SBRAD IDIQ Sections B thru M.docx

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Small Business Expedited Research and Demonstration (SBRAD) Federal contract opportunity
Solicitation number
RFP-CMS-2010-0040
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

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TABLE OF CONTENTS

SECTION B – SUPPLIES OR SERVICES AND PRICES/COSTS

B.1BRIEF DESCRIPTION OF SERVICES
B.2TYPE OF CONTRACT
B.3DETERMINATION OF ORDER TYPE
B.4MINIMUM AND MAXIMUM QUANTITIES
B.5MATERIAL/TRAVEL/OTHER DIRECT COST (COST REIMBURSEMENT

TASK ORDERS)

B.6FIXED FEE (COST REIMBURSEMENT TASK ORDERS)
B.7FIXED FEE PAYMENT SCHEDULE (COST REIMBURSEMENT
TASK ORDERS

SECTION C – DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

C.1GENERAL STATEMENT OF SERVICES
C.2TYPE OF SERVICES
C.3STATEMENT OF WORK

SECTION D – PACKAGING AND MARKING

D.1 PACKAGING, MARKING AND SHIPPING

SECTION E – INSPECTION AND ACCEPTANCE

E.152.252-2 CLAUSES INCORPORATED BY REFERENCE (1998)
E.2INSPECTION AND ACCEPTANCE
E.3APPROVALS BY THE CONTRACTING OFFICER’S TECHNICAL REPRESENTATIVE (COTR)

SECTION F – DELIVERIES OR PERFORMANCE

F.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

F.2PERIOD OF PERFORMANCE (BASE PERIOD AND OPTIONS)
F.3OPTION TO EXTEND THE TERM OF THE SBRAD/TOC
F.4SBRAD/TOC DELIVERABLES/REPORTS
F.5TIME AND PLACE OF DELIVERIES (TASK ORDERS)
F.6TASK ORDER REQUIRED REPORTS (IF NOT CITED IN EACH TASK ORDER)
F-7DATA AND PROGRAM FILES, DOCUMENTATION AND COMMERCIAL

SOFTWARE AS DELIVERABLES

SECTION G – CONTRACT ADMINISTRATION DATA

G.1TASK ORDER PROCEDURES
G.2TASK ORDER PROPOSALS
G.3USE OF GOVERNMENT DATA (REPORTS/FILES/COMPUTER TAPES OR

DISCS

G.4DATA TO BE DELIVERED
G.5RESTRICTION ON DISSEMINATION, PUBLICATION AND DISTRIBUTION OF SENSTIVE POLICY INFORMATION
G.6INDIRECT COST – PROVISIONAL RATES
G.7PAYMENT SELECTED ITEMS OF COST REIMBURSEMENT CONTRACTS
G.8ACCOUNTING AND APPROPRIATION DATA
G.9INVOICING AND PAYMENT
G.10METHOD OF PAYMENT
G.11CONTRACTING OFFICER RESPONSIBILITY
G.12CONTRACTING OFFICER’S TECHNICAL REPRESENTATIVE (COTR)
G.13CONTRACTOR’S PROGRAM MANAGER
G.14HHSAR - KEY PERSONNEL.
G.15TECHNICAL DIRECTION
G.16SUBCONTRACT CONSENT
G.17GOVERNMENT FURNISHED PROPERTY
G.18DESIGNATION OF PROPERTY ADMINISTRATOR
G.19CORRESPONDENCE PROCEDURES
G.20POST AWARD EVALUATION OF CONTRACTOR PERFORMANCE

SECTION H – SPECIAL CONTRACT REQUIREMENTS

H.1HHSAR 352.224-70 - PRIVACY ACT
H.2HHSAR - PAPERWORK REDUCTION ACT
H.3CONDITIONS FOR PERFORMANCE
H.4CONFLICTS OF INTEREST
H.5APPROVAL OF CONTRACT ACQUIRED INFORMATION TECHNOLOGY

(IT)

H.6HIPAA – BUSINESS ASSOCIATE PROVISION II
H.7SECTION 508 – ACCESSIBILITY OF ELECTRONIC AND INFORMATION

TECHNOLOGY

H.8REHABILITATION ACT, SECTION 508, ACCESSIBLITY STANDARDS
H.9PRIVACY ACT SYSTEMS OF RECORDS
H.10RESTRICTIONS ON THE USE OF INFORMATION
H.11CODE OF CONDUCT
H.12WORK PERFORMED OUTSIDE OF THE UNITED STATES AND ITS
TERRITORIES
H.13OPEN SEASON
H.14FAR 52.234-4 EARNED VALUE MANAGEMENT SYSTEM
H.15SECURITY CLAUSE -BACKGROUND – INVESTIGATIONS for CONTRACTOR PERSONNEL
H.16CMS IDENTITY MARK GUIDELINES
H.17FEDERAL INFORMATION SECURITY MANAGEMENT ACT (FISMA) OF 2002

SECTION I – CONTRACT CLAUSES

I.1FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE
I.2DEPARTMENT OF HEALTH AND HUMAN SERVICES ACQUISITION REGULATIONS (HHSAR)
I.3HHSAR 352.202-1 DEFINITIONS
I.4FAR 52.215-19 NOTIFICATION OF OWNERSHIP CHANGES
I.5FAR 52.216-18 ORDERING
I.6FAR 52.216-19 ORDERING LIMITATIONS
I.7FAR 52.216-22 INDEFINITE QUANTITY
I.8FAR 52.217-19 OPTION TO EXTEND THE TERM OF THE CONTRACT
I.9FAR 52.244-6 SUBCONTRACTS FOR COMMERCIAL ITEMS AND

