RFP_W81K00-12-R-0014 _Various_HC_Providers Amendment_8_Nov_2012.doc

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

PWS ATTACHMENTS 1 AND 2

ATTACHMENTS

1. Wage Determinations Applicable to Ancillary Specialties

2. Direct Health Care Minimum Qualifications

3. Ceiling Price List (Excel Spreadsheet)

4. Fill/Vacancy Report

5. Sample Compensation Plan

6. Past Performance Questionnaire

ATTACHMENT 1

WAGE DETERMINATIONS APPLICABLE TO ANCILLARY SPECIALTIES

The following Department of Labor Wage Determinations are hereby incorporated by reference:

WD 2005-2521, Revision 13, Date of Revision : 13 Jun 12

WD 2005-2523, Revision 12, Date of Revision : 13 Jun 12

WD 2005-2135, Revision 13, Date of Revision : 13 Jun 12

WD 2005-2141, Revision 13, Date of Revision : 13 Jun 12

WD 2005-2187, Revision 12, Date of Revision : 13 Jun 12

WD 2005-2475, Revision 14, Date of Revision : 13 Jun 12

WD 2005-2005, Revision 12, Date of Revision : 13 Jun 12

WD 2005-2525, Revision 14, Date of Revision : 13 Jun 12

WD 2005-2229, Revision 12, Date of Revision : 13 Jun 12

WD 2005-2137, Revision 13, Date of Revision : 13 Jun 12

WD 2005-2007, Revision 16, Date of Revision : 13 Jun 12

ATTACHMENT 2

DIRECT HEALTH CARE PROVIDER MEDICAL SPECIALTIES

MINIMUM QUALIFICATIONS

As stated in the PWS paragraph 1.1.7.1, below is a list of typical health care provider specialties and positions with their minimum qualifications that may be required on future task orders. Because this is not intended to be a comprehensive list, the Government reserves the right to add additional specialties as necessary throughout the life of the contract.

A. PHYSICIANS

1. Physician - Allergy and Immunology , Qualifications:

a. Education: Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

c. Experience: Minimum of 1 year experience within preceding 3 years in the specialty field.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

2. Physician - Anesthesiology, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

c. Experience: Minimum of 1 year experience within preceding 3 years in the specialty.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

3. Physician - Cardiologist, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

4. Physician - Dermatologist, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

5. Physician - Emergency Medicine, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certifications: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS), Advanced Cardiac Life Support (ACLS), Advanced Trauma Life Support (ATLS), Pediatric Advanced Life Support (PALS), and special training in Emergency Medicine.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

6. Physician - Endocrinology, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

7. Physician - Gastroenterology, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

8. Physician – General and Family Medicine, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

9. Physician - Hematology and Oncology, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

10. Physician - Hospitalist, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

11. Physician - Internal Medicine, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

12. Physician - Neurology Qualifications:

a. Education: Physician will have successfully completed an Undergraduate Program, Medical School (M.D. or D.O.), Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

13. Physician - Obstetrics and Gynecology, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS), Advanced Cardiac Life Support (ACLS), Neonatal Resuscitation Program (NRP), and Pediatric Advanced Life Support (PALS).

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

14. Physician - Occupational Medicine, Qualifications:

a. Education: Physician will have successfully completed an Undergraduate Program, Medical School (M.D. or D.O.), Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

15. Physician - Ophthalmology, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

16. Physician - Orthopedics, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

17. Physician - Otolaryngology, Qualifications:

a. Education: Physician will have successfully completed an Undergraduate Program, Medical School (M.D. or D.O.), Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

18. Physician - Pediatrics, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS).

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

19. Physician - Physiatry, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS), and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

20. Physician - Preventive Medicine, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

21. Physician - Psychiatry, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

22. Physician - Pulmonologist, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

24. Physician - Radiology, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

25. Physician - Surgeon (General), Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS), Advanced Cardiac Life Support (ACLS), and Advanced Trauma Life Support (ATLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

26. Physician - Surgeon (Plastic/Reconstructive Surgery), Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS), Advanced Cardiac Life Support (ACLS), and Advanced Trauma Life Support (ATLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

26. Physician - Urology, Qualifications:

a. Education: Physician must be a Doctor of Medicine (MD) or a Doctor of Osteopathy (DO) having successfully completed an accredited Undergraduate Program, Internship, and Residency Program. Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.

b. Certification: Must be board certified or board eligible in the specialty. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice medicine in at least one state, territory or commonwealth of the United States of America.

