Attachment_1_-_PWS_-__7-11-2019.docx

PERFORMANCE WORK STATEMENT (PWS)

FOR

Medical and Dental Readiness Services

1.0 General:

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform Medical and Dental Services, as defined in this PWS.

1.2 Background: Individual Medical Readiness (IMR) and Fully Medically Ready (FMR) are the basic principles of force-sustainment for Army National Guard (ARNG) forces. Medical and Dental health is vital for force health protection, and failure to achieve a standard of level of medical and dental health could preclude a Soldier from deploying. Medical and Dental Readiness is a command responsibility. The purpose of this PWS is to cover certain components of IMR, to include, but not be limited to: Medical Providers for PHA's, mobile facility audiometry exams, comprehensive audio evaluations, and SPRINT testing, MEDPROS entry of all applicable and appropriate IMR functions including completion of the electronic DoD-PHA in the MEDPROS online module during an event by providers trained in completing the DoD-PHA online. Dental: annual dental exams, digital bitewings radiographs, digital panoramic radiographs, DENCLASS data entry of all radiographs and dental records, identification and treatment of all Class 3 Soldiers who are able to be treated in a remote treatment setting and are not projected to require follow up dental treatment procedures.

1.3 Period of Performance (PoP): The Period of Performance shall be from 1 November 2019 through 31 March 2020 with one option year from 1 November 2020 through 31 March 2021.

1.4 General Information:

1.4.1 Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS)..

1.4.2 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that 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) or defect rate(s).

1.4.3 Recognized Holidays: The following are recognized United States (US) holidays. The contractor shall not perform services on these days:

1.4.3.1 New Year’s Day: January 1st

1.4.3.2 Martin Luther King, Jr.’s Birthday

1.4.3.3 President’s Day

1.4.3.4 Memorial Day

1.4.3.5 Independence Day: July 4th

1.4.3.6 Labor Day

1.4.3.7 Columbus Day

1.4.3.8 Veteran’s Day: November 11th

1.4.3.9 Thanksgiving Day

1.4.3.10 Christmas Day: December 25th

1.4.3.11 Place and Performance of Services: The contractor shall provide services to be determined based on event needs. Contractor shall be able to respond within a minimum of 3 days’ notice anywhere within the State of Maine. An exception to the previously stated is on recognized US holidays; or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. Performance shall be determined on each delivery order. Event operation hours shall be in three-hour blocks up to four consecutive blocks not to exceed four consecutive blocks per day, unless special arrangements are made. The hours of operation occur between the hours of 0700-1800 on PHA weekends specified in the contract performance. Specific services are required at various location throughout Maine (See Event Schedule) Technical Exhibit 3 (Estimated Workload Data) The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/ installation is not closed for the above reasons. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential.

1.4.4.1 Performance Period: The Performance period is specific to each event location (Technical Exhibit 3 (Estimated Workload Data)

1.4.4.1.1 Telework: Reserved

1.4.4.2 Unscheduled 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.

1.4.4.3 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, and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance. The Government reserves the right to direct the removal of an employee for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.5 Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees shall 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 Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.1 For contractors requiring Common Access Card (CAC): The CAC is the DoD Federal Personal Identity Verification (PIV) credential. CAC issuance requirements are as follows:

In accordance with Department of Defense Manual (DoDM) 1000.13-M-V1, DoD Identification (ID) Cards, January 23, 2014, initial issuance of a CAC requires, at a minimum, the completion of an Federal Bureau of Investigation (FBI) fingerprint check with favorable results and submission of a National Agency Check with Inquiries (NACI) (or investigation approved in Federal Investigative Standards) to the Under Secretary of Defense for Intelligence (USD(I)) approved investigative service provider. 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 201-2, Personal Identity Verification (PIV) of Federal Employees and Contractors, August 2013, and DoD Manual 5200.02, Procedures for the DoD Personnel Security Program (PSP), April 3, 2017, and (d) verification of a claimed identity. Sponsorship and enrollment information about each applicant must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either the Real-Time Automated Personnel ID System (RAPIDS) using the DD Form 1172-2, or the Trusted Associate Sponsorship System (TASS).

