AMENDMENT_0001_1.25.2019.pdf

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

POC: SHENECQUA SOARES

36000 DARNELL LOOP

FORT HOOD TX 76544

0011274807

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

A. The purpose of this amendment is three-fold: 1) To provide answ ers to all questons received, 2) To make a change to the Performance Work Statement (PWS) paragraph 1.1.1., Description of Work to remove "Family Practice", and 3) To remove "A BSN is required but an MSN is preferred" in the PWS paragraphs 2.13.2.6., 2.14.27., 2.15.2.7., and 2.16.2.7.

B. All interested offers w hen submitting a proposal in response to this solicitation are required to acknow ledge all amendments to this solicitation by completing Blocks 15A., 15B., and 15C., and by returning all amendments along w ith their completed original solicitation by the Block 8. OFFER DUE DATE/LOCAL TIME 10:00 AM 05 Feb 2019.

See SUMMARY OF CHANGES

1. CONTRACT ID CODE PAGE OF PAGES

1 51

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 25-Jan-2019

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K0019Q0043

X 9B. DATED (SEE ITEM 11)

22-Jan-2019

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

25-Jan-2019

CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

2539 GARDEN AVENUE

JBSA FT SAM HOUSTON TX 78234-0000

W81K00 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K00

FACILITY CODECODE

EMAIL:TEL:

W81K0019Q0043

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

QUESTIONS AND ANSWERS

Questions and Answers: W81K0019Q0043, January 25, 2019

1. Q: Is this a new contract or an existing one?

A: There is a current existing contract.

2. Q: If this is an existing one, what is the name of the current Contractor?

A: Centralcare, Incorporated

3. Q: What is the contract number of the current contract?

A: W81K00-14-D-0027-YY01

4. Q: Please provide the option year prices for the current contract.

A: Total value of the contract is $18,166,443.11; option year prices will not be provided.

5. Q: Will this requirement be issued as a best value requirement or lowest price technically acceptable (LPTA).

A: Best Value Tradeoff Process.

6. Q: How many total Physician Assistant/Nurse Practitioners you require under this solicitation. CLIN 0001 says 17 FTE and the sub CLINs 0001AA to 0001AJ has additional FTEs.

A: 17 each total of Physicians Assistant or Nurse Practitioners.

CLIN Item No. 0001, 1001, 2001, 3001 and 4001 are information CLINs only, these lines are telling you the total of Physicians Assistant /Nurse Practitioners for the base period and the option periods.

The sub CLINs 0001AA to 0001AJ, are the broke down for the different clinics at Fort Hood, TX, and how many FTEs are needed for each clinic.

7. Q: I noticed it says set aside for 8(a) and we are a Small Business, Can I still submit a bid?

A: This requirement is set-aside for 8(a); proposals received from only eligible 8(a) firms will be considered.

8. Q: I wondered if the award would go to just one company or multiple companies.

A: The award will go to one company.

9. Q: Do you want candidate packets to be included with the bid or just page 1-45 amounts filled in?

A: No, do not send candidate packets with the bid/proposal.

10. Q: Please clarify how the compensation plan worksheets are to be used, as the statement on page 54, (52.212-1 ADDENDUM, II. Administrative, 2. Compensation Plan(s) for the Base and Option Years) does not clearly indicate their use.

A: The Compensation plan worksheet is a sample and example that is attached for your convenience however you can provide your own Compensation plan. The compensation plan should show the employee hourly compensation rate and the billable Rate for each period of performance and separate compensation plan for excess hours.

11. Q: Is this an SCA contract?

A: Yes.

12. Q: On Pg 8 the government mentions travel for MEB for 4 FTE's. How far are the providers traveling for MEB work?

A: The Travel MEB CLIN is for the Advanced NARSUM Writing Course which is required to be taken every three years, this is a three (3) day course held in San Antonio Texas. See solicitation Performance Work Statement (PWS) section paragraph 5.2.13.

13. Q: How many FTE will be assigned to each department (MEB, SRP, Bariatric, Urgent Care)?

A: Sub CLINs 0001AA thru 0001AE, 1001AA thru 1001AE, 2001AA thru 2001AE, 3001AA thru 3001AE, and 4001AA thru 4001AE, indicates how many FTEs are to be assigned to each clinic.

14. Q: What is the allotted amount of OT per service period? Is the OT per department or for all areas?

A: Performance Work Statement (PWS) section paragraphs 1.4.5.1, 1.4.91, 1.4.14.1, and 1.4.17.1 Excess Hours and sub CLINs 0001AF thru 0001AJ, 1001AF thru 1001AJ, 2001AF thru 2001AJ, 3001AF thru 3001AJ and 4001AF thru 4001AJ provides this information.

15. Q: Please indicate how many (if any) of the 17 contemplated FTE are currently vacant.

A: None.

16. Q: In a teaming arrangement, can the prime use the subs past performance? Typically the subs past performance can be used, but we want to make sure we're in compliance if we use the subs past performance.

