S02 RFP 36C24526R0009.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

36C24526R0009 07/20/2026

Paschal L. Dawson, paschal.dawson@va.gov 08/14/2026

/2026 1000 EST

19ACQ

Department of Veterans Affairs

VA MARYLAND HEALTH CARE SYSTEM (VAMHCS)

NCO 5 CONTRACTING OFFICE (19 ACQ)

939 Elkridge Landing Road, Suite 300

Linthicum MD 21090

Paschal L. Dawson, Contracting Officer

NCO 5 Healthcare Resources Team

X 100

X

621111

$16 Million

NET 30

N/A

Department of Veterans Affairs

VA MARYLAND HEALTH CARE SYSTEM

Radiation Oncology

10 North Greene Street

Baltimore MD 21201

19ACQ

Department of Veterans Affairs

NCO 5 CONTRACTING OFFICE (19 ACQ)

Paschal L. Dawson, Contracting Officer

849 International Drive, Suite 275

Linthicum MD 21090

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment

Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp

Invoice Setup Information 1-877-489-6135

See CONTINUATION Page

Radiation Oncology Physician Services at the Radiation

(ROCCC), Baltimore VA Medical Center (VAMC).

B.2 Price/Cost Schedule, page 6.

Performance Work Statement (PWS), page 10.

Contractor shall be responsible for correct wages, titles, compliance with all applicable wage and hour laws.

Offerors shall follow the submission instructions specified under Addendum to FAR provisions 52.212-1, included in this solicitation. Failure to follow the instructions provided will result in an unfavorable evaluation and may not be considered for award.

Period of Performance (POP): 09/01/2026 - 08/31/2027 with four (4) one-year Ordering Periods.

Questions due NLT Thursday, 06 August 2026 at 1200 EST.

See CONTINUATION Page

X 01

PASCHAL L. DAWSON, FAC-C (PROFESSIONAL)

CONTRACTING OFFICER

36C24526R0009

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 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT

B.4 IT CONTRACT SECURITY

B.5 RECORDS MANAGEMENT OBLIGATIONS

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (OCT 2025) (DEVIATION)

C.2 52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE

GOVERNMENT (JUN 2020) ALT 1 (NOV 2021)

C.3 52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST (JUN 2020) ...48

C.4 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL

(JAN 2011)

C.5 52.216-18 ORDERING (AUG 2020)

C.6 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.7 52.216-22 INDEFINITE QUANTITY (NOV 2025) (DEVIATION)

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

C.9 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS

(DEVIATION APR 2026)

C.10 52.223-5 POLLUTION PREVENTION AND RIGHT-TO-KNOW INFORMATION

(MAY 2024)

C.11 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN

1997)

C.12 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.13 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.14 52.229-3 FEDERAL, STATE, AND LOCAL TAXES (SEP 2025) (DEVIATION)

C.15 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR

1984)

C.16 52.237-2 PROTECTION OF GOVERNMENT BUILDINGS, EQUIPMENT, AND

VEGETATION (APR 1984)

C.17 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.18 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.19 52.240-93 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (DEVIATION) (NOV 2025)

C.20 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.21 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

C.22 VAAR 852.204-72 PERSONNEL VETTING AND CREDENTIALING (DEVIATION)

(MAR 2026)

C.23 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.24 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR VERIFIED

SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (NOV 2022)

C.25 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

C.26 VAAR 852.237-72 CRIME CONTROL ACT—REPORTING OF CHILD ABUSE

(OCT 2019)

C.27 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.28 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ..81

C.29 VAAR 852.239-76 INFORMATION AND COMMUNICATION TECHNOLOGY

ACCESSIBILITY (FEB 2023)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

D.2 CONTRACTOR RULES OF BEHAVIOR

D.3 CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF

1952, AS AMENDED

D.4 PAST PERFORMANCE QUESTIONNAIRE (PPQ)

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (OCT 2025) (DEVIATION)