COMMERCIAL COMPONENTS

SECTION J – LIST OF ATTACHMENTS

J.1BILLING INSTRUCTIONS
J.2ACCOUNTING CERTIFICATION
J.3TASK 1 STATEMENT OF WORK
J.4TASK 2 STATEMENT OF WORK

SECTION K - REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS

K.1 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS

SECTION L - INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR

QUOTERS

L.152.204-6 DATA UNIVERSAL NUMBERING SYSTEM (DUNS) NUMBER
L.252.207-1 NOTICE OF COST COMPARISONL.352.214-34 SUBMISSION OF OFFERS IN THE ENGLISH LANGUAGE
L.452.214-35 SUBMISSION OF OFFERS IN U.S. CURRENCY
L.552.215-1 INSTRUCTIONS TO OFFERORS - COMPETITIVE ACQUISITION ALTERNATE I
L.652.215-3 REQUEST FOR INFORMATION OR SOLICITATION FOR PLANNING PURPOSES.
L.752.215-5 FACSIMILE PROPOSALS
L.852.215-16 FACILITIES CAPITAL COST OF MONEY
L.9 52.232-38 SUBMISSION OF ELECTRONIC FUNDS TRANSFER
INFORMATION WITH OFFER
L.10 52.215-1 INSTRUCTIONS TO OFFERORS - COMPETITIVE
ACQUISITION ALTERNATE 1
L.11 52.215-20 REQUIREMENTS FOR COST OR PRICING DATA OR
INFORMATION OTHER THAN COST OR PRICING DATA
L.12 52.216-1 TYPE OF CONTRACT
L.13 52.233-2 SERVICE OF PROTEST
L.14 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY
REFERENCE

L.15 HHSAR SOLICITATION PROVISIONS INCORPORATED BY

REFERENCE
L.16 GENERAL INSTRUCTIONS
L.17 PROPOSAL ORGANIZATION
L.18 VOLUME 1 - TECHNICAL PROPOSAL INSTRUCTIONS
L.19 VOLUME 2 - BUSINESS PROPOSAL INSTRUCTIONS
L.20 COMMUNICATIONS PRIOR TO CONTRACT AWARD
L.21 INSTRUCTIONS TO OFFERORS - CENTRAL CONTRACTOR
REGISTRATION (CCR)
L.22ESCLATION FACTOR
L.23SECTION 508, ACCESSIBILITY OF ELECTRONIC AND INFORMATION

TECHNOLOGY EIT) COMPLIANCE

L.24RESPONSIBILITY QUESTIONAIRE
L.25AVAILABILITY OF FUNDS

SECTION M - EVALUATION FACTORS

M.1GENERAL EVALUATION PROCESS
M.2EVALUATION METHODOLOGY
M.3TECHNICAL EVALUATION FACTORS
M.4EVALUATION FACTORS FOR TASKS
M.5EVALUATION OF THE SBRAD/TOC BUSINESS MANAGEMENT PROPOSAL
RFP-CMS-2010-0040
Small Business Research and Demonstrations (SBRAD)

i

SECTION B – SUPPLIES OR SERVICES AND PRICES/COSTS

B.1 BRIEF DESCRIPTION OF SERVICES

The purpose of this contract is to obtain Small Business Research and Demonstrations (SBRAD) services for the Centers for Medicare & Medicaid Services (CMS).

B.2 TYPE OF CONTRACT

This is a multiple award indefinite delivery/indefinite quantity (IDIQ) contract with provisions for pricing arrangements including, but not limited to, cost-plus-fixed-fee (CPFF), firm-fixed-price (FFP), time and materials (T&M) and labor hour (LH). Specific tasks and/or work to be performed, will be detailed in, and solicited by, individual task orders issued under this IDIQ contract

B.3 DETERMINATION OF ORDER TYPE

Each Request for Task Order Proposal (RTOP) sent to the Contractor will state the pricing mechanism deemed appropriate by the Government for that task order. The type of order is subject to negotiations.

B.4 MIMIMUM AND MAXIMUM QUANTITIES

During the contract period of performance (including any options exercised), the Government shall place orders with each IDIQ contractor totaling a minimum of $1,000 (inclusive of all costs and fee) over the life of the contract.

The maximum IDIQ amount (i.e., the maximum ceiling across all IDIQ’s) shall not exceed $1,000,000,000 (inclusive of all costs and fee) over the life of the contract.

B.5 MATERIAL/TRAVEL/OTHER DIRECT COST

These items will be set forth, when applicable, in each task order.

B.6 FIXED FEE (COST REIMBURSEMENT TASK ORDERS)

The fixed fee will be negotiated on a task order by task order basis as appropriate.

B.7 FIXED FEE PAYMENT SCHEDULE (COST REIMBURSEMENT TASK ORDERS

The fixed fee (as applicable) set forth in each individual CPFF task order under this contract will be paid in installments at the time of each monthly provisional payment. Unless otherwise indicated in individual task orders, the amount of each such fixed fee installment shall be paid at the same ratio as the total fixed fee is to total estimated costs.

