W912L720R0005-P0002 Amendment 2.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

Amendment tw o (2) is to answ er additional questions, add HIPPA as an attachment, and update the Wage determination. All other terms and conditions remain the same.

1. CONTRACT ID CODE PAGE OF PAGES

S 1 80

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

16C. DATE SIGNED

BY 24-Jun-2020

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W912L720R0005

X 9B. DATED (SEE ITEM 11)

09-Jun-2020

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

24-Jun-2020

CODE

USPFO TN PURCHASING & CONTRACTING

3041 SIDCO DRIVE

NASHVILLE TN 37201-1502

W912L7 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912L720R0005

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

QUESTIONS AND ANSWERS (002)

SOLICITATION W912L720R0005 MEDICAL SUPPORT SERVICES

QUESTIONS and ANSWERS No.2 QUESTION 1. Can you extend the proposal date?

Answer 1. No, we are not extending the due date for proposals.

QUESTION 2. Please review the FAR 52.222-17; it was superseded by Executive Order.

Answer 2. FAR Clause 52.222-17 is removed.

QUESTION 3. The RFQ in various sections talks about Security to include HSPD-12, ITSEC, HIPAA/PII; nowhere do we find instructions about Citizenship, Dual Nationals or Green Cards. Are Dual Nationals allowed – people who carry two passports such as USA and China; Foreign Nationals or Green Card carriers?

ANSWER 3. The following is added to the PWS: Contract Employee(s) performing under this contract must either be a U.S. citizen, or as defined by the Department of Homeland Security, U.S. Citizenship and Immigration Services, either a noncitizen national of the United States, lawful permanent resident of the United States, or alien authorized to work in the United States.

See PWS Attachment 0001 for HIPAA/PII.

QUESTION 4. What level of background check is required?

ANSWER 4. Secret clearance

QUESTION 5. The current NAICS of 541611 is for Administrative Services. There are alternate NAICS in Sector 62 Health Care, specifically 621399 ‘All Other Health Practitioners’ that are equally appropriate for classifying this work. Please allow Past Performance and Corporate Experience in Sector 62 to have equal weight in evaluation as 541611.

ANSWER 5. This has been answered on the previous Q&A Amendment. NAICS 541611 has been added as an acceptable NAICS code. Past performance allowed already so there are no changes there.

QUESTION 6. Please provide the contract numbers of all prior contract(s) providing similar services within the past two years. If this contract data is in FPDS, no further information is requested. If the contracts are not in FPDS, please provide the contractor name & DUNS, total dollar value, and POP.

ANSWER 6. This was addressed in the first solicitation amendment. There is NO incumbent contractor that has performed this service. This is a new requirement.

QUESTION 7. We note that the selected Wage Determination charts are for contracts where there was a prior determination of SCA-applicability and an Occ Code assigned. Please list all contracts for these functions for which a prior determination exists. Please include the Occ Code selected as offerors must offer similar benefits based on length of service.

ANSWER 7. Wage Determinations are based on the locations of services to be performed. The awardee will establish the OCC code that is reasonable to the government to complete this requirement. Your proposals that indicate OCC codes will help indicate your understanding of the requirement.

QUESTION 8. Can you provide a copy of any current-or-recent QASP for Case Management Services?

ANSWER 8. QASP is a Government document. Please read all the PRS section(s) in the PWS which will give you the pertinent information you seek.

QUESTION 9. What are allowable billable hours for Phase in?

ANSWER 9. A Notice to Proceed (NTP) and fully functioning contract services performed by your company will dictate services can be invoiced.

QUESTION 10. Contractor to select Occ Code; Price Workbook item 12 says Contractor picks Occ Code.

ANSWER 10. Yes, the contractor choses the Occupation Code from the Wage Determination.

QUESTION 11. Past Performance (3) Section 3 Subcontracts: Here the government asks offerors to describe the forward-looking plan for any subcontracting, “Offerors shall provide an outline of how the effort required by the RFP will be assigned for performance within the offeror’s corporate entity…” This topic seems better addressed in the Management Section in Vol I. For the PP Vol, it might be enlightening to ask offerors to address previous contracts where they have managed subcontractors.

ANSWER 11. Your question is more opinion than a question. All opinions are appreciated but we will leave performance as is stands.

QUESTION 12. “Performance Assessment Questionnaire” (PAQ) and pg. 33 Past Perf evaluation. If CPARS entries exist, may an offeror rely on those in lieu of sending a PAQ to the Contracting Officer? The purpose of CPARS is to reduce the paperwork burden on Contracting Officers.

ANSWER 12. You may provide CPARS ratings but we recognize all performance has not been rated. So any performance not previously rated in CPARS can be submitted in accordance with the solicitation criteria.

QUESTION 13. Workbook line 4 talks about “ODC” yet ODC does not appear as a CLIN in any of the annual calculations. Please clarify.

ANSWER 13. ODC is already on the workbook/spreadsheet. Include explanation/breakdown of what that number consists of for your company In the event the field is used. The ODC is included in the burdened rate and does not require a separate CLIN.

QUESTION 14. Price Workbook TRAVEL CLINS. There is no allowance for offerors to add Handling Fee on Travel. Since Travel is often reserved in advance and offerors might incur interest expense, please create a line allowing contractors to add Handling Fee or G&A.

ANSWER 14. Travel CLINS are encompassing of acceptable travel costs. See Joint Travel Regulation for information https://www.defensetravel.dod.mil/site/travelreg.cfm G&A is included in your burdened rate. This is calculated separate for evaluation but no CLIN will be added for G&A separately.

