Amendment_01_summary.docx

W912J2-17-R-4000

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0002

The CLIN extended description has changed from:

Medical Records Clerk Equivalent - See PWS for additional details9,500 Hours is equal to 5 full-time contractors working 1900 hours each over the course of 12 months12-June-2017 thru 11-June-2018

To:

Medical Records Technician Equivalent - See PWS for additional details9,500 Hours is equal to 5 full-time contractors working 1900 hours each over the course of 12 months12-June-2017 thru 11-June-2018.

The following have been modified:

PERFORMANCE WORK STATEMENTS MR

PERFORMANCE WORK STATEMENT (PWS)

Medical Record Technician Non-clinical Case Management Services Wisconsin Army National Guard (WIARNG)

1. PURPOSE. The purpose of this requirement is to provide Medical Record Technician staffing in support of Individual Medical Readiness (IMR) to the Wisconsin Army National Guard (WIARNG) as well as assisting the Medical and Dental Non-clinical Case Managers and the Deputy State Surgeon. This contract is designed to be responsive in meeting the ever-evolving needs of the WIARNG. It establishes aggressive quarterly and annual metric goals for the separate IMR elements and for the overall IMR category of Fully Medically Ready (FMR) Soldiers. The proposed contract is a firm fixed-priced contract for five (5) full-time Contractors performing the role of Medical Record Technicians with a cost CLIN for travel.

2. BACKGROUND. In 2009, a Medical Management Guide was issued by the Office of the Assistant Secretary of Defense for Health Affairs (ASD [HA]) and the Department of Defense (DoD) TRICARE Management Activity (TMA), Office of the Chief Medical Officer (OCMO), Population Health and Medical Management Division (PHMMD). The Guide covers the components of a Medical Management (MM) program, including applicable principles, implementation concepts, processes, and tools/databases for Utilization Management (UM), Case Management (CM), and Disease Management (DM).

Under legislative mandates, the ASD (HA) submitted an annual report to Congress regarding healthcare delivery for Military Health System (MHS) beneficiaries. The 2009 report documented the MHS goal to providing high-quality care, improving performance through clinical and process outcomes, and increasing patients’ confidence in the care they receive. The Guide describes crucial components of Medical Management within the MHS, including the link between MM and population health and the dynamics between Utilization Management, Case Management and Disease Management in helping reduce unnecessary or inappropriate services and/or duplication of services.

In the military setting, Case Management targets Active Duty Service Members and beneficiaries with complex, multi-system healthcare needs who require care coordination or case management services. Originally, Case Management almost exclusively targeted in-patients with catastrophic illnesses or injuries. While Case Management continues to focus on catastrophic illness or injury, Case Management practices are also intensely directed at addressing chronic conditions that are more prevalent in the general patient population. Case managers can affect patient outcomes through proactive interventions across multiple healthcare settings. Additionally, case managers are expected to engage community resources and facilitate ongoing and consistent patient education.

The MHS has three primary goals for Case Management:

The Army National Guard, recognizing the importance of Medical Readiness after several years of combat deployments, implemented the Case Manager Support Contract in August 2005. The current contract was originally awarded August 2009 to Skyline Ultd (with 49% subcontract to Sterling Medical). At the end of FY 09, case managers in 31 states were using the medical non-deployable module to manage their case loads. During the period of August 2008 to August 2009, 15,292 cases were put into the module; of these, 6734 were closed by return to duty, fit for duty, or forwarded for an MEB/PEB evaluation. Additionally, readiness increased from 35% fully-ready in FY08 to 44% in FY09. This success resulted from increased targeted funding and a concerted effort by the National Guard Bureau.

On 29 March 2012, the ARNG achieved the Department of Defense (DoD) goal of 75% Fully Medically Ready (FMR) Soldiers per DoD Instruction (DoDI) 6025.19, Individual Medical Readiness (IMR). This monumental accomplishment marked the highest medical readiness percentage the ARNG has achieved in documented history. Over the past year, ARNG readiness has continued to increase to over 80%. Continued utilization of medical case managers is essential to maintaining established medical readiness goals for the ARNG.

