Industry_Questions_2-15-2018.pdf

RESPONSES

Industry Questions- Received on February 9, 2018

1. Attachment 0004 – Price Matrix, Procedures Tab Procedure #s L3, LL3, & LLL9 reference

CPT 90658 which is for Trivalent Influenza Vaccine which is no longer the prevailing

Influenza Vaccine. Will the Government update the CPT 90688 to Quadrivalent Influenza

Vaccine in Attachment 0004?

Response: The price matrix is updated so procedures L3, LL3, and LLL19 have a CPT code of

90688.

2. Attachment 0004 – Price Matrix, Procedures Tab - The cost to deliver Procedure #s L3, LL3 extends beyond the cost of the vaccine itself. As these CLINs are to be treated as Cost

Reimbursable, will the Government include a means for Contractors to recoup all of the various direct labor costs associated with delivery of these services?

Response: The costs are to be treated as reimbursable.

3. Attachment 0004 – Price Matrix, Procedures Tab D9220 for Procedure #P40 is no longer valid. Should it be replaced with D9222?

Response: The price matrix is updated so the description for procedure P40 is “Deep sedation/general anesthesia first 15 minutes and the CDT code D9222.

4. Attachment 0004 – Price Matrix, Procedures Tab D9221 for Procedure #P41 is no longer valid. Should it be replaced with D9223?

Response: The price matrix is updated so procedure P41 will have a CDT code D9223.

5. Attachment 0004 – Price Matrix, Procedures Tab D9241 for Procedure #P36 is no longer valid. Should it be replaced with D9239?

Response: The price matrix is updated so the description for procedure P36 is “IVB anesthesia first 15 minutes” and the CDT code D9239.

6. Attachment 0004 – Price Matrix Procedures Tab D9242 for Procedure #P37 is no longer valid. Should it be replaced with D9243?

Response: The price matrix is updated to reflect procedure P37 has a CDT cod of D9243.

7. Attachment 0005 - Instructions to Offerors, Page 9 Should the SF 1449 continuation sheets be completed and included with Volume III?

Response: Yes, the SF 1449 Continuation sheets should be completed and included in Volume

III.

8. Attachment 0005 -Instructions to Offerors, Page 4 and Page 3, Page 4 indicates offerors should submit one technical proposal with cross referencing, Page 3 indicates the offerors should submit separate files for Scenario 1 and Scenario 2. Please confirm that offerors should submit one technical proposal file on the CD with one cover and one table of contents. Alternatively if two files are required, should the cover and table of contents for the whole volume reside in the file for Scenario 1?

Response: The contractor should submit one technical proposal file on the CD with one cover and one table of contents.

9. Attachment 0005 -Instructions to Offerors Page 3 Page 3 (Volume IV) indicates that the offeror should submit separate files on the CD for the Small Business Participation Plan and the Small Business Subcontracting Plan. Please clarify which file the volume cover, table of contents, summary section and narrative description should be included on. Alternatively, will the government allow offerors to submit one file for the Volume IV?

Response: The Volume IV can contain multiple files. Therefore, title one file Small Business

Participation Plan and one titled Small Business Subcontracting Plan.

10. Attachment 0005 -Instructions to Offerors, Page 3 Page 3 (Volume V) indicates that the offeror should submit separate files on the CD for some of the Volume V files. Please clarify which file the volume cover, table of contents, summary section and narrative description should be included. Alternatively, will the government allow offerors to submit one file for the volume? Also please confirm the remainder of the Volume V requirements can be included in one file on the CD.

Response: A separate file may include the volume cover, table of contents, summary section and narrative description.

11. Attachment 0005 -Instructions to Offerors Proposal Instructions - Page 5 The

RFP states "The Contractor shall for Scenario 1 delineate the Staffing Plan for each type of service (e.g., PHA, dental exam, dental treatment, immunization) at the various levels of demand for service one time.” Please explain what is required for "at various levels of demand for service at one time”.

Response: For each group event, show the number and types of personnel at the event to accomplish the requested types of service and number of Service members receiving the service.