QUESTION 15. Workbook Lines 5, 6, 7. Many offerors may use standard accounting allocations that are different from that listed on these lines for Fringe, O/H, G&A. For instance, Personnel Supervision may be G&A in some systems. We recommend allowing offerors to use their standard accounting system allocations.

ANSWER 15. The reason why we define each one separately is to make sure we understand your proposal. You know and we know what each entry means for every proposal we receive.

QUESTION 16. Workbook Col B, Med Mngt Services line. There is a parenthetical remark that only becomes fully visible at extremely reduced magnification. (On our screen this was a Zoom below 40%) Is the contracted function a “Coordinator” or “Case Manager”?

ANSWER 16. Workbook Column B for Medical Management Services Contract Line Item (CLIN) 0001. This is combined hours of both coordinator and or case manager; either position may complete this work.

QUESTION 17. Workbook. May offerors ADD CLINs for other Labor Categories?

ANSWER 17. Offerors shall add appropriate Labor Categories based on the tasks in the PWS Offerors will not add

CLINS.

QUESTION 18. What is the anticipated timeline for award?

ANSWER 18. As soon as possible. There is a process for evaluation and approval of award that many will review;

when they are complete we can award. My preference is not to provide a date that may change many times.

QUESTION 19. What is the anticipated contract execution date?

ANSWER 19. See question and answer for number 18

QUESTION 20. What is the wage category breakdown and headcount for all three contracts currently being executed?

ANSWER .20. You will be providing the wage category (Occ Code), breakdowns, and headcounts in your proposal.

QUESTION 21. Is there a desire to keep incumbent employees?

ANSWER 21. No incumbent. This is a new requirement.

QUESTION 22. Number of credentialed Soldiers currently being tracked?

ANSWER 22. Please review all the Historical information of Medical Credentialing provided in PWS.

QUESTION 23. Is there a current stand-alone dental case management team? If yes, how many contractors are assigned to track dental cases only?

ANSWER 23. No

QUESTION 24. How many Behavioral Health Consultants are there on the current contract?

ANSWER 24. See Historical information provided in the PWS

QUESTION 25. Do the Behavioral Health Consultants have dedicated office space at each of the three locations or do they rotate duty locations based on requirements?

ANSWER 25. All contract employees will have their own office space.

QUESTION 26. Does volume IV require more than an 8(a)-Program Participant acceptance letter?

ANSWER 26. Please submit 8(a) certification number, your local SBA District manager, and their contact information, i.e. Phone number, email.

QUESTION 27. Will the Government please allow offerors to modify the Proposal Spreadsheet Pricing Information spreadsheet for the offerors cost structure?

ANSWER 27. This is an evaluation spreadsheet that the Government has established to understand a lot of information.

QUESTION 28. The Government has listed the POP for this CLIN as 2/22/2021 – 8/31/2021. All of the labor hours are listed as 1920 throughout the document. Please provide the number of labor hours that apply to this CLIN.

ANSWER 28. Spreadsheet is updated to reflect 1096 Hours for CLIN 0006

QUESTION 29 How many weekends and hours are estimated for the Behavioral Health Management Services Annually?

ANSWER 29. The estimate is six (6) weekends per year consisting of 16 hours during normal operations per weekend.

QUESTION 30. How many weekends and hours are estimated for the Medical Management Services annually?

ANSWER 30. At least one weekend a month which consists of an eight (8) hour day during normal operations.

QUESTION 31. Can you specify what type of equipment is needed for the contractor to provide?

ANSWER 31. Contractor Badges and Phones for Behavior Health Case Managers

QUESTION 32. Why are the Credentialing CLINs listed at 7 months, while all other CLINs are listed at 12 months?

ANSWER 32. The requirement of the Government is estimated to begin. Only one CLIN will begin later than the initial start date but that is subject to change.

QUESTION 33. Referencing PWS 5.1.1 on page 13, can the Government please confirm if all Medical Case Manager and Care Coordinator positions are determined to be Key Personnel or are just the onsite lead(s) considered Key Personnel?

ANSWER 33. Yes all QUESTION 34. Does the Government consider the LMSW/LCSW/LPC Behavioral Health Managers referenced in PWS 1.2.2 on page 3 as Key Personnel?

ANSWER 34. Yes

QUESTION 35. Does the Government consider the Medical Credentialing Staff identified in PWS 1.2.3 on page 4 as Key Personnel?

ANSWER 35 Yes

QUESTION 36 Can the Government confirm if resumes or letters of commitment of proposed onsite staff are required to be included at time of submission of our proposal?

ANSWER 36. Yes resumes and letters of commitment of proposed staff and subcontractors are all required QUESTION 37 In reference to the incorporated Wage determination revisions beginning on page 92, 2015-4648;

2015-4640; 2015-4644, it has been our experience and understanding from the DoD that “even” Wage Determinations, such as these, were being phased out. Will the Government consider updating to revision 2015- 4647, 2015-4639, and 2015-4643?

ANSWER 37. Wage determinations are available on SAM. We update as we amend our solicitation if there is a change. Wage Determinations are part of this solicitation and the follow on award.

QUESTION 38. Can the Government please clarify the current % of the population that is FMR and the current % of the population that is deployable?

ANSWER 38. Page 3 states PWS 1.2.1 the minimum goal for overall medical readiness is more than 90% of service members fully medically ready (FMR) and 95% deployable. Please read the PWS carefully.

QUESTION 39. Referencing PWS 1.4.5.1 on page 5, can the Government please clarify the average time it takes for candidates to process through security and receive a CAC?

ANSWER 39. This answer will be different for each person but 15 day if absolutely all documentation is in order and everyone was timely with approvals. More time added with lack of documentation and slow responses.