B. ANCILLARY POSITIONS

1. Anesthesia Technician, Qualifications:

a. Education: Completion of a course of study leading to the appropriate knowledge and skills to perform as an Anesthesia Technician.

b. Certifications: Will have and maintain current Basic Cardiac Life Support (BCLS), and Advanced Cardiac Life Support (ACLS) certifications.

c. Experience: Have one-year experience as an anesthesia technician within the past three years. Experience in the Operating Room is desired.

d. Licensure: None

2. Audiologist / Speech and Language Pathologist, Qualifications:

a. Education: Must have a Bachelor’s degree having successfully completed an accredited Undergraduate Program certified through the American Speech-Language Hearing Association.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Minimum of 1 year experience within preceding 3 years.

d. Licensure: Must have and maintain a valid unrestricted license to practice as an Audiologist / Speech and Language Pathologist in at least one state, territory or commonwealth of the United States of America.

3. Audiology Technician / Audiology Assistant, Qualifications:

a. Education: Completion of a course of study leading to and possession of certification as an Audiology Technician / Assistant through the Council for Accreditation of Hearing Conservationists (CAOHC). Audiology Technicians who received their initial training from the Center for Health Promotion and Preventive Medicine (CHPPM) may present evidence of this training in lieu of CAOHC certification.

b. Certifications: Must have and maintain certification through the Council for Accreditation of Hearing Conservationists (CAOHC), the Center for Health Promotion and Preventive Medicine (CHPPM), or other approved credentialing agency Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Have one-year experience as an audiology technician within the past three years.

4. Cardiac Monitor / Cardiographic / Electrogardiograph (EKG) Technician, Qualifications:

a. Education: Completion of a formal training program leading to the appropriate knowledge and skills to perform as a Cardiac Monitor Technician to include training in dysrhthmia recognition and hold a current certification from such a course.

b. Certifications: Possess and maintain applicable completion certification to perform as a Cardiac Monitor Technician. Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Have one year experience within the past three years.

5. Dietician/Nutritionist, Qualifications:

a. Education: Must possess a Bachelor’s degree in dietetics, food, nutrition, food service management, institution management, or a related science.

b. Certification: Must be registered as a Licensed Dietician/Certified Diabetic Educator from the Commission on Dietetic Registration (CDR) of the American Dietetic Association. Will have and maintain current Basic Cardiac Life Support (BCLS) certifications.

c. Experience: Minimum of 1 year experience within preceding 3 years in the specialty. Possess knowledge and/or experience utilizing the Nutrition Care Process for Medical Nutrition Therapy.

d. Licensure: Must have and maintain a valid unrestricted license to practice dietetics as a registered dietician in at least one state, territory or commonwealth of the United States of America.

6. Medical Laboratory Technician (MLT), Qualifications:

a. Education: Completion of a formal course of study or training program leading to the appropriate knowledge and skills to perform as a Medical Lab Technician (MLT).

b. Certifications: Possess and maintain certification as a Medical Laboratory Technician (MLT) from The American Society of Clinical Pathology (ASCP) or other approved credentialing agency. Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Have one year experience as a MLT within the past three years.

7. Medical Technologist (MT), Qualifications:

a. Education: Must be a graduate of an accredited Medical Technology (MT) or Clinical Laboratory Scientist (CLS) program.

b. Certifications: Possess and maintain certification as a Medical Technologist (MT) from The American Society of Clinical Pathology (ASCP) or other approved credentialing agency. Will have and maintain current Basic Cardiac Life Support (BCLS) certification, and Advanced Cardiac Life Support (ACLS) certifications.

c. Experience: Have one year experience as a medical technologist within the past three years.

8. Nurse Assistant, Certified (CNA), Qualifications:

a. Education: Completion of an accredited Nursing Assistant program.

b. Certification: Certification as a nurse assistant (CNA), Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Minimum of one year experience.