A: Yes.

17. Q: Can this proposal be electronically submitted, even though mail delivery instructions are listed in the proposal?

A: Yes, proposal can be electronically submitted.

18. Q: Can the government clarify the meaning of the acronym SHPE?

A: Separation History and Physical Exam Clinic (SHPE).

19. Q: Will the government accept a credentialing package with an application for a transfer of a DEA number from another state to the state of TX from a candidate with an active NP/PA license and DEA in another state (the DEA transfer would be approved and active by the time privileging is approved by the MTF)?

A: Performance Work Statement (PWS) paragraph section 1.7. License and Credentials Review or Privileging provides this information (“All credentialing packages will go through the Credentialing Department once award has been made.”).

20. Q: In section 2.15.2.4 states that the health care worker shall be a “graduate of a recognized advanced practice nursing educational program (accredited Master’s Level or Doctoral Program), but in section 2.15.2.7 the Government states “A BSN is required, but an MSN is preferred.” These 2 statements appear to be in conflict. Can the government please clarify the education requirement for this position?

A: Paragraph Section 2.15.2.7 and 2.16.7 of the Performance Work Statement will be removed because MSN is required for a Nurse Practitioner. All sections stating a BSN is required will be removed.

21. Q: Will the government accept bi-weekly invoicing?

A: No.

22. Q: Does the base provide OSHA training onsite that the contractors participate in?

A: No.

23. Q: Can the Government confirm that for CLINS X00XAK, X00XAL, X00XAM, X00XAN, X00XAP, X00XAQ for travel and Sign-on/Retention listed as “Not Separately priced” (NSP) that we should put NSP in the Amount and Net AMT column for each sub-CLIN and not include any amount for them in the total for the base year, option years or the grand total?

A: Yes.

24. Q: The requirements state that for Past Performance: Provide two references (i.e., name, title, telephone phone number, and project title/description) who can verify that YOUR company provided recent and relevant services either as the Prime Contractor or Sub-Contractor.

a. What is the maximum length for the description?

A: One page, front and back.

b. Is it correct that the Government will complete and send out Attachment 2 to the list of references we provide?

A: No, the Contractor sends the attachment 2 to their references for their returning to the Government.

25. Q: In solicitation page 56 under section 1. Past Performance - The Government states that it may also consider any additional past performance information that is available. If we have additional relevant past performance:

a. Can you please confirm that the Government will allow us include additional contracts information under the two required past per performance information section?

A: Yes.

b. Can we submit additional reference, and if so will consider all references provided or just the first two listed?

A: Yes, and all.

26. Q: Since the Government mentioned “Special Delivery Mail” issues, it is confusing. Can the Government confirm that the Quotes can be submitted by email and that that is the preferred methods for submitting proposals?

A: Quotes can be submitted by email and is the preferred method.

27. Q:You state that “Past Performance must be with MEDCOM, other US Government departments or agencies, state and local governments and/or private sector clients.”

a. Is there a differentiation in confidence rating between commercial and Government Past Performance or are they all considered the same and rated equally as part of the Past Performance Evaluation Best Value Tradeoff procedures?

A: There is no different in rating all rated equally.

b. Is there a differentiation in confidence rating between MEDCOM and other US Government departments or agencies or are they all considered the same and rated equally as part of the Past Performance Evaluation Best Value Tradeoff procedures?

A: There is no different in rating all rated equally.

28. Q: Would the Government prefer that the information be formatted and structured in Volumes such as, Volume 1 Admin, Volume 2 Past Performance, and Volume 3 Pricing or does the Government have another format they would like?

A: There is no preference.

29. Q: Can the Government please confirm that this requirement is for a total of only seventeen (17) full-time Physician Assistant/Nurse Practitioner for several different clinics at Fort Hood as laid out in the CLINS and sub- CLINs because Para 1.1.1, page 94, appears to address 34 FTEs (17 regular and 17 Family Practice). “Para 1.1.1 DESCRIPTION OF WORK “The contractor shall provide services of seventeen (17) full-time Physician Assistant/Nurse Practitioner. Seventeen (17) Family Practice Physician Assistant/Nurse Practitioner for several different clinics at Fort Hood as required by this Performance Work Statement (PWS) and in accordance with (IAW) the terms and conditions of this contract. Is the requirement for 17 or 34 PA/NP

A: This requirement is for seventeen (17) full-time Physician Assistant/Nurse Practitioner for several different clinics at Fort Hood.

