S02 36C24726Q0170 PREVIOUSLY 36C24725Q0956 FINAL.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

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

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

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

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

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

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C24726Q0170 12-16-2025

Matthew Durden matthew.durden@va.gov 01-12-2026

23:00 EDT

Department of Veterans Affairs

VISN 7 Network Contracting Office

LaVista Business Park - Bldg A

2008 Weems Road

Tucker GA 30084

X 100

X

621512

$19 Million

N/A

VISN 7 Network Contracting Office

LaVista Business Park - Bldg A

FMS-VA-2(101)

Financial Services Center

PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

This contract is exempt from the service contract labor standards (SCLS) due to being a professional service.

Augusta Teleradiology

The guaranteed minimum under this contract is $5,000.00 for the initial fiscal year in which the contract was awarded.

The contract’s stated maximum or ceiling is $9.5m.

Individual task orders will be issued each year of performance.

*Quoters MUST sign and return the certification located in

Section D.*

This requirement is being solicited under the authority of

38 U.S.C. 8153 and VAAR Part 873.

See CONTINUATION Page

X ONE

Matthew Durden

Contracting Officer

36C24726Q0170

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 PERFORMANCE WORK STATEMENT

Performance Work Statement for Tele-Radiology Physician Services

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 52.240-93 BASIC SAFEGAURDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (DEVIATION) (NOV 2025)

C.7 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED

SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023)

(DEVIATION)

C.8 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ... 83

C.9 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.10 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2025) (DEVIATION JUL 2025)

C.11 MANDATORY WRITTEN DISCLOSURES

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

D.2 QASP

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E.2 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.4 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

E.5 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.6 52.216-1 TYPE OF CONTRACT (APR 1984)

E.7 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.8 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.9 VAAR 852.273-71 ALTERNATIVE NEGOTIATION TECHNIQUES (NOV 2021) .. 116

E.10 VAAR 852.273-73 EVALUATION - HEALTH-CARE RESOURCES (NOV 2021)

E.11 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (NOV 2021)

E.12 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

E.13 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024) (DEVIATION

FEB 2025)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer Matthew Durden matthew.durden@va.gov

Department of Veterans Affairs VISN 7 Network Contracting Office LaVista Business Park - Bldg A

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment

Requests.

ACKNOWLEDGMENT OF AMENDMENTS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment

Requests.

B.2 PRICE/COST SCHEDULE

Teleradiology

SCHEDULE OF SERVICES

The Contractor shall furnish all key personnel to provide services necessary to perform Tele-

Radiology Physician Services to eligible beneficiaries of the Department of Veterans Affairs, and the Augusta VA Health Care System.

The VA Radiology Services follow the standards & guidelines set forth by American College of

Radiology (ACR). A contractor providing Tele-radiology services shall provide services that meet or exceed the American College of Radiology Guidelines https://www.acr.org/-

/media/ACR/Files/Practice-Parameters/IRClin-Prac-Mgmt.pdf.pdf.

Place of Performance: Services shall be provided for the Augusta VAHCS 950 15th Street

Augusta GA 30901 and 1 Freedom Way Augusta GA 30904

Pricing Instructions:

Offerors must fill out the cells in the following columns in the Price Schedule for each Line Item

Number (LIN). For pricing and evaluation purposes, the Current Procedural Terminology (CPT) are used by medicare and insurance companies to determine how much a physician should be paid for their services based on time spent with the patient. CPT rates should be used in completing each LIN for the contract.

Throughout the life of the contract the VA will pay the awarded CPT code rate at the time the service is provided by the Contractor.

This basis of the contractor’s proposed CPT rate will be used by the Government for future pricing of additional LIN/procedures and for reimbursement under the contract. The basis of the estimate used for your price is calculated according to the pricing of each CPT code, and shall remain the same throughout the life of the contract and may be validated by post-award audits.

The Offeror shall complete the attached price schedule for the teleradiology service proposed.

No LINS should be left blank; place a $0.00 amount in the Unit CPT code Price that cannot be provided by the teleradiology vendors.