NOTE: The payment of fixed fee is subject to the withholding provisions of FAR 52.216-8, entitled Fixed Fee. Any balance of fixed fee shall be paid to the contractor at the time specified in FAR 52.216-8.

SECTION C – DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

C-1 General Statement of Services

Independently and not as an agent of the Government, the Contractor shall furnish all the necessary services, qualified personnel, materials, equipment, and facilities, not otherwise provided by the Government, and do all things necessary for or incident to the performance of work as set forth in each awarded task order issued in accordance with the provisions in Section G of this SBRAD/TOC and Section C, the Statement of Work.

C-2 Type of Services

Any and all work performed under this SBRAD/TOC shall be implemented by individually funded task orders within the limitations of work set forth in Section C, Statement of Work.

C-3 Statement of Work

I. Introduction

Under this Small Business Research and Demonstration Task Order Contract (SBRAD), the Centers for Medicare & Medicaid Services (CMS) will award task orders (TOs) for a wide range of general research, analysis, demonstration and limited survey activities. These research and demonstrations projects may relate to: Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), issues related to uninsured populations, the recently enacted Patient Protection and Affordable Care Act, and any other aspects of CMS program responsibilities.

II. Mission & Responsibilities

CMS is the Federal agency responsible for the operation and oversight of the Medicare/Medicaid programs and the Federal participation in the State-operated Medicaid and CHIP. CMS’s mission is to promote the timely delivery of appropriate, high quality, cost-effective health care to program enrollees, who include the nation’s aged, disabled, low-income families and children and special needs groups. To help accomplish this mission, CMS has broad authority for the planning, analysis and research, implementation, and evaluation of demonstration projects. This includes conducting surveys intended to provide information to assist in the resolution of major health care financing issues, the assessment of the quality and appropriateness of services delivered to its program beneficiaries, and the development of new methods and approaches for the administration of the programs. The use of these SBRAD/TOCs is expected to assist CMS in carrying out its mission by facilitating expeditious initiation of research, analysis, demonstration and limited survey activities.

III. Work to be Performed Under this SBRAD/TOC A. General The work awarded under this SBRAD/TOC will involve a broad range of research and demonstration projects to develop and implement new health care financing and payment approaches and to evaluate the impact of CMS’ programs on its beneficiaries, providers, States, and other customers and partners. The scope of activities will embrace all areas of health care research: costs, access, quality, service delivery models, and financing and payment approaches. Because of recent statutory changes to CMS responsibility (notably the Patient Protection and Affordable Care Act), it is anticipated that a significant amount of work in the near future will be related to health reform. This work may require the expertise of multi-disciplinary staff including economists, physicians and other health professionals, pharmacists, social scientists, and health policy analysts, and systems analysts and programmers. The Contractor shall perform tasks involving the development, analysis, implementation, and/or evaluation of health care financing research and demonstration studies or projects. Such functions and activities are diverse and require that the Contractor must have, or must be able to acquire under the terms and conditions of its contractual agreement, the resources and expertise to perform these functions on an almost immediate basis.

Some examples of the specific work functions and activities that the Contractor may be required to perform under this SBRAD/TOC are: acquiring and analyzing data; designing and/or evaluating a demonstration; designing and performing simulations; preparing “waiver” cost estimates; assisting in demonstration site selection; providing technical assistance or training for demonstration sites and/or other groups or individuals; preparing demonstration and/or project phase-out plans; evaluation of demonstrations; marketing research, social marketing, performance measurement and monitoring (measuring quality across long term care and managed care); environmental scanning; pilot testing; devising or conducting surveys (especially for special needs populations, including poor, uninsured, HIV/AIDS, minorities); framing and designing a project (research study or analyses); convening technical expert groups or panels; developing options or issue papers with interim and final reports conducting actuarial, statistical, policy and other analyses; helping to prepare administrative clearance packages; developing conference materials; meeting with government and non-government groups; abstracting records and other claims/forms; participating in the development of conferences, seminars, or workshops and making presentations at these events; preparing papers and articles; disseminating findings; conducting case studies and literature reviews; policy analysis; etc.

The performance of such a wide variety of functions and activities requires a broad array of interdisciplinary skills and technical expertise by the Contractor. The following is a more in-depth discussion of the nature of the work functions and activities that the contractor may be required to perform.

This discussion separately describes research, design, implementation and evaluation of demonstrations, policy analysis, design and conduct of limited surveys, data analysis, or file constructions and generation of descriptive or analytic results activities. The functions and activities under these types of work are related. They are differentiated here only because there are some activities specific to demonstrations/evaluations that are not characteristically performed under the other areas. A task order may identify one or more types of work needed. Task orders awarded under this SBRAD/TOC may involve any of the functions/activities listed below under the discussion of these general types of projects. Under any task—general research, demonstration/evaluation, limited survey design, policy, or data analysis—the Contractor shall provide the necessary personnel, materials, equipment, support, and supplies to accomplish any or all of the functions/tasks/and activities required under that particular task order. Thus, activities, such as telephone discussions, meetings, travel, etc., may need to be conducted during any and all stages of a project in accordance with the overall task order agreement, the approved file construction, data results generation, research design of a particular project/activity, and the approved task order budget.

