W912JV-17-R-2003.pdf

SEE ADDENDUM

(No Collect Calls)

W912JV-17-R-2003 31-May-2017

b. TELEPHONE NUMBER

503-584-3787

8. OFFER DUE DATE/LOCAL TIME

03:00 PM 30 Jun 2017

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W912JV9. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

ANDREA SMOTHERS

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

0011002325

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

USPFO FOR OREGON - CONTRACTING OFFICE

ATTN: USPFO-P

PO BOX 14350

1776 MILITIA WAY

SALEM OR 97309-5047

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE W90KNA 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

MED CMD

MAJ JOEL HAWLEY

15300 SE MINUTEMAN WAY

CLACKAMAS OR 97015-9150

TEL: 503-584-2285 FAX:

503-584-3771FAX:

TEL: 503-584-3929

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

X 8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$27,500,000

NAICS:

561330

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF81

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W912JV-17-R-2003

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Job Base Year Case Manager - Salem, Oregon

FFP

1. Provide one (1) Case Manager in Salem, Oregon for Non-Clinical Case Management Services per the Performance Work Statement in Section C.

FOB: Destination

PURCHASE REQUEST NUMBER: 0011002325

NET AMT

0002 1 Job Base Year Case Manager - Ashland, Oregon

FFP

1. Provide one (1) Case Manager in Ashland, Oregon for Non-Clinical Case Management Services per the Performance Work Statement in Section C.

0003 1 Job Base Year Care Coordinators

FFP

1. Provide six (6) Care Coordinators for Non-Clinical Case Management Services per the Performance Work Statement in Section C.

0004 1 Job Base Year Travel

FFP

1. Travel expenses per the Performance Work Statement in Section C.

0005 1 Job Base Year CMRA

FFP

1. Contractor Manpower Reporting Requirement for Non-Clinical Case Management Services per the Performance Work Statement in Section C.

1001 1 Job OPTION Option Year 1 Case Manager - Salem, OR

FFP

1. Provide one (1) Case Manager in Salem, Oregon for Non-Clinical Case

1002 1 Job OPTION Option Year 1 Case Manager - Ashland, OR

FFP

1. Provide one (1) Case Manager in Ashland, Oregon for Non-Clinical Case

1003 1 Job OPTION Option Year 1 Care Coordinators

FFP

1. Provide six (6) Care Coordinators for Non-Clinical Case Management Services per the Performance Work Statement in Section C.

