20250506 W81K00-25-Q-A050-0002.pdf

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

Offers 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 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or electronic communication 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 letter or electronic communication, provided each letter or electronic communication 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 NUMBER AS DESCRIBED IN ITEM 14.

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

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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.)

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

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

Solicitation/Contract Form Continuation

The following changes have been made:

INFORMATION FROM TO

Response Due Date 07 May 2025 09 May 2025

Miscellaneous text in this section has been added to:

The below questions were received in response to this solicitation. The Government provides responses for each respective question, as follows:

Question 1.

Q. Is this requirement a follow-on to a current award?

A. No, it is a brand new requirement.

Question 2.

Q. Is this solicitation issued under a GSA schedule?

A. No, it is open-market.

Question 3.

Q. Can you please provide more information regarding "Neural Mach" [Neural Machine Translation] services mentioned? What exactly are you looking for?

A. The Government is seeking services for Neural Machine Translation (NMT), which leverages deep learning, to understand the full context of a sentence rather than translating word by word. This will assist with natural and accurate translations, particularly with idioms, grammar structures, and informal language. NMT will be used to be used generate a first draft of the translation, which is subsequently reviewed and edited by a qualified human linguist to ensure accuracy and fluency. In cases where the Government requires urgent translations, the NMT system can generate a quick draft which will still undergo human post-editing to maintain quality.

Question 4.

Q. Regarding the Neural Machine Translation Post-Editing (CLIN 0003), we understand this is priced per word. However, could you clarify what is meant by "2 operating units" for Neural Machine Translation in Spanish and all languages (CLIN 0004 & 0005)? Do you mean full matches or something else? And could the rate provided be a per word rate?

A. These CLINs were included as possible one-time set-up fees for NMT. With your quote, please indicate if there is no fee or if there is instead an alternate pricing structure that a quoter would like to provide.

W81K0025QA0500002

Question 5.

Q. For CLIN 0002, could you please explain the use of the term "(Person)" next to "Written Translation per word"

A. The designation "(Person)" indicates that this service is provided by a qualified human translator, not by machine translation. This applies to written materials such as medical records, official documents, and reports, where human linguistic judgment is required.

Question 6.

Q. Will the quantities listed in the RFQ remain fixed for the life of the contract, or are they subject to change (increase or decrease) during performance?

A. The quantities specified within the pricing schedule are anticipated and do not represent a minimum guarantee. Given such, there is the possibility that unused quantities are subsequently removed for the award via modification.

Continuation of Description

Miscellaneous text in this section has been modified to:

PERFORMANCE WORK STATEMENT

Language Translation and Interpretation Services

Weed Army Community Hospital Fort Irwin, CA 92310

1. General:

This is a non-personal services contract for over-the-phone, written, and American Sign Language (ASL) interpretation services, including video conferencing, to provide language translation and interpretation services. The Government will not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn, is responsible to the Government.

2. Description of Services:

The contractor shall provide language translation and interpretation services, including but not limited to:

- Over-the-phone interpretation (OPI) for all languages.

- Written translation for all languages.

- American Sign Language (ASL) interpretation via video conferencing.

- Translation and interpretation services 24 hours a day, 7 days a week,365 days a year.

The contractor shall ensure that all resources, labor, travel, parts, equipment, and management necessary to provide continuous services are available. Language interpretation services are intended to facilitate medical communication between healthcare providers and patients.

3. Scope of Work:

In support of Defense Health Agency (DHA), The Contractor shall provide comprehensive language translation services to support patient care at Weed Army Community Hospital (WACH), Fort Irwin, CA, to include telephonic and video interpretation, written translation of medical documents, forms, and patient education materials. The Contractor shall provide all services for the following languages:

European: Albanian, Armenian, Basque, Bosnian, Bulgarian, Croatian, Czech, Danish, Dutch, Estonian, Finnish, French, German, Greek, Hungarian Icelandic, Italian, Lithuanian, Macedonian, Norwegian, Polish, Portuguese, Romanian, Russian, Serbian, Slovak, Spanish, Swedish, Ukranian, Yiddish.