1.4.5.1.1 HSPD-12 Background Investigation Requirements: The contractor shall ensure that all contractor and subcontractor personnel whose duties require CAC card issuance obtain them, and shall process all CAC card applications. The contractor shall ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form at Attachment, at the earliest possible date and that this form is forwarded to the COR immediately. The COR will review the form for completeness and accuracy and forward it to the National Guard Bureau (NGB) Personnel Security manager who will initiate the investigation process via the PSIP. Contractor personnel will then receive two e-mail messages; the first will confirm that the investigative service provider has received the request, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system. Upon completion of the e- QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the background investigation (BI) will be initiated. The contractor shall ensure immediate compliance with all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system. The contractor is cautioned that the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from two to six weeks and shall factor this lead time into its hiring/placement process. The contractor shall make all reasonable efforts to ensure that contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

1.4.5.1.2 Trusted Associate Sponsorship System (TASS): The contractor shall process CAC applications through the TASS, the procedures for which are described below. Although there is no requirement for the contractor to designate a “Corporate Facility Security Officer" (FSO) to serve as its single point of contact for the BI, the TASS application process and other CAC and security-related matters, such designation facilitates these processes. If an FSO is not established, all contractor employees requiring a CAC will be required to process their own applications. The submission process for CAC applications is as follows:

1. The contractor's FSO or contractor employee shall submit requests for a CAC via email to the designated TASS Trusted Agent (TA). The TASS TA for this requirement will be appointed at the time of award.

2. The Government will establish a TASS application account for each CAC Request and will provide each contractor employee a USER ID and password, via email, to the FSO. The FSO or contractor employee shall access the TASS account and complete the CAC application (entering/editing contractor information as applicable) at: https://www.dmdc.osd.mil/tass/. The FSO or contractor employee shall follow up to ensure that the TA is processing the request.

3. The Government will inform the contractor's applicant, via email, of one of the following:

a. Approval.* Upon approval, the information is transferred to the DEERS database and an email notification is sent to the contractor with instructions on obtaining their CAC. The contractor proceeds to a RAPIDS station (RAPIDS Site Locator: http://www.dmdc.osd.mil/rsl/).

b. Rejection.* The Government, in separate correspondence, will provide reason(s) for rejection.

c. Return. Additional information or correction to the application required by the contractor employee.

*The contractor shall maintain records of all approved and rejected applications.

1.4.5.1.3 At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor employee 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. 1615- 0047, "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 ID. The Identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of an ID. 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 will be valid for no longer than three years, or until the individual's contract end date (inclusive of any options), whichever is earlier.

1.4.5.1.4 The contractor shall return issued CACs to the DEERS office upon departure or dismissal of each contractor employee, and shall obtain a receipt for each card and provide it to the TA/COR.

1.4.5.1.5 The contractor shall manage requests for new or renewal CAC cards in sufficient time to ensure that all contractor employees have them when needed to perform work under this contract. The contractor shall provide at least 10 calendar days advance notice to the TA, unless there are extenuating circumstances approved by the COR or KO.

1.4.5.1.6 The contractor shall obtain an Army Knowledge Online (AKO) email address for each applicant, including subcontractors, who may be deployed or require logical access to a government computer network. This can be done by going to: http://www.us.army.mil and registering as an "Army Guest," with the sponsor being the COR or a COR- designated individual if the COR is ineligible to Serve as an AKO Sponsor. Note: If employees of a contractor lose the privilege to access AKO, they lose the ability to renew their CAC. Therefore, it is critical that contractor employees maintain their AKO accounts.

1.4.5.2 For contractors that do not require a CAC, but require access to a DoD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), and applicable installation, facility and area commander installation/facility access, and local security policies and procedures (provided by a government representative).

1.4.5.3 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to 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 that any time contractor personnel 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.

1.4.5.4 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 Army Enterprise Infrastructure (AEI). Contractor 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. Contractor employees shall:

1.4.5.4.1 Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

1.4.5.4.2 Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://informationassurance.us.army.mil).

1.4.5.4.3 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.

1.4.5.4.4 Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

1.4.5.4.5 Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.5.5 Protection of Personally Identifiable Information (PII). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’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 whose PII has been compromised.

1.4.5.6 AT Level 1 Awareness Training (AT): All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete Level 1 AT within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training. Level 1 AT is available at http://jko.jten.mil/courses/atl1/launch.html.

1.4.5.7 Information Assurance (IA)/Information Technology (IT) Training: All contractor employees and associated subcontractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually thereafter. All contractor employees performing services involving IA/IT functions shall comply with DoD and Army workforce training requirements in DoDD 8140.01, DoD 8570.01-M and AR 25-2 within six months of the start of contract performance. In accordance with DoD 8570.01-M, DFARS 252.239.7001 and AR 25-2, contractor employees performing Information Assurance Technical (IAT) functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award.

