Behavioral_Health_Counselors_Services_-_PWS.docx

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Behavioral Health Counselor Support Services
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W912L8-19-R-0007
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PERFORMANCE WORK STATEMENT (PWS)

FOR

Behavioral Health Counselors Services

1.0 General:

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

1.2 Background: The West Virginia Army National Guard (WVARNG) has a requirement to ensure the medical readiness of approximately 4,000 Service Members by providing services directly promoting comprehensive medical readiness and ensuring global deployability.

1.3 Period of Performance (PoP): The Period of Performance shall be 1 Base Year of 12 months and 4 12-month option years.

1.4 General Information:

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

1.4.2 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

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

1.4.3.1 New Year’s Day: January 1st

1.4.3.2 Martin Luther King, Jr.’s Birthday

1.4.3.3 President’s Day

1.4.3.4 Memorial Day

1.4.3.5 Independence Day: July 4th

1.4.3.6 Labor Day

1.4.3.7 Columbus Day

1.4.3.8 Veteran’s Day: November 11th

1.4.3.9 Thanksgiving Day

1.4.3.10 Christmas Day: December 25th

1.4.4 Place and Performance of Services: The contractor personnel shall provide routine services between the hours of 0730 - 1630 on Monday through Friday, except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. Performance shall be at various locations throughout the state, and will be based out of 100 Military Drive, South Charleston, WV 25309, and 90 Army Band Way, Morgantown, WV 26501. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. Teleworking is authorized.

1.4.4.1 Telework: The Government may permit telework by contractor employees when determined to be in the best interest of the Government in meeting work requirements. In furtherance of Continuity of Operations Planning (COOP), a telework program may be enacted to ensure that the Government's mission-critical operations stay operational during times of national emergency or incidents of national significance. Telework shall be at no additional cost to the Government.

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

1.4.4.3 The contractor’s employees shall become familiar with and obey the regulations of the installation; including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times, and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance. The Government reserves the right to direct the removal of an employee for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.5 Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

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

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

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

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

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

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

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

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

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

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

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

1.4.5.1.3 At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor employee by SSN and two forms of identification. Identity source documents must come from the list of acceptable documents included in Form I-9, OMB No. 1615-0047, "Employment Eligibility Verification." Consistent with applicable law, at least one document from the Form I-9 list shall be a valid (unexpired) State or Federal Government-issued picture ID. The Identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of an ID. The photo ID requirement cannot be waived, consistent with applicable statutory requirements. The Verification Officer will capture primary and alternate fingerprints, picture, and updates to DEERS, and will then issue a CAC. Issued CACs will be valid for no longer than three years, or until the individual's contract end date (inclusive of any options), whichever is earlier.

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

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

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

1.4.5.2 Reserved.

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

1.4.5.4 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the Army Enterprise Infostructure (AEI). Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

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

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

1.4.5.4.3 Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

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

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

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

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

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

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

1.4.5.9 Reserved.

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

1.4.5.11 Reserved.

1.4.5.12 Reserved.

1.4.5.13 Threat Awareness and Reporting Program (TARP). Per AR 381-12, Threat Awareness and Reporting Program (TARP), contractor employees with security clearances must receive annual TARP training by a counterintelligence (CI) agent or other trainer as specified in Chapter 2 Threat Awareness and Education, Section II, paragraph 2-4b. The contractor shall submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training.

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

1.4.6.1 Key Control. NOTE: All references to keys include key cards. The contractor shall establish and implement methods of ensuring that no keys/key cards issued by the Government are lost or misplaced or are used by unauthorized persons. No keys issued by the Government shall be duplicated. The contractor shall include procedures covering key control in the QCP. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The contractor shall immediately report any occurrences of lost or duplicated keys/key cards to the COR.

1.4.6.1.1 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction by the KO, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the Government replaces or re-keys the locks, the Government will deduct the total cost of lock replacement or re-keying from the monthly payment due the contractor. In the event a master key is lost or duplicated, the Government will replace all locks and keys for that system, and will deduct the total cost from the monthly payment due the contractor.

1.4.6.1.2 The contactor shall prohibit the use of the Government issued keys/key cards by any persons other than the contractor’s employees. The contractor shall prohibit the opening of locked areas by contractor employees to permit entrance of persons other than contactor employees engaged in the performance of services in those areas, or personnel authorized entrance by the KO.

