Sol_75H70726Q00087_terms and conditions.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

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

OFFEROR

203CODE 16. ADMINISTERED BYCODE

X

X

X

518210

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR203

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

09/03/2026 1200 MT

08/27/2026

505-256-6768SHANNON ELDRIDGE-SHORTY

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70726Q00087

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 19 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Albuquerque NM 87110

4101 Indian School Rd NE, Suite 225

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$40

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

Albuquerque Indian Health Service WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

Albuquerque NM 87110

4101 Indian School Rd NE, Suite 225

Albuquerque Indian Health Service

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

SECTION A – SOLICITATION INFORMATION

This is a combined synopsis/solicitation for commercial secure electronic data interchange (EDI) clearinghouse services prepared in accordance with FAR Part 12 and FAR 12.603. This announcement constitutes the only solicitation.

Quotations are being requested in response to this notice, and a separate written solicitation will not be issued.

This solicitation is being conducted pursuant to (Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

SHANNON ELDRIDGE-SHORTY

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

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

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT: REFERENCE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

the Buy Indian Act, 25 U.S.C. § 47, and is set aside for Indian Small Business Economic

Enterprises (ISBEEs) in accordance with HHSAR

Subpart 326.6.

If the Government does not receive an acceptable quotation from an eligible ISBEE, the Government may evaluate quotations and consider award under the following cascading set-aside tiers:

• Indian Small Business Economic Enterprises

(ISBEEs)

• Service-Disabled Veteran-Owned Small Business

(SDVOSB)

• HUBZone Small Business

• Small Disadvantaged Business (SDB)

• All Other Small Business Concerns

This solicitation incorporates by reference the provisions and clauses in effect through the applicable Federal Acquisition Regulation (FAR), Health and Human Services Acquisition Regulation

(HHSAR), and applicable class deviations identified in this solicitation.

Federal Acquisition Circular (FAC): 2026-01

NAICS Code: 518210 – Computing Infrastructure

Providers, Data Processing, Web Hosting, and

Related Services. Small Business Size Standard:

$40 million (average annual receipts)

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

19 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 19

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70726Q00087

Content of Quotation Submission:

To be considered for award, quoters shall submit the following by the quotation due date and time specified in this solicitation:

• Volume I – Technical Capability

• Volume II – Past Performance (Attachment 1 – Past Performance Survey)

• Volume III – Price (Attachment 2 – Pricing Schedule)

• Completed Indian Economic Enterprise (IEE) Representation, if applicable

• Signed Standard Form (SF) 1449, including any solicitation amendments, if applicable

Question Submission:

Questions regarding this solicitation shall be submitted no later than August 31, 2026 at 03:00 p.m. Mountain Standard Time (MST).

Questions shall be submitted using Attachment 3 –

Questions and Answers (Q&A) Template.

Responses to timely submitted questions will be provided by solicitation amendment.

Quotation Submission:

Quotations shall be submitted electronically no later than September 03, 2026, at 12:00 p.m.

Mountain Time (MT), to Shannon Eldridge-Shorty, Contracting Officer, at shannon.eldridge-shorty@ihs.gov

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

Solicitation 75H70726Q00087 Secure EDI Clearinghouse Services

SECTION B – GENERAL INFORMATION

1. Requirement

Department of Health and Human Services (HHS), Indian Health Service (IHS), Albuquerque Area Office (AAO), is issuing this Request for Quotation (RFQ) to obtain secure electronic data interchange (EDI) clearinghouse services for Zuni Comprehensive Community Health Center (ZCCHC), Zuni, New Mexico.

2. Contract Type The Government intends to make a single award resulting from this solicitation. The resulting award will be a Firm- Fixed-Price (FFP) purchase order.

3. Pricing Requirements

a. Pricing

The Quoter shall propose a fixed monthly price for the Base Period and each Option Period. The proposed monthly price shall include all labor, software, licensing, maintenance, technical support, connectivity, updates, travel, taxes, fees, and other costs necessary to perform the requirement.