1.4.5.8 Information Awareness: All contractor employees with access to a government information system shall be registered in the Army Training Certification Tracking System (ATCTS) (https://atc.us.army.mil/iastar/index.php) at commencement of services, and shall successfully complete the DoD Information Assurance awareness training prior to access to the IS and then annually thereafter. (https://ia.signal.army.mil/DoDIAA/).

1.4.5.9 iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program. This local developed training shall be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor shall report completion for each contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training.

1.4.5.10 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training. Level 1 OPSEC training is available at http://cdsetrain.dtic.mil/opsec/.

1.4.5.11 OPSEC SOP/Plan. The contractor shall develop an OPSEC Standard Operating Procedure (SOP)/Plan and provide it to the COR within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP/Plan shall include a process to identify the government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. The contractor shall implement OPSEC measures as required by the Government. In addition, the contractor shall identify an individual who will be an OPSEC Coordinator. The contractor shall ensure this individual becomes OPSEC Level II certified within 90 days of appointment as OPSEC coordinator in accordance with AR 530-1. Contractor shall provide a copy of the certification to the COR NLT 15 days after completion.

1.4.5.12 Classified Information: Reserved

1.4.5.13 Threat Awareness and Reporting Program (TARP). Reserved

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.6.1 Key Control: Reserved

1.4.6.2 Lock Combinations: Reserved

1.4.7 Special Qualifications: Contractors must ensure that any personnel performing under a contract are fully trained, licensed, certified and qualified to provide services.

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR Subpart 42.5. The KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that 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.

1.4.11. 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 that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Contractor Travel: Reserved

1.4.13 Data Rights: The Government has unlimited rights to all documents/materials produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.4.14 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 that 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. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose 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.

1.4.15 Phase In / Phase Out Periods: Reserved

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 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.

2.1.2 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.

2.1.3 Contracting Officer Representative (COR): An employee of the U.S. Government designated by the KO to monitor contractor performance. Such appointment will be in writing and will state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that 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.

2.1.4 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.5 Deliverable: Anything that can be physically delivered and includes non- manufactured things such as meeting minutes or reports.

2.1.6 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.7 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.8 Quality Assurance: The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.10 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service shall meet contract requirements.

2.1.11 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.2 Acronyms:

ADA Army Dental Association ADDR Army Duty Dental Repository

AT/OPSEC Antiterrorism/Operational Security

COMSEC Communications Security

MEDCHART Medical Electronic Data for Care History and Readiness Tracking

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: The MEARNG shall provide the adequate work space required for the requested activity to include tables and chairs (except for Bangor sites) and 110v household outlets. No Armory, Troop Medical Center (TMC) or office space shall be utilized unless approved by the Government. A Government representative will be designated to provide the contractor access and to secure the facility at the conclusion of each day

3.2 Materials: Contractor shall provide mobile facilities and equipment to support required service (i.e. hearing booth, dental equipment for treatment, ect.)

3.3 Equipment: The Government will not provide equipment unless .mil domain access is required. When .mil domain access is required the government will provide computers to designated contracted personnel after the MEARNG network access requirements are complete 14 days or 10 working days prior to the first date the .mil domain needs to be accessed. The Government shall provide computer kiosks for use by Soldiers to complete DoD PHA screening through MODS. If MODS ceases to be on a .mil domain the Government will advise the contractor of the need to provide computer kiosks with CAC readers and any necessary adjustments will be made through a supplementary agreement under the contract.

3.4 Services: The Government will provide a pre-event point of contact to coordinate services, an on-site POC to coordinate entry to the facility and assist with providing access to government, provided tables, chairs, spaces to be used when applicable, and .mil domain access (when applicable).

3.5 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: The Contractor shall furnish medical and dental services materials and supplies necessary to meet requirements under this PWS.

4.2 Equipment.The Contractor shall furnish medical and dental equipment to provide the services to meet the requirements under this PWS. Contractor will also provide computer kiosks with CAC card readers and internet access for Soldiers to complete DoD-PHA screening through MODS if MODS ceases to on a .mil domain. The Government will advise the contractor of this change and make any necessary changes through a supplemental agreement under the contract. The Contractor shall identify the number of computers needed to provide deliverables if MODS is on a .mil domain. Government information system network access procedures not outlined in this PWS, will be provide upon award. The contractor shall supply their own computer access for military medical database input to all applicable databases, not on a .mil domain.