12. Attachment 0005 -Instructions to Offerors Proposal Instructions - Page 5 Is the

Government requesting how many staff are required for each type of service In Scenario 1 for events of differing sizes? That is, how many staff are required for PHA, vision screen, dental exam and treatment, blood draw, basic audiology exam, immunization, and EKG for a single event of varying sizes (e.g., 25, 100, and 200)?

Response: For each group event, show the number and types of personnel at the event to accomplish the requested types of service and number of Service members receiving the service.

13. Attachment 0005 -Instructions to Offerors – Section (IV) (Subsection (a) Page 11, The instructions state, “Detailed documentation supporting each participation percentage below shall be included in the proposal.” Could the Government specify what “detailed documentation” is required?

Response: The detailed documentation which is required to support the types of businesses presented to meet the goals. Also if goals aren’t to be met justify why the goals cannot be met.

Need to include what steps are taken to attempt to achieve the goals as to procedures.

14. Attachment 0005 – Section (v) Page 13 What information are Offerors required to submit for

“Contract Administration Data”?

Response: Pertinent information as to the organization structure of the offeror for administration of the contract.

15. PWS - Section 4.2.3.1.1.2 Page 21 This section references contractor reimbursement for flu vaccine at "no more than the current CHAMPUS Maximum Allowable

Cost (CMAC) rate." This seems to contradict the intent of the Influenza Vaccine CLINs in

Attachment 0004 that are Cost Reimbursable + applicable indirect cost. Will the Government remove language in reference to CHAMPUS Maximum Allowable Cost?

Response: On Attachment 0004 line items as per tab” ship-Tvl-Influ Vac Instructions permits insertion of indirect expenses for Tab Influenza Vaccines, shipping and travel. The Government will not remove the language for CHAMPUS Maximum Allowable Cost. The maximum allowable cost include administration of vaccine.

16. PWS, Exhibit 18, Task 20, Page 59, The PWS on 22 Nov. 2017 had a requirement for the call center of an average speed of answer of 80 seconds, 80% of the time. The current PWS has a requirement for an average speed of answer of 20 seconds, 80% of the time. The new requirement will place an unreasonable cost burden on the Government. Will the

Government revise call center requirements in the PWS to an average speed of answer to 80 seconds, 80% of the time?

Response: The intent of the PWS was that 80% of the calls are answered within 80 seconds and the PWS Performance Requirements Summary Matrix (Exhibit 18) is corrected.

17. Response to Industry Day Questions 1/8/2018, Page 3, Question #14, In follow up to

Question #14, it is our assumption that if a Representation and Certification has already been made in our SAM Registration, we do not need to duplicate it in our proposal. Will the

Government confirm that we do not need to duplicate SAM Representations and

Certifications in our proposal?

Response: Yes, this is a requirement as stated in Attachment 0005 – “Section K –

Representations, Certification and other statements of offerors”.

18. Government answers to questions on 12/8/2017 and Response to Industry Day Questions

1/8/2018 Question 43 on 12/8/17 and Question 15 on 1/8/18 These answers appear to contradict. Please confirm the proposal cover and table of contents are not subject to the page limitations.

Response: Confirm, the page count is not applicable for table of contents, summary section and the narrative discussions. Page count is applicable to Volume I technical Factor.

19. Government answers to questions 01-24-18 Question #9, The answer to this question states that "The subcontracting plan submitted as a prime large business will address the total dollars subcontracted." However this contradicts Attachment 0006, Page 9 letter e., referencing the small business subcontracting goal percentages as a % of the total contract value. For example: "Small Disadvantaged Business (SDB): {10%} of the total contract value”. Will the Government update Attachment 0006 to be consistent with the Government's answers to questions?

Response: The attachment 0006 is in reference to the small business participation plan, which is in relationship to the total contract value. The small business subcontracting plan relates to the total dollars that are subcontracted.

20. Government answers to questions 01-24-18 Question #24, The answer to this question states "The travel, shipping and Flu vaccination NTE amounts are provided by the

Government and the indirect amounts will not be evaluated." However this contradicts

Attachment 0006 Page 8, "The evaluated cost for Shipping, Travel, and Influenza vaccines will be the Government-provided shipping, travel, and Influenza vaccines costs and the applicable indirect costs..." Will the indirect costs be a part of the evaluation? If the indirect costs will not be part of the evaluation will the Government delete reference to the indirect costs from Attachment 0006 page 8?