1004 1 Job OPTION Option Year 1 Travel

FFP

1005 1 Job OPTION Option Year 1 CMRA

FFP

1. Contractor Manpower Reporting Requirement for Non-Clinical Case

2001 1 Job OPTION Option Year 2 Case Manager - Salem, OR

FFP

1. Provide one (1) Case Manager in Salem, Oregon for Non-Clinical Case

2002 1 Job OPTION Option Year 2 Case Manager - Ashland, OR

FFP

1. Provide one (1) Case Manager in Ashland, Oregon for Non-Clinical Case

2003 1 Job OPTION Option Year 2 Care Coordinators

FFP

1. Provide six (6) Care Coordinators for Non-Clinical Case Management Services

2004 1 Job OPTION Option Year 2 Travel

FFP

2005 1 Job OPTION Option Year 2 CMRA

FFP

1. Contractor Manpower Reporting Requirement for Non-Clinical Case

3001 1 Job OPTION Option Year 3 Case Manager - Salem, OR

FFP

1. Provide one (1) Case Manager in Salem, Oregon for Non-Clinical Case

3002 1 Job OPTION Option Year 3 Case Manager - Ashland, OR

FFP

1. Provide one (1) Case Manager in Ashland, Oregon for Non-Clinical Case

3003 1 Job OPTION Option Year 3 Care Coordinators

FFP

1. Provide six (6) Care Coordinators for Non-Clinical Case Management Services

3004 1 Job OPTION Option Year 3 Year Travel

FFP

3005 1 Job OPTION Option Year 3 CMRA

FFP

1. Contractor Manpower Reporting Requirement for Non-Clinical Case

4001 1 Job OPTION Option Year 4 Case Manager - Salem, OR

FFP

1. Provide one (1) Case Manager in Salem, Oregon for Non-Clinical Case

4002 1 Job OPTION Option Year 4 Case Manager - Ashland, OR

FFP

1. Provide one (1) Case Manager in Ashland, Oregon for Non-Clinical Case

4003 1 Job OPTION Option Year 4 Care Coordinators

FFP

1. Provide six (6) Care Coordinators for Non-Clinical Case Management Services

4004 1 Job OPTION Option Year 4 Travel

FFP

4005 1 Job OPTION Option Year 4 CMRA

FFP

1. Contractor Manpower Reporting Requirement for Non-Clinical Case

Section C - Descriptions and Specifications

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

for

Non-Clinical Case Management Services

1. Purpose: The purpose of this requirement is to provide Medical and Dental Non-clinical Case Management, administrative medical coordinators to provide staffing in support of Individual Medical Readiness (IMR). This requirement is designed to be flexible, responsive, and meets the ever-evolving needs of the government. DoDI

6025.19 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 ultimate goals are to produce real-time reports based on complete, accurate data. The minimum goal for overall medical readiness is more than 85% of Service members FMR, with the ideal goal being 100%. The Oregon Army National Guard (ORARNG) Surgeon’s Office requires a highly responsive process whereby the government can quickly obtain needed support and services. This Performance Work Statement (PWS) reflects existing National Guard Bureau policies and regulations.

2. Scope: This PWS reflects existing National Guard Bureau policies and regulations. ORARNG Surgeon’s Office requires both case manager and administrative medical care coordinator support services. The Contractor shall furnish all labor and services required to provide a wide range of medical and dental non-clinical case management support services, including Periodic Health Assessment (PHA) support, Soldier Readiness Processing (SRP) support, Soldier Readiness Certification (SRC) support, non-clinical case management of Soldiers found to be in need of advanced medical screening, Line of Duty (LOD) non-clinical case management and/or referral to a MOS/Medical Retention Board (MMRB), Medical Evaluation Board (MEB) or Physical Evaluation Board (PEB) and psychological Soldier health coordination.

3. Background: The Department of Defense (DoD) TRICARE Management Activity (TMA) values all staff involved in the delivery of high-quality care to service members. In 2009, a Medical Management Guide was issued by the Office of the Assistant Secretary of Defense for Health Affairs (ASD [HA]) and 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). It complements the 2001 DoD Population Health Improvement Plan and Guide published by TMA and the Government Printing Office http://www.tricare.mil/ocmo/download/mhs_phi_guide.pdf.

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. However, a number of developments have served to change that strategy; notably:

- The emergence of the National Committee for Quality Assurance (NCQA): http://www.ncqa.orgorg/.

- The development of accreditation standards by the Utilization Review Accreditation Commission (URAC):

http://www.urac.org.

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:

- Improve the care, management, and transition of recovering Service members.

- Broaden the application of CM to include those with complex and at-risk needs before the Soldier requires complex care.

- Evaluate the impact of case management on the quality of military health care.

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 as a time and materials contract, not Firm Fixed Price (FFP) and Performance Statement of Work-based. The current contract was originally awarded August 2009 to Skyline Ultd (with 49% subcontract to Sterling Medical).

At the end of FY09, case managers in 31 states were using the medical non-deployable module to manage their caseloads. 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.

4. References:

a. US Code Title 10, Armed Forces, 1094, Licensure Requirements for Healthcare Professionals

b. AR 40-68 Clinical Quality Management

c. DTM 08-033 Interim Guidance for Clinical Case Management for the Wounded, Ill, and Injured Service Member in the Military Health System

d. CMSA Standards of Practice, version 2010

e. OTSG/MEDCOM Policy Memo 12-002 Clinical Social Work Licensure Policy

5. Requirement: The intent of this requirement is to provide case management services for the Army National Guard in support of surge and contingency requirements as well as its steady-state mission. Any changes to the initial staffing will be completed through a bilateral supplemental agreement.