No additional reimbursement will be provided unless specifically authorized by the contract.

b. Taxes The Contractor shall be responsible for all applicable Federal, State, Tribal, and local taxes, fees, and assessments associated with contract performance, including New Mexico Gross Receipts Tax (NMGRT), as applicable.

c. Pricing table:

CLIN

Period of

Performance:

Description of Services: Qty: Unit: Unit Price: Total

Base Period

TBD/2026-TBD/2027

Secure EDI Clearinghouse Services

12 Month $ $

Option Period One:

TBD/2027-TBD/2028

Secure EDI Clearinghouse Services

12 Month $ $

Option Period Two:

TBD/2028-TBD/2029

Secure EDI Clearinghouse Services

12 Month $ $

Option Period Three:

TBD/2029-TBD/2030

Secure EDI Clearinghouse Services

12 Month $ $

Option Period Four:

TBD/2030-TBD/2031

Secure EDI Clearinghouse Services

12 Month $ $

(Base Period with Four Option Periods) Grand Total: $

SECTION C – STATEMENT OF WORK

1. Background

Zuni Comprehensive Community Health Center (ZCCHC), Indian Health Service (IHS), requires a secure electronic data interchange (EDI) clearinghouse service to support the transmission of healthcare claims and receipt of electronic remittance transactions with Medicare, Medicaid, and commercial insurance payers.

Currently, Medicare claims are processed through the Centers for Medicare & Medicaid Services (CMS) Medicare Administrative Contractor (MAC), Novitas Solutions, using CMS-approved connectivity. Medicaid and commercial insurance claims are transmitted through a separate vendor.

The purpose of this acquisition is to obtain a single contractor to provide secure electronic data interchange (EDI) clearinghouse services that support the Government's revenue cycle operations by ensuring the reliable exchange of healthcare claims and remittance transactions.

2. Objective:

The objective of this contract is to ensure secure, reliable, and continuous electronic exchange of healthcare claims and related transactions between the Government and authorized healthcare payers.

3. Scope of Work The Contractor shall provide comprehensive secure electronic data interchange (EDI) clearinghouse services necessary to support the transmission, receipt, and management of healthcare claims and related electronic transactions between the Government and Medicare, Medicaid, and commercial insurance payers. Services shall include, but are not limited to, claims transmission, secure data transport, connectivity management, technical support, software maintenance, and system updates.

3.1 Claims Transmission

The Contractor shall securely transmit electronic healthcare claims from the Government's billing system using industry-standard, HIPAA-compliant electronic transactions. At a minimum, the Contractor shall support the following transactions:

• 837 Institutional Claims

• 837 Professional Claims

• 835 Electronic Remittance Advice (ERA)

• 270/271 Eligibility Verification

• 276/277 Claim Status Inquiry and Response

• 999 Functional Acknowledgements

• TA1 Interchange Acknowledgements

The Contractor shall receive, process, and return all applicable acknowledgements, remittance transactions, and claim status responses associated with submitted claims.

3.2 Secure Data Transport

The Contractor shall provide secure transmission of electronic healthcare transactions using industry-standard encryption and shall continuously monitor transaction processing to ensure reliable delivery. Services shall include error detection and correction, confirmation of successful transmission, secure retention of transaction logs, and maintenance of audit capabilities sufficient to support troubleshooting and compliance activities.

3.3 Connectivity

The Contractor shall establish and maintain secure electronic connectivity between the Government's billing system and CMS Medicare Administrative Contractor (Novitas Solutions or its successor), New Mexico Medicaid, commercial insurance payers, clearinghouse partners, and other authorized healthcare payers. At the start of the contract, the Government's billing environment is expected to use RPMS/EHR interfaces; however, the Government may transition to a successor billing system, including PATHNET, during the period of performance.

The Contractor shall support required connectivity, testing, and transition activities to maintain continuity of EDI services. Any change affecting contract scope, price, or other terms and conditions must be authorized in writing by the Contracting Officer.

3.4 Technical Support

The Contractor shall provide technical support for all services performed under this contract to ensure the continuous availability and operation of the electronic data interchange (EDI) clearinghouse services.

Technical support shall include telephone and email assistance, remote troubleshooting, claims transmission support, resolution of rejected claims resulting from clearinghouse processing, and coordination with the Centers for Medicare & Medicaid Services (CMS), Medicare Administrative Contractors (MACs), Medicaid agencies, commercial insurance payers, and other authorized entities, as necessary to resolve transaction or connectivity issues.