E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

(DEVIATION NOV 2025)

E.3 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (OCT 2025) (DEVIATION)

E.4 52.216-1 TYPE OF CONTRACT (NOV 2025) (DEVIATION)

E.5 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.6 52.233-2 SERVICE OF PROTEST (SEP 2006) (DEVIATION 2025)

E.7 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

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

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:

BUSINESS NAME

ADDRESS

CITY/STATE/ZIP CODE

PRIMARY CONTACT POC

PHONE NUMBER

EMAIL ADDRESS

UEI NUMBER

b. GOVERNMENT: Contracting Officer (90C) Department of Veterans Affairs

VA MARYLAND HEALTH CARE SYSTEM (VAMHCS)

NCO 5 CONTRACTING OFFICE (19 ACQ)

849 International Drive, Suite 275 Linthicum MD 21090 Paschal.Dawson@va.gov

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor should be mailed to the following address:

[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, in Arrears

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.

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment Invoices must be submitted electronically.

http://www.fsc.va.gov/einvoice.asp Invoice Setup Information 1-877-489-6135 mailto:Paschal.Dawson@va.gov

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

5. Secure Fax: All faxes should contain the following language: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.”

6. Please note: System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations, including 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals—Representation, and paragraph (t) of 52.212-3, Offeror Representations and Certifications— Commercial Products and Commercial Services. Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

7. Mandatory written disclosures required by FAR clause 52.203-13 to the Department of

Veterans Affairs, Office of Inspector General (OIG) must be made electronically through the VA

OIG Hotline at https://www.vaoig.gov/hotline/online-forms and clicking on "FAR clause 52.203-

13 Reporting." If you experience difficulty accessing the website, call the Hotline at 1-800-488-

8244 for further instructions.

https://www.vaoig.gov/hotline/online-forms

B.2 SCHEDULE OF SERVICES

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

Radiation Oncology Physician Services to eligible beneficiaries of the Department of Veterans

Affairs, Baltimore VA Medical Center (VAMC).

All VHA Radiation Oncology Services are accredited by a nationally recognized accrediting body contracted through the National Radiation Oncology Program (NROP). As such any

Contractor providing on-site radiation oncology services must adhere to all the policies and procedures; practice standards, guidelines, patient care operations; patient safety; quality assurance and quality management of radiotherapy planning, equipment, and delivery; and continuous quality improvement initiatives promulgated by the American College of Radiology, American Society for Radiation Oncology and American Association for Physicist in Medicine.

Place of Performance: Services shall be provided on site in Radiation Oncology Service, Baltimore VA Medical Center, 10 North Greene Street, Baltimore, Maryland 21201.

Pricing Instructions:

The offeror is instructed to edit the number of Sub Line-Item Number (SLIN) to correspond with the number of key personnel submitted for the Line-Item Number (LIN). Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SLINs if adding or removing Key Personnel.

The Contractor shall propose key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

The Procurement Type:

The government contemplates award of fixed-price indefinite delivery/indefinite quantity (IDIQ), delivery order (DO) contract with one base period and four one-year ordering periods. The contract requires the Government to order services and the Contractor to furnish at least the stated minimum quantity of services and additional quantities not to exceed the stated maximum.

The overall contract minimum dollar amount is $25,000.00 and overall maximum dollar amount is $4,000,000.00.

If the maximum aggregate amount of $4,000,000.00 is reached prior to the end date of the final period of performance, no further task order will be issued on the contract.

Task Ordering Procedures:

Individual orders shall clearly describe all services to be performed so that full cost or price for the performance of the work can be established when the order is placed. Task Orders shall be within the scope, issued within the period of performance, and be within the maximum value of the contract.

Estimated Quantities: The quantities or dollar threshold listed in the Price Schedule effective for the periods stated are estimated only and are not purchased by the resultant contract.

Except as this contract otherwise provides if the VA’s requirement does not result in orders in the quantities or dollar amount described that fact shall not constitute the basis for an equitable price adjustment.