6. Period of Performance: The period of performance shall be 21 September 2017 to 20 September 2018 with four (4) one year option periods

7. Hours of Operation: The contractor is responsible for conducting business 8 hours per day, Monday through Friday, between the hours of 7:00 a.m. to 5:00 p.m. with the exception of scheduled weekends. This does not include Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The above notwithstanding, standard core hours for all contractor personnel shall conform to the customer agency normal working hours and days. Variation will be required in order to accomplish assigned tasks. Overtime, however, is not authorized. The contractor will adjust the 40 hour work week schedule to accommodate work required on weekend days. The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

8. Place and Performance of Services: The Contractor shall provide support services at four locations within the Oregon based on the requirements of the ORARNG Office of the State Surgeon. These locations are as follows:

Salem, Oregon and Ashland, Oregon. Additionally, the staffing levels and locations may change to remain responsive to the ORARNG’s evolving case-management requirements. Contract employees may be required to travel to execute any missions to support the ORARNG consistent with all services described within the PWS as shown below. Specifically, in the event of a mobilization, the Contractor shall ensure adequate support staff are available for travel to locations to best support these activities (i.e. work at armories and mobilization / demobilization platforms) as directed by the Contracting Officer. Any Contractor support required at locations other than the established locations above shall be approved by the Contracting Officer in advance. If changes to the requirements described in this PWS arise during the performance of the contract, the Contractor will notify the Contracting Officer’s Representative (COR) and the Contracting Officer. If determined to be within the scope of the contract the Contracting Officer will provide 30 calendar day notice to the Contractor with full description of the requirement 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.

a. Unscheduled gate closures may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. 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.

b. 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.

9. Contractor Travel: Contract employees will be required to travel to execute missions to support and augment the ARNG consistent with all services described within the PWS. The Contractor shall ensure adequate non-clinical case management support is available for travel to locations to best support these activities (i.e. work at armories) as directed by the Contracting Officer. Travel expenses will consistent with the substantive provisions of the Joint Travel Regulation (JTR) and the limitation of funds specified the contract. All travel will require a COR recommendation for approval and authorization by the Contracting Officer prior to travel arrangements being made.

The COR will provide 30 calendar day notice to the contractor with a full description of the need. The annual travel required will be as follows:

Bend, Oregon Days: Friday, Saturday, Sunday, Monday (travel on Friday and Monday) 2 Trips Per Year (dates to be coordinated at least 30 days in advance) 2 Care Coordinators Required

Medford, Oregon Days: Friday, Saturday, Sunday, Monday (travel on Friday and Monday) 2 Trips Per Year (dates to be coordinated at least 30 days in advance) 2 Care Coordinators Required

Eugene, Oregon Days: Friday, Saturday, Sunday (travel on Friday and Sunday) 3 Trips Per Year (dates to be coordinated at least 30 days in advance) 2 Care Coordinators Required

LaGrande, Oregon Days: Friday, Saturday, Sunday, Monday (travel on Friday and Monday) 1 Trips Per Year (dates to be coordinated at least 30 days in advance) 2 Care Coordinators Required

Clackamas, Oregon Days: Saturday, Sunday (travel on Saturday and Sunday) 2 Trips Per Year (dates to be coordinated at least 30 days in advance) 2 Care Coordinators Required

10. Recognized Federal Holidays: Unless otherwise specified, the Contractor shall observe the ten (10) Federal holidays specified by the Department of Defense. The following are recognized US holidays:

• New Year’s Day: January 1st

• Martin Luther King, Jr.’s Birthday

• President’s Day

• Memorial Day

• Independence Day: July 4th

• Labor Day

• Columbus Day

• Veteran’s Day: November 11th

• Thanksgiving Day

• Christmas Day

The Contractor shall be available to perform services on these days when necessary.