3. SCOPE. The ultimate goals are to produce real-time reports based on complete, accurate data. The minimum goal for overall medical readiness is more than 82% of Service members FMR, with the ideal goal of 100%. The WIARNG State Surgeon’s Office requires a highly responsive team whereby the government can quickly obtain needed support and services. This PWS reflects existing National Guard Bureau policies and regulations.

4. Period of Performance (PoP): The period of performance shall be 12 June 2017 to 11 June 2018.

5. Place and Performance of Services: The Contractor shall provide these services in Dane County, Wisconsin. The primary work location will be at Joint Force Headquarters, 2400 Wright St, Madison, WI 53704. The contractor may be required to conduct missions to support and augment the WIARNG consistent with all services described within the PWS. Specifically, contract employees will be required to periodically travel to Volk Field, Camp Douglas, WI to support Soldier Readiness Processing (SRP) events.

5.1 Contractor shall ensure personnel are replaced within 30 days if current employee leaves or is unable to accomplish duties as assigned.

5.2 If changes to the original work in this PWS arise during the performance of the contract, the contractor will notify the Contracting Officer Representative (COR). If determined to be within the scope of the contract the Contracting Officer will provide a 30 calendar day notice to the contractor with full description of the need and request a proposal. The contracting officer will negotiate a modification to the contract to provide this in-scope work effort. Travel to and from the primary worksite will not be reimbursed.

6. INSTALLATION:

6.1 Unscheduled Gate Closures: Gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

6.2 Installation Regulations: The contractor’s employees shall become familiar with and obey the regulations of the installation; including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance.

7. QUALITY MEASURES:

7.1 Quality Control (QC): The Contractor shall provide a preliminary Quality Control Plan (QCP) with their proposal. The QCP shall include a detailed discussion of the steps proposed to ensure quality, adherence to schedule, proactive communication and adherence to budget. The QCP shall include a description of corrective action steps to take should the Contractor performance be substandard. The contractor will provide accurate point of contacts (POC) to address questions related to the QCP. The QCP shall be submitted as part of the proposal.

7.2 Quality Assurance Surveillance Plan (QASP): The Government shall develop and utilize a quality assurance plan. This plan shall be primarily focused on what the Government must do to ensure the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) (defect rate(s)).

8. SPECIAL QUALIFICATIONS: The Contractor shall provide personnel to fill the role of a Medical Record Technician. Personnel assigned to this requirement shall possess the required technical skills and expertise to perform the functions with minimum guidance and supervision. The medical record technician role involves being able to work in a professional environment and understand the structure and dynamics of the National Guard. Technical skills for medical record technicians include PC proficiency in Microsoft Office systems, specifically Microsoft Outlook, Word, Excel, and PowerPoint. Must be competent with using the internet and able to learn new computer programs.

8.1 The medical record technician personnel will be experienced in all aspects and qualified in their respective functional areas/responsibilities. Contactor employees shall not perform inherently governmental functions (i.e., representation of government, decision authority, etc). The medical record technician personnel shall perform any of the following tasks in which they are assigned in the execution of medical and administration support:

8.1.1 Attend SRP events as determined by the needs of the state and individual units Telephoning/Emailing Soldiers and Physician/Dental offices to obtain information as directed by the Case Manager

8.1.2 Provide dedicated assistance in support of medical Case Management

8.1.3 Obtain completed Release of Information Form from Soldiers.

8.1.4 Generate official memorandums IAW AR 25-50

8.1.5 Responsible for tracking medical status of ALL assigned Soldiers and maintaining accurate reports of all cases.

8.1.6 Responsible for medical and administrative charting in eCase and MEDCHART.

8.1.7 Provide maintenance and accountability of Soldier Service Treatment Records in accordance with Army Regulation (AR) 40-66.