9. Nurse, Licensed Practical/Vocational (LPN/LVN), Qualifications:

a. Education: Graduation from an accredited Licensed Practical Nurse or Licensed Vocational Nurse program.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid, unrestricted license to practice nursing in at least one state, territory or common wealth of the United States of America.

10. Nurse, Registered (RN) – General RN Positions, Qualifications:

a. Education: Registered Nurse will have successfully completed the undergraduate or graduate degree.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid, unrestricted license to practice nursing in at least one state, territory or common wealth of the United States of America.

11. Nurse, Registered (RN)– Misc Specialty RN, Qualifications:

a. Education: Registered Nurse will have successfully completed the undergraduate or graduate degree appropriate to the sub-specialty.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications; CORN preferred.

c. Experience: Minimum of one year experience within the preceding three years in designated specialty.

d. Licensure: Must have and maintain a valid, unrestricted license to practice nursing in at least one state, territory or common wealth of the United States of America.

12. Nurse, Registered (RN)– Specialty RN – Case Manager, Qualifications:

a. Education: Registered Nurse will have successfully completed the undergraduate or graduate degree appropriate to the sub-specialty.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS).

c. Experience: Minimum of one year experience within the preceding three years in designated specialty.

d. Licensure: Must have and maintain a valid, unrestricted license to practice nursing in at least one state, territory or common wealth of the United States of America.

13. Nurse, Registered (RN)– Specialty RN – Intensive Care, Coronary Care, Qualifications:

a. Education: Registered Nurse will have successfully completed the undergraduate or graduate degree appropriate to the sub-specialty.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications; CCRN preferred.

c. Experience: Minimum of one year experience within the preceding three years in designated specialty.

d. Licensure: Must have and maintain a valid, unrestricted license to practice nursing in at least one state, territory or common wealth of the United States of America.

14. Nurse, Registered (RN)– Specialty RN – Emergency Room, Urgent Care, Burn, Pulmonary, Vascular, Qualifications:

a. Education: Registered Nurse will have successfully completed the undergraduate or graduate degree appropriate to the sub-specialty.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS), Advanced Cardiac Life Support (ACLS), and TNCC certifications

c. Experience: Minimum of one year experience within the preceding three years in designated specialty.

d. Licensure: Must have and maintain a valid, unrestricted license to practice nursing in at least one state, territory or common wealth of the United States of America.

15. Nurse, Registered (RN)– Specialty RN – Pediatrics, Pediatric ICU, Qualifications:

a. Education: Registered Nurse will have successfully completed the undergraduate or graduate degree appropriate to the sub-specialty.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS) certifications.

c. Experience: Minimum of one year experience within the preceding three years in designated specialty.

d. Licensure: Must have and maintain a valid, unrestricted license to practice nursing in at least one state, territory or common wealth of the United States of America.

16. Nurse, Registered Anesthetist, Certified (CRNA), Qualifications:

a. Education: Registered Nurse will have advanced education to have successfully graduated from an approved Nurse Anesthetist Program.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid, unrestricted license to practice as a CRNA in at least one state, territory or common wealth of the United States of America.

17. Nurse, Registered Midwife, Certified (CNM), Qualifications:

a. Education: Nurse Midwife will have successfully completed an accredited advanced training program in midwifery as determined by the American Midwifery Certification Board or the American College of Nurse-Midwives.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS), Advanced Cardiac Life Support (ACLS), Neonatal Resuscitation Program (NRP), and Pediatric Advanced Life Support (PALS) certifications.

d. Licensure: Must have and maintain a valid, unrestricted license to practice as a nurse midwife in at least one state, territory or common wealth of the United States of America.

18. Nurse, Registered Practitioner (NP), Qualifications:

a. Education: Registered Nurse will have advanced education to have successfully graduated from an accredited Nurse Practitioner program as determined by the American Nurses Credentialing Center or the American Association of Nurse Practitioners.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

d. Licensure: Must have and maintain a valid, unrestricted license to practice as a nurse practitioner in at least one state, territory or common wealth of the United States of America.