***An amendment will be posted to correct paragraph 1.1.1 Description of Work in the Performance Work Statement (PWS).***

30. Q: Can the Government please clarify the confusion between para II. Administrative A.2 Compensation plan(s) (page 54) “…use one compensation plan worksheet for each skill set,…” and the language in para 2. Compensation Plan (page 57), “…shall be submitted for each specialty reflected in this solicitation”? Does the Skill set refer to PHYSICIAN ASSISTANT and NURSE PRACTITIONER (which are on the same CLIN) or MEB, SRP/SHPE, BARIATRIC, Urgent Care Clinic or something else? Does each Specialty refer to MEB, SRP/SHPE, BARIATRIC, Urgent Care Clinic or PHYSICIAN ASSISTANT and NURSE PRACTITIONER or something else?

A: Skill set refers to Physician Assistant and Nurse Practitioner which are the same.

31. Q: Can the Government please confirm the correct number of Compensation plans (attachment 1) that need to be filled out.

a. If PHYSICIAN ASSISTANT/NURSE PRACTITIONER are on the same CLIN and interchangeable as only 1 skill set and that there are four clinics of MEB, SRP/SHPE, BARIATRIC, and Urgent Care Clinic. Are bidders required to submit a total of 8 compensation plans (4 for regular hours and 4 for excess hours)?

A: One Compensation plan for regular hours and compensation plan for excess hours, Physician Assistant/Nurse Practitioner are the same.

32. Q: Please confirm that the Service Contract Act is applicable to the solicitation and that Wage Determination # 2015-5237 (Rev-9) dated 12/26/2018 is incorporated in the solicitation.

A: Service Contract Act is applicable to this solicitation.

33. Q: If Service Contract Act is applicable to the requirement, for Attachment 1 please clarify if the bidders should use “Health/Life Ins” or “Other” line item to include full value of Health and Welfare dollars according to the applicable wage determination?

A: Use applicable wage determination.

34. Q: Has the requirement changed in scope (17 FTEs) from the incumbent contract(s)?

A: No.

35. Q: The CLINs for the sign-on/retention bonus states “Not Separately Priced” Do we include that amount in the grand total of our quote?

A: No.

(End of Questions and Answers: W81K0019Q0043, January 25, 2019)

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

PWS

PERFORMANCE WORK STATEMENT

PHYSICIAN ASSISTANT/NURSE PRACTITIONER

CARL R. DARNALL ARMY MEDICAL CENTER, FORT HOOD, TX

1. GENERAL

1.1. This is a personal services contract (as defined by FAR Subpart 37.104) and is intended to create an employer-employee relationship between the Government and the individual health care providers only to the extent necessary for providing the health care services required under the contract. The performance of health care services by the individual HCPs under a personal services contract are subject to day-to-day supervision and control by health care facility personnel comparable to that exercised over military and civil service HCPs engaged in comparable health care services. Any personal injury claims alleging negligence by the individual HCPs within the scope of the HCP’s performance of the personal services contract shall be processed by DoD in the same manner as claims alleging negligence by DoD military or civil service HCPs. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the HCP may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

1.1.1. DESCRIPTION OF WORK. The contractor shall provide services of seventeen (17) full-time Physician

Assistant/Nurse Practitioner. The (17) full-time Physician Assistant/Nurse Practitioner will be located to several different clinics at Fort Hood as required by this Performance Work Statement (PWS) and in accordance with (IAW) the terms and conditions of this contract.

1.1.1.1 The contractor shall provide the personal services of technically competent Physician Assistant/Nurse Practitioner to augment or supplement the staffing at Army military treatment facilities (MTFs) to provide services that contribute to a stable workforce providing quality services due to surges in workload, deployments and civilian personnel vacancies.

1.1.1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, Joint Commission standards, applicable Department of Defense (DoD) and service specific regulations, directives, and policies, and MTF policies, procedures, and job descriptions. Contract employees shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The contract health care provider shall provide services in conjunction with other non-contract providers to include physicians, nurse practitioners, physician assistants, registered and licensed practical nurses, and support personnel. All contract health care providers provided by the contractor shall perform essentially the same functions, within the scope of acceptable practice, as those required by Army or government service health care professionals of similar experience and in similar duty assignments.

1.1.1.3. As part of the managed care network, the providers may be required to interface with network participants, including other government contractors in order to appropriately manage services for the beneficiaries. Contact with other government contractors will be for the sole purpose of coordinating patient care.

1.1.1.4. Contract providers shall perform services under the control and general supervision of the Chief of the Department or his/her designated government representative.

1.1.2. PERFORMANCE MEASURES

1.1.2.1. Outcome. The contractor shall fulfill the requirement to provide qualified Physician Assistant/Nurse Practitioner services at a standard enabling the MTF to provide such services at a high level of quality.

1.1.2.2. Standards. Acceptable measures include: Fill rate-95%; employee turnover rate-less than 25% per year, substantiated patient complaints-max 2 per year, per provider; no provider initiated cancellation of treatments except as medically required by patient, or provider illness or emergency leave (and approved by government supervisor or designee). This will only be done if there are no other providers to see the patients scheduled. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: contractor providing personnel exceeding the minimum qualification standards; timely patient follow-up when necessary;

patient customer service comments; provider and contractor relationship with hospital staff/government contracting personnel; compliance with all hospital policies and procedures.