11. Case Managers: Contractor shall provide at a minimum case managers who are either a Registered Nurse (RN) with an active unrestricted license in Oregon and who have graduated from an accredited nursing school. Case management knowledge domains consist of assessment, planning, implementation, coordination, monitoring and evaluations of the options and services required to meet the ORARNG Soldier’s health and human service’s needs.

Case Management personnel must meet the licensing and credentialing requirements of AR 40-68. All cases, regardless of type (medical or dental) or duration, must be documented in the Medical Non-Deployable (MND) Module of the Medical Operational Data System (MODS). Contractor Nurse Case Managers shall have a monthly team meeting with the COR, Deputy State Surgeon (DSS) and Health Services Specialist (HSS) to review all cases in progress. Because this requirement involves multiple working locations, these meetings may be conducted either in person or via telephonic or video conferencing. The Contractor Case Managers shall be responsible to know the associated ORARNG web-based electronic data systems via MODS to include: MND, Dental Classification Module (DENCLASS), Health Readiness Record (HRR), Medical Data Protection System (MEDPROS), Soldier Patient Locator (SPL), Line of Duty (LOD), Automated Voucher System (AVS) and the Warrior Transition Report (WTR).

The Contractor Case Managers shall be familiar with the regulations and policies that apply to Individual Medical Readiness (IMR) and deployment. Case Manager Duties will include:

a. Maintains appropriate licensure and credentials.

b. Coordinate with Soldiers to assess and arrange for the treatment of Soldiers with conditions that have or will result in them being Medically/Dentally non-deployable. Such services include outreach, assisting with appointment scheduling, and going to SRPs, (both for mobilization/deployment and routine readiness).

c. Assist Soldier’s in the Medical Screening program in conjunction with the DSS. Assists with appointments and ensures documentation is retrieved from appointments and placed in appropriate electronic record, as well as the Soldier’s hard copy medical record.

d. Tracks and assist in the guidance of a Soldier’s care from the receipt of the condition to when the Soldier is deployable or the documentation is sent to the Health Services Specialist (HSS) for a Fitness for Duty evaluation where appropriate or to a MEB, PEB or Personnel Board. Will then assist the Soldier in coordination with the HSS to facilitate the expeditious processing through the appropriate medical board.

e. Performs initial interviews with Soldiers regarding a deployment limiting condition within 48 hours of notification of a Soldier with a deployment limiting condition. Ensures the Soldier understands his/her responsibilities and obtains a release of information form. Provide information to Soldiers about their privacy rights and how their information can be used (have Soldiers sign consents). The Contractor shall also be responsible for protecting the confidential nature of Soldiers’ files and medical issues.

f. During follow-up interviews the Contractor Case Manager shall coordinate treatment plans and all referrals when the care is being resourced by the government (i.e. Dental Treatment using Reserve Health Readiness Program (RHRP) or local contracts with 2020/VFRE funds).

g. Assist the ORARNG Surgeon’s Office in maintaining Soldier medical records in accordance with Army Regulation (AR) 40-66.

h. Assist the ORARNG Surgeon’s Office in coordinating care received by TRICARE and by the Military Medical Support Office (MSTATEO) to obtain prior authorization for treatment during the Early TRICARE period, up to 90 days prior to Mobilization (the Contractor Nurse Case Managers do not establish eligibility, this is a personnel function).

i. Assist the ORARNG Surgeon’s Office in providing the State Medical Detachment Patient Administration (PAD) Officer or delegate with all relevant medical/dental documentation.

j. Operates a personal computer to input, store, retrieve and manipulate data for various reports as required by this PWS. Uses various software programs to maintain database files and prepare reports. Must be proficient in Microsoft Word, Excel, PowerPoint and Outlook, and is familiar with and become proficient with the use of the following MODS modules: MND, HRR, DENCLASS, MEDPROS, SPL, LOD and WTR.