Pacific Islands: Fijian, Ilocano, Indonesian, Malay, Marshallese, Samoan, Tagalog, Tongan, Kosrae.

North America, South America, and Caribbean: American Sign Language, French, Haitian Creole, Navajo, Portuguese, Spanish.

India, Pakistan, and Southwest Asia: Bengali, Gujarati, Hindi, Malayalam, Nepali, Punjabi, Sinhalese, Tamil, Telugu, Urdu.

Africa: Acholi, Amharic, Arabic, Dinka, French, Hausa, Italian, Nuer, Oromo, Portuguese, Portuguese Creole, Somali, Swahili, Tigrinya, Wolof, Yoruba.

Middle East: Arabic, Armenian, Azerbaijani, Dari, Farsi, Hebrew, Kurdish, Pashto, Turkish.

Asia: China, Cantonese, Chaochow, Fukienese, Mandarin, Shanghai, Taiwanese, Toishanese, Burmese, Hmong, Indonesian, Japanese, Karen, Khmer, Korean, Laotian, Malay, Mien, Mongolian, Thai, Vietnamese

3.1 Basic Services:

- Provide telephonic, written, and video conferencing interpretation services for all required languages.

- Telephonic, written, and when necessary for the hearing-impaired video conferencing language and interpretation services, all currently available languages in accordance with Exhibit B list of languages.

- The contractor shall provide the software that allows hearing-impaired video conferencing between Weed Army Community Hospital and the contractor.

- Telephonic, written, and when necessary for the hearing-impaired video conferencing services for the communication of medical information between the provider and the patient.

- Hearing-Impaired Video conferencing shall be provided within 24 to 48 business hours of request depending on urgency.

- The contractor shall provide invoices that shall include the name of the provider/staff member calling for the interpretation service, date of service of interpretation/translation, length of call-in minutes and the type of service provided (interpretation or translation).

- The contractor shall provide translation of vital documents, forms, patient rights and HIPPA notification documents for the patient.

- Written translation turnaround time of one (1) to five (5) business days depending on urgency.

The contractor shall provide employees who are familiar with specialized medical terminology and procedures. The contractor is required to ensure that assigned interpreters are certified and maintain a current:

- American Translators Association (ATA) certification or equivalent.

- Certificate of Competency in Medical Interpreting (CMI).

- Certified Deaf Interpreter (CDI) certification for hearing-impaired patients.

- Deliver ASL video conferencing services to accommodate hearing-impaired patients, with a maximum response time of 24 to 48 business hours for non-urgent requests.

- Ensure interpreters are trained and certified in medical terminology and procedures.

- The contractor's employees shall protect the confidentiality and security of patient information.

3.2 Reporting Requirements:

Upon request for service the Contractor's representative shall provide initial diagnosis of problem and course of action. Once electronic service has been completed the Contractor shall prepare a legible electronic service report and present it to the GPOC, Chief or NCOIC, of the Equipment Management Branch or his/her designated representative.

This report will include the following information:

- Name of the healthcare provider or staff member requesting services.

- Date of service.

- Length of call or session (in minutes).

- Type of service (interpretation or translation).

- Provide translated documents such as patient rights, HIPAA notifications, and other vital medical forms within 1 to 5 business days, depending on urgency.

In the event that all the necessary information is not available to the electronic service technician at the time of completion of service, the initial service report shall include all information available. Within 10 days of completion of the electronic service, the Contractor shall provide/fax the remainder of the required information to, COR, Chief. See below information:

Chief of Patient Admin Div

BLDG, 390 N Loop Rd, Weed Army Community Hospital

Ft. Irwin, CA, 92310

3.3 Confidentiality:

All contractor employees shall adhere to strict confidentiality and security standards for patient information in compliance with HIPAA regulations.

3.4 Cancellation Policy:

Cancellations of previously scheduled ASL interpretation services shall incur no cost to the Government.

3.5. Government Point of Contact

The following individual is designated as the Point of Contact for this award

Name of COR:

COR Email Address:

COR Telephone Number:

Name of Alternate COR:

ACOR Email Address:

ACOR Telephone Number:

3.6. Safety:

The Contractor shallreport immediately, by the fastest communication means, to the Government Pointof Contact, or the Chief of Equipment Management Branch, all accidents whichmay arise out of or in connection with the performance of services requiredwithin the scope of this contract. The use of cellular phones and 2-way radiosis expressly forbidden in all Medical Treatment Facilities and Health Clinics.