The Offeror shall base pricing on the application of Medicare reimbursement rules. All spreadsheets must be submitted in Microsoft Excel and without protected/locked portions or other methods that prevent or do not facilitate expeditious pricing validation. PDF files and similarly constructed files are not acceptable.

ITEM INFORMATION

ITEM

DESCRIPTION

OF SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

37,000.00 EA __________________ __________________

Diagnostic-Plain Film Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027 PRINCIPAL NAICS CODE: 561320 - Temporary Help Services http://www.cpars.gov/?url=https%3A%2F%2Fwww.acr.org%2F-%2Fmedia%2FACR%2FFiles%2FPractice-Parameters%2FIRClin-Prac-Mgmt.pdf&data=05%7C01%7C%7Cfbebfe3d62c64c22e31408dae41f5b2a%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638073120564733355%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=v68r5%2F8MYnkdMH%2B28jJ%2FS%2BVar75uNMInK03HRFw53OY%3D&reserved=0 http://www.cpars.gov/?url=https%3A%2F%2Fwww.acr.org%2F-%2Fmedia%2FACR%2FFiles%2FPractice-Parameters%2FIRClin-Prac-Mgmt.pdf&data=05%7C01%7C%7Cfbebfe3d62c64c22e31408dae41f5b2a%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638073120564733355%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=v68r5%2F8MYnkdMH%2B28jJ%2FS%2BVar75uNMInK03HRFw53OY%3D&reserved=0

PRODUCT/SERVICE CODE: Q522 - Medical - Radiology

4,250.00 EA __________________ __________________

CT Diagnostic Exams Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

500.00 EA __________________ __________________

CT Low Dose Cancer Screening (71271) Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

750.00 EA __________________ __________________

CTA Exam Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

CT Abd & Pelvis Exams Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

650.00 EA __________________ __________________

CT Abd & Pelv 1/>REGNS Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

CT Angio ABD Arteries W/Runoff Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

5,000.00 EA __________________ __________________

Ultrasound (US) Exams Interpretation and Report

Ordering Period One

POP Begin: 04/01/2026

450.00 EA __________________ __________________

US Head & Neck (Thyroid) Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

400.00 EA __________________ __________________

US Arterial Duplex Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

3,750.00 EA __________________ __________________

MR Exams Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

1,100.00 EA __________________ __________________

MR Abd Exams Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

230.00 EA __________________ __________________

Nuc Med Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

40.00 EA __________________ __________________

MR Prostate Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

PET/CT Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

200.00 EA __________________ __________________

2D Mammography single Breast Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

3D Mammography single Breast Interpretation and Report

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

50.00 EA __________________ __________________

MRI Cardiac CPT Code 75557, 75559, 75561

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

Computer Tomography, Heart with 75572

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

Computer Tomography, Heart 75573

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

300.00 EA __________________ __________________

Myocardial Perfusion Imaging SPECT (78452)

Ordering Period One POP Begin: 04/01/2026

Myocardial Perfusion Imaging SPECT (78451)

Ordering Period One POP Begin: 04/01/2026 POP End: 03/31/2027

Year One Total: _________________

37,000.00 EA __________________ __________________

Diagnostic-Plain Film Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

4,250.00 EA __________________ __________________

CT Diagnostic Exams Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

CT Low Dose Cancer Screening (71271) Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

CTA Exam Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

CT Abd & Pelvis Exams Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

650.00 EA __________________ __________________

CT Abd & Pelv 1/>REGNS Interpretation and Report Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

CT Angio ABD Arteries W/Runoff Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

5,000.00 EA __________________ __________________

Ultrasound (US) Exams Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

450.00 EA __________________ __________________

US Head & Neck (Thyroid) Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

400.00 EA __________________ __________________

US Arterial Duplex Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

3,750.00 EA __________________ __________________

MR Exams Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

1,100.00 EA __________________ __________________

MR Abd Exams Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

230.00 EA __________________ __________________

Nuc Med Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

40.00 EA __________________ __________________

MR Prostate Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

PET/CT Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

2D Mammography single Breast Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

