/01/2030-03/31/2031

CLIN Imaging Type Category

Est Quantity Unit Proposed Cost

Extended Annual Cost

0022 General Radiology

8550 Each

0023 Ultrasound 1920 Each 0024 CT 4450 Each 0025 MRI 500 Each 0026 DEXA Scans 200 Each 0027 Mammography 1155 Each 0028 Echocardiograms 96 Each

Option Year Four: 4/01/2031-03/31/2032

CLIN Imaging Type Category

Est Quantity Unit Proposed Cost

Extended Annual Cost

0029 General Radiology

8550 Each

0030 Ultrasound 1920 Each 0031 CT 4450 Each

0032 MRI 500 Each 0033 DEXA Scans 200 Each 0034 Mammography 1155 Each 0035 Echocardiograms 96 Each

CUMMULATIVE

BASE: $

Option Year 1: $ Option Year 2: $ Option Year 3: $ Option Year 4: $

TOTAL: $

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

Teleradiology Services for Diagnostic Interpretation of Radiologic Studies

Indian Health Service Bemidji Area:

Cass Lake IHS Hospital & Red Lake IHS Hospital

1. Purpose of Contract The purpose of this contract is to provide teleradiology services for diagnostic interpretation of radiologic examinations. Under the guidance of the Bemidji Area Office, teleradiology services will be provided to: Red Lake IHS Hospital and Cass Lake IHS Hospital, both located in Minnesota.

2. Background Indian Health Service (IHS) provides healthcare to approximately 2.8 million American Indians and Alaska Natives from 574 federally recognized Tribes across 37 states. Many IHS and Tribal health facilities lack on-site radiology services, making remote interpretation critical to timely diagnosis and treatment.

Red Lake IHS Hospital anticipates performing approximately 9,100 radiologic examinations during the first contract year, including 5,500 general X-rays, 1,000 ultrasounds, 600 mammograms, and 2,000 CT exams. In addition, Red Lake IHS Hospital performs approximately eight (8) echocardiogram studies per month requiring remote interpretation. RLSU expects an annual increase of one percent (1%) in examination volume in subsequent years; however, actual numbers may vary.

Cass Lake IHS Hospital estimates approximately 7,600 examinations in the first contract year, including 5,000 general X-rays, 1,500 ultrasounds, 400 CT scans, 500 mammograms, and 200 DEXA scans. CLSU anticipates a one percent (1%) annual growth in volume in subsequent years, though actual numbers may fluctuate. This includes a hospital, which operates 24 hours a day, seven days a week.

Exam numbers above are estimates and are subject to change.

3. Period of Performance Base year with four (4) option years.

• Base Period: 04/01/2027 – 03/31/2028

• Option Year 1: 04/01/2028 – 03/31/2029

• Option Year 2: 04/01/2029 – 03/31/2030

• Option Year 3: 04/01/2030 – 03/31/2031

• Option Year 4: 04/01/2031 – 03/31/2032

4. Scope of Work Services will include:

• Routine and STAT interpretations of general diagnostic imaging: X-rays, CT, MRI, ultrasound, and other modalities as required.

• Interpretation of echocardiogram studies for participating service units. Red Lake IHS Hospital currently estimates approximately eight (8) studies per month. Cass Lake IHS Hospital may require echocardiogram interpretation services during the period of performance.

• Subspecialty reads as needed (e.g., neuroradiology, musculoskeletal, pediatrics).

• After-hours, weekend, and holiday coverage, as defined in the clinical performance requirements section.

• Electronic delivery of final signed radiology reports via secure and HIPAA-compliant systems.

• Real-time availability for consultation with IHS providers when clinically necessary.

Requirement Standard Acceptable Quality Level

STAT Studies ≤ 30 minutes 95% compliance

Routine Diagnostic Imaging ≤ 24 hours preferred; ≤ 48 hours required

95% compliance with 48-hour requirement

Mammography DBT ≤ 24 hours preferred; ≤ 48 hours required

95% compliance with 48-hour requirement

Routine Echocardiograms ≤ 24 hours preferred; ≤ 48 hours required

95% compliance with 48-hour requirement

Report Accuracy Final report consistent with imaging findings ≥ 98% accuracy

System Availability PACS/teleradiology system uptime ≥ 99%

5. Personnel Requirements

• All interpreting radiologists:

a. Must be board certified or board eligible by the American Board of Radiology or equivalent institution.