8.1.8 Scan and upload Medical/Dental documents into the Health Readiness Record (HRR) program.

8.1.9 Organize & File Medical/Dental documents into Soldiers’ hard copy Service Treatment Records.

8.1.10 Accurately index uploaded Medical/Dental documents.

8.1.11 Process all STR requests to include active, and retired/discharged Soldiers as well as Interstate Transfers in a timely manner

8.1.12 Assist in scrubbing MEDPROS data/spreadsheets before SRPs to assist in early identification of non-deployable Soldiers

8.1.13 Review Order Logs and process accordingly when Soldier’s status changes

8.1.14 Organize and process Discharged STRs in Record Holding Area to include scanning, indexing and filing.

8.1.15 Complete State Validation Rosters to verify accurate data processing of STRs

8.1.16 Maintain automated referrals indicated in MEDCHART.

8.1.17 Perform data entry into MEDCHART or other military medical databases of Soldier’s administration and medical statuses.

8.1.18 Submit case processing, medical documentation, and profile concerns to military/contacted provider.

8.1.19 Follow the regulations and policies applicable to Individual Medical Readiness (IMR) and deployment, to include the AR 40-501 and other applicable guidance.

8.1.20 Ensure all medical documentation received from the Soldier, Medical Readiness NCO or physician office is received and placed in HRR, as well as the Soldier’s STR.

8.1.21 Ensure Records Manager or delegate is provided with all relevant Medical/Dental documentation.

8.1.22 Adhere to Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards and guidelines.

8.1.23 Log in eCase and MEDCHART any contact with SM (email, voice call, or personal interview).

8.1.24 Communicate with Medical Readiness NCO regarding determined medical status of Soldier.

8.1.25 Report Medical Readiness to the Commander or his/her designated representative.

8.1.26 Provide a weekly report on number of referrals initiated, active cases and closed cases.

9. ADMINISTRATIVE:

9.1 Work Hours: Contract employees will work no more than 40 hours per week and are not authorized overtime. Contract employees will fill out weekly time sheets and provide to the Government indicated employee for verification and approval.

9.2 Invoicing and Payment: The Contractor must submit invoices monthly through WAWF for work completed each month at an hourly unit price. Invoices will show CLINS separately, to include any travel. Overtime is not authorized. The Contractor will submit copies of each invoice electronically to the COR.

9.3 Travel: Travel and cost reimbursement shall be in accordance with the Joint Travel Regulation. Contractor personnel will be required to travel up to 10 days a year where approved mileage, air travel, per diem, and/or lodging will be reimbursed through this contract on Travel CLIN. Contractor shall be required to comply with travel policies as outlined in the DoD Financial Management Regulation and the Joint Travel Regulation (JTR). Contractor will ensure transparency of any fees applied to travel coordination or processing.

9.3.1 The contractor will establish travel authorization forms and expense reports for the contract employees to use when attending any required events or training. These will be completed by the contract employee and sent to the COR for review and approval before forwarding to the contract POC to process.

9.4 Recognized Holidays: The following are recognized Federal holidays.

9.4.1 New Year’s Day: January 1st

9.4.2 Martin Luther King, Jr.’s Birthday

9.4.3 President’s Day

9.4.4 Memorial Day

9.4.5 Independence Day: July 4th

9.4.6 Labor Day

9.4.7 Columbus Day

9.4.8 Veteran’s Day: November 11th

9.4.9 Thanksgiving Day

9.4.10 Christmas Day

9.5 Release of Data: The Contractor is prohibited from releasing any medical, personnel, financial, or support data provided by the WIARNG to any government, non-government agency or individual. Contractor has no data rights.

10. SECURITY REQUIREMENTS: It is the responsibility of the contractor to ensure all employees complete the required background investigation documents before their start date. Refer to 10.5.1, Background Investigation Checklist/Requirements, for additional information.

10.1 AT Level 1 Awareness Training (AT): The contractor and contract employees shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Contracting Officer’s Representative (COR). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by DOD, HQDA and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

10.2 COMSEC/IT Security: All communications with DOD organizations are subject to communications security (COMSEC) review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DOD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DOD organizations. Therefore, the contractor is advised any time contractor place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DOD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

10.3 Government Information Systems & Networks: Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the AEI. Contract employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contract employees shall: Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation. Complete initial and/or annual DoD Cyber Awareness Challenge training (https://ia.signal.army.mil/dodiaa/default.asp). Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know. Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements. Practice safe network and Internet operating principles and take no actions threatening the integrity of the system or network.