NOTE: Estimated annual hours are 520 hours (0.25 FTEE) up to 2080 hours (1.0 FTEE).

Period of Performance: BASE ORDERING PERIOD: 09/01/2026 to 08/31/2027

LIN

NUMBER

SLIN

DESCRIPTION

ESTIMATED

QUANTITY

UNIT

UNIT COST

TOTAL

ANNUAL

COST

0001 None Board Certified Radiation Oncology Physician Services (Inclusive of On-Call)

520 hours up to 2080 hours

Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None

0001a

Board Certified Radiation Oncology Physician

NAME:

TITLE:

$______/HR

0001b

Oncology Physician

LIN 0001 TOTAL FOR BASE TERM Hours $

ORDERING PERIOD 1: 09/01/2027 – 08/31/2028

ANNUAL

COST

1001 None Board Certified Radiation Oncology Physician Services (Inclusive of On-Call)

520 hours

PRICE

DO NOT

1001a

Oncology Physician

1001b

Oncology Physician

LIN 1001 TOTAL FOR OPTION YEAR 1 Hours $

ORDERING PERIOD 2: 09/01/2028 – 08/31/2029

ANNUAL

COST

2001 None Board Certified Radiation Oncology Physician Services. (Inclusive of On- Call)

520 hours

PRICE

DO NOT

2001a

Board Certified/Board Eligible Radiation Oncology Physician

2001b

Oncology Physician

LIN 2001 TOTAL FOR OPTION YEAR 2 Hours $

ORDERING PERIOD 3: 09/01/2029 – 08/31/2030

ANNUAL

COST

3001 None Board Certified Radiation Oncology Physician Services (Inclusive of On-Call)

520 hours

PRICE

DO NOT

3001a

Oncology Physician

3001b

Oncology Physician

LIN 3001 TOTAL FOR OPTION YEAR 3 Hours $

ORDERING PERIOD 4: 09/01/2030 – 08/31/2031

ANNUAL

COST

4001 None Board Certified Radiation Oncology Physician Services (Inclusive of On- Call)

520 hours

PRICE

DO NOT

4001a

Oncology Physician

4001b

Oncology Physician

LIN 3001 TOTAL FOR OPTION YEAR 4 Hours $

Estimated Grand Total for BASE and FOUR ORDERING PERIODS: ___________________.

B.3 PERFORMANCE WORK STATEMENT

On-Site Radiation Oncology Physician Services

1. GENERAL:

1.1. Services Provided: The VA Radiation Oncology Services are accredited by a nationally recognized accrediting body contracted through NROP. As such any Contractor providing on-site radiation oncology services must adhere to Guidelines & Technical Standards for Radiation Oncology promulgated by the American College of Radiology, American Society for Radiation Oncology and American Association for Physicist in Medicine: A contractor providing on-site radiation oncology services must provide evidence the radiation oncology practice meets or exceeds the established clinical practice guidelines and standards.

1.2. Place of Performance - Contractor shall furnish services at the Baltimore VAMC, 10 N. Greene Street, Baltimore, Maryland 21201

1.3. Authority: VA Directive 1663 and Title 38 U.S.C 8153 Sharing of Healthcare Resources in combination with FAR Part 12 and FAR Part 15.

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 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. VHA Directive 1156 Accreditation of VHA Radiation Oncology Services/Sections

1.4.14. VHA Directive 1414 Stereotactic Body Radiotherapy

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

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

1.4.3. US Nuclear Regulatory Commission for management and use of radioactive materials for medical use and radiation safety requirements to include (but not limited to) 10 CFR Parts

19, 20, 30, 33, 35, and 71: http://www.nrc.gov/reading-rm.html

1.5. ACRONYMS/DEFINITION:

1.5.1. AAPM: American Association of Physics in Medicine

1.5.2. ABR: American Board of Radiology

1.5.3. ACGME: Accreditation Council for Graduate Medical Education https://www.va.gov/vapubs/ https://www.va.gov/vhapublications/index.cfm http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://www.nrc.gov/reading-rm.html