b. Must possess an active, current, unrestricted license to practice medicine in a US state, if required.

c. Personnel interpreting echocardiograms shall possess all applicable licensure, certification, credentialing, privileging, education, training, and experience required by IHS and the participating service unit to perform echocardiogram interpretation services.

d. Must possess a current teleradiology certification per Minnesota state requirements.

e. Must become credentialed and privileged by IHS prior to performing services.

f. Shall have no sanctions from Medicare or Medicaid, or other federal agencies;

g. Shall have no reports from the Office of Inspector General (OIG) for civil or criminal charges.

h. Must comply with all Federal Background checks requirements, conflict of interest disclosures, and HIPAA training per federal guidelines.

6. Contractor Performance Requirements

a. Contractors shall provide all labor, equipment, electronic circuits and interfaces, and materials to interpret radiologic studies.

b. Contractor shall provide an up-to-date roster and schedule of credentialed radiologists performing services under the contract. The roster and schedule shall be provided to the COR, or designee, at each quarterly meeting.

c. Contractor shall provide a monthly report on service volume for all modalities and over-read activities. These reports are to be provided to the COR or designee.

d. The Contractor shall participate in performance reviews and quality assurance audits in coordination with IHS leadership. Any reports resulting from these activities shall be provided to the COR or designee.

e. Contractor shall attend quarterly meetings scheduled by the COR to address areas of concern and exchange information to ensure consistent communication.

f. Contractor shall be accredited by The Joint Commission or other relevant accreditation organization.

g. Contractor must have a MINIMUM of two (2) radiologists with MQSA certification (Mammography Quality Standards Act of 1992) capable of reading mammography under the terms of the contract.

h. Contractor shall process any request for focused case review for concerns relating to a disagreement or significant discrepancy in radiologist reading or interpretation by providing a written case review by another qualified radiologist within one (1) week of request. These reports are to be provided to the COR or designee.

i. Contractor shall be technically proficient in the skills necessary to fulfill the Government’s requirements, including the ability to speak, understand, read, and write English fluently.

j. Complaints concerning Contractor interactions with Government employees and/or patients shall be resolved with the assistance of the Contracting Officer (CO). The CO has final authority to validate complaints. In the event Contractor personnel are named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal of Contractor personnel in the event of incidents involving physical or verbal abuse.

7. Clinical Performance Requirements

a. Radiologists shall furnish proof of a minimum of 20 peer case review (over-reads) for each service unit semi-annually in accordance with the ACR guidelines. These peer reviews will be a sampling of each service unit’s imaging and all modalities from each service unit. These reports are to be provided to the COR or designee.

b. Radiologists shall provide the services described independent of Government supervision.

c. Radiologists shall provide qualified radiologists to assume the Lead Interpreting Physician (LIP) duties for both service units’ mammography programs, as specified by MQSA regulations and as required for ACR and MQSA inspections.

d. Radiologists possess a minimum of two (2) years of experience in teleradiology.

e. Mammography Digital Breast Tomosynthesis (DBT) Turnaround Time: Mammography DBT studies should be completed within twenty-four (24) hours and shall be completed within forty-eight (48) hours. Turnaround time begins when the complete study, including all applicable prior breast-related studies and information necessary for interpretation, has been successfully transmitted and is available to the Contractor for interpretation. Turnaround time ends when the final interpretation is electronically signed by the interpreting radiologist and is available in the IHS electronic health record (EHR). The Contractor shall maintain at least 95% compliance with the forty-eight (48) hour requirement.

f. Echocardiogram Turnaround Time: Routine echocardiogram studies shall be completed within twenty-four (24) hours. Turnaround time begins when the complete study, including all images and information necessary for interpretation, has been successfully transmitted and is available to the Contractor for interpretation. Turnaround time ends when the final interpretation is electronically signed by the interpreting physician and is available in the IHS electronic health record (EHR). The Contractor shall maintain at least 95% compliance with the twenty-four (24) hour requirement.

g. Routine Study Turnaround Time: Routine studies should be completed within twenty-four

(24) hours and shall be completed within forty-eight (48) hours. Turnaround time begins when the complete study, including all images and information necessary for interpretation, has been successfully transmitted and is available to the Contractor for interpretation. Turnaround time ends when the final interpretation is electronically signed by the interpreting radiologist and is available in the IHS electronic health record (EHR). The Contractor shall maintain at least 95% compliance with the forty-eight (48) hour requirement.

h. STAT Study Turnaround Time: STAT studies shall be completed within thirty (30) minutes.