QUESTION 40. Referencing PWS 1.4.4.3 on page 5, can the Government clarifying what document(s) the credentialing packages contain for each level of provider and what is being verified?

ANSWER 40. The forms utilized are uploaded into an electronic system, subject to change.

For an initial credentialing file what is required is an authorized release form (it's an IIS electronic version), Malpractice insurance certificates dating back 10 years OR from the time of the time they received their qualifying degree, after which we verify it with companies (each individual policy) and obtain claims histories for each. We also require an up to date Resume listing clinical patient contact hours next to their current and past employments.

We require BLS certification, a government issued photo id that is NOT a CAC, 2 references on the MEDCOM standard form that we provide (1 peer and 1 supervisor), we also require DEA cards be provided should they carry one (though it is not required for credentialing approval), we require copies of their qualifying degree, licenses for every state they have been licensed in past and present, copies of any board certification they may have, scopes of practice/privileges for their current position(s), copies of any completed residencies, fellowships or internships completed and a copy of their accession orders. We then verify every single one of those documents with individual third party websites, or directly with the company such as their place of employment. There are only minor differences for different types of providers, for the most part every provider is the same. Certain specialties may not have some of the documents listed above such as board certification etc., and therefore those are not required to be presents in those specialties

QUESTION 41. Referencing PWS 1.4.4.3 on page 5, can does the Credentialing portion of this requirement include active management of credentials expiration?

ANSWER 41 Yes

QUESTION 42. Referencing PWS 1.2.2 on page, must all Behavioral Health Management Providers be an LMSW, LCSW, or LCP or may care coordinators, similar to those utilized in the medical management services portion, be utilized for these roles?

ANSWER 42. Behavioral Health Management Providers are required to be either LMSW, LCSW or LCP.

QUESTION 43. In reference to Instructions to Offerors, Volume II Past Performance, page 29, the Government references the pages count as 25 pages plus five pages for each major subcontractor. Can the Government confirm that the Past Performance volume page count can be up to 30 pages total if the prime contractor is submitting with one major subcontractor?

ANSWER 43. This volume shall not exceed 25 pages plus five pages for each major subcontractor, excluding Past Performance Questionnaire Forms.

QUESTION 44. In reference to Instructions to Offerors, Volume II Past Performance, page 29, the Government references that offerors shall submit all performance awarded that is relevant. Can the Government please clarify if there is limit or desired amount of performance records and past performance questionnaires that the Government will evaluate?

ANSWER 44. No limit or desired amount of performance records and past performance questionnaires as long as performance or award was during the past three years from the issue date of this RFP and is relevant to the efforts required by the solicitation. Submissions must be conforming to the requirements of this solicitation.

QUESTION 45. In reference to Instructions to Offerors, Volume II Past Performance, page 29, the Government references that offerors shall submit all performance awarded that is relevant. If a major subcontractor required more than 5 pages to identify all relevant performance, will the Government consider increasing major subcontractor page constraints?

ANSWER 45. No. Any extra pages after five (5) will not be reviewed.

QUESTION 46. What are the peak and low times in the number of cases during the week?

ANSWER 46. Friday to Tuesday – Peak; Wednesday to Thursday – Low. Case management occurs throughout the week and is determined by the ability of the unit, medical case management and medical facility’s ability to communicate. Unit deployments create case load and may require case creation(s) at any time during the week.

QUESTION 47. What is the seasonality in the number of cases during the year?

ANSWER 47. July to September – Mid Heavy September to November – Heavy December – Mid Light January to March – Heavy/Mid Heavy April to June – Mid Light Deployments create a greater case load and may require increased Medical Case Management services at any time of the year.

QUESTION 48. In reference to Instructions to Offerors, Subfactor E: Contract Employee Handbook, page 28, can the Government please confirm the difference between Section 1 – Subfactor A “The plan shall address how recruiting and job advertisements will be accomplished” and Section 4 – Subfactor D – Offeror’s Advertisement Plan? Will the Government consider revising requirements to consolidate recruitment and job advertisements into a single section? (i.e. removing the requirements to address this information from subfactor 1)?

ANSWER 48. The Contract Employee Handbook contains all written direction that you require of your contract employees. The Advertisement Plan is not performed by contract employees; this is your company’s plan to address how recruiting and job advertisements will be accomplished; including overall approach for initial and continued staffing of personnel and how work is accomplished in the absence of personnel for short and long terms, i.e.

vacations, illness, etcetera. This plan will be the least amount you will do to fill each position. Government expectation is to keep this process in place for the duration of the contract. Include all methods of advertising you believe will accomplish hiring, what media programs will be utilized (be detailed), what subcontracting companies will be hired in order to fill positions. (Free and paid advertisements annotated in description. This plan covers all types of advertisement: Electronic Media, Paper, Vocal Communication, bill board, etc. Changes to the plan after award require contracting officer approval.

QUESTION 49. In reference to Instructions to Offerors, Subfactor E: Contract Employee Handbook, page 29, can the Government please clarify how this subfactor will be evaluated?

ANSWER 49. The Contract Employee Handbook will be evaluated for organization and table of contents with subjects to include but are not limited to OPSEC, IWATCH, absences from the workplace, Expected communications from contract employees, how to deal with personal conflicts in the workplace, holidays, Unexpected office closures due to snow, pandemic, government decision, etcetera…

QUESTION 50. In reference to Pricing spreadsheet, row 51, can the Government clarify how we should enter hour if we are proposing a mix of staff to provide these services? rates/occupational code ANSWER 50: Change Annual Hours in the Pricing spreadsheet to appropriate number of hours required to complete the work.

QUESTION 51. In reference to Pricing spreadsheet, column C, annual hours, can the government confirm we can edit the hours listed to align with our proposed staffing model?