3.7. Conduct:

The Contractor shallnot respond to any media inquiries. Any inquiries from the media, thirdparties, or public agencies shall be immediately relayed to the GPOC, who willrelay them to the Irwin Community Hospital Public Affairs Officer or, afterduty hours, to the Administrative Officer of the Day (AOD).

There shall be nointerviews, comments, or any other response without the knowledge and approvalof the

Military Treatment Facility (MTF) Commander. Other than routineinquiries from external agencies, all other inquiries and complaints shall bebrought to the attention of the Government Point of Contact.

3.8. Hours of Operation:

The contractor shall provide continuous service availability24/7/365, including Federal holidays. The contractor must ensure an adequate workforce to fulfill the requirements outlined in this PWS without interruption.

The contractor must always provide to the COR updated contact information and ensure that the designated Point of Contact (POC) is available for the uninterrupted performance of all tasks defined within this PWS.

Med/Surg Department 24/7

Emergency Room 24/7

PCMH Care Clinic 0700-1700hrs

Patient Administration Department. 0700-1600hrs

Tricare Appointment Center Number (800-xxxxxxx) 0700-1600hrs

4. Skills and Qualifications Required for Service:

The Contractor shall provide enough qualified service technicians to perform those services specified herein. Examples of documents which will be encountered, requiring translation or interpretation in the performance of this contract, may include:

- Hospital release forms

- Patient billing documents

- Instructions and medical records

- Immunization records

- Informed consent forms

- Medical claims

- Patients' rights signage

- Appointments through our Tricare Line.

5. Additional Requirements

5.1 Antiterrorism/Operations Security:

Not Applicable

5.2 Health Insurance Portability and Accountability Act (HIPAA):

The contractor shall comply with all HIPAA regulations, including reporting breaches of Protected Health Information (PHI) within one hour of discovery. In accordance with 45 CFR 164.502(e)(2) and 164.504(e) and paragraphC.3.4.1.3 of DoD 6025.18-R, "DoD Health Information Privacy Regulation, "January 24, 2003, this document serves as a BAA between the signatory parties for purposes of the HIPAA and the "HITECH Act" amendments thereof, as implemented by the HIPAA Rules and DoD HIPAA Issuances (both defined below).The parties are a DoD Military Health System (MHS) component, acting as a HIPAA covered entity, and a DoD contractor, acting as a HIPAA business associate. The HIPAA Rules require BAAs between covered entities and business associates.

Implementing this BAA requirement, the applicable DoD HIPAA Issuance (DoD6025.18-R, paragraph C3.4.1.3) provides that requirements applicable to business associates must be incorporated (or incorporated by reference) into the contract or agreement between the parties.

(a) Catchall Definition. Except as provided otherwise in this BAA, the following terms used in this BAA shall have the same meaning as those terms in the DoD HIPAA Rules: Data Aggregation, Designated Record Set, Disclosure, Health Care Operations, Individual, Minimum Necessary, Notice of Privacy Practices (NoPP), Protected Health Information (PHI), Required By Law, Secretary, Security Incident, Subcontractor, Unsecured Protected Health Information, and Use.

--Breach means actual or possible loss of control, unauthorized disclosure of or unauthorized access to PHI or other PII (which may include, but is not limited to PHI), where persons other than authorized users gain access or potential access to such information for any purpose other than authorized purposes, where one or more individuals will be adversely affected. The foregoing definition is based on the definition of breach in DoD Privacy Act issuances as defined herein.

--Agreement means this BAA together with the documents and/or other arrangements under which the Business Associate signatory performs services involving access to PHI on behalf of the MHS component signatory to this BAA.

--Covered Entity shall generally have the same meaning as the term "covered entity" in the DoD HIPAA Issuances, and in reference to this BAA,shall mean [insert name of MHS component signatory to this

BAA].