Turnaround time begins when the complete study, including all images and information necessary for interpretation, has been successfully transmitted and is available to the Contractor for interpretation. Turnaround time ends when the final interpretation is electronically signed by the interpreting radiologist and is available in the IHS electronic health record (EHR). The Contractor shall maintain at least 95% compliance with the thirty (30) minute requirement.

i. Critical and Life-Threatening Findings: If a critical or serious life-threatening finding is identified during interpretation, the radiologist shall notify the site clinician, or designee, via telephone within one (1) hour of identification.

j. Preliminary/Final Interpretation Discrepancies: The radiologist shall notify the site clinician, or designee, via telephone of any significant discrepancy between a preliminary interpretation and the final interpretation within one (1) hour of identifying the discrepancy.

k. Radiologists may provide preliminary interpretations (so-called "wet readings") for radiology studies sent after-hours, and final interpretations will be provided as outlined herein.

l. Radiologists must follow all requirements for medical staff appointments and clinical privileges described in the Medical Staff Bylaws at each service unit, including participation in both focused professional practice evaluation and ongoing professional practice evaluation. Failure to maintain active medical staff appointments and clinical privileges could result in suspension or termination of this contract.

m. Radiologists to be technically proficient in the skills necessary to fulfill the Government’s requirements, including the ability to speak, understand, read, and write English fluently.

n. Radiologists shall provide copies of current CMEs as required by appropriate associations.

Radiologists shall report CME hours to the credential office. These documents are required for both privileging and re-privileging. Failure to provide may result in loss of radiologists’ privileges.

o. Radiologists to meet all IHS mandatory training requirements for Contractors. All training to be completed prior to network access. Failure to complete the mandatory training course may result in temporary suspension until the courses are completed. Training certificates will be provided to COR, or designee.

8. Technical Requirements

a. All services must be delivered via a HIPAA-compliant, FDA-approved teleradiology platform.

b. Contractor is responsible for ensuring secure data transmission and storage, in compliance with Federal Information Security Management Act (FISMA) and NIST 800-53 standards.

c. Contractor shall support integration with existing IHS systems, including PACS, EHR (e.g., RPMS or Cerner/IHS Health IT), and secure messaging. All Contractor costs associated with establishing, configuring, and maintaining required interfaces and connectivity shall be included in the contract price and shall not result in additional cost to the Government.

d. The Government will work with the Contractor to establish secure connectivity to required systems and provide technical support contacts.

e. Contractor shall provide ALL necessary monitor QC control records and ALL physicist quality control testing for all qualified radiologist(s) that will be reading mammography studies. This will be provided to each facility quarterly. Reports will be provided to the COR, or designee.

The assigned LIP will be required to be available by phone for each service unit’s annual MQSA inspection (annual MQSA inspection are completed in three consecutive days for the two service units).

f. Contractor shall provide training and support to participating IHS staff for any secure platform or software used by the Contractor to transmit work orders and images between Contractor and service units, within fourteen (14) days of the contract award date.

g. Contractor shall possess a DICOM teleradiology system capable of interfacing with each service unit’s Picture Archiving and Communication System (PACS) and DICOM imaging network.

h. Computer monitors utilized by Contractor for purposes of study interpretation need to be calibrated in a timely fashion consistent with proper quality control procedures at the reading site. This calibration must follow ACR and FDA recommendations for monitor calibration.

Documentation of equipment quality control policies and certifications, provided upon request.

i. Contractor’s network must have established firewalls and procedures to ensure patient confidentiality and meet all security compliance requirements with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and applicable IHS security standards.

j. All digital images provided to the Contractor are for interpretation service only.

k. All patient information remains the sole property of the Government and may not be used for any purpose other than those stipulated in this agreement.

l. Any delays or downtime due to Contractor equipment failure must be communicated to the COR or their designee within ten (10) minutes via telephone. Contractor shall not be penalized for transcription delays due to equipment failure beyond the Contractor’s control.

m. Data transmission security must be maintained at all times. IHS personnel need to be notified immediately of any equipment, software or system malfunctions that would delay the transmission of images.

n. Connectivity will be approved and verified by each service unit prior to acceptance. The teleradiology equipment, diagnostic workstations, firewalls, switches, routers, and servers on the Contractor’s side will be provided by the Contractor.

o. If Contractor does not have capability to interface with the software IHS utilizes, it will be Contractor’s responsibility to develop an interface.

p. If Contractor uses alternate voice recognition software programs, the product shall be integrated into the IHS Vista/CPRS, meeting the approved VHA HL7 format.