B. General Research Tasks

The CMS will award task orders involving research or demonstrations, affecting Medicare/Medicaid/CHIP, beneficiary services, providers, or payments. The types of functions included in this area are described below under two categories of work: Research Activities and demonstration Design and development Activities. Task orders in this area may involve any or all of the following three categories of Medicare/Medicaid research functions and activities which the Contractor would be required to perform or otherwise address, e.g.; (1) research planning and design; (2) research performance; and (3) research reporting and dissemination.

1. Research Planning and Design

A project begins with the framing of the basic concept and technical approach to be followed in conducting the project. In submitting its proposal to perform the work, the Contractor initially suggests a technical approach.

Once the task order is awarded, the Contractor may be required to discuss or meet with appropriate individuals to solidify the technical approach to be followed under the study. The activity itself may involve a single individual or team of contractor personnel, individuals who are not employees of the contractor, as well as the Federal COTR and individuals specified by the COTR. If individuals, specified by the COTR, are not Federal employees, the Contractor must arrange for their compensation if such is required. If they are Federal employees, the Contractor is not responsible for their compensation, travel or per diem. However, the Contractor may need to provide working space for such Federal employee members or other support related to the physical space and activities of the team. This may involve the need to provide communications support if the group is meeting or working in dispersed locations.

The purpose of the initial post-award discussions and efforts is for all team members to gain clarity, understanding, and agreement concerning the Contractor’s proposed technical approach for performing the work. Contractor work plans, analysis plans, etc., can be discussed, formulated, or revised as necessary. Other activities, such as literature reviews, expert consultation, and administrative approvals (e.g., Privacy Act Systems Notices/Paperwork Reduction Clearance Act/Data Clearances, Data Requests, Data Release, Interagency Agreement, etc.) may also need to be addressed and completed by the contractor during this stage. Essentially, the Contractor is responsible for performing any and all activities that collectively take the research concept and bring it to the point of a fully designed (detailed) research project. This often times involves having a specific design for analysis and a data acquisition plan (see Data Analysis). The analysis design, among other things, will dictate the data that are needed, define the way in which the data need to be obtained and the files that need to be built from the data, define the specific analyses that the Contractor believes needs to be undertaken, and set forth the universe or “sample” that is to be studied, including how the “sample” will be selected.

From the research design mentioned above, the Contractor shall develop a detailed data acquisition plan to obtain or assemble the data that will be needed for the project. This acquisition plan would be expected to specify which data are needed, the sources for the particular data, any Federal responsibilities for providing that data, and any strategy or assurances for data availability from non-Federal sources. A plan shall specify the way the privacy of individuals and the overall confidentiality of the data shall be established and maintained. It shall include refinements of the resources (costs) that will be incurred in this aspect of the project.

2. Research Performance

After the design of a project has been prepared, the Contractor maybe required to proceed with the performance of the specific work detailed in the approved research project design and work /analysis plan(s). For particular aspects of the project design, the Contractor may be required to prepare certain administrative clearances (e.g., Privacy Act System Notices, Paperwork Reduction Act Clearances) prior to proceeding with the planned analysis or activity. Consequently, some of the activities captured in the research design and work/analysis plan(s) may begin immediately, while others may begin after clearances have been obtained.

In essence, therefore, the work involved in this category relates to the actual doing of the particular activities described in an approved work/analysis plan(s) and research project design (which may be developed as part of the same task order, or may have been developed under a previous task order, or may be provided as part of CMS’s specifications). Common examples of such activities for research projects are described above.

Where, for example, “case studies” have been planned as part of a project’s design, the Contractor shall perform such case studies in accordance with that approved design and work/analysis plan(s). The same shall be expected in the performance of all other work functions and activities under the project, regardless of whether the activity relates to a briefing, briefing materials, report development, data acquisition, data analysis, convening expert panels, devising or conducting a survey, conducting interviews, performing simulations, conceptually analyzing issues or policies, statistically examining issues, or performing the wide range of other functions and tasks that may be required to be performed as part of any particular project’s design and work/analysis plan(s).

Most of the activities carried out under these “data” functions will be described in the research design/analysis plan(s). Because of the iterative nature of these activities, it is possible that some specific activity(s) will not have been apparent in the Research Planning and Design state and will need to be added in this stage. In other cases, circumstances may have changed necessitating alterations to a planned activity.

The authorized Contractor personnel shall immediately notify the Federal Contracting Officer Technical Representative (COTR), (previously known as the PO), of any and all additions, deletions, or other changes needed to the statement of work, technical directions, or other formal contract guidance. This is essential to assure common understanding by both the Contractor and the COTR and to allow the COTR to assess whether the nature of the change requires a formal modification.

C. Demonstrations—Design, Implementation and Evaluation

Task orders in this area may involve the planning, design, development, implementation and/or evaluation of demonstration projects. These activities can be categorized into the following three categories: (1) demonstration design and development activities; (2) project implementation and monitoring activities; and (3) demonstration evaluation activities.

1. Demonstration Design and Development Activities

a. Demonstration Planning and Pre-Development – these activities establish the foundation of a demonstration by obtaining information necessary to conceptualize or plan proposed demonstrations. These activities may include literature reviews, the development of issue/concept papers, primary data collection activities of limited scope, micro simulations, secondary data analysis and computer programming tasks to prepare data for analysis.

b. Project Design – these activities involve preparing specific project research design and evaluation protocols. Specific examples are:

· Preparation of a Project Evaluation Design – Based on a general project design described in the task order, the contractor will prepare a specific design. Work associated within this activity (or any other activity) which the Contractor has performed as a part of the contractor’s proposal for contract approval, is not directly reimbursable under this SBRAD/TOC. The design must be sufficiently detailed to comprehensively describe the intervention being tested and how the effects of the intervention will be assessed. The design should, at a minimum, specify the items listed below:

· The policy questions to be addressed and the hypotheses to be tested.