Routine technical support shall be available Monday through Friday during the Government's normal business hours, excluding Federal holidays. Emergency support for critical system outages or interruptions affecting claims processing shall be available twenty-four (24) hours per day, seven (7) days per week. For critical issues, the Contractor shall provide an initial response within one (1) hour of notification and resolve the issue or provide the Government with a documented corrective action plan within twenty-four (24) hours. The Contractor shall provide training upon Government request and on-site technical support when an issue cannot be adequately resolved remotely, as coordinated with the Contracting Officer's Representative (COR).

3.5 Software Maintenance

The Contractor shall provide all software maintenance necessary to support the services required under this contract. Maintenance shall include software updates, security patches, regulatory and HIPAA transaction updates, annual software licensing, and system enhancements included under the Contractor's standard commercial maintenance program.

The Contractor shall notify the Government of planned maintenance, software releases, and updates that may affect system availability or functionality. Updates shall be implemented in a manner that minimizes disruption to Government operations and maintains continuity of electronic claims processing whenever practicable.

4. Deliverables The Contractor shall provide the following minimum deliverables throughout the period of performance. The monthly Transaction Activity Report shall summarize transaction activity processed under the contract for the applicable reporting period. The annual Security Compliance Documentation shall provide current documentation demonstrating compliance with the security requirements applicable to the services performed under this contract.

Deliverable Frequency

Transaction Activity Report Monthly

Security Compliance Documentation Annually

5. Performance Standards

The Contractor shall perform the services in accordance with the following minimum performance standards throughout the period of performance.

Performance Requirement Standard System Availability Maintain 99.9% uptime, excluding scheduled maintenance.

Critical Outage Response Initial response within one (1) hour of notification; resolve the issue or provide a documented corrective action plan within twenty-four (24) hours.

Routine Support Response Respond within one (1) business day.

Scheduled Maintenance Notification Provide at least seventy-two (72) hours advance notice of planned maintenance.

Security Incident Notification Notify the Government within one (1) hour of discovery.

Claims Processing Availability Maintain continuous claims processing capability during normal Government business hours.

6. Security Requirements The Contractor shall comply with all applicable Federal laws, regulations, and policies governing the protection of Government information and Protected Health Information (PHI). At a minimum, the Contractor shall:

• Comply with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act.

• Protect all Protected Health Information (PHI) transmitted, processed, or stored under this contract.

• Encrypt all electronic healthcare transactions during transmission using industry-standard encryption.

• Report any actual or suspected security incident affecting Government information or PHI to the Contracting Officer and Contracting Officer's Representative (COR) within one (1) hour of discovery.

• Maintain appropriate logical access controls to restrict access to authorized personnel.

• Maintain audit logs sufficient to support system monitoring, troubleshooting, and compliance activities.

• Provide security-related documentation or records to the Government upon request, as permitted by applicable law and regulation.

SECTION D – INSPECTION AND ACCEPTANCE

1. Inspection and Acceptance

All services and deliverables performed under this contract are subject to inspection and acceptance by the Contracting Officer (CO) or the Contracting Officer's Representative (COR), within the limits of the COR's delegated authority.

The Government will assess Contractor performance for compliance with the Statement of Work (SOW), applicable performance standards, deliverable requirements, and other terms and conditions of the contract.

Services and deliverables will be accepted upon verification that the applicable contract requirements have been satisfactorily performed or completed. Identified deficiencies shall be addressed in accordance with the applicable terms and conditions of the contract.

SECTION E – PERIOD OF PERFORMANCE

1. The period of performance shall consist of one (1) 12-month Base Period and four (4) 12-month Option Periods:

Base Period: TBD/2026 – TBD/2027 Option Period One: TBD/2027 – TBD/2028 Option Period Two: TBD/2028 – TBD/2029 Option Period Three: TBD/2029 – TBD/2030 Option Period Four: TBD/2030 – TBD/2031

The Government may exercise option periods by written modification in accordance with FAR 52.217-9, Option to Extend the Term of the Contract.