1.4.6.2 Reserved.

1.4.7 Special Qualifications:

1.4.7.1 Education: Behavioral Health Counselors (BHC) must possess a master’s degree in clinical mental health counseling, social work, or psychology from a graduate program fully accredited by the Council for Accreditation of Counseling and Related Educational Programs.

1.4.7.2 Licensure: Behavioral Health Counselors must possess and maintain licensure to practice independently in the State of West Virginia within his/her respective discipline. Clinical mental health counselors must hold the Licensed Mental Health Counselor (LMHC) or Licensed Professional Counselor (LPC) credential. Social workers must hold the Licensed Independent Clinical Social Worker (LICSW) credential. Any candidates not holding a West Virginia license will be given consideration if they are able to obtain a West Virginia license within 90 days of hire date.

1.4.7.3 Experience: Behavioral Health Counselors must have a minimum of two years experience providing mental health services in a supervised setting. A range of experiences in terms of clientele and professional activities is preferred. The BHC must have a developing expertise in conducting mental status evaluations. An understanding of available systems of care and experience collaborating with social service agencies to integrate resources, plan, and deliver comprehensive services, is considered essential. Experience conducting fitness for duty evaluation is preferred. Knowledge of military culture and issues (e.g., combat-related stress, family separation, reunion and reintegration) and experience intervening with military personnel is also preferred.

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

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

1.4.10 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed. The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles passes) to the KO within 14 days of an employee’s departure.

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

1.4.12 Contractor Travel: The contractor shall travel to various armories and installations throughout West Virginia, and potentially out of state, during the performance of this contract. The contractor will be authorized travel expenses consistent with the substantive provisions of the Joint Travel Regulation (JTR) and the limitation of funds specified in this contract. All travel requires COR recommendation for approval and/or authorization by the KO prior to travel arrangements being made.

1.4.13 Reserved.

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

1.4.15 Reserved.

2.0 Definitions and Acronyms:

2.1 Definitions:

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

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

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

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

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

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

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

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

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

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

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

2.2 Acronyms:

AEIArmy Enterprise Infostructure
AHLTAArmed Forces Health Longitudinal Technology Application
ARArmy Regulation
AT/OPSECAntiterrorism/Operational Security
BHBehavioral Health
BHCBehavioral Health Counselor(s)
BIBackground Investigation
CMContract Manager
CMRAContractor Manpower Reporting Application
CORContracting Officer Representative
DADepartment of the Army
DD254Department of Defense Contract Security Classification Specification
DFARSDefense Federal Acquisition Regulation Supplement
DoDDepartment of Defense
DSSDeputy State Surgeon
E-caseElectronic Case
eProfileElectronic Profile
FARFederal Acquisition Regulation
FMRFully Medically Ready
GFP/M/E/SGovernment Furnished Property/Material/Equipment/Services
HQDAHeadquarters, Department of the Army
HRRHealth Readiness Records
HSPDHomeland Security Presidential Directive
IAInformation Assurance
IMRIndividual Medical Readiness
ISInformation System(s)
KOContracting Officer
LICSWLicensed Independent Clinical Social Worker
LMHCLicensed Mental Health Counselor
LPCLicensed Professional Counselor
MEDCHARTMedical Electronic Data Care History And Readiness Tracking
MEDPROSMedical Protection System
MHAMedical Health Assessment
MODSMedical Operational Data System
MTFMedical Treatment Facility
NGBNational Guard Bureau
OCIOrganizational Conflict of Interest
PHAPeriodic Health Assessment
PIIPersonally Identifiable Information
PIPOPhase In/Phase Out
POCPoint of Contact
PRSPerformance Requirements Summary
PWSPerformance Work Statement
QAQuality Assurance
QASPQuality Assurance Surveillance Plan
QCQuality Control
QCPQuality Control Program
SRPSoldier Readiness Process
SSNSocial Security Number
STRService Treatment Record
TETechnical Exhibit
USD(I)Under Secretary of Defense for Intelligence
WVARNGWest Virginia Army National Guard

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

3.1 Property: The Government will furnish the necessary workspace for the contract employees to perform services outlined in this PWS to include desk spaces, office telephones, computers and other items necessary to maintain an office environment.

