Amendment 0003.pdf

W40M REGIONAL HEALTH CONTRACTING OF

REGIONAL HEALTH CONTR OFC PACIFIC

POC: JAYME C. NAGAO

BLDG 339 CLARK ROAD

FORT SHAFTER HI 96858-5098

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

The purpose of this amendment is to:

1. Provide responses to questions received.

2. Revise the Performance Work Statement (PWS). All changes have been highlighted in yellow .

All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 18

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

16C. DATE SIGNED

BY 21-Jul-2021

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 W81K0221Q0190

X 9B. DATED (SEE ITEM 11)

14-Jul-2021

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

21-Jul-2021

CODE

W40M REGIONAL HEALTH CONTRACTING OF

REGIONAL HEALTH CONTR OFC PACIFIC

BLDG 339 CLARK ROAD

FT SHAFTER HI 96858-5098

W81K02 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K02

FACILITY CODECODE

EMAIL:TEL:

W81K0221Q0190

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 & RESPONSES

1. Paragraph 3.6.4. Closures states, “During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for any such closures.

Question: The government lists 1,920 hours per year as the required performance hours. If the government closes the facility for any reason where the contractor is unable to work, then the individual will not meet the 1,920-hour standard per year. Please clarify that the government will not fault the contractor or company for missing this requirement under those conditions.

RESPONSE: Although the Government requirement is for 1,920 hours per year to be performed, there are instances in which the contract personnel will not be able to perform. In accordance with paragraph 3.7.4. of the Performance Work Statement (PWS), “…The Contractor may only invoice and be paid for the services actually rendered. If the Contractor performs fewer services than are provided in the contract schedule, the Government may, at the end of the applicable contract period, deobligate the excess quantities.”

The Contractor’s performance rating will not be impacted in the event of anticipated or unplanned Government closures.

2. Paragraph 3.7.3.2. states, “The contractor shall have sufficient qualified personnel available so that all services are provided in the event a contract personnel scheduled to work becomes ill, resigns, is terminated, or is otherwise unavailable to work.” Paragraph 3.8.1. of the PWS however states, “…Substitute or temporary coverage for a permanent provider is required for unplanned absences over 160 consecutive hours.”

Question: Please clarify the discrepancy between the two statements. If a backfill/substitute is required prior to 160 consecutive hours for unplanned absences, how soon shall that be?

RESPONSE: Paragraphs 3.7.3.2. and 3.8.1. of the PWS has been revised to resolve the discrepancy between the two statements. The substitute or temporary coverage contract personnel shall begin performance in the MTF within one (1) week of notification that the permanent provider will be absent for over 160 consecutive hours, resigns, is terminated, or is otherwise unavailable to work.

3. Paragraph 3.8.1.2.1. Non-personal services states, “This non-personal services contract requires that the contract health care providers maintain a current, active, valid and unrestricted license to practice medicine in the state (or District of Columbia) where the MTF is located…”

Question: Since the MTF is in Korea, please clarify that the health care provider need only maintain a current, active, valid and unrestricted license in one of the U.S. States or territories as stated in paragraph 5.1.3.2.

Licensure/Certification/Registration.

RESPONSE: Paragraph 3.8.1.2.1. of the PWS has been revised to correlate with the requirement provided in paragraph 5.1.3.2. of the PWS. The contract health care providers shall maintain a current, active, valid and unrestricted license to practice medicine from a US jurisdiction.

4. Paragraph 5.1.2. of the PWS states that the contractor, “Reports to: The Contracting Officer’s Representative.”

Question: This is a non-personal services contract and as such the employee should report to their first line supervisor in the company. Please clarify that the COR is not the individual the contractor should report to or provide verbiage regarding in what instance the individual should report to the COR.

RESPONSE: Paragraph 5.1.2. of the PWS has been revised. The contractor personnel shall report to his/her first-line supervisor at the contractor’s company; however, if the contract personnel is the owner of the contractor’s company, the contract personnel will be accountable to the Contracting Officer’s Representative

(COR).

5. Paragraph 5.1.4.3.3. states, “Support basic in and out-processing and customer service related functions related to the TOPA front desk.”