1.1.2.3. The Contracting Officer Representative (COR) will monitor the HCP’s performance with input from the Chief of the Department or his or her designated government representative utilizing the contract Quality Assurance Plan in paragraph 7, through government information systems and records, patient records, customer service information, contractor reports, monitoring of scheduled shift fill rates, time sheets, patient/customer comments, compliance with installation and hospital policy and procedures, and any other means necessary to ascertain that contracted services are being accomplished in accordance with the terms if the contract.

1.2. QUALIFICATIONS

1.2.1. - 2.12.7 is Reserved

2.13. QUALIFICATIONS – PHYSICIAN ASSISTANT – MEB

2.13.1. Must have or obtain a current, valid Drug Enforcement Administration (DEA) registration number prior to performing the contract services. Any change to the DEA requirements to obtain a valid DEA registration number is applicable when the incumbent’s existing DEA registration expires.

Notwithstanding AR 40-68, Paragraph 4-8a (or AFI 44-119, Paragraphs 4.2.1. and 4.2.5.), personal services contractors must have and maintain a current, active, valid unrestricted state license to practice medicine in one of the 50 states in the United States, or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S.

Virgin Islands, as required to obtain or renew a DEA registration number under the then effective DEA rules.

2.13.2. Shall have at least one year experience (within the last three years) of routinely practicing as a PA.

2.13.3. Shall be able to obtain and maintain privileges at Carl R Darnall Army Medical Center (CRDAMC) through approval of the Credentials Committee.

2.13.4. Shall possess a minimum of a Baccalaureate Degree from an accredited university within respective profession.

2.13.5. Shall possess current Board Certification by the National Commission of Certification of Physician Assistants (NCCPA). Applicable diploma and proof of membership in the NCCPA is required.

2.13.6. Shall have current Basic Cardiac Life Support (BCLS) in accordance with Hospital Policy. This certification shall be maintained in a current status at all times while performing services under the contract at the HCPS’s or contractor’s expense.

2.13.7. Serve on hospital committee(s) if necessary, as directed by Deputy Commander of Clinical Services.

2.13.8. Shall be able to read, write, and speak English well enough to effectively communicate with all patients and other health care providers.

2.13.9. Shall possess sufficient initiative, interpersonal relations skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

2.13.10. Shall be required to meet Continuing Medical Education (CME) requirements. The government will not reimburse for these costs.

2.13.11. The contractor shall ensure contract HCP has received Occupational Safety and Health Administration (OSHA) required training for the position in which they will perform, and that training currency is maintained.

Documentation of such training shall be provided to the Contracting Officer’s Representative (COR).

2.13.12. Position requires access to Department of Defense computer systems, therefore provider shall be a U.S.

Citizen or otherwise meet the requirements of AR 25-2.

2.13.13. The providers shall be able to type and have had experience using computers especially Microsoft programs. The physician will not be required to type a certain amount of words per minute. CRDAMC will provide computer training for the CRDAMC computer system.

2.13.1.1. NURSE PRACTITIONER - MEB

2.13.2.1. Shall have a minimum of two years of experience (within the last four years) of routinely practicing as a nurse practitioner.

2.13.2.2. Shall have current Basic Cardiac Life Support (BCLS) in accordance with Hospital Policy. This certification shall be maintained in a current status at all times while performing services under the contract at the HCPS’s or contractor’s expense.

2.13.2.3. Shall have certification as an FNP in an active status granted by a national advance practice nursing specialty organization such as ANCC.

2.13.2.4. Shall be a graduate of an NLN approved school of nursing and hold current registration as a registered nurse in the United States. If the state of registration has a separate Advance Practice Nurse (APN) licensure, the FNP will also have APN licensure.

2.13.2.5. Shall possess evidence of successful completion of an ANP program of education.

2.13.2.6. Reserved.

2.13.2.7. Must have or obtain a current, valid Drug Enforcement Administration (DEA) registration number prior to performing the contract services. Any change to the DEA requirements to obtain a valid DEA registration number is applicable when the incumbent’s existing DEA registration expires.

Notwithstanding AR 40-68, Paragraph 4-8a (or AFI 44-119, Paragraphs 4.2.1. and 4.2.5.), personal services contractors must have and maintain a current, active, valid unrestricted state license to practice medicine in one of the 50 states in the United States, or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S.

Virgin Islands, as required to obtain or renew a DEA registration number under the then effective DEA rules.

2.13.2.8. Shall be able to obtain and maintain privileges at Carl R Darnall Army Medical Center (CRDAMC) through approval of the Credentials Committee.

2.13.2.9. Serve on hospital committee(s) if necessary, as directed by Deputy Commander of Clinical Services.

2.13.2.10. Shall be able to read, write, and speak English well enough to effectively communicate with all patients and other health care providers.