3.2 Reserved

3.3 Reserved

3.4 Reserved

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

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

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1.

5.0 Requirements: The contractor shall:

5.1 Abide by Privacy Act and HIPAA regulations and guidelines.

5.2 Provide both clinical and non-clinical counseling support services.

5.2.1 When emotional and behavioral problems are identified, the BHC will be charged with understanding the nature of the problems, connecting the service member with available resources, and monitoring the service member’s compliance to, progress in, and outcomes of treatment.

5.2.2 Provide Individual Medical Readiness (IMR) support to include identification and tracking of Soldiers who are not Fully Medically Ready (FMR) for behavioral health concerns. Cases shall be obtained from home station or mobilization station Soldier Readiness Process (SRP) events, Soldiers determined non-medically ready through annual Periodic Health Assessment (PHA) events, or through self-referral. Assist Soldiers to become FMR by assisting with and tracking behavioral health appointments, maintaining communication as required with the Soldiers they are managing. All cases managed, regardless of type or duration shall be documented in the E-Case module of MEDCHART. Contractor shall, at a minimum, have a quarterly team meeting with the OSS Clinical Psychologist and/or Deputy State Surgeon (DSS) and/or State Surgeon to review all cases in progress.

5.2.3 Coordinate with Soldiers to provide information, referral, outreach, and support services to all soldiers within the WVARNG. The standard expectation for response to Soldier issues shall be two (2) business days with a resolution or follow-up contact.

5.2.4 Make accurate assessments of service members' mental status. This assessment may be conducted with limited available collateral information and with service members who have a vested interest in appearing well. Thus, the BHC must be skilled enough to make sound clinical decisions in the context of diagnostic uncertainty.

5.2.5 Make affirmative recommendations based on the results of evaluations. The BHC shall act on the results of evaluations.

5.2.6 Assist in identifying problems and gaps in service in current behavioral health delivery system and devising methods to improve and enhance system.

5.2.7 Conduct weekly telephonic, text, or in-person follow-ups of service members under BH case management to evaluate and monitor their BH status. Complete and chart SF 600s for the official Service Treatment Record (STR), and the electronic database in MEDCHART.

5.2.8 Partner with and augment activities of the Crisis Intervention Team, Psychological Health Program, Family Program Office to include Suicide Prevention and Substance Abuse, Office of the Chaplain, and Office of the State Surgeon and other National Guard entities and programs related to psychological well-being.

5.2.9 Document results of a bi-monthly (at a minimum) case review in the referrals tab of applicable MEDCHART module. These reviews shall be used in the quarterly meeting with the OSS Clinical Psychologist and the DSS and/or State Surgeon.

5.2.10 Provide a monthly E-Case Report to the Deputy State Surgeon or designee, State Nurse Case Manager, and applicable Unit personnel. The report shall include: Unit and number of new referrals initiated, active cases and number of closed cases.

5.2.11 Using CENTCOM MOD 12 and other applicable AOR personnel policy guidance (PPG), determine deployability of soldiers, and report discrepancies to the State Medical Readiness Officer and/or DSS.

5.2.12 Comply with and maintain/access all regulations and guidance that are applicable to medical operations and programs of the West Virginia Army National Guard.

5.2.13 Conduct counseling services training at local events (AT, IDT, RTI courses, etc). Training content shall be reviewed and approved by the DSS, or other authorized Government official, prior to presentation.

5.2.14 When Soldier requires evaluation and care beyond the scope of practice due to severity or long-term condition, coordinate care received by TRICARE and by the Military Medical Support Office (MMSO) to obtain pre authorization for treatment (coordinated through the OSS Clinical Psychologist).

5.2.15 Coordinate Soldiers’ health care including consults for those initially using Military Treatment Facilities (MTF), VA, TRICARE network provider, and non-network providers.

5.2.16 Establish a list of available local resources within their state to coordinate care and ensure Soldiers have alternative options available to receive care if not eligible for military health benefits.

5.2.17 Inform Soldiers of resources available to improve behavioral health readiness (TRICARE Reserve Select, local community resources, and any ARNG sponsored programs).