19. Occupational Therapist (OT), Qualifications:

a. Education: Must be a graduate of an accredited occupational therapy program and have a Bachelor’s degree.

b. Certification: Certification in Hand Therapy (CHT) may be preferred. Will have and maintain current Basic Cardiac Life Support (BCLS) certifications.

d. Licensure: Must have and maintain a valid unrestricted license to practice Occupational Therapist in at least one state, territory or commonwealth of the United States of America.

20. Occupational Therapy Assistant, Certified (COTA), Qualifications:

a. Education: Completion of an accredited Occupational Therapy Assistant program.

b. Certifications: Must be a Certified Occupational Therapy Assistant (COTA). Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Have one-year experience as an COTA within the past three years.

21. Ophthalmic Assistant, Certified (COA), Qualifications:

a. Education: Completion of an accredited Ophthalmic Assistant training program.

b. Certifications: Must have and maintain current certification as a Certified Ophthalmic Assistant (COA) by the Joint Commission on Allied Health Personnel in Ophthalmology. Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Have one year experience as a COA within the past three years.

22. Opthalmology Technician, Certified (COT), Qualifications:

a. Education: Completion of an accredited Opthalmic Technician training program.

b. Certifications: Must have and maintain current certification as a Certified Ophthalmic Technician (COT) by the Joint Commission on Allied Health Personnel in Ophthalmology. Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Have two years experience as a COT within the past three years.

23. Optometrist, Qualifications:

a. Education: Must have a doctoral degree having successfully completed an accredited Undergraduate Program and Optometry School (O.D.)

c. Experience: Minimum of 1 year experience within preceding 3 years as an optometrist.

d. Licensure: Must have and maintain a valid unrestricted license to practice as a Doctor of Optometry (O.D.) in at least one state, territory or commonwealth of the United States of America.

24. Pathology Technician/Assistant, Qualifications:

a. Education: Must have a degree in a laboratory science or medical laboratory technology, obtained from an institution approved or accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accreditation Bureau of Health Education Schools (ABHES) or other organization approved by Health and Human Services (HHS).

b. Certifications: Must have and maintain current certification as a Pathology Assistant. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

c. Experience: Have one-year experience as a Pathology Assistant within the past three years.

25. Pharmacist, Qualifications:

a. Education: Must have a Bachelor’s or a Pharm-D degree having successfully completed an accredited Undergraduate Program in the field of Pharmacology.

c. Experience: Minimum of 1 year experience within preceding 3 years as a pharmacist.

d. Licensure: Must have and maintain a valid unrestricted license to practice as a Pharmacist in at least one state, territory or commonwealth of the United States of America.

26. Pharmacy Technician, Certified, Qualifications:

a. Education: Completion of an accredited Pharmacy Technician training program.

b. Certifications: Must have and maintain current certification by the National Pharmacy Technician Certification Board. Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Have one year experience as a pharmacy Technician within the past three years.

27. Phlebotomist / Phlebotomy Technician, Qualifications:

a. Education: Must be a graduate of an accredited phlebotomy training program.

b. Certifications: Must have and maintain current certification as a Phlebotomist. Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Have one year experience as a MLT within the past three years.

28. Physical Therapist (PT), Qualifications:

a. Education: Must have a Baccalaureate Degree in Physical Therapy from an American Physical Therapist Association (APTA) approved program. Masters Degree is preferred.

b. Certification: Additional certification or specialization in orthopedic (Orthopedics Clinical Specialist), sport or manual therapy (Sports Medicine Clinical Specialist) is preferred. Will have and maintain current Basic Cardiac Life Support (BCLS) certifications.

c. Experience: Minimum of 2 year experience within preceding 5 years in as a physical therapist.

d. Licensure: Must have and maintain a valid unrestricted license to practice as a Physical Therapist in at least one state, territory or commonwealth of the United States of America.

29. Physical Therapist Assistant/Technician (PTA), Qualifications:

a. Education: Must be a graduate of an accredited physical therapist assistant or physical therapy technician training program.

b. Certification: Must have and maintain certification as a physical therapist assistant. Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Minimum of 1 year experience within preceding 3 years in as a physical therapy assistant/technician.