10.4 Protection of Personally Identifiable Information (PII): The contract employee shall protect all Personally Identifiable Information (PII) encountered in the performance of services in accordance with DFARS 224.103 and DoDD 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contract employee’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals who’s PII has been compromised.

10.5 CAC Requirements: The Common Access Card (CAC) is the Department of Defense (DOD) Federal Personal Identity Verification (PIV) credential. In accordance with Directive Type Memorandum (DTM) 08-003, December 1, 2008, incorporating Change 5, October 8, 2013, Initial issuance of a CAC requires at a minimum, the completion of FBI fingerprint check with favorable results reflecting "No Record" and submission of a National Agency Check with Inquiries (NACI) to the Office of Personnel Management (OPM), or a DoD-determined equivalent investigation. The issuance of a CAC will be based on four criteria; (a) eligibility for a CAC; (b) verification of DoD affiliation from an authoritative data source; (c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-1, Personal Identity Verification (PIV) of Federal Employees and Contractors, March 2006, and DOD Regulation 5200.2-R, Department of Defense Personnel Security Program, January 1987, and (d) verification of a claimed identity. CAC eligible personnel will be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through the Trusted Associate Sponsorship System (TASS). The contractor shall make all reasonable efforts to ensure contract employees meet CAC eligibility standards upon assignment to the contract, failure to meet eligibility standards decreases efficiency in performance success of the contract.

10.5.1 Background Investigation Checklist/Requirements: All contract employees are required to have a current NACI or favorable review of a trustworthiness/suitability investigation completed. It is the responsibility of the contractor to ensure all new employees have the necessary documentation and information required to initiate the background investigation process. The Wisconsin Joint Staff – J2 Security Manager will thoroughly review all applications for investigations to ensure the investigation request is appropriate and the information submitted is accurate and correct.

10.5.2 Documents required prior to start date: It is the responsibility of the contractor to ensure employees have the following documents completed and brought with them on their first day of work or forwarded electronically to the COR.

10.5.2.1 Personnel Security Investigation and Adjudication Request (PSI&A) – Applicant Information section only. Contractor will forward electronic copy to allow the COR to complete the subsequent sections before submitting to the WIJS-J2 Security Manager.

10.5.2.2 Questionnaire for Non-Sensitive Positions (Standard Form 85) – The contractor will review form to ensure completeness and accuracy before forwarding to the COR. This form will assist in completing the Electronic Questionnaires for Investigators Processing (e-QIP).

10.5.2.3 Declaration for Federal Employement (Optional Form 306) - The contractor will review form to ensure completeness and accuracy before forwarding to the COR. This form will assist in completing the Electronic Questionnaires for Investigators Processing (e-QIP).

10.5.3 Documents required on start date: The contractor is required to ensure employees have the following documentation completed and/or with them on their first day of work.

10.5.3.1 Birth certificate or Naturalization paperwork.

10.5.3.2 Completed SF 85 – Forwarded by contractor to COR.

10.5.3.3 PSI&A Form – Applicant Information section only.

10.5.3.4 Fingerprints – COR will schedule appointment with the WIJS-J2 office.

10.5.3.5 Performance Work Statement, Contract Number, Contract Dates – Contractor must provide this information to their employees.

10.5.4 The contract employee must have the completed PSI&A Form and fingerprints completed prior to WIJS-J2 submitting a background investigation request through the Personnel Security Investigation Center of Excellence (PSI-CoE). The contract employee will receive an email notification that the Electronic Questionnaires for Investigation Processing (e-QIP) is open for the contract employee to log into and a second email including the security code authorizing them to log in.

The contract employee must complete the e-QIP within five (5) days using the SF 85 for assistance and uploading the OF-306. Failure to complete the e-QIP in the allotted time will result in a termination. Once the contract employee completes the e-QIP, the PSI-CoE will contact them via email if any corrections need to be made. Failure to make the necessary corrections will result in termination.