9. Security and Security Agreements

a. Contractor shall complete an Interconnection Security Agreement and Business Associate Agreement with IHS, prior to the performance of any actions related to the contract.

b. Contractor shall describe the security plan for patient data. This includes location of physical servers and reading centers supporting Contractor’s services. Include in the plan any encrypted wireless systems used by radiologists. All wireless systems shall be FIPS-140 compliant.

c. Contractor shall provide the ability to comply with internet protocol security (lPSec) VPN standards for encrypting protocols. All communications between participating facilities and Contractor that are transmitted outside the IHS network must be encrypted.

d. IHS credentialing process will begin at minimum 90 days in advance of estimated entry on duty.

10. Invoicing and Payment

• Invoices will detail costs per study/exam, or flat monthly rate, as specified in the contract.

• Invoices will be submitted monthly.

• Contractor shall submit a properly prepared invoice to the Invoice Processing Platform (IPP) system. The IPP system is a secure web-based electronic invoicing and payment information service that efficiently manages Government invoicing from purchase order through payment notification. Additional information regarding the IPP system may be found at the IPP website address https://www.ipp.gov.

• Contractor invoices submitted electronically through the IPP must be in the proper format and contain the information required for payment processing. To be approved for payment, a “proper” invoice must list the items specified in FAR 52.232-25 (a)(3)(i) through (a)(3)(x), or in the case of a Commercial Item Contract, the items included in 52.212-4(g)(1)(i) through (g)(1)(x).

**INVOICES FOUND TO BE IMPROPER WILL BE RETURNED TO THE

CONTRACTOR RESULTING IN DELAY OF PAYMENT**

• In the event of IPP system malfunction, invoices shall be emailed to:

BEM_AOInvoices@ihs.gov & COR.

• The Government reserves the right to accept or reject services if the level of work is unsatisfactory. Payment shall be made upon receipt of a proper invoice and appropriate acceptance by the designated receiving official.

• FAR (52.232-25) has defined a proper invoice to include the following:

o Contractor name and address https://www.ipp.gov/ mailto:BEM_AOInvoices@ihs.gov o Invoice date and invoice number o Contract number o Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed o Shipping and payment terms o Name and address of contractor official to whom payment will be sent o Name, title, phone number and mailing address of person to notify in the event of a defective invoice o EIN/TIN (banking information will be entered into the portal when account is registered)

11. Contracting Officer Representative (COR) The COR will be appointed in writing by the contracting officer after the contract is awarded. The COR does not have the authority to change or modify the terms or conditions of a contract.

COR Responsibilities

a. Providing technical monitoring during contract performance and communicating with the contracting officer regarding delivery, acceptance, or rejection of deliverables in accordance with the terms of the contract;

b. Monitoring and assessing Contractor performance;

c. Reviewing invoices and recommending approval or disapproval;

d. Assisting the Contractor in the resolution of technical problems encountered during performance;

e. Maintain a thorough and complete file of all correspondence, meeting notes and other documentation relating to the contract and Contractor;

f. The COR will be responsible for coordinating and scheduling meetings.

12. SECTION 508 AND ACCESSIBILITY

This product must conform to the Revised Section 508 (https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines) and WCAG 2.0 Level AA standards as outlined below

352.239-73 Electronic Information and Technology Accessibility Notice.

(a) As prescribed in HHSAR 339.203-70(a), the Contracting Officer shall insert the following provision:

Electronic and Information Technology Accessibility Notice (December 18, 2015)