30. Physician Assistant (PA), Qualifications:

a. Education: Must have a Baccalaureate Degree and completion of an accredited Physician Assistant training program. Masters Degree is preferred. Physician Assistants may be graduates of a Physician Assistant Training Program accredited by the Committee on Allied Health Education and accreditation of the Council on Medical Education of the American Medical Association.

b. Certification: Must have and maintain certification as a Physician Assistant from the National Commission on Certification of Physician Assistants (NCCPA). Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Minimum of 1 year experience within preceding 3 years in clinical setting as a Physician Assistant.

d. Licensure: Must have and maintain a valid unrestricted license to as a Physician Assistant in at least one state, territory or commonwealth of the United States of America and a current Drug Enforcement Administration (DEA) Registration Certificate to prescribe controlled substances in accordance with the law of the state where services are provided.

31. Podiatrist, Qualifications:

a. Education: Must have a doctoral degree having successfully completed an accredited Undergraduate Program, Podiatry School (D.P.M), Internship. Completion of a Residency Program preferred.

b. Certification: Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

c. Experience: Minimum of 1 year experience within preceding 3 years as a podiatrist.

d. Licensure: Must have and maintain a valid unrestricted license to practice as a Doctor of Podiatric Medicine (D.P.M.) in at least one state, territory or commonwealth of the United States of America.

32. Prosthetist / Orthotist, Qualifications:

a. Education: Must be a graduate of an NCOPE accredited education program.

b. Certification: Must have and maintain certification by the American Board for Certification in Prosthetics & Orthotics (ABC, inc.). Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Minimum of 2 years experience within preceding 5 years in as a prosthetist.

33. Psychologist, Qualifications:

a. Education: Must have a doctoral degree having successfully completed a nationally accredited Undergraduate Program, and graduate programs in psychology.

c. Experience: Minimum of 1 year experience within preceding 3 years as a psychologist.

d. Licensure: Must have and maintain a valid unrestricted license to practice as a Psychologist in at least one state, territory or commonwealth of the United States of America.

34. Radiographic Technologist/ CT Technologist MRI Technologist, Mammographer, Sonographer /Ultrasound Technologist, Qualifications:

a. Education: Graduation from a Radiologic Technology Program accredited by the Joint Review Committee on Education Radiologic Technology (JRCERT) with applicable specialty training as required.

b. Certification: Must have and maintain current registration / certification by the American Registry of Radiologic Technologist (AART) as a Registered Technologist and specialty as applicable. Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Minimum of 1 year experience within preceding 3 years

35. Recreational Therapist, Qualifications:

a. Education: Must have a Bachelor's degree in Recreational Therapy and completed a program that provided full range of recreational therapy activities and underlying principles of therapeutic recreation, adaptive sports, and event planning.

b. Certification: Must have and maintain certification as a Certified Therapeutic Recreation Specialist (CTRS). Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Minimum of 2 years experience within preceding 5 years as a recreational therapist.

d. Licensure: Must have and maintain a valid unrestricted license to practice as a Recreational Therapist in at least one state, territory or commonwealth of the United States of America.

36. Respiratory Therapist, Certified (CRT) / Respiratory Therapy Technician (RTT) Qualifications:

a. Education: Graduation with an Associate Science Degree from a nationally accredited Respiratory Therapy school or successful completion of an accredited Respiratory Therapy Technician program.

b. Certification: Must have and maintain entry level certification as a Certified Respiratory Therapist (CRT) from the National Board for Respiratory Care (NBRC) or from another body which the NBRC recognizes as its credentialing equivalent. Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Minimum of 1 year experience within preceding 3 years

37. Respiratory Therapist, Registered (RRT) Qualifications:

a. Education: Graduation with an Associate Science Degree or equivalent from a nationally accredited Respiratory Therapy school or successful completion of an approved Respiratory Therapy educational program.

b. Certification: Have and maintain registry number as Registered Respiratory Therapist (RRT) and maintain certification as a Certified Respiratory Therapist (CRT) by the National Board of Respiratory Care (NBRC) or from another body which the NBRC recognizes as its credentialing equivalent. Will have and maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications.

c. Experience: Minimum of 2 years experience within preceding 3 years

38. Social Worker (BS), Qualifications:

a. Education: Must have a Bachelor’s Degree and be a graduate of a nationally accredited Undergraduate Social Work Program.

c. Experience: Minimum of 1 year experience within preceding 3 years as a social worker.

d. Licensure: Must have and maintain a valid unrestricted license to practice as a Social Worker in at least one state, territory or commonwealth of the United States of America.