3D Mammography single Breast Interpretation and Report

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

MRI Cardiac CPT Code 75557, 75559, 75561

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

Computer Tomography, Heart with 75572

Ordering Period Two

POP Begin: 04/01/2027 POP End: 03/31/2028

Computer Tomography, Heart 75573

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

Myocardial Perfusion Imaging SPECT (78452)

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

Myocardial Perfusion Imaging SPECT (78451)

Ordering Period Two POP Begin: 04/01/2027 POP End: 03/31/2028

Year Two Total: __________________

*GRAND TOTAL __________________

*Two Year IDC

*Estimated value

B.3 PERFORMANCE WORK STATEMENT

Performance Work Statement for Tele-Radiology Physician Services

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Board Certified / Board Eligible Radiologist (including Neuroradiology) and Nuclear Medicine Physician Services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Augusta VA Health Care System. The VA Radiology Services follow the standards & guidelines set forth by American College of Radiology (ACR) https://www.acr.org/-/media/ACR/Files/Practice-Parameters/IRClin-Prac- Mgmt.pdf.pdf. A contractor providing tele-radiology services shall provide services consistent with TJC and that meet or exceed VA, the American College of Radiology Guidelines and/or the American Board of Nuclear Medicine scope of practice as defined in this document.

1.2. Place of Performance: Contractor shall furnish services for the Augusta VA Health Care

System 1 Freedom Way Augusta GA, 30904 and 950 15th Street Augusta GA, 30901

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority.

1.4. Policy/Directives/Handbooks. The contractor shall be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: VA Publications VHA

Publications

1.4.1. VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38

U.S.C. 8153

1.4.2 VHA Directive 1003.04: VHA Patient Advocacy

1.4.3. VHA Directive 1065: Productivity and Staffing Guidance for Specialty Provider

Group Practice

1.4.4. VHA Directive 1088(1): Communicating Test Results to Providers and Patients

1.4.5. VHA Directive 1100.18: Reporting and Responding to State Licensing Boards

1.4.6. VHA Directive 1100.20: Credentialing of Health Care Providers

1.4.7. VHA Directive 1100.21: Privileging

1.4.8. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA Health

Care Personnel

1.4.9. VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures in Any Clinical Setting

1.4.10. VHA Directive 1605.01: Privacy and Release of Information

1.4.11. VHA Directive 1907.01: VHA Health Information Management and Health Records

1.4.12. VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports

1.4.13. Privacy Act of 1974 (5 U.S.C. 552a) as amended:

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.14. 42 Code of Federal Regulations (CFR) Part 482 Conditions of Participation

Hospitals:https://www.ecfr.gov/cgi-bin/text-idx?node=pt42.5.482&rgn=div5

1.4.15. VHA Directive 1129, Radiation Protection for Machine Sources of Ionizing

Radiation

1.4.16. VHA Directive 1157(1), Out of Operating Room Airway Management

1.4.17. MCP 6503.509 Procedure for Ordering Imaging Examinations https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.acr.org%2F-%2Fmedia%2FACR%2FFiles%2FPractice-Parameters%2FIRClin-Prac-Mgmt.pdf&data=05%7C01%7C%7Cfbebfe3d62c64c22e31408dae41f5b2a%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638073120564733355%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=v68r5%2F8MYnkdMH%2B28jJ%2FS%2BVar75uNMInK03HRFw53OY%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.acr.org%2F-%2Fmedia%2FACR%2FFiles%2FPractice-Parameters%2FIRClin-Prac-Mgmt.pdf&data=05%7C01%7C%7Cfbebfe3d62c64c22e31408dae41f5b2a%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638073120564733355%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=v68r5%2F8MYnkdMH%2B28jJ%2FS%2BVar75uNMInK03HRFw53OY%3D&reserved=0 https://gcc01.safelinks.protection.outlook.com/ https://www.va.gov/vhapublications/index.cfm https://www.va.gov/vhapublications/index.cfm http://www.hpoe.org/resources https://us.tungsten-network.com/?node=pt42.5.482&rgn=div5

1.4.18. MCP 4501.509 Magnetic Resonance Imaging Safety

1.5 Acronyms/Definitions: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

1.5.1. ACGME: Accreditation Council for Graduate Medical Education

1.5.2. ACLS: Advanced Cardiac Life Support

1.5.3. BLS: Basic Life Support

1.5.4. CDC: Centers for Disease Control and Prevention

1.5.5. CEU: Certified Education Unit

1.5.6. Clinical Privileging: Clinical Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific, and within available resources.