The total contract duration, including the Base Period, all Option Periods, and any extension exercised under FAR 52.217-8, Option to Extend Services, shall not exceed five (5) years and six (6) months.

2. Place of Performance:

Zuni Comprehensive Community Health Center (ZCCHC)

21B Avenue Zuni, New Mexico 87327

3. Government Operating Hours Normal Government business hours are 08:00 a.m. to 05:00 p.m. Mountain Time, Monday through Friday, excluding

Federal holidays.

Routine coordination with Government personnel, including meetings, technical discussions, and administrative matters, shall occur during normal Government business hours unless otherwise coordinated with the Contracting Officer (CO) or Contracting Officer's Representative (COR).

Contractor technical support and emergency support shall be provided in accordance with the availability and response requirements established in the Statement of Work.

4. Federal Holidays Federal holidays are those established by Federal law or Executive Order. The current list of Federal holidays is available from the U.S. Office of Personnel Management (OPM).

SECTION F – CONTRACT ADMINISTRATION

1. The Contracting Officer (CO) is the only Government official authorized to modify the terms, conditions, scope, price, or period of performance of the contract or otherwise obligate the Government.

Shannon Eldridge-Shorty, Contracting Officer (CO) Indian Health Service/Division of Contracts & Grants Management (DCGM) 4101 Indian School Road NE, Suite 225 Albuquerque, New Mexico, 87110 Phone: 505-256-6768; email: shannon.eldridge-shorty@ihs.gov

All contractual or administrative correspondence shall be submitted to the Contracting Officer unless otherwise directed in writing.

2. COR and Alternate CORs:

• Primary COR - Angela Kanteena, phone: 505-782-7424; email: angela.kanteena@ihs.gov

• Alternate COR - Bernard Ghachu, phone: 505-782-7319; email: bernard.ghachu@ihs.gov

The COR and Alternate COR shall be responsible for:

• Monitoring Contractor performance, including surveillance and assessment of technical performance;

• Providing technical clarification regarding the Statement of Work (SOW), within the limits of delegated authority;

• Conducting technical evaluations, as required;

• Performing technical inspections and acceptance, as authorized; and

• Assisting in the resolution of technical issues encountered during contract performance.

The COR and Alternate COR are not authorized to modify the terms, conditions, scope, price, or period of performance of the contract or otherwise obligate the Government. Any change affecting these matters must be authorized in writing by the Contracting Officer.

3. Invoice Requirements The Contractor shall submit invoices monthly in arrears for services satisfactorily performed during the applicable billing period.

Invoices shall be submitted electronically through the U.S. Department of the Treasury Invoice Processing Platform (IPP). Each invoice shall include, at a minimum:

• Contract or Purchase Order Number;

• Invoice Number;

• Billing Period;

• Applicable Contract Line-Item Number (CLIN);

• Description of services performed;

shannon.eldridge-shorty@ihs.gov mailto:angela.kanteena@ihs.gov bernard.ghachu@ihs.gov

• Unit of Issue (Month);

• Unit Price;

• Extended Amount;

• Total Invoice Amount; and

• Contractor Name and Unique Entity Identifier (UEI).

Payment shall be made upon Government acceptance of services performed in accordance with the Statement of Work (SOW) and receipt of a proper invoice submitted in accordance with the contract.

The Contractor shall maintain an active registration in the System for Award Management (SAM.gov) throughout the period of performance.

SECTION G – SPECIAL CONTRACT REQUIREMENTS

1. Information Security and Privacy Requirements

The Contractor shall comply with all applicable Federal, HHS, and IHS information security and privacy requirements governing Government information and Protected Health Information (PHI), including the security and incident-reporting requirements identified in Section C of the Statement of Work. Contractor personnel requiring access to Government facilities or information systems shall comply with applicable identity, credentialing, and access requirements.

2. Government Information and Confidentiality Government information, including healthcare transaction data, reports, records, and deliverables created, accessed, processed, or maintained in performance of this contract, shall remain Government property.

The Contractor shall use Government information solely for purposes necessary to perform this contract and shall protect such information from unauthorized access, use, disclosure, alteration, or destruction.