5.2.18 Liaise between the military and non-military community agencies, including medical agencies, schools, shelters, child care, and family support centers providing access to services that can improve and/or sustain the psychological health of National Guardsmen and families. Coordinate findings and effects with leadership in an effective and timely manner. Conduct needs assessments, intake evaluations, and psycho-diagnostic assessments.

5.2.19 Coordinate and implement prevention and community outreach and education programs for WVARNG Soldiers and their family members in conjunction with the OSS Clinical Psychologist.

5.2.20 Develop coordinated plans for reducing risk factors for WVARNG Service Members, and build and enhance a general culture that promotes psychological health and wellness. Develop and provide access to primary prevention services to inform and educate leadership and the National Guard community at large about the dynamics, treatment, life skills, and behaviors associated with psychological illness and methods to improve wellness.

5.2.21 Develop and provide access to secondary preventive support services and psycho-educational skills-development activities such as parenting skills, stress management, change management, anger management, financial/money management, support groups for single parents, and couples communication.

5.2.22 Maintain Soldier medical records in accordance with Army Regulation (AR) 40-66, and WVARNG Office of the State Surgeon policies.

5.2.23 Upon request, provide the State Surgeon, DSS, State Medical Readiness Officer, and Clinical Psychologist/DPH with all relevant behavioral health documentation, to include: internally generated case management records and notes, as well as any medical records received from civilian treatment facilities and/or providers.

5.2.24 Provide in-person, telephonic, or email updates to Unit Personnel to include commanders and readiness NCOs on the deployability and readiness of each Soldier / Unit as applicable.

5.2.25 Secure and safeguard all government property, including documents that are provided for or created by case management and medical operations.

5.2.26 Respond to and effectively handle time-sensitive calls as they are received, to include during off-hours.

5.2.27 Update all case records, logs, and communications records within five business days of receipt of new information / new communication with Service Member under case management.

5.2.28 Each BHC shall provide on-call services for a dedicated 24/7 crisis hotline for one week, every third week.

5.3 Contractor Manpower Reporting Application (CMRA):

5.3.1 The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the National Guard Bureau WVARNG via a secure data collection site.

5.3.2 The contractor shall completely fill in all required data fields using the following web address: http://www.ecmra.mil/. Reporting inputs shall be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year, beginning with 2019. Contractors may direct questions to the help desk at http://www.ecmra.mil.

6.0 Applicable Publications: Publications applicable to this PWS are listed below:

Publication (Chapter/Page)

Date of Publication
Mandatory or Advisory
Website

Federal Acquisition Regulation https://www.acquisition.gov/?q=browsefar or http://farsite.hill.af.mil/

Defense Federal Acquisition Regulation Supplement http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html or http://farsite.hill.af.mil/

DoDM 1000.13-M-V1 DoD Identification (ID) Cards (Enclosure 2, paragraph 3.b) 01/23/2014 http://www.esd.whs.mil/Directives/issuances/dodm/

Federal Information Processing Standards (FIPS) Publication 201-2 Personal Identity Verification (PIV) of Federal Employees and Contractors (paragraph 9) August 2013 http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf

DoDM 5200.2 Regulation 5200.02 Procedures for the DoD Personnel Security Program (PSP)
04/03/2017

http://www.dtic.mil/whs/directives/corres/pub1.html

Army Directive 2014-05 Policy and Implementation Procedures for Common Access Card Credentialing and Installation Access for Uncleared Contractors

03/07/2014 http://www.apd.army.mil/ProductMaps/PubForm/ArmyDir.aspx

AR 190-13

The Army Physical Security Program 02/25/2011 http://www.apd.army.mil/ProductMaps/PubForm/AR.aspx

Homeland Security Presidential Directive (HSPD)-12 Policy for a Common Identification Standard for Federal Employees and Contractors 08/27/2004 https://www.dhs.gov/homeland-security-presidential-directive-12

DoDD 5400.11 Department of Defense Privacy Program 10/29/2014 http://www.dtic.mil/whs/directives/corres/dir.html#

DoD 5400.11-R Department of Defense Privacy Program 05/14/2007 http://www.dtic.mil/whs/directives/corres/pub1.html