1.5.7. CME: Continuing Medical Education

1.5.8. CMS: Centers for Medicare and Medicaid Services

1.5.9. CO: Contracting Officer: The person executing this contract on behalf of the

Government with the authority to enter into and administer contracts and make related determinations and findings.

1.5.10. COR: Contracting Officer’s Representative: A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.11. COS: Chief of Staff

1.5.12. CPARS: Contractor Performance Assessment Reporting System

1.5.13. Credentialing: Credentialing is the process of obtaining, verifying, and assessing the qualifications of a health care provider to provide care or services in or for the

VA health care system. Credentials are documented evidence of licensure, education, training, experience or other qualifications.

1.5.14. DEA: Drug Enforcement Agency

1.5.15. EHR: Electronic Health Record - electronic health record system used by the VA

1.5.16. FSMB: Federation of State Medical Boards

1.5.17. FTE: Full Time Equivalent VA’s standard definition is for full-time working the equivalent of 80 hours every two weeks, 2080 hours per year. However, providers may propose using their standard FTE definition.

1.5.18. HHS: Department of Health and Human Services

1.5.19. HIPAA: Health Insurance Portability and Accountability Act

1.5.20. ISO: Information Security Officer

1.5.21. Key Personnel: The individuals specified in this contract who are essential to work performance.

1.5.22. NPI: National Provider Identifier. NPI is a standard, unique 10-digit numeric identifier required by HIPPA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers)

1.5.23. POP: Period of Performance

1.5.24. PPD: Purified Protein Derivative

1.5.25. PWS: Performance Work Statement

1.5.26. QA/QI: Quality Assurance/Quality Improvement

1.5.27. QASP: Quality Assurance Surveillance Plan

1.5.28. QM/PI: Quality Management/Performance Improvement

1.5.29. VETPro: is VHA’s mandatory credentialing software platform to document the credentialing of VHA health care providers. This system facilitates completion of a uniform, accurate, and complete credentials file.

1.5.30. VHA: Veterans’ Health Administration

1.5.31. VISN: Veterans Integrated Services Network

1.5.32. VISTA: Veterans Information Systems Technology Architecture

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: The contract physician(s) designated to deliver the services outlined in this contract must possess a current, full, and unrestricted medical license valid in any State, Territory, or Commonwealth of the United States, as well as in the

District of Columbia. All licenses held by key personnel engaged in this contract must also be full and unrestricted. Contract physician(s) who hold current, full, and unrestricted licenses in one or more states, but possess any license that is restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action, or denied upon application, will not be eligible for consideration under this contract.

All licenses held by the key personnel working on this contract shall be full and unrestricted licenses. Information on state licensing in tele-radiology may be found at this site: Teleradiology | American College of Radiology (acr.org). Contract physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

https://www.acr.org/Advocacy-and-Economics/Legislative-Issues/Teleradiology

2.1.2. Board Certification: All contract physician(s) shall be Board Certified. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the

Contractor to the VA COR on an annual basis for each year of contract performance. The radiologist will currently successfully fulfilling the requirements of the American Board of Radiology (ABR) Maintenance of Certification (MOC)

Program or be a Lifetime Certificate Holder from the ABR.

2.1.3. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Directive 1100.20 and VHA Directive

1100.21 referenced above. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges.

No services shall be provided by any contract physician(s) prior to obtaining approval by the Facility Medical Executive Board and Medical Center Director.