· How each question or hypothesis will be answered or tested by the research design.

· What data are necessary, with a critical assessment of the availability, cost to obtain, if any; content and quality of existing data sources. The evaluation design shall further propose additional data collection activities that may be desirable and specify sampling designs and survey instruments as required.

· An analysis plan that specifies which statistical treatments of the data will be utilized.

· Design and Perform Simulations – The Contractor may be required to prepare computer models which demonstrate the potential effects of alternative program designs, payment methodologies, or treatment modalities on outcome measures such as cost, utilization and quality.

· Development of Project Implementation Plans – After finalizing the project design, the Contractor will prepare a plan specifying the steps to be taken to implement a pilot project, demonstration, and or evaluation. The plan would include:

· Proposed procedures for site selection and recruitment and incentives needed to encourage agency participation.

· Schedules for site selection, development, client recruitment, caseload build-up, full operations, and wind-down activities.

· Procedures for training data collectors, intake workers, or other staff.

· Preparation of a demonstration Phase-out Plan – The Contractor would prepare a phase-down/phase-out plan that (a) ensures that beneficiaries or other project participants are phased-out of any special programs which were initiated or existed as reimbursable or covered services only under the auspices of the demonstration project and, in so doing, ensures that alternative care plans are in effect for the project participants by the scheduled completion date of the project; (b) ensures that enrollment of new participants will be discontinued in time for an orderly phase-out; and (3) ensures that any new payment methods initiated by the project will cease to apply by the scheduled end of the project.

· Preparation of Waiver cost Estimates – The Contractor would prepare estimates of the costs of Medicare waivers required to conduct a demonstration project in accordance with the general methodology and format specified in the Guidelines for Preparing Waiver Cost Estimates document. Since most CMS demonstrations involve waivers of one or more Medicare/Medicaid program requirements, estimates of the costs of these waivers are necessary in order to obtain final approval by CMS of the demonstration.

2. Project Implementation and Monitoring Activities

a. Implementation Activities - These involve the development, preparation and implementation of the plans and strategies necessary to operate a demonstration project or evaluation. Included, among others, are: defining site recruitment and eligibility criteria and procedures, sites/participants recruitment, review and summary of site application proposals, site selection and/or training; and obtaining necessary pre-clearances for project implementation, data collection, and data analysis activities.

As a sample of one project implementation activity that may be included in an individual task order, the contractor may be asked to assist CMS in identifying organizations to be considered as potential demonstration sites (based on the demonstration design) and subsequently selecting those that will participate as sites. In this case, the Contractor would prepare site solicitation notices, application instructions and site selection criteria; conduct site visits to determine the extent to which these potential sites satisfy the selection criteria; notifying these sites, and furnishing them information needed to start the demonstration.

b. Monitoring Activities – these activities assist CMS in providing ongoing oversight and support of demonstration projects or evaluations. Examples of such activities include; providing technical assistance and consultation to participating providers and sites; collecting and analyzing data from demonstration sites or participants; preparing status reports; monitoring the quality of services furnished by participating providers; conducting site visits, and calculating payment rate adjustments in accordance with the specific project design.

As a sample of one project monitoring activity, the Contractor may be required to develop and carry out a plan to provide technical assistance and/or training for demonstration sites and assist them in executing the requirements of the demonstration/evaluation. This would include: modifying the demonstration design or operational procedures as necessary to overcome field application problems; developing and initiating data collection procedures; observing the implementation of the demonstration; training new staff during the demonstration; writing operating procedure manuals; and conducting training seminars, working meetings and site conferences.

3. Demonstration Evaluation Activities

Demonstration evaluation activities include the steps needed to plan, develop, and carry out evaluation of CMS-sponsored demonstrations. Evaluation activities usually include among other activities, the development of a detailed evaluation design, actual data collection, and quantitative and qualitative analyses to answer the research questions that are the focus of the demonstration. It is anticipated that these evaluation activities may on occasion include the development of Public Use Data Files from the demonstration/evaluation data. Following are examples of activities/functions that normally would be expected to be included in many evaluation task orders:

· Development of a Data Collection Plan Following approval of the project’s design, the Contractor would prepare and submit to the COTR for review and approval, a draft data collection plan. After receipt of comments, the contractor would be required to make revisions and submit a final data collection plan to the COTR for review and approval. The data collection plan shall specify in detail what data collection activities will be undertaken with respect to the collection of both primary and secondary data.

For each primary data collection activity, at a minimum, the plan should contain: (a) the purpose of the data collection with respect to the hypotheses to be tested; (b) the source of the data and the techniques to be used to collect or otherwise acquire the data; (c) the data elements to be collected and draft data collection instruments; (d) discussion of the sample size and sampling techniques and how they were determined; (e) quality techniques to be employed; (f) plans to produce training materials for data collectors; (g) plans to obtain and train interviewers or data collectors; (h) computer record formats; and (i) detailed time tables and budget estimates that supplement the design plan.