Question: There is no corresponding verbiage in the PWS that addresses how often the contractor must perform duties at the TOPA front desk. Section E. KEY AREAS OF PERFORMANCE does not provide workload information about this requirement. How often will the contractor be required to work at the front desk and how will the government manage conflicts with regular referral duties?

RESPONSE: Paragraph 5.1.4.3.3. of the PWS has been revised to indicate that contract personnel shall support basic in and out-processing and customer service related functions related to the TOPA front desk when Government personnel are unavailable. On average, Government personnel may be unavailable up to two (2) times per month but the duration does not exceed an hour on each occasion and the contract personnel is not required to physically be present at the front desk.

Section E, Key Areas of Performance, of the Quality Assurance Surveillance Plan will not be revised as this requirement is not considered a key area of performance.

6. Paragraph (6) VEHICLES, CONTRACTOR states, “Unless specifically stated elsewhere in the contract, the contractor shall provide all motor vehicles and any other transportation equipment required in the performance of this contract.”

Question: Will the contractor be required to provide transportation for anything other than regular commute from home to place of duty and return? If so, please provide examples to include length of time, distance and frequency of occurrence.

RESPONSE: No, the contractor personnel will not be required to provide transportation for anything other than his/her regular commute from home to place of duty and return.

The following have been deleted:

QUESTIONS & RESPONSES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

Tricare Referral Liaison

51st Medical Group, Osan Air Base, Korea

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 BACKGROUND

3.0 SCOPE OF WORK

4.0 QUALITY ASSURANCE SURVEILLANCE PLAN

5.0 POSITION DESCRIPTIONS

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1.0. INTRODUCTION.

1.1. The contractor shall provide the non-personal services of Tricare Referral Liaison at 51 Medical Group, Osan Air Force Base, South Korea, Referral Management Center (RMC) which shall contribute to a stable workforce tasked with providing quality health care services to a diverse beneficiary population. The Air Force Medical Service provides medical services for more than 2.63 million active duty Service Members, Veterans and eligible beneficiaries. When specialty care is required, the Referral Management Center is responsible for assisting the member, coordinating the referral with the specialty office, tracking the referral to closure, and returning all results of treatment to the patient’s medical record. The contactor shall assist members and medical professionals throughout the referral process.

1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (JC) standards, applicable Department of Defense (DoD) and Army specific regulations, directives, and policies, and military treatment facilities (MTF) specific policies, procedures, and job descriptions. Contract health care providers (contract personnel) shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The Contractor shall provide services for varied healthcare specialties in accordance with established principles and ethics of the medical profession, the national standards established by the JC, the professional standards at the military treatment facilities (MTF), and the American Board of applicable specialty. The Contractor shall be held accountable for compliance to the standards listed in the Comprehensive Accreditation Manual for Hospitals (CAMH) dated January 2020 or current version.

1.3. The Contractor or contract employees 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 employees shall perform essentially the same functions, within the scope of acceptable practice for the specific specialty or position, as those required by Army or Government service health care professionals of similar experience and in similar duty assignments. The scope of services provided in military treatment facilities cover the same range of services as those that are provided in civilian treatment facilities of similar size and scope of services.

1.4. This contract is a non-personal services contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees.

2.0 BACKGROUND.

2.1. The mission of the military healthcare system (MHS) is to ensure the nation has available at all times a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at military treatment facilities (MTF) located on or near military installations or posts. The military treatment facility may be a clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center. Army Community Hospitals (ACH) offer more complex, resource-intensive secondary care (e.g. inpatient care, surgery under anesthesia) and primary care at outpatient clinics inside and outside the hospital. Army Medical Centers (MEDCENs) offer tertiary (sophisticated diagnosis/treatment of any ailment), secondary, and primary care, hospital services, preventive services, blood bank, and other services. In addition, all MEDCENs offer graduate medical education programs for physicians.

2.2. The 51st Medical Group’s mission is to seamlessly transition from community healthcare to contingency operations and respond to a full spectrum of health requirements, prepare medically ready forces, expand medical capabilities, and sustain war reserve materiel in support of 7 AF and USFK.

3.0 SCOPE OF WORK.

3.1 Contractor must have knowledge and skills to effectively apply TRICARE Referral Liaison functions: a) Assessment: Identification of patients that need special medical and education needs/management; comprehensive collection of patient information and medical status; and continued evaluation of an established plan of care; b) Planning: Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care; c) Facilitation: Care coordination and communication among all involved parties; d) Advocacy: Support for the patient and family/caregivers to ensure identified education and appropriate, timely care coordination is received.