(a) Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d), as amended by the Workforce Investment Act of 1998 and the Architectural and Transportation Barriers Compliance Board https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Furldefense.us%2Fv3%2F__https%3A%2F%2Fwww.access-board.gov%2Fguidelines-and-standards%2Fcommunications-and-it%2Fabout-the-ict-refresh%2Ffinal-rule%2Ftext-of-the-standards-and-guidelines__%3B!!Og_tST9LxTiQE1I!rVeV3A2n-S9uTIcWQi_-Qx2WYj2h4B8NNxFijuojXiZZ0a62LVBjcWDIOnPE5u6PCygjJXOe3s__JEJGWVm8POrtxPZUb4h09mpy%24&data=05%7C02%7CJacqueline.Zortman%40ihs.gov%7Cb4f61c0a6b2c497e069e08de27871fa4%7C505de5755ef945efb09d1b1037c2db1b%7C0%7C0%7C638991658461710138%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=eeGkmZrg0H%2BfZKnOTGA1dSOHrKuqIaBhFZODTyc58Hg%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Furldefense.us%2Fv3%2F__https%3A%2F%2Fwww.access-board.gov%2Fguidelines-and-standards%2Fcommunications-and-it%2Fabout-the-ict-refresh%2Ffinal-rule%2Ftext-of-the-standards-and-guidelines__%3B!!Og_tST9LxTiQE1I!rVeV3A2n-S9uTIcWQi_-Qx2WYj2h4B8NNxFijuojXiZZ0a62LVBjcWDIOnPE5u6PCygjJXOe3s__JEJGWVm8POrtxPZUb4h09mpy%24&data=05%7C02%7CJacqueline.Zortman%40ihs.gov%7Cb4f61c0a6b2c497e069e08de27871fa4%7C505de5755ef945efb09d1b1037c2db1b%7C0%7C0%7C638991658461710138%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=eeGkmZrg0H%2BfZKnOTGA1dSOHrKuqIaBhFZODTyc58Hg%3D&reserved=0

Electronic and Information (EIT) Accessibility Standards (36 CFR part 1194), require that when Federal agencies develop, procure, maintain, or use electronic and information technology, Federal employees with disabilities have access to and use of information and data that is comparable to the access and use by Federal employees who are not individuals with disabilities, unless an undue burden would be imposed on the agency. Section 508 also requires that individuals with disabilities, who are members of the public seeking information or services from a Federal agency, have access to and use of information and data that is comparable to that provided to the public who are not individuals with disabilities, unless an undue burden would be imposed on the agency.

(b) Accordingly, any offeror responding to this solicitation must comply with established HHS EIT accessibility standards. Information about Section 508 is available at http://www.hhs.gov/web/508.

The complete text of the Section 508 Final Provisions can be accessed at http://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-section-508-standards.

(c) The Section 508 accessibility standards applicable to this solicitation are stated in the clause at 352.239-74, Electronic and Information Technology Accessibility.

In order to facilitate the Government’s determination whether proposed EIT supplies meet applicable Section 508 accessibility standards, offerors must submit an HHS Section 508 Product Assessment Template, in accordance with its completion instructions. The purpose of the template is to assist HHS acquisition and program officials in determining whether proposed EIT supplies conform to applicable Section 508 accessibility standards. The template allows offerors or developers to self-evaluate their supplies and document—in detail—whether they conform to a specific Section 508 accessibility standard, and any underway remediation efforts addressing conformance issues. Instructions for preparing the HHS Section 508 Evaluation Template are available under Section 508 policy on the HHS website http://www.hhs.gov/web/508.

In order to facilitate the Government’s determination whether proposed EIT services meet applicable Section 508 accessibility standards, offerors must provide enough information to assist the Government in determining that the EIT services conform to Section 508 accessibility standards, including any underway remediation efforts addressing conformance issues.

(d) Respondents to this solicitation must identify any exception to Section 508 requirements. If a offeror claims its supplies or services meet applicable Section 508 accessibility standards, and it is later determined by the Government, i.e., after award of a contract or order, that supplies or services delivered do not conform to the described accessibility standards, remediation of the supplies or services to the level of conformance specified in the contract will be the responsibility of the Contractor at its expense.

Standards

The included standards that must be met for this contract are taken from the following two resources. Compliance with these standards is mandatory for Federal agencies subject to Section 508 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794d).