For each secondary data collection activity, at a minimum, the plan should contain (a) the data source; (b) the content of the data files; (c) the quality of the data; (d) the reliability of the data sources for providing the data; (e) the time schedule for obtaining the data; and (f) the cost of obtaining the data. The Contractor would also normally be required to prepare any required Office of Management and Budget reports clearance packages for the implementation of the data collection plan.

· Process Analysis

The Contractor shall design and carry out process analysis (qualitative analyses using methodologies such as surveys or content analyses of program documents) to assess project processes or impacts. Such analysis would include: a description of program administrative processes and procedures; the problems identified and solutions attempted during implementation of the demonstration; and the effects of the program on beneficiaries on beneficiaries, providers, etc.

· Preparation of Reports

Under a task order, the Contractor may be required to prepare and submit a series of summary statistical reports for the COTR’s review and approval. Each report shall include a 1 to 5 page executive summary unless otherwise specified. The reports may include: (a) annual statistical summaries of the impact of the project on the cost, utilization, of services and other program outcomes and financial effects, or the findings of the project; (b) a statistical summary of any survey data; and (c) preliminary statistical summaries of the impact of the project on total health care utilization, costs and other outcomes or findings.

Each statistical report contains a discussion of: the research issues addressed in the report; the methods of data collection; the limitation in the data and the findings; and outcomes analysis. Upon receipt of comments from CMS regarding each report, the Contractor shall make revisions and submit a final version of each report to the COTR for review and approval. If the Contractor does not agree with CMS, then the Contractor shall raise the issue with the COTR and if a satisfactory conclusion cannot be reached the issues shall be raised to the Contracting Officer.

D. Policy Analyses

Task orders may involve the analysis of policy questions, often within short timeframes, to provide the government with information and options to guide decisions related to important or urgent policy issues. As with other research studies, this work may involve data collection, analyses, and preparation of reports, but generally the data collection or analysis required in this area will be less extensive than in more rigorous research requirements. The area will often involve policy assessment focused on emerging issues and changing policy directions. Research techniques used are varied, but rely strongly on formal analytical methods, including information theory, cost benefit analysis, statistical estimation and simulation. The following activities may be required as part of, but not limited to, the Contractor’s performance of task orders involving Policy Analysis:

· Meetings with the COTR and any designated work group to discuss issues and study questions related to the project.

· Identifying and exploring the types and sources of information available on a selected policy issue and assess, through limited review, the potential relevance and value of each.

· Conducting preliminary discussions with federal and/or State officials or other experts to refine the policy issues to be examined and identify additional data sources and reports to be examined.

· Conducting information collection on a limited scale through meetings with experts, focus groups, phone interviews, written correspondence questionnaires, etc. to gather additional information.

· Preparing written literature review summarizing findings from relevant research, reports and other documentation related to the policy issue.

· Conducting limited analyses of data and present summaries of the findings through charts, tables, reports or other methods.

· Preparing report(s) defining a policy issue with subparts and related study questions and the primary and secondary data sources, analyses, or information collection strategies necessary to address the issue and related study questions.

· Preparing summary report(s) that integrates findings from the literature review and data analyses, identifies current gaps in knowledge; and presents refined study questions, options to further address policy issue; relevant parameters, and recommendations for further action.

· Preparing written briefing materials and conducting oral presentations to senior-level CMS and Departmental officials.

· In an effort to improve economic, cultural, and education conditions the Government is redesigning social/health programs in response to the changing nature of our economy and society, specific Contractor policy analysis research might include but not be limited to analyses of beneficiary health care, child care and child poverty programs.

· The Government is experimenting with new structures and alternative ways of delivering health care services to beneficiaries. By analyzing the implications of government reform for economics competitiveness, assessing the role of states and examining past experience. CMS is engaged in difficult and complex policy debates over critical issues. The Contractor may be asked to help clarify these issues by collecting information, provide guidance in developing both strategic and technical approaches, and present the information to the COTR.

· Performing analyses to develop, define, and/or update payment systems.

The following are possible future tasks that the awardees may be asked to propose on:

Evaluation of the Multi-payer Advanced Primary Care Practice Demonstration This project will evaluate the effects of CMS’s participation in state-sponsored, multi-payer advanced primary care practice (APCP, also known as patient-centered medical home (PCMH)) initiatives on Medicare beneficiaries and the Medicare/Medicaid program. Under this demonstration, CMS will provide an enhanced payment to participating APCPs for their Medicare patients commensurate with other participating payers. Evaluation of this demonstration would include designing the evaluation; collecting, acquiring, and analyzing qualitative data from sites of participating states; collecting and analyzing primary data on program beneficiaries from relevant sites, using quantitative methods; preparing interim and final reports; and/or presenting findings.

Evaluation of the Federally Qualified Health Center Advanced Primary Care Practice Demonstration This project will evaluate the impact of a Medicare demonstration in which federally qualified health centers (FQHCs) will serve as the medical home for Medicare beneficiaries. Under this demonstration, CMS will provide a monthly payment to participating FQHCs in exchange for providing continuous, comprehensive, coordinated, and patient-centered medical care to their Medicare patients. Evaluation of this demonstration would include planning the evaluation; collecting, acquiring, and analyzing qualitative data from sites of participating states; collecting and analyzing primary data on program beneficiaries from relevant sites, using quantitative methods; preparing interim and final reports; and/or presenting findings.