The Contractor shall not release, disclose, publish, distribute, or otherwise use Government information for any purpose unrelated to contract performance without prior written authorization from the Contracting Officer, except as required by law.

3. Software and System Changes The Contractor shall not develop or implement custom software, interfaces, or system modifications outside the requirements of the SOW without prior written authorization from the Contracting Officer.

Routine software maintenance, security patches, regulatory updates, version updates, and other changes required under the SOW do not require separate authorization unless the change would affect the contract's scope, price, or other terms and conditions.

4. IPv6 Compliance Contractor systems used to provide services under this contract shall comply with applicable Federal IPv6 requirements, including OMB Memorandum M-21-07 and applicable NIST guidance, when required for integration or interoperability with Government information systems.

5. Contractor Performance Evaluation The Government may evaluate Contractor performance in accordance with FAR Subpart 42.15, as applicable.

Performance evaluations may consider compliance with the SOW, quality of services, responsiveness, schedule, information security, and overall contract management.

When applicable, Contractor performance may be documented in the Contractor Performance Assessment Reporting System (CPARS). The Contractor will be provided an opportunity to review and comment on CPARS evaluations in accordance with applicable Federal requirements and agency procedures.

6. Contract Discrepancy Report (CDR) If Contractor performance does not meet contract requirements, the Contracting Officer may issue a Contract Discrepancy Report (CDR) identifying the performance deficiency and requiring corrective action.

The Contractor shall acknowledge receipt of the CDR and submit a written corrective action response within the timeframe specified by the Contracting Officer. The response shall identify the cause of the deficiency, corrective action to be taken, and measures to prevent recurrence, as applicable.

The Government will evaluate the Contractor's response and may consider the deficiency and corrective action when assessing overall Contractor performance.

SECTION H – APPLICABLE CLAUSES/PROVISIONS

FAR 52.252-2 Clauses incorporated by Reference (FEB 1998) This solicitation incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): Revolutionary FAR Overhaul | Acquisition.GOV (End of clause)

FAR Clause No.: Title: Date:

52.202-1 Definitions JUN 2020

52.203-6 Restrictions on Subcontractor Sales to the Government JUN 2020

52.203-17 Contractor Employee Whistleblower Rights NOV 2023

52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements

JAN 2017

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-13 System for Award Management - Maintenance JUL 2026

52.204-91 Contractor Identification JUL 2026

52.209-10 Prohibition on Contracting with Inverted Domestic Corporations JUL 2026

52.212-4 Terms and Conditions—Commercial Products and Commercial Services JUL 2026

52.219-6 Notice of Total Small Business Set-Aside JUL 2026

52.219-14 Limitations on Subcontracting JUL 2026

52.222-3 Convict Labor JUL 2026

52.222-50 Combating Trafficking in Persons JUL 2026

52.222-90 Addressing DEI Discrimination by Federal Contractors JUL 2026

52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving MAY 2024

52.232-33 Payment by Electronic Funds Transfer-System for Award Management OCT 2018

52.232-40 Providing Accelerated Payments to Small Business Subcontractors MAR 2023

52.233-3 Protest After Award JUL 2026

52.233-4 Applicable Law for Breach of Contract Claim JUL 2026

52.237-3 Continuity of Services JAN 1991

52.240-91 Security Prohibitions and Exclusions JUL 2026

52.240-92 Security Requirements JUL 2026

52.244-6 Subcontracts for Commercial Products and Commercial Services JUL 2026

52.252-6 Alt I Authorized Deviations in Clauses NOV 2020 https://www.acquisition.gov/far-overhaul

FAR 52.217-8 Option to Extend Services (NOV 1999) The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days. (End of clause)

FAR 52.217-9 Option to Extend the Term of the Contract (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days;

provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five and one-half years, if the additional six-month option is exercised. (End of clause)

Per FAR Class Deviation 2025-09 Amendment 2 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 this solicitation. Contracting officers will rely on representations from offers based on provisions in the solicitation. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

HHSAR Clause No. Title: Date

352.226-4 Notice of Indian Small Business Economic Enterprise Set-Aside

DEC 2015

352.226-6 Indian Economic Enterprise Subcontracting Limitations DEC 2015

352.226-7 Indian Economic Enterprise Representation DEC 2015

352.227-72 Publications and Publicity

JUN 2026 RFO

DEVIATION

352.239-73 Electronic Information and Technology Accessibility Notice DEC 2015

HHSAR 352.232-71 – Electronic Submission of Payment Requests (APR 2026) (RFO DEVIATION)

(a) Definitions. As used in this clause –Payment request means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements in FAR 32.905(b), and the applicable payment clause included in this contract.