2.13.2.11. Shall possess sufficient initiative, interpersonal relations skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

2.13.2.12. Shall be required to meet Continuing Medical Education (CME) requirements. The government will not reimburse for these costs.

2.13.2.13. The contractor shall ensure contract HCP has received Occupational Safety and Health Administration (OSHA) required training for the position in which they will perform, and that training currency is maintained.

Documentation of such training shall be provided to the Contracting Officer’s Representative (COR).

2.13.2.14. Position requires access to Department of Defense computer systems, therefore provider shall be a U.S.

Citizen or otherwise meet the requirements of AR 25-2.

2.13.2.15. The providers shall be able to type and have had experience using computers especially Microsoft programs. The physician will not be required to type a certain amount of words per minute. CRDAMC will provide computer training for the CRDAMC computer system.

2.14. QUALIFICATIONS – PHYSICIAN ASSISTANT – SRP/SHPE

2.14.1. Must have or obtain a current, valid Drug Enforcement Administration (DEA) registration number prior to performing the contract services. Any change to the DEA requirements to obtain a valid DEA registration number is applicable when the incumbent’s existing DEA registration expires.

Notwithstanding AR 40-68, Paragraph 4-8a (or AFI 44-119, Paragraphs 4.2.1. and 4.2.5.), personal services contractors must have and maintain a current, active, valid unrestricted state license to practice medicine in one of the 50 states in the United States, or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S.

Virgin Islands, as required to obtain or renew a DEA registration number under the then effective DEA rules.

2.14.1.2. Shall have at least one year experience (within the last three years) routinely practicing as a Physician

Assistant (PA).

2.14.1.3. Shall be able to obtain and maintain privileges at Carl R Darnall Army Medical Center (CRDAMC) through approval of the Credentials Committee.

2.14.1.4. Shall possess a minimum of a Baccalaureate Degree from an accredited university within respective profession.

2.14.1.5. Shall possess current Board Certification by the National Commission of Certification of Physician Assistants (NCCPA). Applicable diploma and proof of membership in the NCCPA is required.

2.14.1.6. Shall have current Basic Cardiac Life Support (BCLS) in accordance with Hospital Policy. This certification shall be maintained in a current status at all times while performing services under the contract at the HCPS’s or contractor’s expense.

2.14.1.7.. Shall be able to read, write, and speak English well enough to effectively communicate with all patients and other health care providers.

2.14.1.8. Shall possess sufficient initiative, interpersonal relations skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

2.14.1.9. Shall be required to meet Continuing Medical Education (CME) requirements. The government will not reimburse for these costs.

2.14.1.10. The contractor shall ensure contract HCP has received Occupational Safety and Health Administration (OSHA) required training for the position in which they will perform, and that training currency is maintained.

Documentation of such training shall be provided to the Contracting Officer’s Representative (COR).

2.14.1.11. Position requires access to Department of Defense computer systems, therefore provider shall be a U.S.

Citizen or otherwise meet the requirements of AR 25-2.

2.14.1.12. The providers shall be able to type and have had experience using computers especially Microsoft programs. The physician will not be required to type a certain amount of words per minute. CRDAMC will provide computer training for the CRDAMC computer system.

2.14.1.13. Must be able to complete and maintain a National Agency and Local Check (NCCLC) background investigation.

2.14.1.14. Must possess the competencies to enter/retrieve medical information in various government database systems.

2.14.1.15. The Contractor HCP shall complete any mandatory annual medical/government required training.

2.14.1.16. Must accurately enter work hours into the Defense Medical Human Resources System Intranet (DMHRSi) every other week on the date specified by the COR or designated Government representative.

2.14.1.17. Must provide notice to Department Chief and/or designated representatives of any event which may impact appointment scheduling 45 days in advance.

2.14.2. NURSE PRACTITIONER – SRP/SHPE

2.14.2.1. Must have or obtain a current, valid Drug Enforcement Administration (DEA) registration number prior to performing the contract services. Any change to the DEA requirements to obtain a valid DEA registration number is

Notwithstanding AR 40-68, Paragraph 4-8a (or AFI 44-119, Paragraphs 4.2.1. and 4.2.5.), personal services contractors must have and maintain a current, active, valid unrestricted state license to practice medicine in one of the 50 states in the United States, or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S.

Virgin Islands, as required to obtain or renew a DEA registration number under the then effective DEA rules.

2.14.2.2. Shall have a minimum of one year of experience (within the past four years) of routinely practicing as a nurse practitioner.

2.14.2.3. Shall have current Basic Cardiac Life Support (BCLS) in accordance with Hospital Policy. This certification shall be maintained in a current status at all times while performing services under the contract at the HCPS’s or contractor’s expense.

2.14.2.4. Shall have certification as an FNP in an active status granted by a national advance practice nursing specialty organization such as ANCC.

2.14.2.5. Shall be a graduate of an NLN approved school of nursing and hold current registration as a registered nurse in the United States. If the state of registration has a separate Advance Practice Nurse (APN) licensure, the FNP will also have APN licensure.

