W81K0026QA240 BQs and Responses_09 SEP 2026.pdf

# Question Answer

Does the Government require the aircraft, or prefer the aircraft, to be based or positioned at a particular location? If not, please confirm that the contractor may source the aircraft from any location, provided it arrives at Bucholz Army Airfield and is ready for patient pickup within 24 hours of mission notification.

Government only cares about 24hr performance; any location used by the contractor should support that requirement.

Please clarify the event/action that starts the 24-hour response period. Does it begin when the initial inquiry is received, when sufficient clinical and logistical information has been provided, or when an authorized task order or notice to proceed is issued?

Need for higher level of care is determined, notice call is made, an accepting facility has been confirmed, and an accepting physician is identified.

Please confirm the current USAG-KA regulation governing installation access for contractor personnel and aircraft. The PWS references USAG-KA Regulation 190-5, while publicly available information identifies Kwajalein Atoll Regulation 190-10 as addressing entry and exit control.

Please confirm the applicable regulation for this requirement.

USAG-KA Regulation 190-10 is the correct answer. The PWS has been updated accordingly.

Will delays caused by weather, airfield closure, diplomatic or customs clearance, Government action, patient instability, lack of receiving-facility acceptance, or other circumstances beyond the contractor s reasonable control be excluded from the 24-hour performance calculation? The PWS requires immediate communication of weather and mechanical delays but does not state whether those delays constitute noncompliance.

See RFO §52.212-4(f)

Published airport information identifies Bucholz Army Airfield s normal operating hours as 1900Z 0800Z, Monday through Saturday, with the airfield closed on Sunday. Operations outside published hours reportedly require Airfield Manager approval and the scheduling and funding of necessary support personnel.

Landing outside of standard operating hours is possible and will be coordinated with an emergency response installation team during development of the flight plan.

For urgent or after-hours missions, including Sundays and federal holidays, will the Government coordinate and fund the opening of the airfield and required air traffic control, fire/rescue, security, ground-handling, and other support services? Please also clarify whether delays caused by airfield closure, PPR processing, or Government approval will be excluded from the contractor s required response-time calculation.

Plan for after-hours operation is clarified in item 7, above. All delays associated with access and Bucholz operation are outside of contractor control and will not be held against them.

The PWS requires the contractor to transport the patient to Oahu and arrange ground ambulance transportation from the arrival airfield to the receiving hospital but does not identify the required or preferred Oahu airfield. Please confirm whether missions are expected to arrive at Daniel K. Inouye International Airport (HNL/PHNL), the Hickam military ramp, or another airfield.

The contractor may select the most operationally appropriate Oahu airport which yields the most expedient patient care as governed by the requirements outlined in the question.

If use of the Hickam military ramp or another restricted facility is required, please clarify who is responsible for obtaining landing permission, PPR, ramp access, security clearances, ground-ambulance access, and after-hours support. Please also confirm whether the contractor may select the most operationally appropriate Oahu airport based on aircraft requirements, weather, receiving-facility location, and availability of ground ambulance and handling services.

The contractor may select the most operationally appropriate Oahu airport which yields the most expedient patient care as governed by the requirements outlined in the question.

Is this a new contracting requirement or a follow-on/recompete of an existing contract? If it is a follow-on requirement, please provide the incumbent contractor s name and current contract number. If no incumbent contract exists, please identify how these services are currently obtained. Please also provide the number of qualifying aeromedical evacuation missions performed during each of the three most recent years.

This is a new requirement being sought by Honolulu District (POH), US Army Corps of Engineers, for its employees (and their families) stationed and working on Kwajalein Atoll, RMI. POH works in support of the Army garrison, which does not have a unified MEDEVAC process for its tenants. Contractors working on the installation utilize private MEDEVAC insurance. Some other tenant organizations have secured coverage contracts like the onThis is a new requirement being sought by Honolulu District (POH), US Army Corps of Engineers, for its employees (and their families) stationed and working on Kwajalein Atoll, RMI. POH works in support of the Army garrison, which does not have a unified MEDEVAC process for its tenants. Contractors working on the installation utilize private MEDEVAC insurance. Some other tenant organizations have secured coverage contracts like the one we are currently seeking. Historically, we have used the TRANSCOM Secretarial Desginee (SECDES) program to evacuate an injured family member of an employee - but this process was time consuming, very expensive, and has many points which could be prone to communication failure. I do not have stats for the total population of the installation, but I believe our organization has only required one MEDEVAC in the last three years.

W81K00-26-Q-A240 Bidder Questions and Responses

May offerors propose cancellation, launch, diversion, or partial-performance rates when an authorized mission is canceled or aborted after the aircraft, aviation crew, medical crew, ground ambulance, permits, or other resources have been mobilized?