(b) Submission instructions. Except as provided in paragraph (c) of this clause, the Contractor must submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system.

Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.

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

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

HHSAR 352.239-74 Electronic and Information Technology Accessibility (DEC 2015)

(a) Pursuant to Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d), as amended by the Workforce

Investment Act of 1998, all electronic and information technology (EIT) supplies and services developed, acquired, or maintained under this contract or order must comply with the “Architectural and Transportation Barriers Compliance Board Electronic and Information Technology (EIT) Accessibility Standards” set forth by the

Architectural and Transportation Barriers Compliance Board (also referred to as the “Access Board”) in 36 CFR part 1194. Information about Section 508 is available at http://www.hhs.gov/web/508. The complete text of Section 508 Final Provisions can be accessed at http://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-section-508-standards.

(b) The Section 508 accessibility standards applicable to this contract or order are identified in the Statement of Work or Specification or Performance Work Statement. The contractor must provide any necessary updates to the submitted HHS Product Assessment Template(s) at the end of each contract or order exceeding the simplified acquisition threshold (see FAR 2.101) when the contract or order duration is one year or less. If it is determined by the Government that EIT supplies and services provided by the Contractor do not conform to the described accessibility standards in the contract, remediation of the supplies or services to the level of conformance specified in the contract will be the responsibility of the Contractor at its own expense.

(c) The Section 508 accessibility standards applicable to this contract are:

E201 Application E201.1 Scope. ICT that is procured, developed, maintained, or used by agencies shall conform to the Revised

508 Standards.

E206 Hardware E206.1 General. Where components of ICT are hardware and transmit information or have a user interface, such components shall conform to the requirements in Chapter 4.

E207 Software E207.1 General. Where components of ICT are software and transmit information or have a user interface, such components shall conform to E207 and the requirements in Chapter 5 Exception from E207.1 General: Software that is assistive technology and that supports the accessibility services of the platform shall not be required to conform to the requirements in Chapter 5.

E207.2 WCAG Conformance. User interface components, as well as the content of platforms and applications, shall conform to Level A and Level AA Success Criteria and Conformance Requirements in WCAG 2.0 (incorporated by reference, see 702.10.1).

Exceptions from E207.2 WCAG Conformance:

• Software that is assistive technology and that supports the accessibility services of the platform shall not be required to conform to E207.2.

• Non-web software shall not be required to conform to the following four Success Criteria in WCAG 2.0:

2.4.1 Bypass Blocks; 2.4.5 Multiple Ways; 3.2.3 Consistent Navigation; and 3.2.4 Consistent Identification.

• Non-Web software shall not be required to conform to Conformance Requirement 3 Complete

Processes in WCAG 2.0.

E208 Support Documentation and Services E208.1 General. Where an agency provides support documentation or services for ICT, such documentation and services shall conform to the requirements in Chapter 6.

E302 Functional Performance Criteria

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

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

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

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

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

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

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

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

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

503 Applications

503.1 General. Applications shall conform to 503.

(d) In the event of a modification(s) to this contract or order, which adds new EIT supplies or services or revises the type of, or specifications for, supplies or services, the Contracting Officer may require that the contractor submit a completed HHS Section 508 Product Assessment Template and any other additional information necessary to assist the Government in determining that the EIT supplies or services conform to Section 508 accessibility standards. Instructions for documenting accessibility via the HHS Section 508 Product Assessment Template may be found under Section 508 policy on the HHS Web site: (http://www.hhs.gov/web/508). If it is determined by the Government that EIT supplies and services provided by the Contractor do not conform to the described accessibility standards in the contract, remediation of the supplies or services to the level of conformance specified in the contract will be the responsibility of the Contractor at its own expense.