The contractor may be required to search/advise appropriate medical service providers for patients who may need special medical care based on the contractor’s medical knowledge and understanding of the Korean medical system.

3.2 Administrative.

3.2.1. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation not later than five business days after receiving notice of contract award. Changes in the primary point of contact (POC), at any time, shall require the Contractor to notify the Contracting Officer (KO) of the new representative at least five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact.

3.2.2. The Contracting Officer’s Representative (COR) will be the KO’s authorized representative in administering the contract at the MTF level. The Contractor’s representative shall be available to discuss any problems that the Contractor’s personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the Contractor’s performance will be discussed and resolved. Unresolved problems will be referred to the KO for resolution.

3.2.3. Contractor shall not include or use non-compete provisions with respect to the performance of Government medical service contracts in its employment, consultant, or third party contract agreements (hereafter agreements) with its Health Care Provider (HCP) workers which are effective beyond the period of contract performance. Non-compete provisions shall not prevent HCP workers from being interviewed, employed, or accepting offers of employment or making other arrangements with potential competitors for follow-on contracts. Additionally, non-compete provisions shall not prevent HCP workers from accepting offers of employment or making other arrangements with any contractors who provide services to the Government, or from accepting offers of employment with the US Government, following the period of contract performance. Inclusion of such non-compete or similar conditions in agreements with HCP workers will result in an offeror’s proposal being determined unacceptable, and may be grounds for termination of any awarded contract or task order. Preventing

HCP workers from accepting these offers will hinder the Government’s ability to accomplish the mission of providing medical care to its beneficiaries.

3.2.4. The Contractor and contract personnel shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing and quality assurance requirements. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives.

3.2.5. Media and Other Inquiries. The Contractor shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the COR, who will relay them to the MTF Public Affairs Officer or, after duty hours, to the Administrative Officer of the Day (AOD). There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Commander. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the COR.

3.2.6. Emergency health care for contract personnel. The MTF will provide emergency healthcare for injuries or life threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the Government for such services as billed by the MTF.

3.2.7. The Contractor shall not employ any individual to provide direct health care services who is listed on the Health and Human Services (HHS) list of providers excluded from Federally funded health care programs. The list may be found at http://oig.hhs.gov/fraud/exclusions.asp.

3.3. Conflict of Interest.

3.3.1. The Contractor or contract personnel shall not bill the patient for services rendered under this contract. The Contractor or contract personnel shall not request or accept compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

3.3.2. The Contractor or contract personnel shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or contract personnel or from any third party at any place other than as designated under this contract.

3.3.3. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of healthcare services under this contract. The Contractor shall not release any of the above information without prior written consent of the KO. The Contractor/contract personnel shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The contract personnel shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract.

3.3.4. The Contractor shall abide by federal employment statutes and the Federal ethics regulations in the selection and hiring of contractor personnel.

3.3.5. The Contractor or contract personnel shall not use Government facilities, supplies, or equipment in private practice or for any purpose other than providing the healthcare services required under this contract.

3.4. Security.

3.4.1. Security Identification Badges. The Contractor and contract personnel shall comply with the local installation and MTF personnel identification and access requirements while on site.

3.4.1.1. While on site, each contract personnel shall wear a visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing. The badge must show the full name, title and if required by the Military the word “Contractor” in front. The COR will provide the paperwork to request identification badges.

3.4.1.2. The Contractor is responsible for absences of contract personnel due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the healthcare services required under this contract.

3.4.1.3. The contract personnel shall immediately report any lost or stolen badges to the COR.

3.4.1.4. The contract personnel shall turn in all identification badges to the COR, or his/her designated representative upon termination of their services under this contract.

3.4.2. Vehicle Registration. The MTFs are located on restricted access military installations. The Contractor/contract personnel shall comply with the local installation requirements for vehicle registration and operation on the military installation.

3.4.2.1. All vehicles are subject to search. Contract personnel may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the Contractor for time spent at installation checkpoints. Contract personnel must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF.