Response: Attachment 0004 Price Matrix, includes indirect costs and will not be evaluated.

21. W15QKN-18-R-1000-0004, Summary of Changes #16, Page 2 #16 references that proposals submitted must remain valid for 120 calendar days. This contradicts Attachment 0005, Page

1 "Proposals in response to this solicitation shall be valid for 240 days…" Will the

Government revise Attachment 0005 to reflect 120 days?

Response: The summary of changes on Amendment 0005 is revised to read 240 calendar days

22. W15QKN-18-R-1000-0004, Summary of Changes Page 15 Clause DFARS

252.242-7006 was removed on Page 46 of the Solicitation; however, it is still listed on Page

15. Will the Government please remove the reference on Page 15?

Response: Amendment 0005 DFARS 25.2242-7006 will remain in the solicitation.

23. W15QKN-18-R-1000-0004, Summary of Changes, Page 15, Clause FARS 52.223-5 was removed on Page 46 of the Solicitation; however, it is still listed on Page 15. Will the

Government please remove the reference on Page 15?

Response: Amendment 0005 52.223-5 will remain in the solicitation.

24. W15QKN-18-R-1000-0004, SF 1449 continuation sheets-Original solicitation Pages 6-18

The Q & A in Amendment 4 appears to have changed the language of the SF 1449 continuation sheets (CLIN Structure/Descriptions) that were included with original solicitation. Will the Government be releasing updated SF 1449 continuation sheets?

Response: See conformed copy of the solicitation.

25. W15QKN-18-R-1000-0004, Summary of Changes, Page 45 Clause DFARS 252.237-

7024 (b) was revised to add the phrase “to be submitted for approval 30 calendar days after date of contract award.” However, the first part of the sentence still states “shall provide with its offer.” Will the Government remove the contradictory part of the sentence that states “shall provide with its offer”?

Response: Amendment 0005 DFARS 252.237-7024 revised to remove “with its offer”.

26. W15QKN-18-R-1000-0004,Summary of Changes, Pages 1-46, Will the Government provide a consolidated list of FAR and DFAR clauses included in the Solicitation?

Response: A conformed version of the solicitation is released.

27. FAR 52.212-3 - The response to question 23 in the Round 2 file states that “Amendment

0004 to the solicitation has removed the requirement of Service contract labor standards requirement.” Please remove the checks in the box for (k)(2) of FAR 52.212-3.

Response: Revised to remove check.

28. FILE: RHRP-3 PWS 24 Jan 2018 (Final) (iii) Volume III PRICE/COST FACTOR - 9This section referenced Pricing Matrix to file name “Price Matrix Cost-Price Vol III-1-25-

2018.xlsx” and the Excel file Attachment provided with Amendment 4 is named “Price

Matrix Cost-Price Vol III-1-24-2018”. This reference is assumed to be incorrect and that the final version of the Price Matrix Attachment 0004 is to be used for proposal submission. Is this assumption correct? If not, please clarify. Additionally, please release a revised file with the formula corrections as indicated in a separate question where errors are noted in cells O196 and Q203.

Response: See revised Attachment 0004 Price Matrix Cost-Price Vol III 1-24-18

29. 4.2.10 Physical Exams, Paragraph 4.2.11.7 27 - 4.2.11.7 States that “If during the SHPE additional services are required, e.g., deployment health assessments, audiogram, HIV test, Hepatitis C test, etc., the provider shall make note of that on the DD Form 2808 and the SC will decide the appropriate subsequent action.” Please clarify the actions required by the contractor. Do these requirements need to be documented for subsequent action on the DD

2808 if needed?

-Urine Analysis

-Lipid Panel

-PSA

-CBC

-Fasting Glucose

-Fecal Occult

-EKG

-Chest X-ray

-Optometry Exam to include distant and near vision.

Response: Recommended studies and assessments should be annotated in accordance with DoDI

6040.06, The Separation History and Physical Examination (SHPE) for the DoD Separation

Health Assessment (SHA) Program and Service guidance.