Evaluation of the North Dakota Statewide Quality Improvement Network Demonstration This project will evaluate the impact of a statewide quality improvement network on the Medicare/Medicaid program(s). Under this demonstration, North Dakota will establish a statewide network of hospitals and providers that would receive payments from a dedicated incentive pool, payments to be determined based on the network’s performance on hospital and physician quality and efficiency measures. Evaluation of this demonstration would include planning the evaluation; collecting, acquiring, and analyzing qualitative and quantitative data; preparing interim and final reports; and/or presenting findings.

SECTION D – PACKAGING AND MARKING

D.1 PACKAGING AND MARKING

All deliverables required under this contract shall be packaged, marked and shipped in accordance with the Statement of Work, and any additional requirements set forth in individual task orders.

SECTION E - INSPECTION AND ACCEPTANCE

E.1 52.252-1 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses 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. Also, the full text of a contract provision may be accessed electronically at this/these address(es):

http://www.arnet.gov/far/

NUMBER
TITLE
DATE
52.246-4
INSPECTION OF SERVICES – FIXED-PRICE
AUG 1996
52.246-5
INSPECTION OF SERVICES – COST REIMBURSEMENT
APR 1984
52.246-6
INSPECTION – TIME AND MATERIAL AND LABOR – HOUR
MAY 2001

E.2 INSPECTION AND ACCEPTANCE

(a) All work under this contract is subject to inspection and final acceptance by the Contracting Officer or the duly authorized representative of the Government.

(b) The Government's COTR are duly authorized representatives of the Government and are responsible for inspection and acceptance of all items to be delivered under this contract.

(c) Inspection and acceptance of the Contractor's performance shall be in accordance with the applicable FAR clauses in Section E.1 above.

E.3 APPOVALS BY THE COTR

All items to be delivered to the COTR will be deemed to have been approved thirty (30) calendar days after date of delivery, except as otherwise specified in this contract, if written approval or disapproval has not been given within such period. The COTR's approval or revision to the items submitted shall be within the general scope of work stated in this contract

SECTION F - DELIVERIES OR PERFORMANCE

F.1 FAR 52.252-1 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses 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. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.arnet.gov/far/

NUMBER
TITLE
DATE
52.242-15
STOP WORK ORDER
AUG 1989
52.242-15
STOP WORK ORDER (ALTERNATE I)
APR 1984
52.242-17
GOVERNMENT DELAY OF WORK
APR 1984
52.247-34
F.O.B. DESTINATION
NOV 1991

F.2 PERIOD OF PERFORMANCE (BASE PERIOD AND OPTIONS)

A. The base period of performance of this SBRAD/TOC shall be for five (5) years from the effective date of award with provision for five (5) one-year option periods. The total period of performance shall not exceed ten (10) years from date of award.

The Base Ordering Period shall be 60 months. Ordering periods beyond the base period of the contract may be authorized by the Government's right to unilaterally exercise the following ordering periods:

Optional Ordering Period 1 - 12 months from the expiration of Base Period.

Optional Ordering Period 2 – 12 months from the expiration of Option Period 1 Optional Ordering Period 3 - 12 months from the expiration of Option Period 2.

Optional Ordering Period 4 - 12 months from the expiration of Option Period 3.

Optional Ordering Period 5 - 12 months from the expiration of Option Period 4.

B. The term of any task order awarded under the SBRAD/TOC may be up to five (5) years. The Government, however, may determine that the term of a task order may exceed the five-year time limitation if CMS determines that such action would be in the best interest of the Government.

C. All task orders awarded under this SBRAD/TOC shall be subject to the terms and conditions of this SBRAD/TOC, or as they may be amended during its term.

F.3 OPTION TO EXTEND THE TERM OF THE SBRAD/TOC

A. At the option of the Government, this SBRAD/TOC may be extended by the Contracting Officer giving written notice of extension to the Contractor prior to the expiration date of this SBRAD/TOC; provided, that the Contracting Officer shall have given preliminary notice of the Government's intent to extend not later than 60 calendar days prior to the last day of the term of this SBRAD/TOC (such preliminary notice shall not be construed as an exercise of the option, and will not bind the Government to exercise the option.) If the Government exercises this option, the SBRAD/TOC, as extended, shall be deemed to include this option provision; provided, however, that the total duration of this SBRAD/TOC, including the exercise of any options under this clause, shall not exceed ten (10) years.

B. In the event that the SBRAD/TOC is extended in accordance with Section F-3A for an additional twelve (12) month period, the Contractor shall continue the effort described in Section C, Statement of Work.

C. The Government and the Contractor hereto agree that upon the Government’s unilateral right to exercise an option to extend the term of this SBRAD/TOC, the following modification will be made to the period of performance in Subsection F-2(A) above, in effect as of the date that such issuance is made:

The period of performance of this SBRAD/TOC, as modified, shall be extended by twelve (12 months).

F.4 SBRAD/TOC DELIVERABLES/REPORTS

The Contractor shall submit every three (3) months after the effective date of this SBRAD/TOC, to the Contracting Officer, a status report of all task orders awarded and any significant issues or problems relating to this SBRAD/TOC.

F.5 TIME AND PLACE OF DELIVERIES (TASK ORDERS)

(a) The deliverables to be furnished must be delivered in accordance with the delivery schedule as specified in each task order.