1.5.4. ACO: Administrative Contracting Officer

1.5.5. ACR: American College of Radiology

1.5.6. ALARA: As low as Reasonably Achievable (Least & lowest radiation exposure possible)

1.5.7. AOA: American Osteopathic Association

1.5.8. ARRT(T): American Registry of Radiologic Technologists (T) in Radiation Therapy

1.5.9. ASTRO/APEx: American Society for Radiation Oncology/Accreditation Program for Excellence ® (https://www.astro.org/Daily-Practice/Accreditation)

1.5.10. CAMPEP: Commission on Accreditation of Medical Physics Educational Programs (http://www.campep.org/default.asp)

1.5.11. CDC: Centers for Disease Control and Prevention

1.5.12. CDR: Contract Discrepancy Report

1.5.13. CEU: Certified Education Unit

1.5.14. 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 individua’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.

1.5.15. CME: Continuing Medical Education

1.5.16. CMS: Centers for Medicare and Medicaid Services

1.5.17. CO: Contracting Officer

1.5.18. COR: Contracting Officer’s Representative

1.5.19. COS: Chief of Staff

1.5.20. CPARS: Contractor Performance Assessment Reporting System

1.5.21. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

1.5.22. Credentialing: Credentialing is the process of obtaining, verifying, and assessing the qualification 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.

1.5.23. DEA: Drug Enforcement Agency

1.5.24. EHR: Electronic Health Record—electronic health record system used by the VA.

1.5.25. FSMB: Federation of State Medical Boards

1.5.26. 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

1.5.27. HHS: Department of Health and Human Services

1.5.28. HIPAA: Health Insurance Portability and Accountability Act

1.5.29. HICPAC: Healthcare Infection Control Practices Advisory Committee- a federal advisory committee made up of 14 external infection control experts who provide advice and guidance to the CDC and the Secretary of HHS regarding the practice of health care infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities.

1.5.30. IGRT: Image Guided Radiation Therapy is the process of frequent two and three-dimensional imaging, during a course of radiation treatment, used to direct radiation therapy utilizing the imaging coordinates of the actual radiation treatment plan.

https://www.astro.org/Daily-Practice/Accreditation

1.5.31. IMRT: Intensity Modulated Radiation Therapy is the process of delivering highly conformal radiotherapy to the tumor while sparing the surrounding normal tissues by varying intensity across treatment portals.

1.5.32. IROC: Imaging and Radiation Oncology Core

1.5.33. ISO: Information Security Officer

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

1.5.35. MU: Monitor Unit is a measure of machine output of a linear accelerator in radiation therapy

1.5.36. NHPP: National Health Physics Program- NHPP provides regulatory oversight for the Nuclear Regulatory Commission master materials license issued to VHA to include permitting for use of materials, on-site inspections, and investigations of allegations, medical events, and incidents. In addition, we provide oversight for machine sources of ionizing radiation used for radiation therapy. Finally, we provide assistance and technical information for uses of ionizing radiation for healthcare diagnosis and treatment and non-human biomedical research. (http://www.patientcare.va.gov/NHPP.asp)

1.5.37. 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 centers).

1.5.38. NROP: National Radiation Oncology Program

1.5.39. NRSC: National Radiation Safety Committee

1.5.40. POP: Period of Performance

1.5.41. PPD: Purified Protein Derivative

1.5.42. PWS: Performance Work Statement

1.5.43. QASP: Quality Assurance Surveillance Plan

1.5.44. QMP: Quality Management Program

1.5.45. SPE: Senior Procurement Executive

1.5.46. SRS: Stereotactic Radio Surgery: a minimally invasive form of surgical intervention which makes use of a three-dimensional coordinated system to locate small targets inside the body and to perform on them some action such as ablation, biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS) etc.