ANSWER 51: yes

QUESTION 52. In reference to pricing spreadsheet, row 49, Fringe rates and ODCs may differ by employee type and compensation level. Will the Government modify the pricing sheet to enable this level of transparency or must we develop of contract-level blended fringe and ODC rates for this requirement?

ANSWER 52. We won’t be changing the workbook/spreadsheet. There are just too many variables to change to make everyone happy which creates a problem with understanding every proposal. Keeping the spreadsheet is one way to limit differences so we completely understand proposals. The answer is blend. Remember this contract is paid by burdened rate when your contract employee is working.

QUESTION 53. In reference to Pricing spreadsheet, using row 52 as an example, the ODC, Fringe, OH, G&A, and Fee calculations are all in terms of Annual Base Labor instead of compounding upon themselves. Will the Government consider adjusting these calculations accordingly? For example, corporate G&A is normally compounded on Base Labor + Fringe + any ODC related to that specific position/requirement + an Overhead related this specific contract.

ANSWER 53: We won’t be changing the workbook/spreadsheet. There are just too many variables to change to make everyone happy which creates a problem with understanding every proposal. Keeping the spreadsheet is one way to limit differences so we completely understand proposals. Remember this contract is paid by burdened rate.

QUESTION 54. In reference to pricing spreadsheet, instruction tab, row 4, is the Government requesting a pricing narrative to identify individual fringe benefits (i.e. health benefit, paid time off, etc) as well as any items included in ODC, Overhead, etc; or the Government simply requesting the rates to be identified on the fill in tab row 49?

ANSWER 54. No, we are requesting a narrative description of information describing how fringe benefits will be paid; Medical insurance not required for an employee which is covered by spouse’s insurance. Company has built in 1 week of paid vacation for all full time employees. These are just examples describe what your company will be doing for the contract employees.

QUESTION 55. Referencing Technical Exhibit 1 on page 22, can the Government clarify the reference Automation Support Services Tech as there is no reference to such a position elsewhere in the proposal?

ANSWER 55: Every contractor is responsible for being proficient in medical processing programs utilized in the management of medical processing of Soldiers.

QUESTION 56. In review of Technical Exhibit 3 on page 23 – can the government please clarify the following:

ANSWERs for 56 are after each question:

a. Does the Government the soldier population count to increase over the course of the contract?

Answer 56a. The Soldier population changes on a constant basis in limited numbers, typically no more than 10% over the course of a year.

b. Does the Government expect the soldier population count to decrease over the course of the contract?

Answer 56b. The Soldier population changes on a constant basis in limited numbers, typically no more than 10% over the course of a year.

c. How many MedChart cases are opened per month, on average? How many are closed?

Answer 56c:Varied On a month by month basis the numbers change due to mission and medical evaluations.

d. How many profiles are created per month, on average?

Answer 56d. Varied, standards of physical fitness have changed in recent months requiring all profiles to be updated. On a month by month basis the numbers change due to mission and medical evaluations.

e. Does the Government expect the # of MRE’s or Medical Boards to increase over the course of the contract?

Answer 56e.Unknown

f. Does the Government expect the # MRE’s or Medical Boards to decrease over the course of the contract?

Answer 56f. Unknown

g. How many MEB packets are submitted per month, on average? How many are returned?

Answer 56g. Varied, number has complicated factors of consideration. Rarely are packets returned for additional processing.

h. In reference to the active cases open, can the Government clarify when this snapshot was taken and provide the current status/snapshot of how many active cases are open as of specified date?

Answer 56h.The number of cases vary, please utilize the historical information provided to make your determination.

i. Can the Government clarify the approximate labor mix of TN ARNG Medical Providers that are relevant to the Credentialing portion of this requirement? I.e. What proportion are Physicians vs Nurse Practitioners/Physician Assistant/Psychologist/other privileged providers vs Registered Nurses/Social Workers/other credentialed providers vs Medical Assistants/allied/other support personnel?

Answer 56i. No, the number varies due to deployment, mission, and retention.

j. Can the Government provide any historical data regarding the credentialing portion of this requirement regarding the number of packets that are for credentialed providers vs privileged providers?

Answer 56j.The number of packets vary by individual, a board is conducted each month and the number of personnel vary. Please see historical data supplied in PWS.

QUESTION 57. In reference to Instructions to Offerors, Volume V – Certification and Representations, page 31, may the offeror include a copy of its beta.sam.gov FAR&DFAR record in lieu of completing the fill ins contained within?

ANSWER 57. Yes.

QUESTION 58. Does each Behavioral Health Case Manager position/location consist of personnel with a certification as either a Licensed Masters Social Worker (LMSW), Licensed Clinical Social Worker (LCSW), or Licensed Professional Counselor (LPC)?

ANSWER 58. Each location needs personnel with a certification licensed in either one or more of the qualifications listed.

QUESTION 59. What is the makeup of the “more than 9300” services members defined in the PWS in terms of demographics, specialties, location?

ANSWER 59 Soldiers are assigned to units throughout the state and may reside in different locations that may include out of state/country. The Government will not provide demographics, specialties, and locations of personnel as a part of this process.

QUESTION 60. Medical Management Services: What is the number of service members with “complex, multi-system healthcare needs requiring case management and/or coordination? Are the 500+ MEDCHART cases open quoted in exhibit 3 all considered under case management?

ANSWER 60.All cases open in MEDCHART are under case management. Complex Multi-system healthcare needs vary.

QUESTION 61. What is the physical and behavioral health evaluation cycle for the “more than 9300” service members? Is this cycle managed through the weekend Medical Readiness Events? It appears that in technical exhibit 3 a record review of all service members is conducted annually, and a personal health assessment is conducted on about half (4500) annually?