3.4.3. Keys. The Contractor shall be responsible for any keys issued by the Government to contract personnel for use in the MTF. The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. Lost keys and/or locks shall be reported to the issuing party, Department Chief, or COR immediately upon recognition of the loss.

3.4.4. Safeguarding Material. The contract personnel shall be responsible for safeguarding all Government property. The Contractor shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive. If working remotely, Contractors are prohibited from reproducing patient information in any way. This includes printing. Neither the Contractor nor any of its contract personnel shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the Contractor may be required to provide testimony or disposition in cases of due process action.

3.5. Orientation and Training.

3.5.1. MTF in-processing checklist. When commencing work under this contract, the contract personnel shall obtain in-processing checklist(s) from the COR or designated office. All contract personnel are required to complete the applicable items on the checklist and turn it in to the designated office. Upon completion of the duty assignment, the contract personnel need to complete an out-processing checklist and return it to the designated office.

3.5.2. MTF and Unit Orientation. The contract personnel shall be provided with a Government paid orientation to familiarize the contract personnel with the policies and procedures of the MTF, assigned department and specific unit.

3.5.2.1. Orientation shall be completed within 45 days.

3.5.3. Annual training requirements. Contract personnel shall complete all online and offline mandatory annual training and Job Safety Training requirements in accordance with MTF procedures within 30 days of hire and annual training thirty (30) days before annual hire date.

3.5.4. Government unique training. The government may elect to provide unique government training to contract HCPs who are performing services under this contract. If the government elects to provide such training, the government will provide such training at no additional expense to the contractor or to the contract HCP. When directed by the contracting officer, contract HCPs shall attend all such training in a paid status as part of the normal services required and billed under the contract. Such training shall require a performance commitment by the contractor and the contractor shall reimburse the government (by means of a reduction in an invoice) if a contract HCP fails to satisfy the performance commitment after the contract HCP receives the unique government training.

The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the contract HCP fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first.

3.5.5. Computer Training. Contract personnel who have any interaction with the MTF computer systems must receive training for the applicable system(s). The COR will coordinate the necessary computer training. The training will be on-site and during normal duty hours. This training will be at no cost to the Contractor. These systems include but are not limited to:

3.5.5.1. Composite Healthcare Computer System (CHCS) is the military’s world-wide automated medical information system interfaces with 40 plus external clinical and administrative systems.

3.5.5.2. Armed Forces Health Longitudinal Technology Application (AHLTA) contains the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the MTF. In addition, it contains the electronic medical records for MHS beneficiaries.

3.5.5.3. Ambulatory Data System (ADS). This computer system produces forms on which the providers identify the appropriate billing codes for diagnoses and procedures for each patient. In addition, contract personnel working in Labor and Delivery will be trained on the Labor and Delivery Statistics System (LADS).

3.5.6. RESERVED

3.5.7. AT/OPSEC REQUIREMENTS

3.5.7.1 Anti-Terrorism (AT) Level I Training: This provision/contract text is for contractor employees with an area of performance within an Army controlled installation, facility, or area. All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training within 50 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee to the Contracting Officer Representative (COR) or to the Contracting Officer (KO), if a COR is not assigned within 20 calendar days after completion of training by all employees and subcontractor personnel.

3.5.7.2. Access and General Protection/Security Policy and Procedures: This standard language text is for contractor employees with an area of performance within an Army controlled installation, facility, or area. The contractor and all associated sub-contractors’ employees shall comply with applicable installation, facility, and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshall Office, Director of Emergency Services, or Security Office. The contractor workforce must comply with all personal identity verification requirements as directed by DOD, HQDA, and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

3.5.7.3 For contractors requiring Common Access Card (CAC). Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated National Agency Check with Inquiries (NACI) or an equivalent or higher investigation in accordance with Army Directive 2014-05. The contractor employee will be issued a CAC only if duties involve one of the following: (1) Both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely; (2) Remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) Physical access to multiple DoD facilities or multiple non-DoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled NACI at the Office of Personnel Management.

3.5.7.4 AT Awareness Training for Contractor Personnel Traveling Overseas: This standard language text required US based contractor employees and associated sub-contractor employees to make available and to receive government provided area of responsibility (AOR) specific AT awareness training as directed by AR 525-13.

Specific AOR training content is directed by the combatant commander with the unit Anti-Terrorism Officer (ATO) being the local point of contact.