2.14.2.6. Shall possess evidence of successful completion of an ANP program of education.

2.14.2.7. Reserved.

2.14.2.8. Shall be able to obtain and maintain privileges at Carl R Darnall Army Medical Center (CRDAMC) through approval of the Credentials Committee.

2.14.2.9. Shall be able to read, write, and speak English well enough to effectively communicate with all patients and other health care providers.

2.14.2.10. Shall possess sufficient initiative, interpersonal relations skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

2.14.2.11. Shall be required to meet Continuing Medical Education (CME) requirements. The government will not reimburse for these costs.

2.14.2.12. The contractor shall ensure contract HCP has received Occupational Safety and Health Administration (OSHA) required training for the position in which they will perform, and that training currency is maintained.

Documentation of such training shall be provided to the Contracting Officer’s Representative (COR).

2.14.2.13. Position requires access to Department of Defense computer systems, therefore provider shall be a U.S.

Citizen or otherwise meet the requirements of AR 25-2.

2.14.2.14. The providers shall be able to type and have had experience using computers especially Microsoft programs. The physician will not be required to type a certain amount of words per minute. CRDAMC will provide computer training for the CRDAMC computer system.

2.15. QUALIFICATIONS – PHYSICIAN ASSISTANT – BARIATRIC

2.15.1. Meet all licensing/certification requirements to perform as a Physician Assistant in accordance with requirements.

2.15.1.2. Shall have and maintain a valid, unrestricted, current state medical license in one of the 50 states, District of Columbia, Puerto Rico, Guam or US Virgin Islands.

Must have or obtain a current, valid Drug Enforcement Administration (DEA) registration number prior to performing the contract services. Any change to the DEA requirements to obtain a valid DEA registration number is

Notwithstanding AR 40-68, Paragraph 4-8a (or AFI 44-119, Paragraphs 4.2.1. and 4.2.5.), personal services contractors must have and maintain a current, active, valid unrestricted state license to practice medicine in one of the 50 states in the United States, or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S.

Virgin Islands, as required to obtain or renew a DEA registration number under the then effective DEA rules.

2.15.1.3. Shall have a minimum of two years of experience (within the past four years) of routinely practicing as a

PA.

2.15.1.4. Shall be able to obtain and maintain privileges at Carl R Darnall Army Medical Center (CRDAMC) through approval of the Credentials Committee.

2.15.1.5. Shall possess a minimum of a Baccalaureate Degree from an accredited university within respective profession.

2.15.1.6. Shall possess current Board Certification by the National Commission of Certification of Physician Assistants (NCCPA). Applicable diploma and proof of membership in the NCCPA is required.

2.15.1.7. Shall have current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) in accordance with Hospital Policy. This certification shall be maintained in a current status at all times while performing services under the contract at the HCPS’s or contractor’s expense.

2.15.1.8. Must possess the skills, experience, and autonomy that enables them to manage urgent/acute care patients with minimal physician consultation.

2.15.1.9. Serve on hospital committee(s) and chart reviews if necessary, as directed by Chief, Dept of Surgery.

2.15.1.10. Shall be able to read, write, and speak English well enough to effectively communicate with all patients and other health care providers.

2.15.1.11. Shall possess sufficient initiative, interpersonal relations skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

2.15.1.12. Shall be required to meet Continuing Medical Education (CME) requirements. The government will not reimburse for these costs.

2.15.1.13. Shall be required to attend OPPE and FPPE activities.

2.15.1.14. Shall be required to precept and oversee PA students and special forces medics.

2.15.1.15. Shall have surgical experience associated with the OR.

2.15.1.16. The contractor shall ensure contract HCP has received Occupational Safety and Health Administration (OSHA) required training for the position in which they will perform, and that training currency is maintained.

Documentation of such training shall be provided to the Contracting Officer’s Representative (COR).

2.15.1.17. Position requires access to Department of Defense computer systems, therefore provider shall be a U.S.

Citizen or otherwise meet the requirements of AR 25-2.

2.15.1.18. The providers shall be able to type and have had experience using computers especially Microsoft programs. The physician will not be required to type a certain amount of words per minute. CRDAMC will provide computer training for the CRDAMC computer system.

2.15.2. NURSE PRACTITIONER - BARIATRIC

2.15.2.1. The contractor HCP shall have and maintain a valid, unrestricted, current state medical license in one of the 50 states, District of Columbia, Puerto Rico, Guam or US Virgin Islands.

Must have or obtain a current, valid Drug Enforcement Administration (DEA) registration number prior to performing the contract services. Any change to the DEA requirements to obtain a valid DEA registration number is applicable when the incumbent’s existing DEA registration expires.

Notwithstanding AR 40-68, Paragraph 4-8a (or AFI 44-119, Paragraphs 4.2.1. and 4.2.5.), personal services contractors must have and maintain a current, active, valid unrestricted state license to practice medicine in one of the 50 states in the United States, or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S.