https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Furldefense.us%2Fv3%2F__http%3A%2F%2Fwww.hhs.gov%2Fweb%2F508__%3B!!Og_tST9LxTiQE1I!rVeV3A2n-S9uTIcWQi_-Qx2WYj2h4B8NNxFijuojXiZZ0a62LVBjcWDIOnPE5u6PCygjJXOe3s__JEJGWVm8POrtxPZUb2yRKQny%24&data=05%7C02%7CJacqueline.Zortman%40ihs.gov%7Cb4f61c0a6b2c497e069e08de27871fa4%7C505de5755ef945efb09d1b1037c2db1b%7C0%7C0%7C638991658461756175%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=ystvmbWsH43vIAAkmmW4ltemZwO253wVMcOZk3TlZDM%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Furldefense.us%2Fv3%2F__http%3A%2F%2Fwww.access-board.gov%2Fguidelines-and-standards%2Fcommunications-and-it%2Fabout-the-section-508-standards__%3B!!Og_tST9LxTiQE1I!rVeV3A2n-S9uTIcWQi_-Qx2WYj2h4B8NNxFijuojXiZZ0a62LVBjcWDIOnPE5u6PCygjJXOe3s__JEJGWVm8POrtxPZUb0vjj-tY%24&data=05%7C02%7CJacqueline.Zortman%40ihs.gov%7Cb4f61c0a6b2c497e069e08de27871fa4%7C505de5755ef945efb09d1b1037c2db1b%7C0%7C0%7C638991658461771678%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=DfLjWL0qk1M48GcISBSYzO4Wov2kj6ZZDhSuGW3G6p8%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Furldefense.us%2Fv3%2F__http%3A%2F%2Fwww.access-board.gov%2Fguidelines-and-standards%2Fcommunications-and-it%2Fabout-the-section-508-standards__%3B!!Og_tST9LxTiQE1I!rVeV3A2n-S9uTIcWQi_-Qx2WYj2h4B8NNxFijuojXiZZ0a62LVBjcWDIOnPE5u6PCygjJXOe3s__JEJGWVm8POrtxPZUb0vjj-tY%24&data=05%7C02%7CJacqueline.Zortman%40ihs.gov%7Cb4f61c0a6b2c497e069e08de27871fa4%7C505de5755ef945efb09d1b1037c2db1b%7C0%7C0%7C638991658461771678%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=DfLjWL0qk1M48GcISBSYzO4Wov2kj6ZZDhSuGW3G6p8%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Furldefense.us%2Fv3%2F__http%3A%2F%2Fwww.hhs.gov%2Fweb%2F508__%3B!!Og_tST9LxTiQE1I!rVeV3A2n-S9uTIcWQi_-Qx2WYj2h4B8NNxFijuojXiZZ0a62LVBjcWDIOnPE5u6PCygjJXOe3s__JEJGWVm8POrtxPZUb2yRKQny%24&data=05%7C02%7CJacqueline.Zortman%40ihs.gov%7Cb4f61c0a6b2c497e069e08de27871fa4%7C505de5755ef945efb09d1b1037c2db1b%7C0%7C0%7C638991658461786817%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=WxTHE41YfcvxUtYkesGlbzT62TtVzWsxR%2FiQ4aNVXSE%3D&reserved=0

• Section 508 Standards and Guidelines: https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines

• Web Content Accessibility Guidelines (WCAG) 2.0: https://www.w3.org/TR/WCAG20/

Electronic content must be accessible to HHS acceptance criteria

Checklist for various formats are available at http://508.hhs.gov, or from the IHS Section 508 Coordinator listed at https://www.hhs.gov/web/section-508/additional-resources/section-508-contacts/index.html, (email: IHSSection508@ihs.gov). Materials that are final items for delivery should be accompanied by the appropriate checklist, except upon approval of the Contracting Officer or Representative.

Electronic Content Accessibility - Web Based

• 602 Support Documentation

• 603 Support Services

• All WCAG A & AA Success Criteria

Support Documentation Accessibility

• E602.1 General - Documentation that supports the use of ICT shall conform to 602.

• E602.2 Accessibility and Compatibility Features - Documentation shall list and explain how to use the accessibility and compatibility features required by Chapters 4 and 5. Documentation shall include accessibility features that are built-in and accessibility features that provide compatibility with assistive technology.

• E602.3 Electronic Support Documentation - Documentation in electronic format, including Web-based self-service support, shall conform to Level A and Level AA Success Criteria and Conformance Requirements in WCAG 2.0 (incorporated by reference, see 702.10.1).

• E602.4 Alternate Formats for Non-Electronic Support Documentation - Where support documentation is only provided in non-electronic formats, alternate formats usable by individuals with disabilities shall be provided upon request.

• E602.3 Electronic Support Documentation - Documentation in electronic format, including Web-based self-service support, shall conform to Level A and Level AA Success Criteria and Conformance Requirements in WCAG 2.0 (incorporated by reference, see 702.10.1).