1.5.47. SBRT: Stereotactic Body Radiotherapy

1.5.48. TJC: The Joint Commission

1.5.49. TLD: Thermoluminescent Dosimeter- device that measures radiation does

1.5.50. VA: Department of Veterans Affairs

1.5.51. 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.

1.5.52. VHA: Veterans Health Administration

1.5.53. VISN: Veterans Integrated Services Network

1.5.54. VISTA: Veterans Information Systems Technology Architecture

2. QUALIFICATIONS:

2.1. License: Contract physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia.

http://www.patientcare.va.gov/NHPP.asp

2.2. Board Certification: All contractor’s 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.

2.2.1 Contractor’s Board-Certified Radiation Oncology Physician: The Contractor shall provide American Board of Radiology (ABR) certified physicians in the area of Radiation Oncology and contract physicians shall maintain certification throughout the period of performance. In the event that Contractors Radiation Oncology Physician(s) is/are not directly employed by the Contractor’s treating facility, documentation must be provided to ensure adequate certification.

2.3. 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 contractor’s physician(s) prior to obtaining approval by the Facility Medical Executive Board and Medical Center Director.

2.3.1. If a contractor’s 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.

2.4. Qualifications:

2.4.1. Experience - Must have at least five (5) years of documented post-residency experience and at least three (3) years of continuous work experience within the last five (5) years to ensure the radiation oncologist’s experience is current and relevant. Radiation Oncologist must be ABR certified.

2.4.1.1. Five (5) years of experience – post residency experience with consultations, CT simulations, treatment planning and follow-up.

2.4.1.2. Five (5) years of experience - Varian Linear Accelerators: Edge (or equivalent).

2.4.1.3. Five (5) years of experience -Image Guided Radiation Therapy (IGRT) including Cone Beam CT (following standards of TG-142).

2.4.1.4. Five (5) years of experience - Eclipse treatment planning system; and ARIA record & verify system, including the following treatment modalities: 2D/3D Conformal, SRS, SRT, SBRT, and IMRT/VMAT (following standards of TG-53).

2.4.1.6. Three (3) years of experience – Siemens SOMATOM go.Open Pro CT Simulator (or equivalent) and following standards of TG-66

2.4.1.7. Three (3) years of experience (preferred) - VA CPRS Computerized Patient Record System electronic medical record.

2.4.2. Technical Proficiency – Contractor’s 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. This must be confirmed by the Contractor.

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’s physicians shall have knowledge of professional care theories, principles, practices, and procedures to serve radiation oncology patient population.

Contractor’s physician and other contract provider (s) shall demonstrate knowledge of growth and development, and pathophysiology of disease processes specific radiation oncology patient population. Contractor physicians 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.

2.5. Continuing Medical Education (CME) Physicians Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC. Contract physician (s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. CME hours shall be reported to the credential’s office for tracking. These documents are required for initial and renewal privileging. Failure to provide shall result in loss of privileges.

2.6. Training (ACLS, BLS, CPRS, EHR and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor’s physician (s) as required by the VA. Other training may be required.

VA will communicate any changes to the training requirement to the contractor.

Training (The following training is mandatory per VHACO for Contracted Physicians)

Frequency (once a year, etc.)

Annual Hours

BLS Every Two Years

4 Hours

Government Ethics Once a year 1 Hour

Patient Abuse Once a year 1 Hour

Patient Rights Once a year 1 Hour

Patient Safety Once a year 1 Hour

Prevention/Management of Disruptive Behavior/Violence Prevention Level I

Once a year 2 Hour

Prevention of Workplace Harassment/No Fear Act

Once a year 1 Hour

Suicide Prevention: Suicide Risk Management Training for Clinicians

Once a year 1 Hour

SUX Infection Control and Blood Borne Pathogens

Once a year 1 Hour

VA Core Values Training (ICARE Recommitment)

Once a year 0.5

VA Privacy and Information Security Awareness and Rules of Behavior

Once a year 1 Hour

VHA Privacy and HIPAA Focused Training

Once a year 1 Hour

Active Threat Training Once a year 1 Hour

2.7. STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS, ETC):

Contractor shall provide proof of the following for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.7.1. TUBERCULOSIS TESTING: Contractor physicians provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all contractor’s physician (s) upon hire in accordance with CDC guidance. (This is applicable to all healthcare workers). A negative chest radiographic report for active tuberculosis shall be provided in cases of TST or IGRA results.