3.5.7.5 iWATCH Training: This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 50 calendar days of contract award and within 50 calendar days of new employees commencing performance with the results reported to the COR NLT 60 calendar days after contract award.

3.5.7.6 For contracts that require a formal OPSEC program. The contractor shall develop an OPSEC Standing Operating Procedure (SOP)/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer. This plan will include a process to identify critical information, where it is located, who is responsible for it, how to protect it and why it needs to be protected. The contractor shall implement OPSEC measures as ordered by the commander. In addition, the contractor shall have an identified certified Level II OPSEC coordinator per AR 530-1.

3.5.7.7 For Contracts that Require OPSEC Training: Per AR 530-1, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All contractor employees must complete annual OPSEC awareness training.

3.5.7.8 For Information assurance (IA) and/or information technology (IT) training. All contractor employees and associated subcontractor employees must complete the DOD IA awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DOD and Army training requirement s in DoD 8570.01, DoD 8570.01-M, and AR 25-2 within six months of employment.

3.5.7.9 For information assurance (IA) and/or information technology (IT) certification. Per DoD 8570.01-M, DFARS 252.239.7001 and AR 25-2, the contractor employees supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M must be completed upon contract award.

3.5.7.10 For Contractors Requiring Performance or Delivery in a Foreign Country, DFARS Clause 252.225-7043, Antiterrorism/Force Protection for Defense Contractors Outside the US: The clause shall be used in solicitations and contracts that require performance or delivery in a foreign country. This clause applies to both contingencies and non-contingency support. The key AT requirement is for non-local national contractor personnel to comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor’s compliance with combatant commander and subordinate task force commander policies and directives.

3.6. MTF HOURS OF OPERATION

3.6.1. ACH’s and MEDCEN’s provide services 24 hours a day, 365 days a year (366 days during leap years) including holiday. Clinics have designated operating hours.

3.6.1.1. TOPA Hours of Operation: Service is open from 0730 to 1630 hours, Monday through Friday

3.6.2. Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday, holidays falling on a Sunday will be observed on the following Monday.

Contract personnel may be required to work on legal holidays as determined by the COR.

New year’s Day, January 1st Martin Luther King’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Juneteenth, June 19th Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran’s Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

NOTE 1: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract employee is scheduled to work is closed due to the holiday and the employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

3.6.3. Contract personnel shall report to work as scheduled during emergencies, disasters or during adverse weather conditions. Contract services are still required during these situations.

3.6.4. Closures. During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for any such closures.

3.7. HOURS OF PERFORMANCE.

3.7.1. Scheduling process: The Contractors shall be available to work from 0730 to 1630 in 51 MDG. Monday through Friday. Duty hours may include base exercise days where limited military staffing is available and foreign holidays.

3.7.2. The COR or their designee will be responsible for communicating with the contractor regarding scheduling issues. The shift supervisor may act as point of contact after normal duty hours, weekends and holidays. In such cases, the COR shall confirm all actions on the next normal working day.

3.7.3. Absences and leave:

3.7.3.1. The contractor shall notify the COR when a scheduled contract personnel cannot fill a shift due to illness or emergency. Notification shall be as early as possible, but no later than 2 hours prior to start of scheduled shift.

3.7.3.2. The contractor shall have sufficient qualified personnel available so that all services are provided in the event a contract personnel scheduled to work becomes ill, resigns, is terminated, or is otherwise unavailable to work.

The proposed substitutes shall have at least the minimum qualifications required for the position and shall begin performance in the MTF within one (1) week of notification that the permanent provider will be absent for over 160 consecutive hours, resigns, is terminated, or is otherwise unavailable to work.

3.7.3.3. When the contractor can not fill a position, the contractor shall notify the COR.

3.7.3.4. Scheduled absences of contract personnel shall be coordinated with the COR at least 30 calendar days in advance. Depending on how the hours are specified will determine whether or not the contractor supplies a substitute. The Contractor will only be paid for hours actually worked.

3.7.4. The Contractor is responsible for submitting an accurate invoice. The Contractor may only invoice and be paid for the services actually rendered. If the Contractor performs fewer services than are provided in the contract schedule, the Government may, at the end of the applicable contract period, deobligate the excess quantities.