DoDD 8140.01 Cyberspace Workforce Management

08/11/2015
OK
http://www.dtic.mil/whs/directives/corres/dir.html

DoD 8570.01-M Information Assurance Workforce Improvement Program

12/19/2005 (Change 4: 11/10/2015)
OK
http://www.dtic.mil/whs/directives/corres/pub1.html

AR 25-2

Information Assurance

10/24/2007
OK
http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

AR 530-1

Operations Security

09/26/2014
OK
http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

DoD 5220.22-M National Industrial Security Program Operating Manual 02/28/2006 (Change 2: 05/18/2016)

OK
http://www.dtic.mil/whs/directives/corres/pub1.html

AR 381-12

Threat Awareness and Reporting Program (TARP) (Section II, ¶ 2-4.b)

06/01/2016
OK
http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

AR 40-66

Medical Record Administration and Health Care Documentation

06/17/2008
Mandatory

http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

AR 40-501

Standards of Medical Fitness

06/14/2017
Mandatory
http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

6.1 Applicable Forms: Forms applicable to the PWS are listed below:

Form
Date
Website

DD 1172-2

Application for Identification Card/DEERS Enrollment

Mar 2017
http://www.dtic.mil/whs/directives/forms/index.htm

I-9 Employment Eligibility Verification

11/14/16
https://www.uscis.gov/sites/default/files/files/form/i-9.pdf

DD 441

Department of Defense Security Agreement

Jan 2017
http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm

DD 250

Material Inspection and Receiving Report

Aug 2000
http://dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS)

This PRS includes performance objectives the Government will use to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

Performance Objective
Performance Standard
Acceptable Quality Levels (AQL)
Surveillance Method / By Whom

5.2.2 Provide IMR support to include identification and tracking of Soldiers not FMR

Quarterly team meeting with OSS Clinical Psychologist, DSS and/or State Surgeon

Not meeting with Clinical Psychologist, DSS and/or State Surgeon at least monthly not more than once per year

COR will make periodic inspections / spot checks

5.2.3 Coordinate with Soldiers to provide information, referral, outreach, and support services

Respond to Soldier issues within two (2) business days with a resolution or follow-up contact
Response not completed within two (2) business days not more than once per year
COR will make periodic inspections / spot checks

5.2.7 Complete weekly follow-ups of service members under BH case management

Evaluate and monitor BH status, Complete and chart SF 600s for Service Treatment Records and in MedChart Case managed service members receive follow-up contact less than weekly not more than one occurrence per month

COR will make periodic inspections / spot checks

5.2.28 Provide on-call services for 24/7 crisis hotline

Complete 1 week of on-call services every third week
Less than 1 week of on-call status provided every third week not more than one occurrence during any contract year
COR will make periodic inspections / spot checks

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS Reference / Deliverable Title
Frequency
Number of Copies
Medium/Format
Submit To

1.4.5.6 AT Level 1 Awareness Training Certificates

Provide within 15 calendar days after employee completes training.
1
Electronic Submission
COR

1.4.5.7 Information Assurance Training

Must be completed before issuance of network access, annually thereafter.

Provide immediately upon completion.

1
Electronic Submission
COR

1.4.5.8 Army Training Certification Tracking System (ATCTS) Registration

Must be completed before issuance of network access.
1
Electronic Submission
COR

1.4.5.10 OPSEC

Training Certificates

Provide within 15 calendar days after employee completes training.
1
Electronic Submission
COR
1.4.10 Identification Media
Return within 14 days of employee’s departure from contract performance.
Original(s)
Hard Copy
KO

1.4.5.13 Threat Awareness and Reporting Program (TARP) Training Certificate

Provide within 15 calendar days after employee completes training.
1
Electronic Submission
COR

TECHNICAL EXHIBIT 3

Estimated Workload Data

This information is provided for historical background only. It is not a guarantee of workload quantities.

ITEM
NAME
ANNUAL ESTIMATED QUANTITY
1.
Soldier Evaluations
2015 – 215

2016 – 220 2017 – 225

2.
Outreach Efforts
2015 – 3,150

2016 – 3,200 2017 – 3,250

3.
Days in On-Call Status
2015 – 121

2016 – 121 2017 – 121

Ver. May 2018

File details come from the government source that posted it.