30. FILE: RHRP-3 Attachment 0004 Price Matrix Cost-Price Vol III-1-24-18 Procedures tab

Cells C15 and C16 Please explain what the requirements are for line C15 and C16 at a group event. Can line C15 and C16 be requested outside of a PHA/MHA group event? How is the record review reimbursed for the remainder of the PHA’s?

Response: C15 and C16 are the record reviews associated with the PHA. The tasks for the record review are outlined in 4.1.3 of the PWS. The record review can be requested for an in-clinic PHA and reimbursed under procedures BB2 and BB3.

31. Procedures tab Cells C1-C14, The new PHA (DD Form 3024) requires a record review to be completed for every PHA. For procedures C1-C14, PHA/MHA, is the price of the record review to be included? If not, please clarify where the record review is priced.

Response: The record review is not included in procedures C1-C14. The record review for group events is found in procedures C15 and C16 and for in-clinic in procedures BB2 and BB3.

32. Procedures tab, LLL. Vaccine and Titers – Group Event, LLL1 What level HCP is required at immunization only events? Is a NP/PA required to be present?

Response: The administration of immunizations shall be in compliance with AR 40–

562/BUMEDINST 6230.15B/AFI 48–110_IP/CG COMDTINST M6230.4G which delineates the required training of and oversight for individuals administering immunizations.

33. Procedures tab, Cell O196 Procedure Number C3 – Cell O196 has an error in the formula where the Extended Amount does not calculate correctly. Please release a revised file with the formula correction.

Response: Amendment 0005 revised Price Matrix Cost Price Vol III.

34. Procedures tab PP2 Cell PP2: Is there a minimum quantity per event of bite wings?

Response: There is no minimum quantity for mobile vehicle dental bitewings, procedure PP2.

Bitewings are typically conducted with every dental exam. Procedures OO4 through OO6 identify the minimums for group event bitewings.

35. Do you want this price to include the price of the vehicle? If so, is this a price per day (i.e.

PP1)? How many days of service are estimated?

Response: The proposed price for procedure PP1 is to include the price of the vehicle and is per vehicle per day. The proposed price for the dental bitewings PP2 should not include the price of the vehicle as PP2 procedures will not occur in the absence of PP1.

36. Procedures tab Cell Q203, Procedure Number C7 – Cell Q203 has an error in the formula where the Extended Amount does not calculate correctly. Please release a revised file with the formula correction.

Response: Amendment 0005 is revised Price Matrix Cost Price Vol III.

37. Procedures tab S9 Cell S9 references cancellation of occupational health group event however there is no procedure number for pricing an occupational health group event and there is no “no-show” fee for occupational health group events. Also the PWS does not identify a requirement for occupational health services in a group event setting. Please clarify. Is Cell S9 provided in error?

Response: Cell S9 was provided in error. The price matrix is updated to reflect this.

38. FILE: RHRP-3 Attachment 0005 Proposal Submission Jan 24 2018, Introduction - 1The RFP states “The complete proposal shall be submitted via mail to the following address….” Can the proposal be delivered by other methods (e.g. courier, in person) to the same address?

Response: Yes, by courier or in person to the same address as stated on Attachment 0005.

39. Proposal Submission Requirements table -3- To be consistent with the file naming convention for the other volumes, it is our assumption that the file name for the narrative for the Price/Cost Factor is “company name – Cost-Price Vol III.” Is this assumption correct? If not, please clarify.

Response: Yes correct.

40. Proposal Submission Requirements table - It is understood that the completed “RHRP-3

Attachment 0004 Price Matrix Cost-Price Vol III-1-24-18” is to be submitted with the response for Volume III, Price/Cost Factor. To be consistent with the file naming convention for the other volumes, it is our assumption that the file name for the Attachment is “company name - RHRP-3 Attachment 0004 Price Matrix Cost-Price Vol III-1-24-18.” Is this assumption correct? If not, please clarify.

Response: Yes Company Name, Attachment 0004 Price Matrix Cost-Price Vol III-1-24-18.”

41. Proposal Submission Requirements table (ii) Volume II – Past Performance - Request clarification and an increase to the page limits (2 pages per contract/order) for Sections 1-4 as all the outlined information requires more than 2 pages to comply with the instructions and the content in Sections 3 and 4 do not relate to the cited contracts/orders.