--DHA Privacy Office means the DHA Privacy and Civil Liberties Office. The DHA Privacy Office Director is the HIPAA Privacy and Security Officer for DHA,including the National Capital Region Medical Directorate.

--DoD HIPAA Issuances means the DoD issuances implementing the HIPAA Rule in the DoD Military Health System (MHS). These issuances are DoD 6025.18-R(2003), DoDI 6025.18 (2009), and DoD 8580.02-R (2007).

--DoD Privacy Act Issuances means the DoD issuances implementing the Privacy Act, which are DoDD

5400.11 (2007) and DoD 5400.11-R (2007).

--HHS Breach means a breach that satisfies the HIPAA Breach Ruledefinition of breach in 45 CFR 164.402.

--HIPAA Rules means, collectively, the HIPAA Privacy, Security, Breach andEnforcement Rules, issued by the

U.S. Department of Health and Human Services (HHS) and codified at 45 CFRPart 160 and Part 164, Subpart E (Privacy), Subpart C (Security), Subpart D(Breach) and Part 160, Subparts C-D (Enforcement), as amended by the 2013modifications to those Rules, implementing the "HITECH Act" provisions of Pub.L. 111-5. See 78 FR 5566- 5702 (Jan. 25, 2013) (with corrections at 78 FR 32464(June 7, 2013)). Additional HIPAA rules regarding electronic transactions and code sets (45 CFR Part 162) are not addressed in this BAA and are not included in the term HIPAA Rules.

--Service-Level Privacy Office means one or more offices within the military services (Army, Navy, or Air Force) with oversight authority over Privacy Act and HIPAA privacy compliance.

I. Obligations and Activities of Business Associate

(a) The Business Associateshall not use or disclose PHI other than as permitted or required by theAgreement or as required by law.

(b) The Business Associate shall use appropriate safeguards and comply with the DoD HIPAA Rules with respect to electronic PHI, to prevent use or disclosure of PHI other than as provided for by the Agreement.

(c) The Business Associate shall report to Covered Entity any Breach of which it becomes aware and shall proceed with breach response steps as required by Part V of this BAA. With respect to electronic PHI, the Business Associate shall also respond to any security incident of which it becomes aware in accordance with any Information Assurance provisions of the Agreement. If at any point the Business Associate becomes aware that a security incident involves a Breach, the Business Associate shall immediately initiate breach response as required by part V of this BAA.

(d) In accordance with 45 CFR164.502(e)(1)(ii)) and 164.308(b)(2), respectively), as applicable, the Business Associate shall ensure that any subcontractors that create, receive, maintain, or transmit PHI on behalf of the Business Associate agree to the same restrictions, conditions, and requirements that apply to the Business Associate with respect to such PHI.

(e) The Business Associateshall make available PHI in a Designated Record Set, to the Covered Entity or,as directed by the Covered Entity, to an Individual, as necessary to satisfythe Covered Entity obligations under 45 CFR 164.524.

(f) The Business Associate shall make any amendment(s) to PHI in a Designated Record Set as directed or agreed to by the Covered Entity pursuant to 45 CFR 164.526 or take other measures as necessary to satisfy Covered Entity's obligations under 45 CFR164.526.

(g) The Business Associate shall maintain and make available the information required to provide an accounting of disclosures to the Covered Entity or an individual as necessary to satisfy the Covered Entity's obligations under 45 CFR 164.528.

(h) To the extent the Business Associate is to carry out one or more of Covered Entity's obligation(s) under the HIPAA Privacy Rule, the Business Associate shall comply with the requirements of HIPAA Privacy Rule that apply to the Covered Entity in the performance of such obligation(s); and

(i) The Business Associateshall make its internal practices, books, and records available to theSecretary for purposes of determining compliance with the HIPAA Rules.

II. Permitted Uses andDisclosures by Business Associate

(a) The Business Associatemay only use or disclose PHI as necessary to perform the services set forth inthe Agreement or as required by law. The Business Associate is not permitted tode-identify PHI under DoD HIPAA issuances or the corresponding 45 CFR 164.514(a)-(c),nor is it permitted to use or disclose de-identified PHI, except as provided bythe Agreement or directed by the Covered Entity.