4.3 Contractors shall provide all necessary mobile/portable events space (see event schedule). Medical & Dental mobile/portable facilities shall meet all OSHA, HIPAA and Privacy Act standards to ensure a safe and productive workspace for services under the Individual Readiness Requirements. Mobile and or portable exam/treatment areas must ensure that privacy is observed for all medical/dental exam rooms. There shall be a designated biohazard work area, hearing booth(s) with ISO-Booth for SPRINT testing, all emergency medical resources consistent with OSHA and a large reception area with full office capabilities. X-Ray-Radiograph Rooms shall be compliant with all radiation safety standards.

4.4 The Mobile/Portable Medical/Dental areas shall have full treatment functionality consistent with traditional, fixed-site, private practice dental/medical offices. This includes professional quality dental chairs, compressor systems, vacuum systems, and treatment instruments for fillings, extractions, root canals, and other authorized dental treatment. Mobile/portable Medical/Dental Facilities shall be fully functional offices whereby no additional space will be given inside military buildings during events as these events may be in remote areas.

4.5 The Contractor must supply at a minimum of 50 chairs and 10 tables 8’ foot in length for both of the Bangor PHA sites. Tables and chairs are not always available at these sites.

4.6 Contractor must have the capability to conduct real-time, point of service E-PHA, HRR, DENCLASS and MEDPROS data upload on location. Data entry shall not to exceed 5 calendar days after event. The contractor shall provide their own mobile internet access for all service events. At the Brunswick, Maine, location, a satellite access will be required in order to accomplish real-time, point of service data input due to lack of quality internet access.

4.7 The Contractor must have Common Access Card (CAC) enabled Event Managers and support staff. Contractor must be able to do Post-Operatory Panoramic. X-rays upon completion of treatment whereby the forensics image will change materially. Also, Contractor must be able to upload images to the Active Duty Dental Repository (ADDRs) system for DENCOM requirements of deployability. All Personally Identifiable Information (PII) will be safeguarded, see DoD Directives 5400.11 and 5400.11-R.

5.0 Requirements: The contractor shall:

5.1 Describes each service in detail. Services required per event location will be indicated on Technical Exhibit 3 per event.

5.1.1 The contractor shall conduct and complete the requirements of a periodic Health assessment requested in this PWS to maximize Medical Readiness on all eligible (mobilizing or not) MEARNG Service Members (SMs). Medical services shall be performed by licensed professionals. Contractor shall be held liable and is responsible to ensure and verify the appropriate level of Credentialing / Privileging (Licensure, Diploma, background checks, Common Access Card privileges etc.) for all contract providers in support of any service event.

5.1.2 Physical Exams: All professionals shall be licensed and adhere to all requirements of OSHA, State & Federal Regulations is mandatory. We occasionally will require licensed providers such as Nurse practitioners, Physician assistants, and Doctors to perform the provider portion of the PHA’s.

5.1.3 Contractor shall have access to a local pharmacy where prescriptions will be filled in real time and there will be at least one dentist who is legally able to write prescriptions in Maine that can be filled by this pharmacy and paid for by Contractor. Contractor shall provide designated prescription runners on location that will pick up prescriptions and deliver them to the soldier at the PHA site. All prescribed medications will be approved by the State Dental Officer before pick-up. Contractor shall have a control system in place on location for soldier to sign for prescription once delivered to him/her. Contractor shall be responsible for all pharmaceutical costs up to $1,000 per event. For purposes of this paragraph, each performance location for each month (i.e. each Contractor mobilization per site) shall be considered an event.

5.1.4 Hearing: (DOEHRS Compatible Audiometer Testing) The contractor shall provide base line and annual audiology in accordance AR 40-501 with a portable hearing test facilities with DOEHRS-compatible Benson CCA 200M systems in ANSI certified hearing booths. Government representatives shall be afforded the opportunity to verify that sound levels meet the ANSI certification standards at the location. All data shall be uploaded into the DOEHRS data base and the DD 2215 or DD 2216 shall be scanned and indexed in HRR. The MEARNG will provide a DOEHRS certified testers to perform actual testing and upload into DOEHRS live. The MEARNG has trained DOEHRS certified Technicians, all of the audiology evaluations and Speech Recognition in Noise Test (SPRINT) testing will be performed IAW all applicable Federal, DoD, MEDCOM, NGB, and State guidelines. Iso-booths to be CAOCH certified. Audiologist / SPRINT testing for all applicable Soldiers.