This would be handled through the Request for Equitable Adjustment (REA) process

Please confirm whether the required medical licensure to legally operate in the RMI and USA must be held by the prime contractor or may be held by a subcontractor providing the medical services.

All healthcare providers requiring licensure, whether sub or prime that are working on this contract require licensure. It is a requirement of the DHAPM

6025.13, volume 4.

Who is responsible for determining patient acuity and the required medical crew composition for each mission? Will the contractor s Medical Director make the final determination based on the patient s condition, anticipated care needs, and applicable medical transport protocols, or will the crew composition be directed by the Government or sending physician?

It lies with the sending provider. Of course there will be collaboration with the air medical team/director to ensure the proper timely transport of the patient.

Also, the contractor shall have policies and standards and protocols in place for these situations so it is clear the processes for the contractor.

If there were issues receiving the patient, or maintenance issues with the aircraft in KWA, are there available accomodations for the crew to remain overnight and proceed the following day?

Even with an augmented crew there is a duty time limitation for the pilots. Delays with patience acceptance could cause issues with the return to PHNL so we need to know what the options are if that were to occur.

Garrison ops will treat these events as an emergency response and coordinate the necessary base entities to support the flight plan. This includes lodging (Kwaj Lodge - located across the street from the flightline) in the event crew rest thresholds are met.

Please clarify whether Section 5.4.2 applies to the contractor s EMS Medical Director, a physician who may accompany a patient, or both.

Yes, it applies to all physicians who work on this contract. If they choose to have a physician who transports in addition to the physician medical director, both are required to be credentialed according to the DHAPM 6025.13, volume 4.

All healthcare personnel on this contract must be fully vetted by the contractor, credentialed and prime source verified according to the DHA and DOD/DOW policies for healthcare credentialing (as stated in the PWS for each profession in 5.4.2, 5.4.3, and 5.4.4). The contractor medical director is responsible to vet and oversee the medical staff hired and that they meet the regulatory requirements to work with patients.

The PWS refers to board certification by the American Board of Emergency Physicians. We are unable to identify a recognized certifying board by that name. Please confirm whether the intended certifying organization is the American Board of Emergency Medicine (ABEM).

Yes, it was a typo. ABEM is the requiring. The PWS has been updated accordingly.

Please also confirm if current board certification in Critical Care Medicine is acceptable as an alternative to board certification in Emergency Medicine.

No, the PWS states Emergency Medicine Physician

Is the EMS Medical Director required to hold a Hawaii or Republic of the Marshall Islands medical license when providing remote medical direction and clinical oversight but not personally accompanying the patient?

Yes, a current, active unrestricted license in one of the 50 US states and/or territories (even foreign medical providers with an ECMFG). This is in the PWS and a requirement of working on a DOD/DOW contract. The DHAPM 6025.13, volume 4 is the governing policy. Please note that in non personal service contracts, 10 USC 1094 does not allow for licensure portability and a provider (MD, RN, etc.) must have a license in the state that they render care. For OCONUS we allow them to have a current license in one of the US states/territories as stated above.

- Will providers be formally credentialed or privileged by a Military Treatment Facility or another Government credentialing authority?

No, not at this time. The contractor is beholden to credential these personnel according to the DHAPM 6025.13, volume 4 and follow 10 USC 1094 (licensure portability). This is in the PWS. The government may change processes at a later time and perform the credentialing and privileging (if privileging is required).

- Must each provider receive Government approval before being placed on the contractor s qualified roster or participating in a mission?

They will not be "approved" by USG to determine if they are qualified because the contractor is beholden to do this. However, the COR and/or government SME will frequently review/ surveil the credentials file maintained on every healthcare provider during the life of the contract to ensure all items have been completed according to the DHAPM 6025.13. The contractor is beholden to complete the credentialing and prime source verification process on all healthcare providers according to the DHAPM 6025.13, volume 4

- May the contractor satisfy the requirement through its established CAMTS-compliant credentialing, primary-source verification, competency, and quality-management processes, with records available for Government review?

Yes, if the credentialing processes match the requirements exactly of the DHAPM 6025.13, volume 4. There are many instances where DOD/DOW policies, regs and instructions require more than civilian regulatory / credentialing bodies. All requirements for credentialing and prime source verification of documents per the DHAPM 6025.13 must be met and maintained accordingly.

- Does the quarterly credential-file deliverable require complete files for every potential crew member or only a roster and evidence of current qualifications?

Yes, the contractor must maintain complete healthcare credential files that are reviewed by the contracted medical director. These must be kept up-to-date and made available for USG surveillance/inspection at any time.

- What is meant by initial and early primary source verifications, and is verification required for every previously held inactive or expired license?