(b) Satisfactory performance of each task order under this contract shall be deemed to occur upon delivery and acceptance by the Contracting Officer, or the duly authorized representative, in accordance with the stated delivery schedule of each task order.

F-6 TASK ORDER REQUIRED REPORTS (IF NOT CITED IN EACH TASK

ORDER)

A. Report(s) submitted under each awarded task order shall reference and cite the Project Title, the SBRAD/TOC number and task order number, and identify CMS as the sponsoring agency.

B. For the purpose of each task order issued against this SBRAD/TOC, unless otherwise stated in each task order, the Contractor shall furnish the following reports:

1. Quarterly Progress Report

The Contractor shall submit a complete quarterly progress report, one copy each to the Contracting Officer and the COTR stating the progress made and the percentage of completion of the task order during the reporting period. The quarterly progress report, at a minimum, shall include:

a. difficulties encountered during the reporting period, remedial action taken;

b. a statement of activity anticipated during the subsequent reporting period;

c. any proposed changes of key personnel (Reference Section G-5);

d. any other formal requests for contract modification (NOTE: Any formal request for a Modification to this SBRAD/TOC or awarded task order(s) must be made separately and in writing to the Contracting Officer with a copy to the COTR);

e. a brief attestation of performance related to the associated billing/invoicing.

Quarterly progress reports shall be submitted on or before the fifteenth day of the first month of the subsequent quarter. The first such report shall be due following the first complete quarter of task order performance. .

2. Draft Final Report

a. The Contractor shall submit to the COTR two (2) copies of the Draft Final Report at least sixty calendar (60) days prior to the completion of the period of performance set forth in each task order. The Contractor shall furnish to the Contracting Officer a copy of the letter transmitting the draft to the COTR.

b. The Government will review and return each submission of the Draft Final Report indicating approval or disapproval, and comments, if necessary, within forty-five calendar (45) days. In the event the Government delays review and return of any submission of the Draft Final Report beyond the period specified, the Contractor shall immediately notify the Contracting Officer in writing and the Contractor will be entitled to a day-for-day extension in submission of the approved Final Report(s). The Draft Final Report shall be typed double spaced or space-and-a-half and shall include all illustrations, tables, drawings, charts, data sheets, and other pertinent material required for an approved Final Report.

3. Final Report

The Contractor shall submit to the COTR one (1) original and two (2) copies of the approved Final Report upon completion of the period of performance set forth in the task order. The Contractor shall furnish to the Contracting Officer a copy of the letter transmitting the Final Report to the COTR.

Deliverables Internet/Intranet Applications All written deliverables will include a version in HyperText Mark-Up Language (HTML) formatted according to Centers for Medicare and Medicaid (CMS) Internet, Intranet, and Extranet Standards.

All websites, Internet applications, and content developed by Contractors shall reside on CMS servers, follow CMS Standards and Guidelines, and filter through the standard agency Internet Clearance process.

If CMS agents or Contractors include information which appears on www.cms.gov or www.medicare.gov as part of their websites, they must link directly to these sites to ensure the validity and timeliness of the information. Duplication of content is not permitted.

Contractors performing work on projects that include the development of Internet, Intranet, or Extranet applications, shall schedule and meet with CMS's Web Support Team for guidance before they begin to develop the project. Additional information is available at www.cms.hhs.gov/about/web/contractors.asp.

The Contractor agrees to acknowledge support by CMS whenever reports of projects funding, in whole or in part, by this contract are published in any medium. The Contractor shall include in any publication resulting from work under this contract, an acknowledgement substantially, as follows:

“The analyses upon which this publication is based were performed under Contract Number/Task Order Number [ ], entitled, "[ ]," sponsored by the Centers for Medicare and Medicaid Services, Department of Health and Human Services."

F-7 DATA AND PROGRAM FILES, DOCUMENTATION AND COMMERCIAL SOFTWARE AS DELIVERABLES

A. Data Files and Files Containing Programs: All data files containing programs developed or modified under a task order shall be delivered to the COTR. The Contractor shall deliver working and final data, analytic, linking and other files as specified in the schedule of deliverables for each task order. Such files shall be an ASCII text file or in SAS format unless specified otherwise in the task order, or if the Contracting Officer formally permits an alternate format. Unless specified elsewhere, the Contractor shall make files accessible to CMS staff through Time Sharing Operations and Interactive System Productivity Facility. Such delivered files shall not be considered accepted until the COTR has been able to access and conduct the necessary runs to determine the acceptability of the deliverable. If required by the Government, files that can be downloaded to a personal computer are to be submitted to CMS on a disk compatible with the equipment (Access, HTML, Excel, etc.) for use by the COTR and retention at the CMS Data Center.

B. Documentation: At a minimum, data file documentation shall consist of a complete record layout of data elements. These documents shall contain variable and value definitions (value labels when requested by the Government). The Contractor shall deliver a schematic (a flow chart) that specifies the programs and the sequence of programs used to create a data set or an analysis. In judging the adequacy of this documentation the Government shall use, as a general guide, whether the information is sufficient to interpret the file when used by a data professional with no prior information on, or experience with, the file. Such documentation is to be delivered in hard copy and on a disk in a word processing language compatible with that in use by CMS at the time of delivery.

C. Commercial Software: If the Contractor is using commercial software in the performance of work under a task order such software must be specified in the task order. The Rights in Data clause that is a part of this SBRAD/TOC shall govern the information that may be delivered to the Government.

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