(b) The Business Associateagrees to use, disclose and request PHI only in accordance with the HIPAAPrivacy Rule "minimum necessary" standard and corresponding DHA policies andprocedures as stated in the DoD HIPAA Issuances.

(c) The Business Associateshall not use or disclose PHI in a manner that would violate the DoD HIPAAIssuances or HIPAA Privacy Rules if done by the Covered Entity, except uses anddisclosures for the Business Associate's own management and administration andlegal responsibilities or for data aggregation services as set forth in thefollowing three paragraphs.

(d) Except as otherwise limited in the Agreement, the Business Associate may use PHI for the proper management and administration of the Business Associate or to carry out the legal responsibilities of the Business Associate. The foregoing authority touse PHI does not apply to disclosure of PHI, which is covered in the nextparagraph.

(e) Except as otherwise limited in the Agreement, the Business Associate may disclose PHI for the proper management and administration of the Business Associate or to carry out the legal responsibilities of the Business Associate, provided that disclosures are required by law, or the Business Associate obtains reasonable assurances from the person to whom the PHI is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purposes for which it was disclosed to the person, and the person notifies the Business Associate of any instances of which it is aware in which the confidentiality of the information has been breached.

(f) Except as otherwise limited in the Agreement, the Business Associate may use PHI to provide Data Aggregation services relating to the Covered Entity's health care operations.

II. Provisions for Covered Entity to Inform Business Associate of Privacy Practices and Restrictions

(a) The Covered Entity shall provide the Business Associate with the notice of privacy practices that the Covered Entity produces in accordance with 45 CFR 164.520 and the corresponding provision of the DoD HIPAA Issuances.

(b) The Covered Entity shall notify the Business Associate of any changes in, or revocation of, the permission by an Individual to use or disclose his or her PHI, to the extent that such changes affect the Business Associate's use or disclosure of PHI.

(c) The Covered Entity shall notify the Business Associate of any restriction on the use or disclosure of PHI that the Covered Entity has agreed to or is required to abide by under 45CFR 164.522, to the extent that such changes may affect the Business Associate's use or disclosure of PHI.

IV. Permissible Requests by Covered Entity

The Covered Entity shall not request the Business Associate to use or disclose PHI in any manner that would not be permissible under the Himapriya Rule or any applicable Government regulations (including without limitation, DoD HIPAA Issuances) if done by the Covered Entity, except for providing Data Aggregation services to the Covered Entity and for management and administrative activities of the Business Associate as otherwise permitted by this BAA.

V. Breach Response

(a) In general.

In the event of a breach of PII/PHI held by the Business Associate, the Business Associate shall follow the breach response requirements set forth in this Part V, which is designed to satisfy both the Privacy Act and HIPAA as applicable. If a breach involves PII without PHI, then the Business Associate shall comply with DoD Privacy Act Issuance breach response requirements only;if a breach involves PHI (a subset of PII), then the Business Associate shall comply with both Privacy Act and HIPAA breach response requirements. A breach involving PHI may or may not constitute an HHS Breach. If a breach is not an HHS Breach, then the Business Associate has no HIPAA breach response obligations. In such cases, the Business Associate must still comply with breach response requirements under the DoD Privacy Act Issuances.

If the DHA Privacy Office determines that a breach is an HHS Breach, thenthe Business Associate shall comply with both the HIPAA Breach Rule and DoDPrivacy Act Issuances, as directed by the DHA Privacy Office, regardless ofwhether the breach occurs at DHA or at one of the Service components. If theDHA Privacy Office determines that the breach does not constitute an HHSBreach, then the Business Associate shall comply with DoD Privacy ActIssuances, as directed by the applicable Service-Level Privacy Office. TheBusiness Associate shall contact the Covered Entity for guidance when theincident is not an HHS Breach

This Part V is designed to satisfy the DoD Privacy Act Issuances, and theHIPAA Breach Rule as implemented by the DoD HIPAA Issuances. In general, forbreach response, the Business Associate shall report the breach to the CoveredEntity, assess the breach incident, notify affected individuals, and takemitigation actions as applicable. Because DoD defines "breach" to includepossible (suspected) as well as actual (confirmed) breaches, the BusinessAssociate shall implement these breach response requirements immediately uponthe Business Associate's discovery of a possible breach.