Audiology H2/H3/H4 and SPRINT testing on location in real time when requested.

5.2 Dental Examinations

5.2.1 X-rays; Digital Bitewings, Digital Panoramic Radiographs: The contractor shall perform required dental examinations to include digital bitewings and digital panoramic radiographs if clinically indicated in support of the annual dental screenings IAW AR 40-501. The contractor shall have experience in and capability to upload all exam and digital radiographs into the DENCLASS system. The contractor shall ensure all Soldiers have a current digital Panoramic Radiograph on file in DENCLASS and if missing, the contractor shall perform new radiographs. Adherence to all OSHA requirements, State and Federal Regulations are mandatory. Film or 'digitized' radiographs are not acceptable.

5.2.2 Dental Diagnostic Services:

5.2.2.1 DOl20-Periodic Oral Evaluation

5.2.2.2 DOl50-Comprehensive Oral Evaluation

5.2.2.3 D0330-Panorarnic Film

5.2.2.4 D0272-Bitewings-Two Films

5.2.2.5 D0274-Bitewings-Four Films

5.2.2.6 D02201D0230- Periapical (limited)

5.2.3 Exam/periodic oral evaluation. A periodic oral evaluation shall assess the current state of oral health and risk for future dental disease, as well as assessing general health factors that relate to the treatment of the patient. The following measures are required for each periodic oral evaluation:

5.2.4 Caries risk assessment - Classify Soldiers as low, moderate or high risk for caries as outlined by the American Dental Association's 1995 Special Supplement. This assessment will allow the ADCS to identify those at high risk for future disease and appropriately manage their care.

5.2.5 Periodontal assessment - Periodontal Screening and Recording (PSR), a screening procedure endorsed by the American Dental Association and the American Academy of Periodontology, should be utilized to determine the need for periodontal treatment.

5.2.6 Tobacco risk assessment - Classify Soldiers as a smoker, user of smokeless tobacco or as both.

5.2.7 Oral cancer screening - Perform a thorough oral cancer screening on all SMs as part of all annual examinations.

5.2.8 Each exam shall be entered into the DENCLASS reporting system and annotated on the SF 603 (Health Record - Dental) and the DA 5570 (Health Questionnaire for Dental Treatment) of the Soldier's dental records.

5.2.9 Setup of contractor's dental equipment is to be completed by the day prior to event commencement. Setup of contractor's dental equipment is the sole responsibility of the contractor. Breakdown of the contractor's dental equipment is the sole responsibility of the contractor.

5.2.10 As required and when requested, provide feedback and work progress/ status of number of Dental examinations completed to the Office of the State Army Surgeon's POC (or designated representative) as to timelines or factors that may negatively impact processing 8 Soldier exams per hour per dentist.

5.2.11 Provide completion status to Office of the State Army Surgeon's POC (or designated representative) as to time requirements to complete jobs to insure timely processing.

5.2.12 Contractor must notify the Office of the State Army Surgeon's POC (or designated representative) at the end of the event.

5.2.13 Contractor shall be licensed on any services rendered and equipment operated during events.

5.3 Dental Treatment:

5.3.1 Based on National Guard Bureau's national statistics, it is estimated that as a result of dental exams, 30% of the alerted & eligible Soldiers will be classified as Classification 3, Non- Deployable without Dental Treatment. This means that an estimated 30% of the population of Soldiers will require dental treatment to be raised to a Class 2 Status, or deployable status, before their mobilization. The Contractor shall provide approved dental treatment only within an OSHA & ADA-Compliant Mobile Dental Practice at armories and training sites throughout the State when treatment plan is uploaded and approved in DENCLASS. After each dental examination is complete, the contractor shall make a decision based on the authorized dental treatment procedures listed below and convert as many Soldiers with a Dental Readiness Classification DRC 3 to DRC 2 or DRC 1 in the event times outlined in Exhibit 3. Contractor will attempt to convert as many DRC 3s during the event. A MEARNG dental officer shall be available to approve Class 3 treatment plans prior to the contractor providing treatment. The contractor shall ensure all dental exams and treatment plans are available in DENCLASS at the end of each day to allow for the MEARNG dental officer assigned to the event to conduct appropriate action in DENCLASS by the end of the event.

5.3.2 Authorized dental procedures: Contractor will identify which of the following procedures will not be available for on-site treatment.