Response: See Attachment 0005 for exception under Section 1-4 to the two page limit.

42. Proposal Submission Requirements table - (ii) Volume II – Past Performance – The

Attachment 0005 released with Amendment 4 states that for Volume II, Past Performance

Factor that the page limit is “2 pages per contract/order” and this applies to “Sections 1-4 except as noted per section.” Request clarification and revision to the items included in the page limit in order to comply with the instructions and provide all requested items.

Response: See Attachment 0005 Section 1 is restricted to 2 page limit and section, except PWS excerpts are 2 page limit. Section 3 and 4 are excluded.

43. Request that Section 1 – Contract Description be excluded from the page count (content was excluded prior to Amendment 4). Provision of the requested data (11 items) requires ~1.5 pages and use of a table with an 8 point font size requires ~1 page which only allows about

0.5 page for all the other content included in the 2 page limit.

Response: See Attachment 0005, Table for PWS excerpts is excluded from page count.

44. Request that all of Section 3 – Subcontracts be excluded from the page limit as this content is not directly related to the contracts/orders listed in Section 1. Requesting exclusion of the narrative of the required items in addition to the exclusion of written consent and letters of commitment.

Response: See Attachment 0005 Section 3 – “Written consent and letters of commitment are not included in the page limit.”

45. Request that all of Section 4 – New Corporate Entities be excluded from the page limit as this content is not directly related to the contracts/orders listed in Section 1. Requesting exclusion of the narrative in addition to exclusion of letters of commitment from employees.

Response: Attachment 0005 Section 4, Letters of commitment are not included in page limit.

46. Note that these revisions would effectively retain the instructions for page limits within

Volume II that were contained in the Attachment 0005 Proposal Submission file released on

November 29, 2017 where only Section 2 – Performance for each contract had the 2 page limit (Section 2 stated “Narrative explanations are limited to two pages per contract/order.”)

Response: See Attachment 0005 for page limitation.

47. The Attachment 0005 proposal instructions state that the major subcontractor specialties are health care, dental, and laboratory service. The Attachment 0006 basis of award states that

“Major subcontractors are defined as the top two subcontractors which will be performing the highest percentage of the total proposed price in each of the following four services:

health care, Information Technology (IT), dental, and laboratory.” The Government response to Question 131 in the Round 2 file identifies that “major subcontractors can be defined by the offeror based on their team and work allocation” and are “based on the subcontractors participation in the requirement.”

Response: Yes, submit the top 2 in each of the areas to include health care, Information

Technology (IT), dental, and laboratory.

48. It is our assumption that the Offeror (i.e. proposed prime contractor) may be the entity that will perform the highest percentage of the total proposed price in one or more of the identified services which are outlined for defining a “major subcontractor.” And therefore a major subcontractor may not be identified for one of the three/four service areas. Is this assumption correct? If not, please clarify the definition of major subcontractor. Please clarify the service areas, three or four, which are to be used to determine a major subcontractor.

Response: The major subcontractors are the four areas health care, Information Technology (IT), dental, and laboratory.

49. FILE: RHRP-3 Attachment 0007 Technical Scenarios 24 January 2018, Scenario 1 – 1-

Scenario 1 states the services are for 133 different Reserve Centers/Armories located in 44 different States and Guam. The MS Excel file Attachment 7 file (RHRP-3 Attachment 0007

Technical Scenario Locations 01-30-18) contains 45 States, Washington, DC and Guam and

133 different locations. It is our assumption that the MS Excel file is the correct information on locations. Is this assumption correct? If not, please clarify.

Response: The Excel file Attachment 7 has the correct information on locations. There are 45

States, the District of Columbia, and Guam.

50. Supplies or Services and Prices - Can travel during transition CLIN 0002 be billed under

CLIN 0004?

Response: Yes, travel during the transition in period can be chargeable to CLIN 0004.