2.1.3.1 If a contract physician(s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.3.2 When telemedicine services are being provided by contract physician(s) who direct, diagnose, or otherwise provide clinical treatment to a patient via a telemedicine link, the contract physician(s) must be appointed, credentialed, and privileged at the VA facility (facilities) which receive the telemedicine services (patient site), as well as at the site providing the services. The following requirements apply:

2.1.3.3 Contract licensed independent practitioners must be credentialed and privileged through the VA facility’s Medical Staff Office in accordance Credentialing and Privileging Directives 1100.20 and 1100.21 and VHA Directive 1914

2.1.3.4 Separately delineated privileges for telemedicine services must be requested and assigned in this process.

2.1.3.5 In general, the credentialing process should be started at least 60-90 days in advance of estimated entry on duty. The time required for this process may be expedited when patient care needs are urgent.

2.1.3.6 The VA’s Medical Staff Office or Human Resources Management Service will provide an instruction packet containing forms and a detailed listing of required documentation, including curriculum vitae, current references, signed release of information from the candidate, and statement that the candidate does not have any physical or mental health condition that would adversely affect his/her ability to carry out the assigned duties, and additional credentialing forms. The candidate will also be required to make application through the VetPro internet-based process. The candidate will need to be enrolled in VetPro by the Credentialing Coordinator at the VA or by the Human Resources Management Service designee. The website address is: https://fcp.vetpro.org/Admin/Login/Index

2.1.3.7 It is the Contractor’s responsibility to contact the facility to request a package and instructions.

2.1.3.8 When contract physician(s) provide only teleconsultation by offering advice that supports care provided by VA’s on site licensed independent providers, the Contractor must furnish VA with a copy of the contract physician(s) credentials, verification of credentials, and current clinical privileges. The contract https://gcc02.safelinks.protection.outlook.com/ physician(s) providing teleconsultation services do not have to be separately privileged at the VA facility.

2.1.3.9 The Contractor must furnish a copy of its policy and procedures for credentialing and privileging to the Contracting Officer and COR for review to ensure these meet the VA’s requirements for establishment of competence through these mechanisms.

2.1.4. Technical Proficiency - Contract physician(s) 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. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract physician(s) and contract physician(s) shall be responsible for abiding by the

Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior. If the contract radiologist is present at the VA facility site, then the contractor must establish and maintain compliance with all TMS requirements for full access to the electronic health record, PACS, and Voice

Recognition systems.

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU)

Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the Facility. Contract physician(s) registered or certified by national/medical associations shall continue to meet the minimum standards for

CME to remain current. The contractor shall report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contract physician(s).

2.1.6. Training (ACLS, BLS, EHR and VA MANDATORY): The contractor shall meet all

VA educational requirements and mandatory course requirements defined herein;

all training must be completed by the contract physician(s) as required by the VA.

List all training required, frequency and associated time

Training Frequency (once a year, etc)

Annual Hours

VA 20152 - Mandatory Training, Part-time and Intermittent Clinical Staff (MTTCS)

Annual 1-hour

VA 10176 – VA Privacy and Information Security Awareness and Rules of Behavior (WBT)

Annual 1-hour

4647294 – Synchronous Telehealth into the Home

Annual 1-hour

4647299 - Synchronous Telehealth into the Clinic

Annual 1-hour

Future training may be added and required to be completed per Service Line, Facility, or VISN Directive

2.1.7 SANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS,

ETC.): The contractor shall provide a statement that all required infection control measures are current and that the contractor is compliant with OSHA regulations concerning occupational exposure to bloodborne pathogens. The Contractor shall also notify the VA of any significant communicable disease exposures, and the VA will also notify the contractor of the same, as appropriate. The contractor shall adhere to the current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998;

26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf for disease control.

The contractor shall provide follow-up documentation of clearance to return to the workplace prior to their return. Tests shall be current within the past year. All documents are in the attachments:

2.1.7.1. EMPLOYEE HEALTH REQUIRES THE FOLLOWING:

2.1.7.1.1. Proof of Tuberculosis, current and within 1 year, courtesy at the nearest

VA

2.1.7.1.2. Proof of Influenza

2.1.7.1.3. Proof of Measles, Mumps, Rubella, Varicella, and or Titers

2.1.7.1.4. After completion please Fax all documents to 706-731-3267

2.1.7.1.5. OR E-MAIL THEM TO VHAAUGEMPLOYEEHEALTH@VA.GOV

2.1.8. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical facilities). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider

Enumeration System (NPPES) be provided to the Contracting Officer with the proposal. The contractor will provide the Drug Enforcement Administration (DEA) certificates for each provider being credentialed.