5.3.3 Restorative Services:

D2l40-Amalgam-One Surface D2150-Amalgam-Two Surfaces D2160-Amalgam-Three Surfaces D216I-Amalgam-Four or More Surfaces D2330-Composite-One Surface D2331-Composite-Two Surfaces D2332-Composite-Three Surfaces

5.3.4 Posterior composites:

D2335-Composite-Four or More Surfaces D2391-Composite-One Surface D2392-Composite-Two Surfaces D2393-Composite-Three Surfaces D2394-Composite-Four or More Surfaces D2950-Core Buildup, including any pins D2954-Prefabricated Post and Core

5.3.5 Endodontic Services:

D331O-Anterior Root Canal Therapy D3320-Bicuspid Root Canal Therapy

5.3.6 Periodontal Services: Periodontal scaling and root planning is authorized only when a periodontal abscess is present)

D4355-Full Mouth Debridement

5.3.7 Oral Surgery Services:

D7140-Extraction, Erupted Tooth or Exposed Root D72IO-Surgical Removal of Erupted Tooth D7220-Romoval of Impacted Tooth, Soft Tissue D7230-Removal of Impacted Tooth, Partial Bony D7240-Removal of Impacted Tooth, Completely Bony

5.3.8 Orthodontic Services:

D8680-0rthodontic Retention

5.3.9 The above listings are guides to assist the State Dental Officer or his/her designee in determining treatment to be authorized. The treatment provided by the contractor shall covert Soldier from a dental class 3 to a dental class 2 only, Comprehensive Treatment (to DENCLASS I) is not authorized.

5.3.10 The State Dental Officer (or designated representative) will review all dental treatment plan for dental care to insure that the above clinical guidelines are met. Exceptions can be made, but they must be coordinated with the State Surgeon.

5.4 Prescription Medication Services:

5.4.1 Contractor shall set up network and accounts with local pharmacies near event location.

5.4.2 When clinically indicated after Soldiers dental treatment & recommended by licensed dentist, Contractor shall arrange for fulfillment of prescription medication.

5.4.3 Government, Soldier, and/or Contractor shall provide transportation of Soldier to local pharmacy to fill prescription. The plan for picking up prescriptions shall be coordination prior to a prescription need being identified.

5.4.4 Contractor shall be invoiced by and submit payment to subcontracted local pharmacy utilized.

5.4.5 Local Pharmacy & Contractor shall explain prescription medication instructions to ARNG treated Soldier and any other POC at the direction of the Office of the State Army Surgeon. Follow-up conversations between Contractor and ARNG treated Soldier and Supervisor may be necessary depending on complexity of treatment and prescription medication.

5.4.6 All contractor expenses related to prescription medication services & case management related services shall be forecasted in the overall amount for dental treatment and the contractors cost should be based on the overall treatment hours listed on Exhibit 3 (Estimated Workload Data).

5.4.7 Prescriptions required for dental treatment shall be recorded in SMs treatment record.

5.4.8 Behavioral Health Screening: The contractor shall conduct on-site screenings of behavioral health questions and scores within the EPHA. A list of all Soldiers needing further follow up and the reason for follow up needs to be reported to the MEARNG’s case manager at the end of the event. All professionals shall be licensed and adhere to all requirements of OSHA, State & Federal Regulations is mandatory

5.4.9 Records Review: The contractor shall conduct records review and evaluation prior to the event using the roster that shall be supplied by MEARNG MEDDET. The contractor shall create a detailed list of needed services for the soldiers. MEDDET shall make the roster available 30 days prior to the event. The contractor shall provide MEDDET the completed detail roster no later than 15 days prior to the event. The contractor shall be prepared for roster substitutions and/or changes up to, and including the day of the event.

5.5 Event Manager: The contractor shall provide an onsite event manager to manage the contracted portions of the event and contractor personnel. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The event manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The manager or designee shall coordinate with the site OIC/NCOIC of the event; any and all issues with contracted personnel, event flow or technical issues shall be brought to the manager for resolution.

5.5.1 All care givers (data entry/admin technicians, Physicians, Dentists, phlebotomists, Nurses, etc) at each and every location for this contract must be direct employees of the prime contractor.

5.6. Documentation: The Contractor shall ensure that all appropriate DA or DD forms (in accordance with references) are utilized for each service supplied. The Contractor shall provide all documents concerning medical treatment to the MEARNG Deputy State Surgeon/COR. All forms generated at the event shall be scanned and indexed in HRR.

5.7. Reporting: The contractor shall provide a final…