3.8. LICENSE VERIFICATION AND CREDENTIALS REVIEW OR PRIVILEGING.

3.8.1. The contractor will follow Air Force Instruction (AFI) 44-119 Medical Quality Operations for all healthcare services provided in the MTFs. Air Force Instruction 44-119 is located on the internet at website https://static.e-publishing.af.mil/production/1/af_sg/publication/afi44-119/afi44-119.pdf . The COR will designate the offices responsible for license verification for non-privileged personnel and the Credentials Office is responsible for credentialing and privileging actions. If the contractor is providing privileged health care providers, the contractor shall check with the Credentials Office to determine their credentialing/privileging process and timelines so that the health care providers can be privileged prior to the start of work.

The Contractor shall accomplish the assigned work by employing and utilizing a qualified candidate with appropriate combinations of education, experience, knowledge, training, abilities and skills. The provider will begin performance in the MTF at the earliest possible date, but not more than 120 days from contract award. All status of forces agreement (SOFA) or host nation requirements, health, security and credentialing/privileging requirements shall be met prior to start of performance by an initial or replacement provider. The Contractor is responsible for obtaining all passports, visas, or other documents necessary for the provider to enter and/or exit the foreign country where performance is required. Substitute or temporary coverage for a permanent provider is required for unplanned absences over 160 consecutive hours. The substitute or temporary coverage contract personnel shall begin performance in the MTF within one (1) week of notification that the permanent provider will be absent for over 160 consecutive hours. All SOFA or host nation requirements, health, security and credentialing/privileging requirements shall be met prior to start of performance by an initial or replacement provider.

3.8.1.1. The contractor shall perform all primary source verifications and include all verifications with the credentials package or competency assessment folder information for non-privileged staff in accordance with AFI 44-119. The contractor shall obtain all paperwork, letters of reference, approvals, work history, etc required by the MTF credentialing or licensure verification processes. The MTF staff will not assist the contractor in obtaining any needed information for initial credentialing. The contractor is responsible for the current competence of contract HCPs used to provide healthcare services under this contract.

3.8.1.2. Licensure, certification, registration, or authorizing documents (license and certification verification processes chapter 4 of AFI 44-119).

3.8.1.2.1. Non-personal services: This non-personal services contract requires that the contract health care providers maintain a current, active, valid and unrestricted license to practice medicine from a US jurisdiction. In addition, health care providers who write prescriptions for controlled substances must have a current Drug Enforcement Agency (DEA) certificate or Controlled Drug Substance number as appropriate. The contractor shall ensure that renewal actions are accomplished well before expiration of the provider’s license and/or DEA certification to ensure compliance with the contract. DEA certificates are not necessary at overseas locations.

3.8.1.3. Privileges are facility specific and the department chair or service chief develops the criteria to award privileges. The forms required for the privileging process are outlined in DHA-PM 6025.13 and will be provided by the Credentials Office. HCPs who require privileging shall not provide healthcare services until they have been granted privileges at the MTF.

3.8.1.4. The Credentials Committee may have questions which they will wish to present to the contractor’s HCPs verbally or in writing. The Contractor’s HCPs shall answer questions presented by the Credential’s Committee either verbally or in writing.

3.8.5. RESERVED

3.8.6. Conduct.

3.8.6.1. Contract personnel shall comply with MTF policies regarding personal appearance and conduct.

3.8.6.2. Contract personnel shall abide by federal, state, and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the contract personnel as may be necessary for security and personnel reliability programs. They shall also abide by federal, state, and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. All medical records and reports will remain the property of the Government.

3.8.7. Contract personnel shall not introduce new procedures or services without prior approval of the Department Chief or representative. If disagreements or deviations from protocols or procedures occur, the Department Chief or representative shall be the deciding authority.

3.8.8. The contractor shall ensure contract privileged providers providing medical services under this contract has his/her rubber stamp containing their full name, degree, title, DEA license number and company name (if applicable) or the word, "Contractor." The stamp shall be placed on all forms and documentation having the provider's signature:

EXAMPLES:

Jane J. Jones, APRN, BC John J. Jones, APRN, BC Family Nurse Practitioner Family Nurse Practitioner

DEA #123456 DEA #123456

Jones Healthcare Company Contractor

3.9. Health and immunization requirements. All contract personnel performing services under this contract shall comply with the health and immunization requirements as required by the 51st Medical Group. Backup/replacement contract personnel shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the Contractor at no additional cost to the Government.