11. Government Holidays:

The contractor shall provide services on all Federal holidays.

12. Performance Requirements Summary

Performance Objective Performance Standard Method of Assessment

Deliver accurate interpretation 98% compliance rate COR review

Provide written translations on time 95% compliance rate Record review

Customer Satisfaction rate 95% compliance rate COR review

Complaint Resolution Percentage 95% compliance rate COR review

13. List of Excluded Individuals/Entities

13.1 The Contractor shall not employ or contract with any individual or entity(hereinafter collectively referred to as "person") to provide items or services that will be included in invoices submitted to the Government under this contract if such person is listed on the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) or the TRICARE Sanctioned Provider List. The Government is legally prohibited from paying for provision of items or services by such persons. The prohibition extends to services beyond direct patientcare, such as services of persons in executive or leadership roles and administrative and management services, whether such services are billed separately. The LEIE may be found at http://oig.hhs.gov/fraud/exclusions.asp,and the TRICARE Sanctioned Provider list athttp://www.health.mil/Military-Health-Topics/Access-Cost- Quality-and-Safety/Quality-And-Safety-of-Healthcare/Program-Integrity/Sanctioned-Providers. The LEIE and TRICARE sanctioned Provider List are hereinafter collectively referred to as "the Lists."

13.2. Prior to start of contract performance, the Contractor shall (a)query the Lists to determine whether the name of any person the Contractor employs or contracts with to provide services or items for which payment may be made under this contract appears on the Lists, and (b) certify to the Contracting Officer that the Contractor has queried the Lists and no such names appear on either of the Lists.

13.3 During performance of the contract, and prior to persons other than those whose names were queried in accordance with paragraph 2, above, (hereinafter "new persons") providing services or items under the contract, the Contractor shall (a) query the Lists as in paragraph 2, and (b) certify to the Contracting Officer that the names of such new persons do not appear on either of the Lists.

13.4 The Contractor is advised that during performance of the contract, MTF personnel will perform a recurrent recheck of the names of contractor personnel working in the MTF against the Lists, as specified in OTSG/MEDCOM Policy Memo 15-037. The Government will notify the Contractor in the event any contractor personnel working in the MTF appear on either of the Lists.

13.5 Should any person providing items or services under the contract appear on either of the Lists at any time during contract performance, the Contractor shall (a) in cases where the Contractor identified the person, notify the Contracting Officer, and (b) promptly remove that person from the contract.

13.6 Violation of any aspect of the above paragraphs shall be considered a material breach of the contract and may result in termination of the contract.

13.7 The Contractor is further advised that, in accordance with Civil Monetary Penalties Law [CMP] (codified at 42 USC (S) 1320a-7a): (a) There are steep civil monetary penalties associated with billing the Government for providing items or services by a person on either of the Lists, and with failing to return to the Government any overpayments received for provision of such items or services. (b) Billing under the contract for provision of items or services by a person on either List may also result in exclusion of the person that employs or contracts with such person.

13.8 HHS OIG has issued a Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs with additional information on the CMP. The Special Advisory Bulletin may be found at http://oig.hhs.gov/exclusions/files/sab-05092013.pdf

MEDICAL READINESS CONTR OFFICE WEST, 3160 MCINDOE BLDG1103

JBSA FT SAM HOUSTON, TX 78234-4504

UNITED STATES

KACIE BURRIS, EMAIL: KACIE.R.BURRIS.CIV@HEALTH.MIL TELEPHONE: 210-221-4541

AdminBy:

SCD: PAS:

(A) THE DATE FOR RECEIPT OF QUOTES IS EXTEND TO 9 MAY 2025 AT 11:00 AM CENTRAL TIME.

(B) THE PERFORMANCE WORK STATEMENT HAS BEEN UPDATED.

(C) PROVIDE ANSWERS TO QUESTIONS RECEIVED IN RESPONSE TO THIS SOLICITATION.

(D) ALL OTHER TERMS AND CONDITIONS OF THIS SOLICITATION REMAIN UNCHANGED, IN FULL FORCE AND EFFECT.