Yes, as it states in the PWS and is in the DHAPM 6025.13, volume 4, PSV is for all licensure, active, inactive, expired, ever held. Prime source verification is done initially when a person is hired and then yearly. This ensures that everything is current, i.e., licensure, certifications, training, etc. These are normal credentialing procedures for healthcare personnel in DOD/DOW facilities/contracts and working in civilian facilities.

- Please distinguish the qualifications applicable to the EMS Medical Director from those applicable to a physician who may accompany a patient.

They must meet the same qualifications.

Please confirm whether high-risk obstetrical and neonatal transport services are included within the scope of this contract. If neonatal transport is not required, please clarify whether NRP certification remains mandatory for registered nurses assigned to the contract.

These are the PWS are the requirements. Despite the rule being that women must leave island in second trimester, we do know that things happen and we need to have staff that is trained to our standards and ready to provide care.

The requirements are set to have prepared staff and close care delivery gaps.

Please clarify the Government s intended credentialing and privileging process for healthcare providers performing under this contract, including the following:

Please clarify whether the Basic Trauma Life Support (BTLS) requirement may be satisfied by current International Trauma Life Support (ITLS), Prehospital Trauma Life Support (PHTLS), or an equivalent nationally recognized trauma certification.

Yes, may have any of these to be qualified but not in place of the other certifications (BLS, NRP, ACLS PALS, etc.).

Please confirm whether the contractor is required to furnish, store, transport, or administer blood or blood products. If blood-product capability may be required for an individual mission, please identify which party will furnish the products and how storage, transport, compatibility verification, and regulatory requirements will be addressed.

Contractor is responsible for the procurement, storage, etc of blood products.

Contractor must provide their blood products SOP and CAMTS as part of the technical proposal documentation.

Please clarify whether the contractor is required to maintain current CAMTS accreditation or only comply with applicable CAMTS standards. If accreditation is required, please identify the required accreditation category, which entity must hold the accreditation (Prime or Subcontractor), and when it must be in effect. Will NAAMTA accreditation suffice as compliance or is CAMTS the only option, provided accreditation is a requirement?

Yes, either organizational accreditation is good and required.

Please confirm whether resumes, licenses, certifications, CAMTS documentation, FAA certificates, aircraft specifications, DoD air-carrier approval evidence, insurance certificates, and the essential contractor services continuity plan count toward the 15-page technical proposal limit.

You would not include specific personnel items for the technical proposal however you will tell us your recruitment plan and how you run your credentialing process and oversight of your medical personnel.

DFARS 252.237-7024 requires submission of a continuity plan for essential services identified in an attachment; however, the attachment number and date are blank. Please identify the applicable attachment and the mission-essential services that must be addressed.

The continuity plan shall be included within the Administrative Volume of the Offeror's proposal. DFARS clause 252.237-7024 has been updated accordingly.

Section M states that price will be evaluated after the proposal receives an acceptable rating for technical capability and past performance, but the solicitation identifies only Technical Capability and Price as evaluation factors and provides no instructions for past-performance submissions. Will past performance be evaluated? If so, please provide the submission requirements and evaluation criteria. If past performance will be evaluated, may the offeror submit relevant past performance of a subcontractor?

Confirming that past performance is not included as an evaluation factor for this procurement. The 52.212-2 Addendum has been updated accordingly.

The PWS lists a base period beginning May 1, 2026, while the solicitation establishes Ordering Period 1 as September 15, 2026, through September 14, 2027. Additionally, Section F lists CLIN 4001AB as October 1, 2030, through September 30, 2031, while other portions identify September 15, 2030, through September 14, 2031. Please confirm the correct performance dates.

The PoP has been revised. Please refer to Amendment 0003.

The PWS refers to CLIN X001 for availability and CLIN X002 for missions, while the solicitation uses CLINs ending in AA and AB. Please confirm that the AA CLINs are the availability/standby CLINs and the AB CLINs are the aeromedical evacuation mission CLINs.

The CLIN numbering is outlined in Section B of the solicitation. Confirming that the "AA" SLINs represent the availability/standby CLINs while the "AB" SLINs represent the aeromedical evacuation flights.

Will aircraft supporting this contact be permitted to land at Bucholz Army Airfield (AAF) after normal hours?

Yes. These events will be conducted as an emergency response with support from the installation.

Will contractor be authorized CAC (Common Access Card) issuance for aircraft crewmembers, medical sta� and maintenance technical support personnel tasked with this mission?

No, CACs should not be needed.

35 Will Jet A or JP-8 Fuel be available at Hickam Air Force Base (PHNL)? This has not been firmly coordinated at this time, but nests with item 5, below.

36 Will Jet A or JP-8 Fuel be available at Bucholz Army Airfield (PKWA)? Yes. The installation will provide refueling support.

Will DLA (Defense Logistics Agency) Fuel Purchase Agreement be authorized with this contract award?

Yes, this will be required, but specifics are not available at this time.