3.10. Criminal History Background Check Requirements. Contract personnel determined by the MTF to be involved in the delivery of health care to children under the age of 18 on a frequent and regular basis must meet the requirements of the Crime Prevention Act of 1990, as specified in the Criminal History Background Check Requirements clause.

3.11. ACCOUNTING FOR CONTRACTOR SUPPORT: The contractor shall report ALL contractor labor hours (inclusive of subcontractor labor hours) required for performance of services provided under this contract via a secure data collection site. Reporting shall be accomplished online by going to web address: http://www.SAM.gov/, and then clicking on the “Service Contract Report” section of SAM. The reporting period is the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 October of each calendar year. The contractor shall notify the Contracting Officer’s Representative (COR) by the 5th working day of November whether or not they have completed this report. If the COR is unavailable, the contractor will notify the Contracting Officer.

3.12. TRUSTED ASSOCIATED SPONSORSHIP SYSTEM (TASS).

3.12.1. The Contractor shall comply with agency personal identity verification procedures that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M- 05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

3.12.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally controlled facility or access to a Federal information system.

3.12.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of the Federal Acquisition Regulation (FAR) Clause 52.204-9, the USG will designate a Trusted Agent (TA) for this contract. The USG reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

3.12.4. The Contractor is responsible for absences of HCPs due to expired identification and access documents.

Such absences shall not relieve the Contractor of its obligation to perform the services required under this contract.

3.12.5. In-processing Requirements. The HCPs are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

3.12.6. Reserved

3.12.7. The USG TA will send a notice through the TASS to the AKO e-mail address provided IAW the above requirement. The HCP’s user ID and password will be provided in the e-mail and will be require a change at first login. In the event the e-mail message is not received, the Contractor may request the username and password from the TA and proceed to the website https://www.dmdc.osd.mil/tass to complete the process.

3.12.8. The HCP shall log into the TASS and complete the verification process by submitting the application back to the TA for approval.

3.12.9. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been accepted, returned, or rejected will be provided to the HCP’s e-mail address within 48 hours after submission.

If the application is returned or rejected, the HCP shall contact the TA and comply with the TA’s guidance to attempt to correct and resolve the issue(s).

3.12.10. Upon approval of the application, the HCP will receive an e-mail stating the CAC application was approved. The applicant must then go to a RAPIDS Issuing Facility to have the USG credential issued. To make an appointment, the HCP will follow the instructions provided by the TA and contact the COR for instructions. The HCP must present two acceptable forms of ID, which may include: Driver's License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, or passport.

3.12.11. Revalidation Requirements. The TA is required to revalidate all HCPs, in the TASS, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked and the CAC will not be useable to log in.

3.12.12. Out-processing Requirements. When a HCP’s performance under this contract ceases, the HCP shall personally bring the CAC to the TA and complete the DA Form 2962. The TA will revoke the CAC from the

TASS.

3.13. QUALITY MANAGEMENT

3.13.1 The Contractor shall have a planned and systematic quality management process for monitoring and analyzing its contract performance.

3.13.2. The Contractor shall ensure that all contract employees comply with the MTF quality management/process improvement activities.

4.0 QUALITY ASSURANCE SURVEILLANCE PLAN: See Attachment 1.

4.1. Inspection. The inspection and acceptance point for all services rendered under this contract will be the COR.

The performance by the contract personnel, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance and review for acceptance by the

KO or COR. Any services rendered by the contract personnel to patients or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the KO will be grounds for immediate termination for default or cause. Quality Assurance procedures established by the MTF shall be used for continuous monitoring.

Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing personnel not meeting the minimum qualification standards; inappropriate prescriptions; patient customer service comments; Contractor relationship with hospital staff/Government contracting personnel; compliance with hospital healthcare policies and procedures.

5.0. POSITION DESCRIPTIONS.

5.1 Position Title: Tricare Referral Liaison

5.1.1. Assigned to: Assigned to support the Osan Air Base, 51st Medical Group. The contractor shall provide all labor, materials, tools, equipment, transportation, and materials necessary to recruit, qualify and retain Tricare Referral Liaison.

5.1.2. Reports…