• E602.4 Alternate Formats for Non-Electronic Support Documentation - Where support documentation is only provided in non-electronic formats, alternate formats usable by individuals with disabilities shall be provided upon request.

• E603.1 General - ICT support services including, but not limited to, help desks, call centers, training services, and automated self-service technical support, shall conform to 603.

• E603.2 Information on Accessibility and Compatibility Features - ICT support services shall include information on the accessibility and compatibility features required by 602.2.

• E603.3 Accommodation of Communication Needs - Support services shall be provided directly to the user or through a referral to a point of contact. Such ICT support services shall accommodate the communication needs of individuals with disabilities.

• WCAG – All WCAG 2.0 A & AA Success Criteria

EXCEPTION:

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o E205.4.1 Word Substitution when Applying WCAG to Non-Web Documents. For non- Web documents, wherever the term "Web page" or "page" appears in WCAG 2.0 Level A and AA Success Criteria and Conformance Requirements, the term "document" shall be substituted for the terms "Web page" and "page". In addition, in Success Criterion in 1.4.2, the phrase "in a document" shall be substituted for the phrase "on a Web page".

• Appendix A – Section 508 of the Rehabilitation Act: Application and Scoping Requirements o E208 Support Documentation and Services

• Appendix C – Functional Performance Criteria and Technical Requirements o 302 - Functional Performance Criteria o 602 – Support Documentation o 603 – Support Services

Functional Performance Criteria

• 301.1 Scope - The requirements of Chapter 3 shall apply to ICT where required by 508 Chapter 2 (Scoping Requirements), 255 Chapter 2 (Scoping Requirements), and where otherwise referenced in any other chapter of the Revised 508 Standards or Revised 255 Guidelines.

• 302.1 Without Vision - Where a visual mode of operation is provided, ICT shall provide at least one mode of operation that does not require user vision.

• 302.2 With Limited Vision - Where a visual mode of operation is provided, ICT shall provide at least one mode of operation that enables users to make use of limited vision.

• 302.3 Without Perception of Color - Where a visual mode of operation is provided, ICT shall provide at least one visual mode of operation that does not require user perception of color.

• 302.4 Without Hearing - Where an audible mode of operation is provided, ICT shall provide at least one mode of operation that does not require user hearing.

• 302.5 With Limited Hearing - Where an audible mode of operation is provided, ICT shall provide at least one mode of operation that enables users to make use of limited hearing.

• 302.6 Without Speech - Where speech is used for input, control, or operation, ICT shall provide at least one mode of operation that does not require user speech.

• 302.7 With Limited Manipulation - Where a manual mode of operation is provided, ICT shall provide at least one mode of operation that does not require fine motor control or simultaneous manual operations.

• 302.8 With Limited Reach and Strength - Where a manual mode of operation is provided, ICT shall provide at least one mode of operation that is operable with limited reach and limited strength.

• 302.9 With Limited Language, Cognitive, and Learning Abilities - ICT shall provide features making its use by individuals with limited cognitive, language, and learning abilities simpler and easier.

TASK ORDER INFORMATION:

Individual task orders shall be awarded and funded for the specified performance period.

Task order (TO) procedures will be identified in the TO.

FEDERAL ACQUISITION REGULATIONS

52.252-1 Solicitation Provisions Incorporated by Reference. This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address (es):

https://www.acquisition.gov/browse/index/far

52.252-2 Clauses Incorporated by Reference. This contract incorporates one or more clauses by reference, with same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this address: www.acquisition.gov

52.202-1 Definitions.

52.204-19 Incorporation by Reference of Representations and Certifications.

52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities.

52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services 52.217-8 Option to Extend Services 52.222-90 Addressing DEI Discrimination by Federal Contractors 52.223-18 Encouraging Contractor Policies to Ban Text Messaging While Driving.

52.225-13 Restrictions on Certain Foreign Purchases.

52.232-39 Unenforceability of Unauthorized Obligations.

52.232-40 Providing Accelerated Payments to Small Business Subcontractors.

52.233-3 Protest after Award.

52.233-4 Applicable Law for Breach of Contract Claim.

52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders—Commercial Items.

CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE

ORDERS—COMMERCIAL ITEMS. (JUL 2021)

http://www.acquisition.gov/

(a) The Contractor shall…