k. Documents results of a Bi-weekly case review in the referrals tab of the MND Module. These reviews will be used in the monthly meeting with the DSS.

l. Contractor Case Managers shall inform ORARNG provider(s) responsible to evaluate follow up of the Soldiers’ status and furnish them with the mandatory information/documentation.

m. Assist the ORARNG Surgeon’s Office in coordinating Soldiers’ health care including consults for those initially using Military Treatment Facilities (MTF), VA, TRICARE network provider, and non-network providers.

n. Assist the ORARNG Surgeon’s Office in establishing a list of available local resources within the state to ensure Soldiers have alternative options available to receive medical or dental care if not eligible for military health benefits.

o. Assist the ORARNG Surgeon’s Office in educating Soldiers on resources available to improve medical and dental readiness (TRICARE Dental Program (TDP), local community resources, ARNG sponsored programs, e.g., Decade of Health, Hooah4Health.com, State Medical and Dental programs, etc.).

p. The Contractor Case Manager shall assist in preparing Line of Duty (LOD) paperwork for units for which they are responsible.

q. The Contractor shall provide the aforementioned Contractor Case Manager personnel to the ORARNG as required. Contractor Case Managers shall support the DSS.

r. The Contractor Case Manager shall provide a weekly MND Case Report to the DSS. The report shall include number of new referrals initiated, active cases and number of closed cases.

s. The Contractor Case Manager shall review for accuracy MEDPROS data before SRPs to assist with early identification of non-deployable Soldiers.

t. The Contractor Case Manager shall enter Individual Vouchers for identified Soldiers into the Automated Voucher System (AVS) in furtherance of a Soldier’s care plan.

u. The Contractor Case Manager will prepare and submit, once approved by the DSS, the weekly Situational Report (SITREP) report for assigned office.

v. The Contractor Case Manager will assist in resolving scheduling conflicts for Soldiers needing Medical or Dental care as assigned by the DSS.

w. The Contractor Case Manager will handle all contacts and work closely with other offices on related medical issues.

x. The Contractor Case Managers will have oversight and will ensure Care Coordinators accomplish their duties.

y. The Contractor Case Managers shall have at least 12 months experience in the medical or health care field within the past 36 months.

12. Non-Clinical Care Coordinator: Will have at a minimum a high school diploma or GED. Care coordinators will manage the care and associated documentation of each assigned Soldier in accordance with the individualized treatment plan. The non-clinical care coordinator personnel will be experienced in all aspects and qualified in their respective functional areas. Contactor personnel shall not perform inherently governmental functions (i.e., representation of government, decision authority, etc.). Care Coordinator duties will include:

a. Tracking medical status of ALL assigned Soldiers.

b. Medical charting in eCase.

c. Requesting profile exams/evaluations and audiology exams at physical exam center.

d. Coordinating Soldier treatment plans with appropriate medical facilities.

e. Maintaining automated referrals indicated in MEDCHART.

f. Submitting case processing, medical documentation, and profile concerns to military/contacted provider.

g. Attending PHA events as determined by the needs of the state and the individual units.

h. Ensuring those Soldiers referred by a provider are followed by the case management team.

i. Managing Soldier’s care from the identification of the condition to when the Soldier is either: Considered medically ready or is administratively separated from the military.