ANSWER 61.Portion of the population are medically reviewed by LHI, documentation is forwarded to the state for processing.

QUESTION 62. Is any State License or Credential acceptable for nursing talent?

ANSWER 62 This question may need to be answered on a case by case basis.

QUESTION 63. Are allied health providers such as Nurse Practitioners or Physicians Assistants acceptable to provide Medical Management Services as well as bachelor’s prepared Nurses?

ANSWER 63. Yes

QUESTION 64. Are LMFT’s considered acceptable providers?

ANSWER 64. No

QUESTION 65. Of the “more than 9300” service members how many require Medical Credentialing Services?

ANSWER 65. Less than 300, the number may increase as mission dictates.

QUESTION 66. Approval to work weekends for MRE for the three task areas is different for each. Will the government provide a single point of approval for the contractor to access to gain approval for participation in the weekend MRE?

ANSWER 66. Yes

QUESTION 67. Is telework is authorized?

ANSWER 67. Normally no, but special authorization can be granted by Contracting officer review and approval on a case by case basis, i.e. pandemics.

QUESTION 68. If no telework is authorized is it required that the contract manager be onsite? If so, is contract management considered a collateral duty or a dedicated position?

ANSWER 68. You make that decision about contract managers in your proposal.

QUESTION 69. Is the transition period considered within or outside the stated period of performance?

ANSWER 69. within

QUESTION 70. The PWS is silent on the execution of lab studies. How is this completed and how are results communicated to be included in evaluations, case management, or entered into the EHR?

ANSWER 70. Health Systems Services (HSS) and the Deputy State Surgeon (DSS) offices assist with obtaining lab records from various locations and vendors.

QUESTION 71. Who is the records custodian and how do they interact with Medical Management?

ANSWER 71. A records custodian is assigned to HSS. Medical Management will receive hard copies of medical documentation from various sources and will need to be able to interact with the records custodian to ensure the STR’s are placed in individual records.

QUESTION 72. Who has the final authority on duty limitations when recommendations are made by the contractor?

What are the turn-around times required?

ANSWER 72. A medical provider will determine duty limitations with input from various sources. Depending on mission a provider may be available throughout a work week.

QUESTION 73. Are MRE’s conducted monthly or are the 12 events on a different schedule?

ANSWER 73. During IDT an MRE is typically conducted. Scheduling may change as mission dictates.

End of QA_No.2

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 2003

The CLIN description has changed from OPTN Yr.3 Beh. Health Mgmt (Nashville,TN to OPTN Yr.2 Beh. Health Mgmt (Nashville,TN.

The following have been added by full text:

WD 2015-4640 REVJUN20

"REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2015-4640 Daniel W. Simms Division of | Revision No.: 12 Director Wage Determinations| Date Of Last Revision: 06/18/2020 Note: Under Executive Order (EO) 13658 an hourly minimum wage of $10.80 for calendar year 2020 applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was issued) on or after January 1 2015. If this contract is covered by the EO the contractor must pay all workers in any classification listed on this wage determination at least $10.80 per hour (or the applicable wage rate listed on this wage determination if it is higher) for all hours spent performing on the contract in calendar year 2020. The EO minimum wage rate will be adjusted annually. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

State: Tennessee

Area: Tennessee Counties of Chester Crockett Madison

**Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

01000 - Administrative Support And Clerical Occupations 01011 - Accounting Clerk I 14.24 01012 - Accounting Clerk II 15.98 01013 - Accounting Clerk III 17.88 01020 - Administrative Assistant 23.28 01035 - Court Reporter 17.00 01041 - Customer Service Representative I 11.42 01042 - Customer Service Representative II 12.84 01043 - Customer Service Representative III 14.01 01051 - Data Entry Operator I 12.47 01052 - Data Entry Operator II 13.60 01060 - Dispatcher Motor Vehicle 20.75 01070 - Document Preparation Clerk 12.64 01090 - Duplicating Machine Operator 12.64 01111 - General Clerk I 13.52 01112 - General Clerk II 14.75 01113 - General Clerk III 16.55 01120 - Housing Referral Assistant 20.25 01141 - Messenger Courier 12.77 01191 - Order Clerk I 16.28 01192 - Order Clerk II 17.75 01261 - Personnel Assistant (Employment) I 15.20 01262 - Personnel Assistant (Employment) II 17.00 01263 - Personnel Assistant (Employment) III 19.71 01270 - Production Control Clerk 22.10 01290 - Rental Clerk 15.13 01300 - Scheduler Maintenance 15.74 01311 - Secretary I 15.74 01312 - Secretary II 17.61 01313 - Secretary III 19.63 01320 - Service Order Dispatcher 18.55 01410 - Supply Technician 23.28 01420 - Survey Worker 17.19 01460 - Switchboard Operator/Receptionist 13.23 01531 - Travel Clerk I 13.55 01532 - Travel Clerk II 14.39 01533 - Travel Clerk III 15.47 01611 - Word Processor I 13.43 01612 - Word Processor II 15.20 01613 - Word Processor III 17.17 05000 - Automotive Service Occupations 05005 - Automobile Body Repairer Fiberglass 19.85 05010 - Automotive Electrician 19.23 05040 - Automotive Glass Installer 17.17 05070 - Automotive Worker 17.21 05110 - Mobile Equipment Servicer 15.07 05130 - Motor Equipment Metal Mechanic 19.23 05160 - Motor Equipment Metal Worker 17.21 05190 - Motor Vehicle Mechanic 19.23 05220 - Motor Vehicle Mechanic Helper 13.97 05250 - Motor Vehicle Upholstery Worker 17.21 05280 - Motor Vehicle Wrecker 17.21 05310 - Painter Automotive 18.23