2.1.9. Conflict of Interest: The Contractor and all contract physician(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The https://www.cpars.gov/documents/CPARS-Guidance.pdf mailto:VHAAUGEmployeehealth@va.gov

Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.10. Citizenship related Requirements:

2.1.10.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of

1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the

Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.10.2. While performing services for the Department of Veterans Affairs, the

Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent

Amendments, as well as applicable Federal Acquisition Regulations.

2.1.10.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of

Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs

Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services

Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.10.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18

U.S.C. 1001.

2.1.10.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.

2.1.11. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human

Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.11.1. Therefore, Contractor shall review the HHS OIG List of Excluded

Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contract physician(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.11.2. By submitting their proposal, the Contractor certifies that the HHS OIG

List of Excluded Individuals/Entities has been reviewed and that the

Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Direction: The qualifications of Contractor personnel are subject to review by VA Medical Facility COS or his/her clinical designee and approval by the

Medical Facility Director as provided in VHA Directive 1100.20 and VHA Directive

1100.21. Clinical/Professional direction of all clinical personnel covered by this contract for quality purposes will be provided by the Facility COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all contract physician(s) shall not be considered VA employees for any purpose.

2.4. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.5. Prohibition Against Self-Referral: Contractor’s physicians are prohibited from referring

VA patients to contractor’s or their own practice(s)

2.6. Inherent Government Functions: Contractor and Contract physician(s) shall not perform inherently governmental functions. This includes, but is not limited to, https://www.ecfr.gov/cgi-bin/text-idx determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.7. No Employee status: The Contractor shall be responsible for protecting Contract physician(s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.7.7. Workers’ compensation

2.7.8. Professional liability insurance

2.7.9. Health examinations

2.7.10. Income tax withholding, and

2.7.11. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract physician(s). When a Contractor or contract physician(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a

Contractor’s (or contract physician(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier. Contractor must confirm that they are covered by professional liability insurance that would cover the health care services they provide to VA.

2.9. Contingency Plan: Because continuity of care is an essential part of the Facility’s medical services, The Contractor shall have a contingency plan in place to be utilized if the contract physician(s) leaves the Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

2.9.7. Contractor shall submit a listing of proposed key personnel performing technical delivery of services in the following format:

Provider Name: ___________________ Title/Rank: __________________.

Provider Name: ___________________ Title/Rank: __________________.

Provider Name: ___________________ Title/Rank: __________________.

Provider Name: ___________________ Title/Rank: __________________.

Provider Name: ___________________ Title/Rank: __________________.

Provider Name: ___________________ Title/Rank: __________________.

Curriculum Vitae and qualification documents of each key personnel shall be submitted with the proposal.

2.10. Emergency Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within 10 calendar day (s) after the occurrence of any of these events and provide the information required below. After 90 days, the

Contractor shall submit the information required below to the CO at least 10 calendar days prior to making any permanent substitutions

2.10.7. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 5 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel

2.10.8. For temporary substitutions where the key person shall not be reporting to work for three 3 consecutive workdays or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above

3. VA HOURS OF OPERATION/SCHEDULING

3.1. Business Hours: Monday-Friday 0800-2100

3.2. Contractor shall be available to the Facility for TEAMs consultation and interpretation

13 hours a day, 5 days a week, 52 weeks a year for stat, urgent, and routine exams.

3.2.1 Afterhour cover for nights and weekends and holidays as needed for contengency coverage.

3.3. Federal Holidays: The following holidays are observed by the Department of

Veterans Affairs:

• New Year’s Day

• President’s Day

• Martin Luther King’s Birthday

• Memorial Day

• Juneteenth

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving

• Christmas

• Any day specifically declared to be a national holiday.