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

k. Ensuring all medical documentation received from the Soldier and/or their medical team is received and placed in appropriated electronic record, as well as the Soldier’s hard copy record.

l. Maintaining Soldier medical records in accordance with Army Regulation (AR) 40-66.

m. Providing Records Custodian or delegate with all relevant medical/dental documentation.

n. Obtaining release of information documents from Soldier.

o. Educating Soldiers on resources available to improve medical and dental readiness.

p. Maintaining Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards and guidelines.

q. Reviewing and tracking health assessment (PHA, SRP) lab results contact SM and educate on lifestyle modifications.

r. Uploading, stamping and indexing medical documents of case managed Soldiers into Health Readiness

Record (HRR).

s. MODS entry of immunizations, designation of pregnancy, eye exams, medical warning tags.

t. Providing all medical documents received for case management to Records Custodian to be filed using a document evidencing transfer of custody from the Contractor to the government. Copy of each supporting transfer document shall be provided to the COR at the end of each month no later than 7 calendar days at the end of the month.

u. Tracking medical appointments by communication with unit to ensure Soldier attendance and submission of follow up documentation.

v. Logging in eCase any contact with SM (email, voice call, or personal interview). Contractor will ensure all administrative charting in eCase is completed.

w. Communicating with delegated government personnel to track compliance versus noncompliance.

x. Running and monitoring MEDPROS reports Post PHA/SRP event.to ensure all scheduled services are completed/updated and current medical status is reflected.

y. Reporting Medical Readiness to the Commander or his/her designated representative.

z. Ensuring Soldiers with T3, T4, P3 or P4 profiles are case managed in the eCase module.

13. Credentialing and Insurance: The Contractor is responsible for providing the credentialing service to document that Case Management personnel meet the standards directed by AR 40-68. Case Managers must be licensed in accordance with Chapter(s) 4-8 and/or 7-10. Further, Contractors are required to provide proof of Professional Liability Insurance for all Medical Personnel supporting clinical requirements. Non-clinical personnel may be covered by the Contractor’s General Liability Insurance Policy. All Contractor employees shall read, understand, speak and write English fluently. The Contractor personnel must be properly licensed within the State and credentialed by the Contractor in accordance with AR 40-68. Proof of educational background shall be provided to the COR prior to the Contractor employee beginning work for the government under the contract.

14. Wage Determination: This contract requires Contractor employees to be compensated at the minimum rates prescribed in the U.S. Department of Labor wage determination and for wages and fringe benefits. Schedule B contains the minimum wage for the services to be provided under this contract.

SCHEDULE B

CLIN DESCRIPTION

HOURLY MINIMUM WAGE

0001 Case Managers

Registered Nurse II 12312

WD 15-5573 $ 35.53

Registered Nurse II 12312

WD 15-5571 $ 28.11

0002 Non-Clinical Care Coordinator

Medical Records Technician 01020

WD 15-5573 $ 21.67

15. Government Furnished Property, Materials, and Equipment (GFP/M/E): Office workstation, computer, and office supplies necessary to complete position requirements.

a. Property: N/A

b. Materials: N/A

c. Equipment: The government will provide required computers, scanners, telephones and materials necessary to comply with contract requirements at the job site.

d. Services: N/A

e. Utilities: N/A

16. Contractor Furnished Property, Materials, and Equipment (CFP/M/E): Except for those items specifically stated to be Government-Furnished in Paragraph 15, the Contractor shall furnish everything required to perform these services as required by the contract.

17. Access and General Protection/Security Policy and Procedures: 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 Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements as directed by DoD, Headquarters Department of the Army (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.

18. AT Level 1 Awareness Training: All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I awareness training. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR and to the Contracting Officer within 30 calendar days after contract start date and within 15 calendar days of new employees commencing performance. AT Level I awareness training is available at the following website: http://jko.jten.mil.

19. iWATCH Training: 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. There will be an AT/OPSEC handout for the contractor to review and a student log for the contractor to sign to complete this requirement. This training shall be completed and the results reported to the COR and the Contracting Officer within 30 calendar days after contract start date and within 15 calendar days of new employees commencing performance.

20. 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.

21. Use of Government Information Systems (IS): 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.

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: 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 Information Assurance (IA) training as defined in the

IA Best Business Practices (BBP) training (https://informationassurance.us.army.mil). 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.

22. Protection of Personally Identifiable Information: The Contractor 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 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 who’s PII has been compromised.