05340 - Radiator Repair Specialist 17.21 05370 - Tire Repairer 12.87 05400 - Transmission Repair Specialist 18.98 07000 - Food Preparation And Service Occupations 07010 - Baker 16.31 07041 - Cook I 11.50 07042 - Cook II 13.50 07070 - Dishwasher 8.88 07130 - Food Service Worker 9.35 07210 - Meat Cutter 14.28 07260 - Waiter/Waitress 9.70 09000 - Furniture Maintenance And Repair Occupations 09010 - Electrostatic Spray Painter 16.21 09040 - Furniture Handler 10.74 09080 - Furniture Refinisher 16.21 09090 - Furniture Refinisher Helper 12.97 09110 - Furniture Repairer Minor 15.27 09130 - Upholsterer 17.53 11000 - General Services And Support Occupations 11030 - Cleaner Vehicles 12.34 11060 - Elevator Operator 12.34 11090 - Gardener 16.67 11122 - Housekeeping Aide 11.16 11150 - Janitor 11.16 11210 - Laborer Grounds Maintenance 12.54 11240 - Maid or Houseman 10.14 11260 - Pruner 11.16 11270 - Tractor Operator 16.34 11330 - Trail Maintenance Worker 12.54 11360 - Window Cleaner 12.03 12000 - Health Occupations 12010 - Ambulance Driver 17.24 12011 - Breath Alcohol Technician 17.61 12012 - Certified Occupational Therapist Assistant 24.16 12015 - Certified Physical Therapist Assistant 29.39 12020 - Dental Assistant 18.23 12025 - Dental Hygienist 33.88 12030 - EKG Technician 26.68 12035 - Electroneurodiagnostic Technologist 26.68 12040 - Emergency Medical Technician 17.24 12071 - Licensed Practical Nurse I 15.74 12072 - Licensed Practical Nurse II 17.61 12073 - Licensed Practical Nurse III 19.63 12100 - Medical Assistant 14.57 12130 - Medical Laboratory Technician 19.11 12160 - Medical Record Clerk 15.35 12190 - Medical Record Technician 17.18 12195 - Medical Transcriptionist 16.97 12210 - Nuclear Medicine Technologist 38.69 12221 - Nursing Assistant I 11.77 12222 - Nursing Assistant II 13.23 12223 - Nursing Assistant III 14.44 12224 - Nursing Assistant IV 16.20 12235 - Optical Dispenser 18.16 12236 - Optical Technician 15.74

12250 - Pharmacy Technician 14.99 12280 - Phlebotomist 14.08 12305 - Radiologic Technologist 24.12 12311 - Registered Nurse I 25.41 12312 - Registered Nurse II 30.43 12313 - Registered Nurse II Specialist 30.43 12314 - Registered Nurse III 36.80 12315 - Registered Nurse III Anesthetist 36.80 12316 - Registered Nurse IV 44.11 12317 - Scheduler (Drug and Alcohol Testing) 21.81 12320 - Substance Abuse Treatment Counselor 21.35 13000 - Information And Arts Occupations 13011 - Exhibits Specialist I 19.26 13012 - Exhibits Specialist II 23.85 13013 - Exhibits Specialist III 29.18 13041 - Illustrator I 19.26 13042 - Illustrator II 23.85 13043 - Illustrator III 29.18 13047 - Librarian 26.42 13050 - Library Aide/Clerk 15.33 13054 - Library Information Technology Systems 23.85 Administrator 13058 - Library Technician 19.26 13061 - Media Specialist I 17.21 13062 - Media Specialist II 19.26 13063 - Media Specialist III 21.47 13071 - Photographer I 17.21 13072 - Photographer II 19.26 13073 - Photographer III 23.85 13074 - Photographer IV 29.18 13075 - Photographer V 35.31 13090 - Technical Order Library Clerk 19.26 13110 - Video Teleconference Technician 18.06 14000 - Information Technology Occupations 14041 - Computer Operator I 16.64 14042 - Computer Operator II 18.67 14043 - Computer Operator III 20.82 14044 - Computer Operator IV 23.14 14045 - Computer Operator V 25.61 14071 - Computer Programmer I (see 1) 21.66 14072 - Computer Programmer II (see 1) 26.85 14073 - Computer Programmer III (see 1) 14074 - Computer Programmer IV (see 1) 14101 - Computer Systems Analyst I (see 1) 14102 - Computer Systems Analyst II (see 1) 14103 - Computer Systems Analyst III (see 1) 14150 - Peripheral Equipment Operator 16.64 14160 - Personal Computer Support Technician 23.14 14170 - System Support Specialist 25.61 15000 - Instructional Occupations 15010 - Aircrew Training Devices Instructor (Non-Rated) 30.02 15020 - Aircrew Training Devices Instructor (Rated) 36.76 15030 - Air Crew Training Devices Instructor (Pilot) 43.53 15050 - Computer Based Training Specialist / Instructor 30.02 15060 - Educational Technologist 31.26