Upon completion of the e-QIP and submittal of all required documents to the WIJS-J2 Security Manager, they will send the information to the Office of Personnel Management (OPM) to conduct the background investigation. The contract employee shall ensure all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system are complied with immediately. The contractor is cautioned the entire process from the PSI-CoE request to OPM completion of the background investigation tends to take 4-12 weeks. It is crucial to ensure all documentation requirements are completed as accurately as possible to minimize any delays in the process.

10.5.6 Trusted Associate Sponsorship System (TASS): The Government will process all applications for Common Access Cards (CAC) for every contractor employee who deploys with the military force OR who needs to access any government computer network in accordance with FAR 52.204-9, "Personal Identity Verification of Contractor Personnel." CAC applications shall be processed through the TASS. The COR will submit requests for a CAC via email to the designated TASS Trusted Agent (TA) for processing. The TASS TA for this requirement will be the WIARNG TA. The government will establish a TASS application account for each CAC Request and will provide each contract employee a USER ID and Password. The contract employee shall access the TASS account and complete the CAC application (entering/editing contractor information as applicable) https://www.dmdc.osd.mil/tass/. The government will inform the contractor employee, via email, of one of the following:

10.5.7 The COR will maintain records of all approved and rejected applications. At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor by SSN and two forms of identification. Identity source Documents must come from the list of acceptable documents included in Form I-9, OMB No. 115-0136, "Employment Eligibility Verification." Consistent with applicable law, at least one document from the Form I-9 list shall be a valid (unexpired) State or Federal Government-issued picture identification (ID). The Identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of a CAC. The photo ID requirement cannot be waived, consistent with applicable statutory requirements. The Verification Officer will capture primary and alternate fingerprints, picture, and updates to DEERS and will then issue a CAC. Issued CACs shall be for a period of performance not longer than three (3) years or the individual's contract end date (inclusive of any options), whichever is earlier. The contract employee shall return issued CAC's to the COR/KO office upon departure or dismissal of each contractor employee.

11. TRAINING: The Government will initiate all required online training (eCase, MEDCHART, etc) to the contract employee during their first week of work. Any additional training will be identified on a per case basis to accomplish assigned duties.

11.1 Health Insurance Portability and Accountability Act (HIPAA) Training. All contract employees are required to complete HIPAA online training through Joint Knowledge Online (JKO) and provide the certificate to the COR on an annual basis.

11.2 Cyber Awareness Training. All contract employees are required to complete the DoD Cyber Awareness Challenge and exam through the Cyber Security Training Center and provide the certificate to the COR on an annual basis.

12. PHYSICAL SECURITY: The contract employee shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

12.1 Key Control: Contract employee will request access badge and necessary keys through the G1-Health System Services office.

12.2 Lock Combinations: Contract employee will request necessary lock/ lock combinations through the G1-Health System Services office.

12.3 Identification of Contractor Employees: Contractor employees will be required to wear badges at all times in the performance of this contract. All contractor personnel attending meetings, answering Government telephones are required to identify themselves as contract employees to avoid creating an impression they are Government employees. The contractor shall ensure all documents or reports produced by contractor personnel are suitably marked as contractor products or contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities/ Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed. The contractor shall retrieve all identification media (including vehicle passes) from their employees who depart employment for any reason. All identification media (i.e., badges and vehicles passes) shall be returned to the COR/KO within 14 calendar days of an employee’s departure.

13. OTHER CONSIDERATIONS:

13.1 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO. The KO, Contracting Officer’s Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor performance.

13.2 Contractor Point of Contact: The contactor shall provide a primary point of contact and alternate who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the individual is absent, shall be designated in writing to the COR/KO. The individual or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The individual shall work with the COR, (or the KO if a COR is not assigned), to resolve issues, receive technical instructions, and ensure adequate performance of services. The individual(s) shall ensure contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The individual(s) shall ensure contractor employees understand services performed outside the scope of the contract are not permitted.