(e) If this is an Indefinite Delivery contract, a Blanket Purchase Agreement or a Basic Ordering Agreement, the task/delivery order requests that include EIT supplies or services will define the specifications and accessibility standards for the order. In those cases, the Contractor may be required to provide a completed HHS Section 508 Product Assessment Template and any other additional information necessary to assist the Government in determining that the EIT supplies or services conform to Section 508 accessibility standards. Instructions for documenting accessibility via the HHS Section 508 Product Assessment Template may be found at http://www.hhs.gov/web/508. If it is determined by the Government that EIT supplies and services provided by the Contractor do not conform to the described accessibility standards in the provided documentation, remediation of the supplies or services to the level of conformance specified in the contract will be the responsibility of the Contractor at its own expense. (End of clause)

FAR 52.252-1 Solicitation Provisions Incorporated by Reference (FEB 1998) This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): Revolutionary FAR Overhaul | Acquisition.GOV (End of provision) The following provisions are incorporated by reference and apply to this RFQ and resulting order, as applicable:

FAR

Provisions No. Title: Date

52.203-11 Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions

SEP 2024

52.204-7 System for Award Management-Registration APR 2026

52.212-1 Instructions to Offerors-Commercial Products and Commercial Services

APR 2026

52.212-2 Evaluation – Commercial Products and Commercial Services NOV 2021

52.233-2 Service of Protest SEP 2006

52.252-5 Authorized Deviations in Provisions NOV 2020

52.209-2 Prohibition on Contracting with Inverted Domestic Corporations-Representation (JUL 2026)

(a) Definitions. As used in this clause— Inverted domestic corporation means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

Subsidiary means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

(b) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108-3(b) applies or the requirement is waived in accordance with the procedures at 9.108-5.

(c) Representation. The Offeror represents that-

(1) It □ is, □ is not an inverted domestic corporation; and

(2) It □ is, □ is not a subsidiary of an inverted domestic corporation. (End of provision)

FAR 52.209-5 Certification Regarding Responsibility Matters (JUL 2026)

(a) (1) The Offeror certifies, to the best of its knowledge and belief, that—

(i) The Offeror and/or any of its Principals—

(A) Are □ are not □ presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;

(B) Have □ have not □, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) contract or subcontract;

violation of Federal or State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks "have", the offeror shall also see 52.209-7, if included in this solicitation);

(C) Are □ are not □ presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision;

and

(D) Have □, have not □, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds the threshold at 9.104-5(a)(2) for which the liability remains unsatisfied. Federal taxes are considered delinquent if both of the following criteria apply:

(1) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if a pending administrative or judicial challenge remains. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

(2) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.

(ii) The Offeror has □ has not □, within a 3-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.

(2) “Principal," for the purposes of this certification, means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager;

plant manager; head of a division or business segment; and similar positions).

(b) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the Government will consider the certification in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.

(d) This provision does not require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a). The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

(e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If the Government later determines that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default. (End of provision)

SECTION I - ATTACHMENTS

Attachment No. Description Attachment 1 Past Performance Survey Template Attachment 2 Pricing Table Attachment 3 Q&A template

SECTION J – REPRESENTATIONS AND CERTIFICATIONS

Quoters shall maintain active registration in the System for Award Management (SAM.gov) at the time of quote submission and award.

SECTION K – INSTRUCTIONS TO QUOTERS

1. General Instructions

Quoters shall submit a complete quotation consisting of three (3) separate volumes. Each volume shall be clearly labeled and contain sufficient information to permit the Government to evaluate the quotation in accordance with Section L – Evaluation Factors for Award.

Failure to submit sufficient information to demonstrate compliance with a material solicitation requirement may result in the quotation being determined technically unacceptable.

2. Quote Volumes

Volume I – Technical Capability The Quoter shall submit a technical quotation demonstrating its understanding of the requirement and capability to successfully perform the services described in the Statement of Work (SOW).