3.4. Continuity of services under contact:

3.4.7. The contractor is responsible for providing qualified personnel to read films. The VA must be informed at least 48 hours in advance if there will be a significant change in the contractor’s ability to perform to allow for planning of service coverage and workload distribution. Requirements as noted in attachment B will be provided to all

Facilities and maintained by the contractor.

3.4.8. The contractor shall maintain open and professional communication with members of the VISN and Facility Diagnostic Imaging staff. The contractor shall provide up-to-date points of contact to facilitate communication on clinical, technical and administrative issues. Clinical staff will be available by phone and pager 24/7. The

Contractor will provide a schedule of radiologists with telephone numbers for consultation by VA technologists and referring physicians. The contractor will provide an FAX number for the transmission of radiographic orders.

3.4.9. The Contractor shall provide a single phone number with a list of individuals who could be contacted to immediately resolve any difficulties experienced during the hours of teleradiology services and STAT studies after hours. The COR will ensure up-to-date rosters of staff are provided to the Contractor.

3.4.10. Tele-Communications

3.4.10.1. The contractor will secure and maintain the communications link between the contractor’s facility and the VAMCs’ facilities at the contractor’s expense. These expenses may be included in the contractor’s proposal as a separate item. The cost to establish and maintain this communication link may be provided if the Government deems it more cost-effective to the Government.

3.4.10.2. In the event of telecommunications failure, the Government shall package, hard copy film or alternative media in Government-provided shipping containers, and ship to the contractor’s facility; using

Government provided pre-paid shipping documentation. The contractor’s place of business must be within the confines of the continental United States.

3.4.10.3. The contractor shall make provisions for the proper maintenance and functioning of all imaging, teleradiology and associated equipment, facilities and fixtures as may reasonably be required by Contract

Physicians to perform services hereunder.

4. CONTRACTOR RESPONSIBILITIES

4.1. Clinical Personnel Required: The Contractor shall provide contract physician(s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties.

4.2. Management and Supervision:

4.2.7. The Contractor shall be responsible for supervising the daily services provided under this contract by the Contractor’s staff.

4.2.8. The Contractor shall have written policies and procedures regarding staff credentials and privileging.

4.2.9. The Facility will provide to the Contractor policies, procedures, and processes necessary to allow cooperative functioning between the agency and Facility. Updates and refreshers will be provided to the Contractor upon request and when policy procedures or processes changes.

4.2.10. The Contractor shall complete background investigations to ensure that employees do not have a record of criminal offenses or substantiated incidents of patient abuse;

and, if required to perform their duties, employees are properly licensed and insured to operate motor vehicles.

4.3. Standards of Care: The contract physician(s)’ care shall cover the range of Radiology services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding, currently recognized national standards as established by:

4.3.7. The American College of Radiology Guidelines: https://www.acr.org/-

/media/ACR/Files/Practice-Parameters/IRClin-Prac-Mgmt.pdf.pdf

4.3.8. ACR Practice Parameter for Communication of Diagnostic Imaging Findings:

communication Diag (acr.org)

4.3.9. VA Standards:

See Page 61 for VHA standards.

4.3.10. The professional standards of the Joint Commission (TJC):

http://www.jointcommission.org/standards_information/hap_requirements.aspx

4.3.11. The standards of the American Hospital Association (AHA):

http://www.hpoe.org/resources?show=100&type=8 and;

4.3.12. The requirements contained in this PWS

4.4 MEDICAL RECORDS

4.4.1 Authorities: Contractor’s physician(s) providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the 5 U.S.C.552a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality

Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R.

Parts 160, 162, and 164 (HIPAA).

https://www.va.gov/vapubs/?url=https%3A%2F%2Fwww.acr.org%2F-%2Fmedia%2FACR%2FFiles%2FPractice-Parameters%2FIRClin-Prac-Mgmt.pdf&data=05%7C01%7C%7Cfbebfe3d62c64c22e31408dae41f5b2a%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638073120564733355%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=v68r5%2F8MYnkdMH%2B28jJ%2FS%2BVar75uNMInK03HRFw53OY%3D&reserved=0…