39. Social Worker (MS), Qualifications:

a. Education: Must have a Master’s Degree and be a graduate of a program accredited by the Council on Social Work Education.

c. Experience: Minimum of 1 year experience within preceding 3 years as a social worker.

d. Licensure: Must have and maintain a valid unrestricted license to practice as Social Worker in at least one state, territory or commonwealth of the United States of America.

40. Sterilization, Processing, and Distribution (SPD) / Central Material Supply (CMS) Technician, Qualifications:

a. Education: Completion of a Central Service or Sterilization, Processing, and Distribution (SPD) Training Course/Program.

b. Certifications: Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Have one-year experience as an SPD/CMS Technician within the past three years.

41. Surgical Technologist / Operating Room Tech, Certified, Qualifications:

a. Education: Completion or graduate of a surgical technology program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or Accrediting Bureau of Health Education Schools (ABHES)

b. Certifications: Must have and maintain current certification from the Liaison Council on certification for the Surgical Technologist (LCC-ST) or the National Board of Surgical Technology and Surgical Assisting (NBSTSA) as a Certified Surgical Technologist (CST). Will have and maintain current Basic Cardiac Life Support (BCLS) certification.

c. Experience: Have one-year experience in the past three years as a sterile processing and distribution processing, surgical technologist, or operating room technician.

PWS ATTACHMENTS 4, 5, AND 6

ATTACHMENT 4

VACANCY/FILL REPORT

ATTACHMENT 5

SAMPLE COMPENSATION PLAN FOR EMPLOYEES

For each specialty, fill out the below form for the base period and each option period.

LOCATION: Southern Regional Medical Command

LABOR CATEGORY: INSERT SPECIALTY

Fringe Benefits (if applicable):

FICA

FUTA

SUTA

Workers' Compensation

Health/Life Ins

Retirement Plan

CME

Other (Specify)

Total Fringe Benefits (hourly)

Total Hourly Compensation

(Base + Fringe)

Administrative Costs _______%

NOTE: The items listed as fringe benefits above should not be considered as either mandatory or all inclusive. They are only examples of fringe benefits that might be included in your compensation package paid directly to the employees.

ATTACHMENT 6

PAST PERFORMANCE QUESTIONNAIRE

The Southern Regional Contracting Office is conducting an other than full and open acquisition. The offeror has identified you as a reference to validate past performance.

Please complete the following questionnaire to assist our evaluation of the contractor’s past performance, and return via email no later than Monday, 26 November 2012 to:

POC: Ms. Jennifer Felt (210-221-3141) or Mr. James Metzger (210-221-4964), SRCO, HCAA, MEDCOM, Fort Sam Houston, TX.

EMAIL: jennifer.felt

HYPERLINK "mailto:jennifer.felt@us.army.mil" @amedd.army.mil, FAX: 210-221-3446 or james.metzger@amedd.army.mil Name of Contractor and contract number being evaluated:

1. How long has your company had a contract with this contractor?

2. Is the contractor performing services as a PRIME Contractor or SUB-Contractor?

3. Is this performance on a specific task order or a stand alone contract?

4. Type of service being provided?

5. Where is the location of this service?

6. What is the contract amount?

7. How many Full Time Equivalents (FTE) are on the contract?

8. Have there been late deliveries or other unsatisfactory performance resulting in additional contractual or administrative costs? Yes FORMCHECKBOX No FORMCHECKBOX

If “Yes,” explain:

The last three item numbers will discuss schedule performance, quality of service & customer relations. Please refer to the following:

Rating System:

(1) Exceptional - Performance meets contractual requirements and exceeds many to the government’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken were highly effective.

(2) Very Good - Performance meets contractual requirements and exceeds some to the government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken were effective.

(3) Satisfactory - Performance meets the contractual requirements.