Virgin Islands, as required to obtain or renew a DEA registration number under the then effective DEA rules.

2.15.2.2. Shall have a minimum of two years of experience (within the past four years) of routinely practicing as a nurse practitioner.

2.15.2.3. Shall have current Basic Cardiac Life Support (BCLS) and Advance Cardiac Life Support (ACLS) in accordance with Hospital Policy. This certification shall be maintained in a current status at all times while performing services under the contract at the HCP’s or contractor’s expense.

2.15.2.4. Shall be a graduate of a recognized advanced practice nursing educational program (accredited Master’s Level or Doctoral Program) and possess evidence of certification by a nationally recognized body according to the requirements of the advanced practice certifying organization, for example, American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioner (AANP) Certification Program.

2.15.2.5. Shall be a graduate of an NLN approved school of nursing and hold current registration as a registered nurse in the United States. If the state of registration has a separate Advance Practice Nurse (APN) licensure, the FNP will also have APN licensure.

2.15.2.6. Shall possess evidence of successful completion of an ANP program of education.

2.15.2.7. Reserved.

2.15.2.8. Shall be able to obtain and maintain privileges at Carl R Darnall Army Medical Center (CRDAMC) through approval of the Credentials Committee.

2.15.2.9. Must possess the skills, experience, and autonomy that enables them to manage urgent/acute care patients with minimal physician consultation.

2.15.2.10. Serve on hospital committee(s) and chart reviews if necessary, as directed by Chief, Dept of Emergency Medicine.

2.15.2.11. Shall be able to read, write, and speak English well enough to effectively communicate with all patients and other health care providers.

2.15.2.12. Shall possess sufficient initiative, interpersonal relations skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

2.15.2.13. Shall be required to meet Continuing Medical Education (CME) requirements. The government will not reimburse for these costs.

2.15.2.14. Shall be required to attend OPPE and FPPE activities.

2.15.2.15. Shall be required to precept and oversee NP students and special forces medics.

2.15.2.16. Shall have surgical experience associated with the OR.

216. QUALIFICATIONS – PHYSICIAN ASSISTANT – URGENT CARE CLINIC

2.16.1. Meet all licensing/certification requirements to perform as a Physician Assistant in accordance with requirements of the basic contract. Will see all patient age groups from birth to geriatrics.

2.16.1.2. Shall have and maintain a valid, unrestricted, current state medical license in one of the 50 states, District of Columbia, Puerto Rico, Guam or US Virgin Islands.

Must have or obtain a current, valid Drug Enforcement Administration (DEA) registration number prior to performing the contract services. Any change to the DEA requirements to obtain a valid DEA registration number is applicable when the incumbent’s existing DEA registration expires.

Notwithstanding AR 40-68, Paragraph 4-8a (or AFI 44-119, Paragraphs 4.2.1. and 4.2.5.), personal services contractors must have and maintain a current, active, valid unrestricted state license to practice medicine in one of the 50 states in the United States, or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S.

Virgin Islands, as required to obtain or renew a DEA registration number under the then effective DEA rules.

2.16.1.3. Shall have a minimum of two years of experience within the last three years routinely practicing as a PA in rendering of primary care medicine. Emergency Medicine experience is a plus and should be given preference for hiring qualified applicants.

2.16.1.4.. Shall be able to obtain and maintain privileges at Carl R Darnall Army Medical Center (CRDAMC) through approval of the Credentials Committee.

2.16.1.5. Shall possess a minimum of a Baccalaureate Degree from an accredited university within respective profession.

2.16.1.6. Shall possess current Board Certification by the National Commission of Certification of Physician Assistants (NCCPA). Applicable diploma and proof of membership in the NCCPA is required.

2.16.1..7.Shall have current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) in accordance with Hospital Policy. This certification shall be maintained in a current status at all times while performing services under the contract at the HCPS’s or contractor’s expense.

2.16.1.8. Must possess the skills, experience, and autonomy that enables them to manage urgent/acute care patients with minimal physician consultation.

2.16.1.9. Emergency Medicine.

2.16.1.10. Shall be able to read, write, and speak English well enough to effectively communicate with all patients and other health care providers.

2.16.1.11. Shall possess sufficient initiative, interpersonal relations skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

2.16.1.12. Shall be required to meet Continuing Medical Education (CME) requirements. The government will not reimburse for these costs.

2.16.1.13. Shall be required to attend OPPE and FPPE activities.

2.16.1.14. Shall be required to precept and oversee PA students and special forces medics.

2.16.1.15. The contractor shall ensure contract HCP has received Occupational Safety and Health Administration (OSHA) required training for the position in which they will perform, and that training currency is maintained.

Documentation of such training shall be provided to the Contracting Officer’s Representative (COR).