15070 - Flight Instructor (Pilot) 43.53 15080 - Graphic Artist 23.59 15085 - Maintenance Test Pilot Fixed Jet/Prop 43.20 15086 - Maintenance Test Pilot Rotary Wing 43.20 15088 - Non-Maintenance Test/Co-Pilot 43.20 15090 - Technical Instructor 21.83 15095 - Technical Instructor/Course Developer 26.71 15110 - Test Proctor 17.62 15120 - Tutor 17.62 16000 - Laundry Dry-Cleaning Pressing And Related Occupations 16010 - Assembler 10.66 16030 - Counter Attendant 10.66 16040 - Dry Cleaner 13.53 16070 - Finisher Flatwork Machine 10.66 16090 - Presser Hand 10.66 16110 - Presser Machine Drycleaning 10.66 16130 - Presser Machine Shirts 10.66 16160 - Presser Machine Wearing Apparel Laundry 10.66 16190 - Sewing Machine Operator 14.48 16220 - Tailor 15.43 16250 - Washer Machine 11.62 19000 - Machine Tool Operation And Repair Occupations 19010 - Machine-Tool Operator (Tool Room) 21.02 19040 - Tool And Die Maker 26.54 21000 - Materials Handling And Packing Occupations 21020 - Forklift Operator 14.41 21030 - Material Coordinator 22.10 21040 - Material Expediter 22.10 21050 - Material Handling Laborer 13.78 21071 - Order Filler 11.67 21080 - Production Line Worker (Food Processing) 14.41 21110 - Shipping Packer 16.84 21130 - Shipping/Receiving Clerk 16.84 21140 - Store Worker I 11.67 21150 - Stock Clerk 16.54 21210 - Tools And Parts Attendant 14.41 21410 - Warehouse Specialist 14.41 23000 - Mechanics And Maintenance And Repair Occupations 23010 - Aerospace Structural Welder 23.84 23019 - Aircraft Logs and Records Technician 18.29 23021 - Aircraft Mechanic I 22.49 23022 - Aircraft Mechanic II 23.84 23023 - Aircraft Mechanic III 25.28 23040 - Aircraft Mechanic Helper 15.39 23050 - Aircraft Painter 21.12 23060 - Aircraft Servicer 18.29 23070 - Aircraft Survival Flight Equipment Technician 21.12 23080 - Aircraft Worker 19.73 23091 - Aircrew Life Support Equipment (ALSE) Mechanic 19.73 I 23092 - Aircrew Life Support Equipment (ALSE) Mechanic 22.49

II

23110 - Appliance Mechanic 21.12 23120 - Bicycle Repairer 16.05 23125 - Cable Splicer 31.80

23130 - Carpenter Maintenance 18.01 23140 - Carpet Layer 19.73 23160 - Electrician Maintenance 24.86 23181 - Electronics Technician Maintenance I 23.73 23182 - Electronics Technician Maintenance II 25.39 23183 - Electronics Technician Maintenance III 27.05 23260 - Fabric Worker 18.29 23290 - Fire Alarm System Mechanic 22.04 23310 - Fire Extinguisher Repairer 16.81 23311 - Fuel Distribution System Mechanic 23.16 23312 - Fuel Distribution System Operator 17.32 23370 - General Maintenance Worker 19.72 23380 - Ground Support Equipment Mechanic 22.49 23381 - Ground Support Equipment Servicer 18.29 23382 - Ground Support Equipment Worker 19.73 23391 - Gunsmith I 16.81 23392 - Gunsmith II 19.73 23393 - Gunsmith III 22.49 23410 - Heating Ventilation And Air-Conditioning 20.18 Mechanic 23411 - Heating Ventilation And Air Contidioning 23.55 Mechanic (Research Facility) 23430 - Heavy Equipment Mechanic 21.67 23440 - Heavy Equipment Operator 19.53 23460 - Instrument Mechanic 22.49 23465 - Laboratory/Shelter Mechanic 21.12 23470 - Laborer 13.71 23510 - Locksmith 21.12 23530 - Machinery Maintenance Mechanic 25.08 23550 - Machinist Maintenance 21.57 23580 - Maintenance Trades Helper 16.91 23591 - Metrology Technician I 22.49 23592 - Metrology Technician II 23.84 23593 - Metrology Technician III 25.28 23640 - Millwright 24.35 23710 - Office Appliance Repairer 21.12 23760 - Painter Maintenance 17.49 23790 - Pipefitter Maintenance 23.58 23810 - Plumber Maintenance 22.14 23820 - Pneudraulic Systems Mechanic 22.49 23850 - Rigger 22.49 23870 - Scale Mechanic 19.73 23890 - Sheet-Metal Worker Maintenance 21.92 23910 - Small Engine Mechanic 18.53 23931 - Telecommunications Mechanic I 29.01 23932 - Telecommunications Mechanic II 30.73 23950 - Telephone Lineman 22.49 23960 - Welder Combination Maintenance 18.00 23965 - Well Driller 22.49 23970 - Woodcraft Worker 22.49 23980 - Woodworker 16.81 24000 - Personal Needs Occupations 24550 - Case Manager 15.83 24570 - Child Care Attendant 11.22 24580 - Child Care Center Clerk 14.11