51. Attachment 0001, PWS 2.8.1.2 and Question 42 (RHRP-3 Round 2 of RHRP Questions 01-

24-18-kk (Final)) Per PWS 2.8.1.2, providers, including Behavioral Health specialists, shall

“have current licenses, registrations, and certifications according to industry standard and as required for the specific state, commonwealth, district or territory in which they are providing contract services to include compliance with any requirements of the jurisdiction(s) in which they and the SM are located.” Title 10 section 1094 states:

“Notwithstanding any law regarding the licensure of health care providers, a health-care professional described in paragraph (2) or (3) may practice the health profession or professions of the health-care professional at any location in any state, the District of

Columbia, or a Commonwealth, territory, or possession of the United States, regardless of where such health-care professional or the patient are located, so long as the practice is within the scope of the authorized Federal duties.” Based on the Government’s response to

Question 42 (RHRP-3 Round 2 of RHRP Questions 01-24-18-kk (Final)), the Government requires each BHS staff to be licensed in the state in which they are providing services and licensed in the state for which the Service Member is located. Title 10 section 1094 is contrary to this requirement as it allows health care providers to practice at any location in any state regardless of where the patient is located so long as the practice is within the scope of the authorized federal duties. Would the Government please clarify which requirement the offeror should follow: PWS 2.8.1.2 or Title 10 section 1094?

Response: 10 USC 1094 applies only to health care professionals contracted to provide direct patient care on a personal services basis and uniformed and civil service providers in DoD health care facilities. Because the health care professionals providing services under this contract will

NOT be working in DoD health care facilities, 10 USC 1094 does not apply. Accordingly, PWS section 2.8.1.2 is controlling. As previously indicated, the contractor will be required to ensure that its staff are appropriately licensed, registered, and certified to satisfy any and all applicable jurisdictional telemedicine requirements while providing services under the contract. This means that offerors will need to determine, prior to submitting their proposals, whether or not the services provided by call staff or other employees under the contract will constitute telemedicine in any jurisdiction from which a Service Member may call. If the services provided by a particular employee do not constitute (and will never constitute) telemedicine in the jurisdiction, then of course that employee will not need to be licensed in that jurisdiction. Such determinations are the purview of the state licensing authority rather than DoD or the contractor.

Further, it may well be the case that the type of services provided by call center staff do not constitute telemedicine in any jurisdiction from which Service Members may call; nevertheless, the Government expects the contractor to be familiar with, and to comply with, any and all applicable jurisdictional licensing requirements.

52. Attachment 0004, Price Matrix - On the Price Matrix Procedures Tab, there appears to be a formula error in cell O294 (Currently =+K294*N294 and should be =+G294*N294). Would the Government please clarify?

Response: See Amendment 0005, Attachment 0004 revised accordingly.

53. Attachment 0004, Price Matrix - On the Price Matrix Procedures Tab, there appears to be a formula error in cell Q296 (Currently =+K296*N296 and should be =+G296*N296). Would the Government please clarify?

Response: See Amendment 0005 Attachment 0004 revised accordingly.

54. Attachment 0004, Price Matrix- Procedures J3 and JJ8 indicate they are both for a SPRINT procedure, but have different CPT codes. J3 has 92506, which is an invalid code, and JJ8 shows code 92571. Would the Government please confirm if these are same procedure and which code(s) is correct?

Response: The price matrix is updated so for procedure J3 and JJ8, the CPT code is 92571.

55. Attachment 0004, Price Matrix- Procedures L7 & LL11 show code 90718. Offeror believes this is a retired code and 90714 should be used in lieu. Would the Government please confirm?

Response: The price matrix is updated so for procedures L7, LL11, and LLL18, the CPT code is

90714.

56. Attachment 0004, Price Matrix- Procedures M1 & MM1 include a drug screen under code

80100. The offeror believes this is a retired code and 80305 should be used in lieu. Would the Government please confirm?

Response: The price matrix is updated so for procedures M1 and MM1, the CPT code 80100 will be replaced by 80305.

57. Attachment 0004, Price Matrix- For M7 and MM5 (DNA test), code 83912 is provided, but appears to be invalid. Would the Government please confirm the correct code?

Response: The price matrix will reflect that for procedures M7 and MM5, the CPT code is

99000.