2.7.2. MEASLES, MUMPS, & RUBELLA TESTING: The contractor shall provide proof of immunity for all contractor’s physicians {This is applicable to all health care workers}.

2.7.3. VARICELLA: The contractor shall provide proof of immunity for all contractor’s physicians {This is applicable to all healthcare workers}.

2.7.4. ACELLULAR PERTUSSIS: The contractor shall provide proof of 1 dose of Tdap vaccination for all contractor physicians {This is applicable to all healthcare workers}.

2.7.5. INFLUENZA: The contractor shall provide proof that all contractor’s physicians have received the annual Influenza vaccine unless it is contraindicated. If the contractor’s physician has a medical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season. {This is applicable to all healthcare workers}.

2.7.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician(s) {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. The facility shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to 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. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.8. 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 (healthcare practitioners) and organizational entities (medical centers). 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.

2.9. DEA - Contractor shall provide copy of current DEA certificate registered in the state in which services are provided.

2.10. Conflict of Interest: The Contractor and all contract physician(s) and other contract provider

(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 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

2.11. Citizenship related Requirements:

2.11.1. 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;

http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

2.11.2. 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.

2.11.3. 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.

2.11.4 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.

2.11.5. 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.

2.12. 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.

2.12.1. 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.

2.12.2. 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.

2.13. Clinical/Professional Direction: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Directive 1100.20 and VHA Directive 1100.21. Clinical/Professional direction of all clinical personnel covered by this contract 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.

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

2.15. Inherent Government Functions: Contractor and contractor’s physician(s) and other contract provider (s) shall not perform inherently governmental functions. This includes, but is not limited to, 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 http://vafsccshd@va.gov 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.

2.16. No Employee status: The Contractor shall be responsible for protecting contractor’s 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:

2.16.1. Workers’ compensation

2.16.2. Professional liability insurance

2.16.3. Health examinations

2.16.4. Income tax withholding, and

2.16.5. Social security payments.

2.17. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract physician(s) and other contract provider (s). When a Contractor or contract physician(s) and/or other contract provider (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) or other contract provider (s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.18. Key Personnel: Contractor shall provide the number of qualified staff as is necessary to perform the services required under this contract, at the staffing level determined to be professionally acceptable by the Facility Chief of Staff and in accordance with national radiation oncology practice staffing guidelines.

2.18.1. The VA Full Time Equivalency (FTE) for the services required is 0.25 FTE up to 1.0 FTE as needed is defined by VA as a minimum of 80 hours every two weeks and does not include holidays.

2.18.2. The number of Board-certified physicians to staff Radiation Oncology locations, located within the VA Medical Center, on a daily basis (be on site) is one (1) as defined in paragraph Hours of Operation in this section.

2.18.3. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor’s personnel due to sick leave, personal leave, vacations, and additional coverage as required. In the event a scheduled physician is unable to complete an assigned shift, the contractor shall provide replacement physician coverage within two (2) hours and notify the Contracting Officer’s Representative (COR) at the VA Maryland Health Care System (VAMHCS), VA Medical Center (VAMC), 10 N. Greene Street, Baltimore, Maryland 21201 immediately of the schedule change.

2.19. 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 15 calendar days 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 15 calendar days prior to making any permanent substitutions.

2.19.1. 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 15 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.

2.19.2. 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.