2.16.1.16. Position requires access to Department of Defense computer systems, therefore provider shall be a U.S.

Citizen or otherwise meet the requirements of AR 25-2.

2.16.1.17. The providers shall be able to type and have had experience using computers especially Microsoft programs. The physician will not be required to type a certain amount of words per minute. CRDAMC will provide computer training for the CRDAMC computer system.

2.16.2. QUALIFICATIONS - NURSE PRACTITIONER – URGENT CARE CLINIC

2.16.2.1. The contractor HCP shall have and maintain a valid, unrestricted, current state medical license in one of the 50 states, District of Columbia, Puerto Rico, Guam or US Virgin Islands.

Must have or obtain a current, valid Drug Enforcement Administration (DEA) registration number prior to performing the contract services. Any change to the DEA requirements to obtain a valid DEA registration number is applicable when the incumbent’s existing DEA registration expires.

Notwithstanding AR 40-68, Paragraph 4-8a (or AFI 44-119, Paragraphs 4.2.1. and 4.2.5.), personal services contractors must have and maintain a current, active, valid unrestricted state license to practice medicine in one of the 50 states in the United States, or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S.

Virgin Islands, as required to obtain or renew a DEA registration number under the then effective DEA rules.

2.16.2.2. Shall have a minimum of two years of experience (within the past four years) of routinely practicing as a nurse practitioner.

2.16.2.3. Shall have current Basic Cardiac Life Support (BCLS) and Advance Cardiac Life Support (ACLS) in accordance with Hospital Policy. This certification shall be maintained in a current status at all times while performing services under the contract at the HCP’s or contractor’s expense.

2.16.2.4. Shall be a graduate of a recognized advanced practice nursing educational program (accredited Master’s Level or Doctoral Program) and possess evidence of certification by a nationally recognized body according to the requirements of the advanced practice certifying organization, for example, American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioner (AANP) Certification Program.

2.16.2.5. Shall be a graduate of an NLN approved school of nursing and hold current registration as a registered nurse in the United States. If the state of registration has a separate Advance Practice Nurse (APN) licensure, the FNP will also have APN licensure.

2.16.2.6. Shall possess evidence of successful completion of an ANP program of education.

2.16.2.7. Reserved.

2.16.2.8. Shall be able to obtain and maintain privileges at Carl R Darnall Army Medical Center (CRDAMC) through approval of the Credentials Committee.

2.16.2.9. Must possess the skills, experience, and autonomy that enables them to manage urgent/acute care patients with minimal physician consultation.

2.16.2.10. Serve on hospital committee(s) and chart reviews if necessary, as directed by Chief, Dept of Emergency Medicine.

2.16.2.11. Shall be able to read, write, and speak English well enough to effectively communicate with all patients and other health care providers.

2.16.2.12. Shall possess sufficient initiative, interpersonal relations skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

2.16.2.13. Shall be required to meet Continuing Medical Education (CME) requirements. The government will not reimburse for these costs.

2.16.2.14. Shall be required to attend OPPE and FPPE activities.

2.16.2.15. Shall be required to precept and oversee NP students and special forces medics.

2.16.2.16. The contractor shall ensure contract HCP has received Occupational Safety and Health Administration (OSHA) required training for the position in which they will perform, and that training currency is maintained.

Documentation of such training shall be provided to the Contracting Officer’s Representative (COR).

2.16.2.17. Position requires access to Department of Defense computer systems, therefore provider shall be a U.S.

Citizen or otherwise meet the requirements of AR 25-2.

2.16.2.18. The providers shall be able to type and have had experience using computers especially Microsoft programs. The physician will not be required to type a certain amount of words per minute. CRDAMC will provide computer training for the CRDAMC computer system.

The contractor shall require all Contract Service Providers (CSP) with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government’s COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

1.3. ADMINISTRATIVE

1.3.1. Neither uniformed personnel nor Government civilian employees shall be employed to perform services under this contract.

1.3.2. The use of non-compete conditions in employment agreements (to prevent loss of personnel by the contractor) effective only during the period of the contract performance is acceptable. However, the use of non-compete conditions in employment agreements that prevent employees of the incumbent from being employed, or accepting offers of employment by the new contractor on the follow-on contracts is unacceptable. It hinders the government’s ability to accomplish the mission of providing medical care to beneficiaries. Inclusion of such conditions in an employer’s employment agreement will result in an offeror’s proposal being unacceptable. Awardee, and their subcontractors, may not include such conditions in employment agreements while performing under this contract.

1.3.3. The Contractor shall ensure that all contract HCPs comply with the local installation requirements for vehicle registration and operation on the military facility. Any vehicle operated by the contractor or its employees in performance of this contract must have the minimum liability coverage required by the state in which the installation is located.

1.3.4. Health. All contract HCPs performing services under this contract shall comply with the health and immunization requirements as stated in the Supplemental to the PWS, entitled “Health and Immunization Requirements”, at the time of…