58. Amendment 0004, Attachment 0005, dated 24 January 2018, page 3, proposal submission requirements. In the proposal submission requirements table on page 3, it states that Sections

1-4 except as noted per section has a page limit of 2 pages per contract/order. In the proposal submission requirements for past performance on pages 6-8, it requires the offeror to organize the volume into six sections: Section 1 Contract Description, Section 2

Performance, Section 3 Subcontracts, Section 4 New Corporate Entities, Section 5 Past

Performance Questionnaire, and Section 6 Submissions. The offeror assumes that only

Sections 1 and 2 are limited to a total of 2 pages and that Sections 3-6 are outside of the 2-page limit. Is this assumption correct?

Response: Yes, See Attachment 0005 Past Performance for page limitations. Section 2, PWS

Excerpts and annual volume as stated above are not included in the page limit.

59. Attachment 0005, Vol I – Technical, Para 2 Staffing Plan -To determine the labor mix and hours proposed by labor category and procedure, the offeror requires the government to provide the number of Service Members attending each of the 133 events. Would the government please provide this information?

Response: The relevant issue is the number of each type of services requested at each event and that is provided in the Scenario 1 Matrix.

60. Attachment 0005, Vol II – Past Performance, Section 3 – Subcontracts Vol II – Past

Performance, Section 3 – Subcontracts requirements appear to be outside of the past performance requirements, indicating that this section should be treated outside of the 2-page limit with its own page limits. Is this correct?

Response: See Attachment 0005 – Section 3 - Written consent and letters of commitment are not included in the page limit.

61. Attachment 0006 - Basis of Award document Factor 2.b identifies IT as one of the four service areas for subcontractors. Attachment 0005 Instructions for Past Performance does not require past performance citations for IT; it only requires past performance citations for health care, dental and laboratory. Would the Government please clarify that the offeror may submit up to two past performance citations for subcontractors in the IT service area?

Response: Amendment 0005, Attachment 0006 revised to include IT services as well.

62. Attachment 0007, Scenario 1 Regarding the following statement, “The following events are to take place over both an eight hour day of a single weekend in six weeks”, should this statement read as follows: the following events are to take place over an eight hour day on a single weekend in six weeks?

Response: Attachment 0007, Scenario 1 statement is more clearly stated as “The following events are to take place over two, eight hour days on a single weekend in six weeks.”

63. Attachment 0007, Scenario 2 Regarding the statement, “Also, 8000 Air Force RC (Air

National Guard and Air Force Reserve Component) SMs are to have their Mental Health

Assessments (MHAs) started the first Saturday of Every month.”, would the Government please clarify whether the 8,000 number reflects 8,000 SMs each month or 8,000 SMs over the year?

Response: For Attachment 0007, Scenario 2, the 8,000 SMs are a monthly number.

64. Question 42 (RHRP-3 Round 2 of RHRP Questions 01-24-18-kk (Final)) - Based on the

Government’s response to Question 42 (RHRP-3 Round 2 of RHRP Questions 01-24-18-kk

(Final)), the Government requires each BHS staff to be licensed in the state in which they are providing services and licensed in the state for which the Service Member is located. The

Service Member may have an area code different from their geographical location of their installation or command where they are stationed. Therefore, if the Government determines it is the SM’s command/installation geographical location that takes precedence, how does the offeror determine the SM’s command/installation location?

Response: It is the Service member’s location when the service is provided that is key, not the location of their unit or command. As previously indicated, the contractor will be required to ensure that its staff are appropriately licensed, registered, and certified to satisfy any and all applicable jurisdictional telemedicine requirements while providing services under the contract.

This means that offerors will need to determine, prior to submitting their proposals, whether or not the services provided by call staff or other employees under the contract will constitute telemedicine in any jurisdiction from which a Service Member may call. If the services provided by a particular employee do not constitute (and will never constitute) telemedicine in the jurisdiction, then of course that employee will not need to be licensed in that jurisdiction. Such determinations are the purview of the state licensing authority rather than DoD or the contractor.

Further, it may well be the case that the type of services provided by call center staff do not constitute telemedicine in any jurisdiction from which Service Members may call; nevertheless, the Government expects the contractor to be familiar with, and to comply with, any and all applicable jurisdictional licensing requirements.