2.19.3. The Government reserves the right to refuse acceptance of any Contractor’s personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patients or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any contract physician (s), s/he may request, without cause, immediate replacement of said contractor’s physician (s).

2.19.4. The CO and COR shall deal with issues raised concerning Contractor’s physician (s) conduct. The final arbiter on questions of acceptability is the CO.

2.20. Contingency Plan: Continuity of care and uninterrupted operations of a Radiation Oncology Program are essential components of this contract and will be primary factors in Contractor’s assignment of staff and frequency of substitutions. The Contractor shall have a contingency plan in place to be utilized if the contractor’s physician(s) and other Contractor’s provider (s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract

3. HOURS OF OPERATION

3.1. VA Business Hours: Monday through Friday, 0800 -1630 Clinic time and Radiation treatment procedures will all be performed.

3.2. Work Schedule: The schedule for services may vary.

3.2.1. Patients must be seen by a contractor’s physician (s) on-site at the Baltimore VAMC in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.

3.2.2. Contractor’s physician (s) shall be available and present in clinic during normal Baltimore VAMC Radiation Oncology clinic hours, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are 0800-1630, Monday through Friday.

3.2.3. Off-hours Coverage: Contractor must make a Radiation Oncology Physician available on call during all hours when the Baltimore VAMC clinic is closed, including evenings, weekends and holidays. Contractor must make the contractor’s physician(s) available on-call a minimum of eight (8) weeknights and (1) weekend per month, Monday through Thursday 4:30 p.m. to 8:00 am and Friday 4:30 p.m. to Monday 8:00 am as determined by the Radiation Oncology Clinical Care Center. Calls will be alternated with VA FTE in accordance with 0.25 FTE up to 1.0 FTE as needed for contractor’s physician (s).

Additional on-call times will be handled on a case-by-case basis.

3.2.3.1. On-call contractor’s physician (s) must be available at all times for phone consultations with VA residents and physicians.

3.1.3.2. Patients must be seen within 60 minutes of the page when immediate evaluation or radiotherapy is medically indicated.

3.1.3.3 Contractor’s physician (s) timesheets shall not include time for carrying the on-call pager but may include 4 hours for time spent onsite. This four-hour block of time may include up to 45 minutes travel time each way, and shall include locating the patient, completing an evaluation, obtaining required consents, transporting the patient, machine startup/warm up, completing simulation, treatment planning, supervising treatment, and any other care relevant to that radiation oncology encounter. The four-hour block of time will not be prorated in the event the episode of care requires less than 4 hours.

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 by the President of the United States to be a national holiday.

3.4. Cancellations: Only in the event of unforeseen circumstances will clinics or radiation treatment or CT simulation procedures be cancelled on short notice.

3.4.1. Unless a state of emergency has been declared or clinics are otherwise cancelled by the Baltimore VAMC, the Contractor shall be responsible for providing services.

4. CONTRACTOR RESPONSIBILITIES

4.1. Services Required: The Contractor shall provide contractor’s radiation oncology physician(s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties.

4.1.1. Contractor physician(s) shall be responsible for emailing the COR when arriving onsite and prior to leaving when in attendance. Time sheets will be used by the COR to confirm hours/day and services provided against the Contractor’s invoices.

4.2. Standards of Practice: The medical practice and patient care provided by Contractor shall be evidence based best practices that meet or exceed all standards of professional practice and performance measures applicable to Baltimore VAMC medical professionals, including, but not limited to, NHPP, AAPM and TJC standards and national recognized accrediting body current practice guidelines in radiation oncology.

4.2.1. Applicable Radiation Oncology practice guidelines and standards promulgated by ACR, ASTRO, and AAPM.

4.2.2. The professional standards of TJC or equivalent accreditation:

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

4.2.3. The requirements contained in this PWS

4.3. MEDICAL RECORDS

4.3.1. 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 U.S.C.551a (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).

4.3.2. HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in…