13.3 Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions will be taken against employees for violations of this policy. Such actions may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment. The Contractor shall take appropriate action, up to and including termination, against employees or subcontractors violate the US Government policy as described at FAR 22.17.

13.4 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO and in the event the KO unilaterally determines any such OCI cannot be satisfactorily avoided or mitigated, the KO may affect other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

13.5 Safety & Occupational Health: The contractor and contract employees will comply with the organization’s Safety & Occupational Health guidelines and programs to include 29 CFR 1910 (Occupational Safety & Health Standards) and DoDI 6055.1 (Safety and Occupational Health (SOH) Program), Oct 2014.

14. STAFFING LEVELS: The intent of this requirement is to provide case management services for the Wisconsin Army National Guard in support of surge and contingency requirements as well as its steady-state mission. As such, the Government may consider increasing the Case Management requirements, to include increases in staffing numbers, (as mission dictates) to be within the scope of this contract. Any changes to the initial staffing will be negotiated and completed through a bi-lateral supplemental agreement. Nonetheless, the Contractor is required to provide Qty. 5 Medical Record Technicians.

15. TRANSITION: Contractor will have a 30 day transition period to be able to be ready to accomplish duties in contract.

16. GOVERNMENT FURNISHED PROPERTY, MATERIALS, AND EQUIPMENT (GFP/M/E):

16.1 Property: Contract employees are provided an office space to conduct their contract requirements. It is the responsibility of the employee to keep the area clean and organized.

16.2 Materials: Office supplies will be provided from normal stock control/supply offices.

16.3 Equipment: The contract employee will be provided, at a minimum, a laptop, monitors, and desk phone. Additional office equipment may be furnished depending on their assigned tasks. The contract employee will sign a hand receipt and be financially responsible for all assigned equipment if lost, stolen or negligently damaged. The contract employee is not authorized to drive any government/military vehicles but may accompany members from the HSS office in a government vehicle if available.

17. CONTRACTOR FURNISHED PROPERTY, MATERIALS, AND EQUIPMENT (CFP/M/E):

17.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 16, the contractor shall furnish everything required to perform these services as required by the contract.

18. SERVICES:

18.1 Utilities: Provided.

19. DEFINITIONS AND ACRONYMS:

19.1 CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

19.2 CONTRACTING OFFICER (KO). A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

19.3 CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government designated by the KO to monitor contractor performance. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as the direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

19.4 DEFECTIVE SERVICE. A service output which does not meet the standard of performance associated with the Performance Work Statement.

19.5 DELIVERABLE.A deliverable is anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

19.6 KEY PERSONNEL. Contractor personnel who may be required to be used in the performance of a contract as Key Personnel listed in the PWS.

19.7 PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

19.8 QUALITY ASSURANCE. The government procedures to verify services being performed by the Contractor are performed according to acceptable standards.

19.9 QUALITY ASSURANCE. SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

19.10 QUALITY CONTROL. All necessary measures taken by the Contractor to assure the quality of an end product or service meets contract requirements.

19.11 SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

19.12 WORK HOURS. The number of hours per day the Contractor provides services in accordance with the contract.

19.13 WORK WEEK. Primarily Monday through Friday, unless specified otherwise. Any variance must comply with 9.1 above.

20. ACRONYMS:

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 2014)

In compliance with the Service Contract Labor Standards statute and the regulations of the Secretary of Labor (29 CFR part 4), this clause identifies the classes of service employees expected to be employed under the contract and states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the provisions of 5 U.S.C. 5341 or 5332.

THIS STATEMENT IS FOR INFORMATION ONLY: IT IS NOT A WAGE DETERMINATION

Employee Class Monetary Wage-Fringe Benefits

WD No.: 2015-4897 Rev 1 Dated 2/6/2017

12312: Registered Nurse II: Wage $29.59/hr Fringe $4.27/hr 12190: Medical Record Technician: Wage $19.18/hr Fringe $4.27/hr

(End of clause)

(End of Summary of Changes) image1.wmf