23. Common Access Card (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 must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either an authoritative personnel data feed from the appropriate Service or Agency or Trusted Associate Sponsorship System

(TASS).

a. HSPD-12 Background Investigation Requirements: The Contractor ensure Common Access Cards (CACs) are obtained by all contract or subcontract personnel assigned to work on the Government site and by personnel requiring access to a DoD network (and other eligible populations as specified in DTM-08- 003 Attachment 3, paragraph 3a.) are required to, at a minimum, have received a favorable FBI fingerprint check and must have submitted to the Office of Personnel Management (OPM) a National Agency Check with Inquiries (NACI) or equivalent/higher investigation. It is the responsibility of the Contractor to ensure 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 to the 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 the request has been received by the Office of Personnel Management, 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 BI will be initiated. The Contractor 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 submittal of the PSIP form to return of the FBI fingerprint check may routinely take from 2-6 weeks and shall factor this lead time into its hiring/placement process. The Contractor shall make all reasonable efforts to ensure 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.

b. Trusted Associate Sponsorship System (TASS): The Contractor is responsible for processing applications for Common Access Cards (CAC) for every Contractor employee who deploys with the military force OR who has need to access any government computer network in accordance with FAR 52.204-9, "Personal Identity Verification of Contractor Personnel." The Contractor is responsible for managing requests for new or renewal CAC cards in sufficient time to ensure all Contractor employees have them when needed to perform work under this contract. The norm is at least ten calendar days advance notice to the Trusted Agent (TA), unless there are extenuating circumstances approved by the Contracting Officer's Representative (COR) or Contracting Officer. It is recommend a "Corporate Facility Security Officer" (FSO) be designated to serve as your firm's single point of contact for Background Investigation (BI), the TASS application process and other CAC and security related matters. If a FSO is not established, each Contractor employee requiring a CAC will be required to process their own applications. CAC applications shall be processed through the TASS. The Contractor's FSO or Contractor employee shall submit requests for a CAC via email to the designated TASS Trusted Agent (TA) before accessing the TASS website. The TASS TA for this requirement will be: 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) https://www.dmdc.osd.mil/tass/.

c. The FSO or Contractor employee will submit completed applications in TASS and will follow up to ensure the TA is processing the request. A CAC cannot be issued without evidence the FSO has initiated a National Agency Check with Written Inquires (NACI). The government will inform the Contractor's applicant, via email, of one of the following: Approved.* Upon approval, the information is transferred to the Defense Enrollment Eligibility Reporting System (DEERS) database and an email notification is sent to the Contractor with instructions on obtaining their CAC. The Contractor proceeds to a Real-Time Automated Personnel Identification System (RAPIDS) station (RAPIDS Site Locator:

http://www.dmdc.osd.mil/rsl/). Rejected.* The Government, in separate correspondence, will provide reason(s) for rejection. Returned. Additional information or correction to the application required by the Contractor employee.* The Contractor shall 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 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 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 Contractor shall return issued CAC's to the COR/KO office upon departure or dismissal of each Contractor employee. Obtain a receipt for each card.

d. 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 register 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 an employee of a Contractor loses the Privilege to access AKO, they lose the ability to renew their CAC.

Therefore it is critical Contractor employees maintain their AKO accounts.

24. Identification of Contractor Employees: Contractor employees will require badges to be worn 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.

25. 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.

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

27. Contract Administration: 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/KS. 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.

28. Quality Control: The Contractor shall provide a preliminary Quality Control Plan (QCP) with their proposal.

The level of detail, management controls, and processes to ensure responsiveness to corrective actions will be used in evaluating potential Contractors. 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. An organizational depiction of the project team and chain(s)-of-command shall also be included in the QCP. A comprehensive written QCP is to be delivered within 30 days after contract award.

29. Quality Assurance: 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)).

30. 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.

31. Data Rights: The Government has unlimited rights to all documents/material produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be…