24610 - Chore Aide 9.47 24620 - Family Readiness And Support Services 15.83 Coordinator 24630 - Homemaker 16.62 25000 - Plant And System Operations Occupations 25010 - Boiler Tender 23.36 25040 - Sewage Plant Operator 22.32 25070 - Stationary Engineer 23.36 25190 - Ventilation Equipment Tender 15.83 25210 - Water Treatment Plant Operator 22.32 27000 - Protective Service Occupations 27004 - Alarm Monitor 17.79 27007 - Baggage Inspector 11.55 27008 - Corrections Officer 19.23 27010 - Court Security Officer 18.53 27030 - Detection Dog Handler 13.59 27040 - Detention Officer 19.23 27070 - Firefighter 16.97 27101 - Guard I 11.55 27102 - Guard II 13.59 27131 - Police Officer I 21.51 27132 - Police Officer II 22.53 28000 - Recreation Occupations 28041 - Carnival Equipment Operator 12.38 28042 - Carnival Equipment Repairer 13.52 28043 - Carnival Worker 8.99 28210 - Gate Attendant/Gate Tender 15.20 28310 - Lifeguard 13.04 28350 - Park Attendant (Aide) 17.01 28510 - Recreation Aide/Health Facility Attendant 12.41 28515 - Recreation Specialist 20.28 28630 - Sports Official 13.54 28690 - Swimming Pool Operator 15.86 29000 - Stevedoring/Longshoremen Occupational Services 29010 - Blocker And Bracer 19.73 29020 - Hatch Tender 19.73 29030 - Line Handler 19.73 29041 - Stevedore I 18.29 29042 - Stevedore II 21.12 30000 - Technical Occupations 30010 - Air Traffic Control Specialist Center (HFO) (see 2) 39.89 30011 - Air Traffic Control Specialist Station (HFO) (see 2) 27.50 30012 - Air Traffic Control Specialist Terminal (HFO) (see 2) 30.29 30021 - Archeological Technician I 16.67 30022 - Archeological Technician II 18.65 30023 - Archeological Technician III 23.10 30030 - Cartographic Technician 23.10 30040 - Civil Engineering Technician 22.40 30051 - Cryogenic Technician I 25.58 30052 - Cryogenic Technician II 28.26 30061 - Drafter/CAD Operator I 16.67 30062 - Drafter/CAD Operator II 18.65 30063 - Drafter/CAD Operator III 20.79 30064 - Drafter/CAD Operator IV 25.58 30081 - Engineering Technician I 17.14

30082 - Engineering Technician II 18.54 30083 - Engineering Technician III 21.52 30084 - Engineering Technician IV 25.66 30085 - Engineering Technician V 30.95 30086 - Engineering Technician VI 37.45 30090 - Environmental Technician 23.10 30095 - Evidence Control Specialist 23.10 30210 - Laboratory Technician 20.79 30221 - Latent Fingerprint Technician I 25.58 30222 - Latent Fingerprint Technician II 28.26 30240 - Mathematical Technician 23.10 30361 - Paralegal/Legal Assistant I 18.81 30362 - Paralegal/Legal Assistant II 22.31 30363 - Paralegal/Legal Assistant III 27.20 30364 - Paralegal/Legal Assistant IV 33.01 30375 - Petroleum Supply Specialist 28.26 30390 - Photo-Optics Technician 23.10 30395 - Radiation Control Technician 28.26 30461 - Technical Writer I 23.10 30462 - Technical Writer II 28.26 30463 - Technical Writer III 34.19 30491 - Unexploded Ordnance (UXO) Technician I 25.35 30492 - Unexploded Ordnance (UXO) Technician II 30.67 30493 - Unexploded Ordnance (UXO) Technician III 36.76 30494 - Unexploded (UXO) Safety Escort 25.35 30495 - Unexploded (UXO) Sweep Personnel 25.35 30501 - Weather Forecaster I 25.58 30502 - Weather Forecaster II 31.12 30620 - Weather Observer Combined Upper Air Or (see 2) 20.79 Surface Programs 30621 - Weather Observer Senior (see 2) 23.38 31000 - Transportation/Mobile Equipment Operation Occupations 31010 - Airplane Pilot 30.67 31020 - Bus Aide 12.02 31030 - Bus Driver 17.50 31043 - Driver Courier 13.20 31260 - Parking and Lot Attendant 10.70 31290 - Shuttle Bus Driver 13.89 31310 - Taxi Driver 10.87 31361 - Truckdriver Light 13.89 31362 - Truckdriver Medium 15.04 31363 - Truckdriver Heavy 20.14 31364 - Truckdriver Tractor-Trailer 20.14 99000 - Miscellaneous Occupations 99020 - Cabin Safety Specialist 14.95 99030 - Cashier 9.56 99050 - Desk Clerk 10.95 99095 - Embalmer 25.35 99130 - Flight Follower 25.35 99251 - Laboratory Animal Caretaker I 13.10 99252 - Laboratory Animal Caretaker II 14.31 99260 - Marketing Analyst 24.64 99310 - Mortician 25.35 99410 - Pest Controller 15.79 99510 - Photofinishing Worker 13.32

99710 - Recycling Laborer 15.49 99711 - Recycling Specialist 17.88 99730 - Refuse Collector 13.79 99810 - Sales Clerk 11.81 99820 - School Crossing Guard 13.25 99830 - Survey Party Chief 19.49 99831 - Surveying Aide 12.77 99832 - Surveying Technician 17.49 99840 - Vending Machine Attendant 18.24 99841 - Vending Machine Repairer 23.38 99842 - Vending Machine Repairer Helper 18.24

Note: Executive Order (EO) 13706 Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was issued) on or after January 1 2017. If this contract is covered by the EO the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work up to 56 hours of paid sick leave each year. Employees must be permitted to use paid sick leave for their own illness injury or other health-related needs including preventive care; to assist a family member (or person who is like family to the employee) who is ill injured or has other health-related needs including preventive care; or for reasons resulting from or to assist a family member (or person who is like family to the employee) who is the victim of domestic violence sexual assault or stalking. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:

HEALTH & WELFARE: Life accident and health insurance plans sick leave pension plans civic and personal leave severance pay and savings and thrift plans.

Minimum employer contributions costing an average of $4.54 per hour computed on the basis of all hours worked by service employees employed on the contract.

HEALTH & WELFARE EO 13706: Minimum employer contributions costing an average of $4.

22 per hour computed on the basis of all hours worked by service employees employed on the covered contracts. *

*This rate is to be used only when compensating employees for performance on an SCA-covered contract also covered by EO 13706 Establishing Paid Sick Leave for Federal Contractors.