SOW for Neuropsychological Services_09-29-2025.docx

STATEMENT OF WORK

For adult and pediatric neuropsychological assessment and comprehensive evaluation services

Objective: The Albuquerque Area Indian Health Service (AAIHS) is seeking to contract for adult and pediatric neuropsychological assessment services. Contract will be for a minimum of one (1) year with the option to extend 4 additional years. Contract will be a firm fixed priced contract.

Scope of Work:

The contractor shall provide neuropsychological screenings and comprehensive evaluations for adult and pediatric Native Americans patients referred within the AAIHS coverage area.

Client Background:

Some of the patients receiving health care under this contract may only speak a Native American Language. The contractor should be able to show sensitivity to cross-cultural and languages differences and have the ability to work through interpreters as necessary for non-English speaking patients. Consideration should be given to potentially limited transportation and home environment facilities for some patients.

The contractor shall provide the following screenings and evaluations:

1. Neuropsychological Screening

· Formal and informal screening (informal refers to observation, interview, etc.).

· Screening time per patient should be at a minimum two (2) hours up to four (4) hours. Informal screening is not limited to in-person only and can occur via televideo per both patient and provider agreement and can occur in the home or IHS/Tribal clinic in order to better accommodate rural patients.

· Screening follow-up shall be performed with the patient’s family. Follow up may take place in-person, via telephone or televideo.

Patient Reports

· Finalized patient reports will be required for patient screenings. Reports will include, at minimal, the following information:

· Patient history

· Mental Status Examination (MSE)

· Diagnosis (or potential diagnosis)

· Recommendation(s) for treatment

· Reports will be submitted no later than 90-days post service examination. Reports will be sent to requesting Indian Health Service (IHS) provider or Tribal Program, and the AAIHS Behavior Health Consultant, Dr. Joy McQuery.

· Reports to an IHS provider will need to be sent using the IHS Secure Data Transfer Service.

· Reports to a Tribal program will need to be faxed.

· Reports to the AAIHS Behavior Health Consultant will need to be sent using the IHS Secure Data Transfer Service; email: Joy.McQuery@ihs.gov.

2. Neuropsychological Comprehensive Evaluation

· A Neuropsychological Comprehensive Evaluation which shall in include (at a minimum):

· Complete patient history

· Mental Status Examination (MSE)

· Diagnostic test results and interpretation

· Clinical diagnoses

· Recommendations

· Evaluations should range between eight (8) to twelve hours (12) and should include formal cognitive, achievement, and neuropsychological measures in conjunction with informal data (e.g., observation, interview, school records, etc.).

· Informal data collection can occur via televideo per both patient and provider agreement and can occur in the home or IHS/Tribal clinic in order to better accommodate rural patients.

· Follow-up shall be performed with the patient’s family. Follow up may take place in person, via telephone or televideo.

Patient Reports

· Finalized patient reports will be required for all patient evaluations. Reports will include, at minimal, the following information:

· Complete patient history

· Mental Status Examination (MSE)

· Diagnostic test results and interpretation

· Recommendation(s)

· Reports will be submitted no later than 90-days post service examination. Reports will be sent to requesting Indian Health Service (IHS) provider or Tribal Program, and the AAIHS Behavior Health Consultant, Dr. Joy McQuery.

· Reports to an IHS provider will need to be sent using the IHS Secure Data Transfer Service.

· Reports to a Tribal program will need to be faxed.

· Reports to the AAIHS Behavior Health Consultant will need to be sent using the IHS Secure Data Transfer Service; email: Joy.McQuery@ihs.gov.

Additional contractor responsibilities:

· The contractor shall be responsible for maintaining satisfactory standards of competence, conduct, appearance and integrity. The quality of work performance of the contractor shall be subject to review.

· The contractor is responsible for all direct contact and scheduling of referred patients/clients.

· Contractor shall make at least three (3) attempts to contact:

· For adult patients: One (1) attempt with referred patient and two (2) attempts with alternate contact listed.

· For pediatric patients: Three (3) primary point of contact.

· If contact attempts are unsuccessful, contractor will notify provider and Albuquerque Area Behavioral Health Consultant, Dr. Joy McQuery at 505-460-7268.

· The contractor shall complete all medical records in a timely manner of care and service provided to the patients.

· The contractor shall abide by the IHS facility standards of conduct and the policies and procedures of the service unit and assigned department/unit. Guidelines applicable in the performance of the contract are established doctor's orders, hospital policy, local directives, and standing orders.

· The contractor shall be responsible for using judgment in choosing the appropriate course of action when a negative situation arises.

Albuquerque Area Indian Health Service | Behavior Health Program

· The contractor shall be responsible for completing required documents subject to the character investigation in compliance with Public Law) (P.L) 101-630 "Indian Child Protection and Family Violence Act of 1990". The contract and all its agents will answer and sign the attached document entitled; "Care and Certification of Addendum to Declaration to Federal Employment, Indian Health Service, and Indian Child Care Worker Positions".

Minimal Technical Qualifications and Requirements:

Contractor must possess a Ph.D or Psy.D in psychology with formal education and/or experience in neuropsychology. Contractor must possess an active State Psychology license (as applicable). Contractor should have previous work experience with Native American adult and pediatric populations.

Reporting Requirements:

The contractor shall be required to submit the following reports as scheduled during the performance of the contract:

A. Submit a quarterly status update on referrals to the AAIHS Division of Clinical Quality with the following information:

a. For each referral: date of referral receipt, if referral was schedule and reason if not, scheduled date of appointment, referring provider, type of service requested, if appointment was a “no-show” and date report was returned.

B. Submit a monthly invoice for services rendered; invoices shall include: Referral #, services rendered including service dates, time allocation, per hour cost for service provision, and IHS referring provider. **No patient names or PHI shall appear on any invoices submitted for payment.

Quality Assurance:

The contractor's performance shall be subject to review as part of the Albuquerque Indian Service Quality Assurance Program. The review will consist of assignments accomplished and supervisory review of work. The contractor is required to correct any deficiencies identified. Failure to take corrective action may result in termination of the contract, and may also be terminated for cause if facilities are endangered or harmed as a result of the contractor's action.

Government Furnished Documents:

· Referral Request

· Release of Information (ROI) – Patient signed form which outlines requested services.

Period of Performance: The duration of this contract will be for a minimum of one (1) year with the option to extend four (4) additional years in one (1) year increments.

Suggested Vendor:

· Sandia Neuropsychology 3400 Constitution NE, Suite C Albuquerque, NM 87106 Telephone: 505-270-4242 Fax: 505-288-3579 Email: sandianeuropsychology@gmail.com

· Brain and Behavioral Associates, PC 1300 Central Avenue SW Albuquerque, NM 87102 Telephone: 505-243-0335 Fax: 505-216-2623 Email: admin@brainandbehavioral.com