At a minimum, the technical quotation shall address the following:

a. EDI Clearinghouse Capability o Description of the proposed secure electronic data interchange (EDI) clearinghouse solution.

o Capability to support the HIPAA-compliant electronic transactions identified in Section C, Paragraph 3.1.

o Connectivity with Medicare, Medicaid, commercial insurance payers, clearinghouse partners, and other authorized healthcare payers.

b. System Availability and Security o System availability, redundancy, disaster recovery, business continuity, and operational reliability.

o Information security controls used to protect Government information and Protected Health Information

(PHI), including encryption, access controls, audit capabilities, and security incident response.

c. Implementation and Transition o Proposed implementation schedule and transition approach.

o Testing methodology and transition activities.

o Risk mitigation measures and methods for minimizing disruption to Government operations.

o Capability to support connectivity with the Government's current RPMS/EHR environment and transition to a successor Government billing system, including PATHNET, if implemented during the period of performance.

d. Technical Support and Maintenance o Customer support availability and escalation procedures.

o Approach for meeting routine and critical support requirements, including the one (1) hour initial response requirement and twenty-four (24) hour resolution or documented corrective action plan requirement for critical issues.

o Approach for providing training upon Government request and on-site technical support when an issue cannot be adequately resolved remotely.

o Software maintenance, security patches, software and regulatory updates, licensing, and related maintenance activities.

e. Reporting and Deliverables

The Quoter shall describe its approach for providing the required contract deliverables, including:

o Monthly Transaction Activity Reports; and o Annual Security Compliance Documentation.

f. Subcontracting

The Quoter shall identify proposed subcontractors and describe the services each subcontractor will perform, if applicable.

The technical quotation shall provide sufficient information to demonstrate compliance with the requirements of the SOW. The technical quotation shall not exceed 15 pages, excluding supporting documentation specifically requested by the solicitation.

Volume II – Past Performance The Quoter may submit up to three (3) recent and relevant contract references for services similar in size, scope, and complexity to the requirements of this solicitation and performed within the past five (5) years.

For each reference, the Quoter shall provide:

1. Customer name and organization.

2. Contract number, if applicable.

3. Period of performance.

4. Contract value.

5. Description of services performed.

6. Government or commercial point of contact, including telephone number and email address, if available.

The Quoter is encouraged to submit a completed Past Performance Survey (Attachment 1) for each reference. If a completed Past Performance Survey is unavailable, the Quoter may submit a narrative describing the referenced contract. The narrative shall provide sufficient information for the Government to assess the relevance and quality of the Quoter's past performance.

The Government may contact references provided by the Quoter and may consider information obtained from CPARS, customer references, and other available sources of past performance information.

If the Quoter has no recent or relevant past performance, the Quoter shall state this in Volume II.

Volume III – Price The Quoter shall complete and submit Attachment 2 – Pricing Schedule. The pricing schedule shall include:

1. A fixed monthly price for the Base Period and each Option Period.

2. The extended price for the Base Period and each Option Period.

3. The total proposed price for the Base Period and all Option Periods.

Proposed prices shall include all labor, software, licensing, connectivity, maintenance, technical support, software and regulatory updates, training, on-site support, travel, applicable taxes, fees, and all other costs necessary to perform the requirements of the SOW.

3. Questions

Questions concerning this solicitation shall be submitted using Attachment 3 – Questions and Answers (Q&A) Template no later than the date and time specified in the solicitation.

4. Quote Validity Quotations shall remain valid for 90 calendar days after the quotation due date.

SECTION L – EVALUATION FACTORS FOR AWARD

The Government will evaluate quotations using the following factors:

1. Technical Capability

2. Past Performance

3. Price

Technical Capability is more important than Past Performance. Technical Capability and Past Performance, when combined, are significantly more important than Price.

Factor 1 – Technical Capability The Government will evaluate the extent to which the quotation demonstrates the Quoter's understanding of the requirement and capability to successfully perform the requirements of the Statement of Work (SOW).

The evaluation will consider:

a. Technical Approach

The Government will evaluate the Quoter's proposed technical approach, including its ability to:

1) Support the HIPAA-compliant electronic transactions identified in Section C, Paragraph 3.1.

2) Maintain secure connectivity with Medicare, Medicaid, commercial insurance payers, and other authorized healthcare payers.

3) Maintain…