20160205_-_PWS-Final.docx

PERFORMANCE WORK STATEMENT (PWS)

FOR

Case Management Services

1. General:

1.1 Scope:

The purpose of this requirement is to provide Medical and Dental Case Management, Case Management Provider, Care Coordinator, Administrative Assistant, Behavioral Health Associate, and other staffing as outlined in section 5 in support of Individual Medical Readiness (IMR). This requirement is designed to be flexible, responsive, and meets the ever-evolving needs of the government. DoDI 6025.19 establishes aggressive quarterly and annual metric goals for the separate IMR elements and for the overall IMR category of Fully Medically Ready (FMR) soldiers. The ultimate goals are to produce real-time reports based on complete, accurate data. The minimum goal for overall medical readiness is more than 85% of Service members meeting the Medical Readiness Classification (MRC), with the ideal goal being 100%. The LA Army National Guard (LAARNG) Surgeon’s Office requires a highly responsive process whereby the government can quickly obtain needed support and services. This PWS reflects existing National Guard Bureau policies and regulations.

1.1.1 LAARNG Surgeon’s Office requires Case Management Provider (minimum PA/NP), RN Case Manager, Care Coordinator (minimum LVN/LPN), Behavioral Health Associate, Administrative Assistant, Project Manager, Budget Analyst support services.

1.1.2. The Contractor shall furnish all labor and services required to provide a wide range of Medical and Dental Case Management and related Medical Administrative support services.

1.1.3 Period of Performance (PoP): The period of performance shall be 01 May 2016 thru 30 April 2021.

1.2 Background: The Department of Defense (DoD) TRICARE Management Activity (TMA) values all staff involved in the delivery of high-quality care to service members. In 2009, a Medical Management Guide was issued by the Office of the Assistant Secretary of Defense for Health Affairs (ASD [HA]) and TMA, Office of the Chief Medical Officer (OCMO), Population Health and Medical Management Division (PHMMD). The Guide covers the components of a Medical Management (MM) program, including applicable principles, implementation concepts, processes, and tools/databases for Utilization Management (UM), Case Management (CM), and Disease Management (DM). It complements the 2001 DoD Population Health Improvement Plan and Guide published by TMA and the Government Printing Office http://www.tricare.mil/ocmo/download/mhs_phi_guide.pdf.

Under legislative mandates, the ASD (HA) submitted an annual report to Congress regarding healthcare delivery for Military Health System (MHS) beneficiaries. The 2009 report documented the MHS goal to providing high-quality care, improving performance through clinical and process outcomes, and increasing patients’ confidence in the care they receive. The Guide describes crucial components of Medical Management within the MHS, including the link between MM and population health and the dynamics between Utilization Management, Case Management and Disease Management in helping reduce unnecessary or inappropriate services and/or duplication of services. In the military setting, Case Management targets Active Duty Service Members and beneficiaries with complex, multi-system healthcare needs who require care coordination or case management services. Originally, Case Management almost exclusively targeted in-patients with catastrophic illnesses or injuries. However, a number of developments have served to change that strategy; notably:

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

- The development of accreditation standards by the Utilization Review Accreditation Commission (URAC): http://www.urac.org.

While Case Management continues to focus on catastrophic illness or injury, Case Management practices are also intensely directed at addressing chronic conditions that are more prevalent in the general patient population. Case managers can affect patient outcomes through proactive interventions across multiple healthcare settings. Additionally, case managers are expected to engage community resources and facilitate ongoing and consistent patient education.

The MHS has three primary goals for Case Management:

The Army National Guard, recognizing the importance of Medical Readiness after several years of combat deployments, implemented the Case Manager Support Contract in August 2005 as a time and materials contract, not Firm Fixed Price (FFP) and Performance Statement of Work-based. The current contract was originally awarded August 2009 to Skyline Ultd (with 49% subcontract to Sterling Medical).

At the end of FY09, case managers in 31 states were using the medical non-deployable module to manage their case loads. During the period of August 2008 to August 2009, 15,292 cases were put into the module; of these, 6734 were closed by return to duty, fit for duty, or forwarded for an MEB/PEB evaluation. Additionally, readiness increased from 35% fully-ready in FY08 to 44% in FY09. This success resulted from increased targeted funding and a concerted effort by the National Guard Bureau.

On 29 March 2012, the ARNG achieved the Department of Defense (DoD) goal of 75% Fully Medically Ready (FMR) Soldiers per DoD Instruction (DoDI) 6025.19, Individual Medical Readiness (IMR). In 2013, ARNG readiness has continued to increase to over 80%. Continued utilization of medical case managers is essential to maintaining established medical readiness goals for the ARNG. In December 2014, the Medical Readiness Classification (MRC) goal was changed to 85% readiness. Currently the LAARNG maintains above 85% MRC. Beginning 1 May 2015, the National Guard Bureau managed contract will revert to State control. LAARNG will assume management of this contract. This contract will include the prior State managed Case Management contract.

1.3 Period of Performance (PoP): The Period of Performance shall be one Base Year of 12 months (01 April 2016-30 May 2017) and 4 12-month option years, thru 30 May 2021.

1.4 General Information:

1.4.1 Quality Control (QC): The Contractor shall provide a preliminary Quality Control Plan (QCP) with their proposal. The QCP shall include a detailed discussion of the steps proposed to ensure quality, adherence to schedule, proactive communication and adherence to budget. The QCP shall include a description of corrective action steps to take should the Contractor performance be substandard. An organizational depiction of the project team and chain(s)-of-command shall also be included in the QCP. The QCP shall be submitted as part of the proposal. A finalized QCP shall be submitted to the KO within 30 days after the start of the PoP.

1.4.2 Quality Assurance (QA): The Government shall 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 must 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) (defect rate(s)).

1.4.3 Recognized Holidays: The following are recognized 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

1.4.4 Place and Performance of Services:

The contractor shall provide services between the hours of 0700-1730 on Tuesdays 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. Primary work location is at BLDG 420 and BLDG 496, F Street, Camp Beauregard, Pineville, LA 71360. The Contract employees may be required to travel to execute any missions to support and augment the ARNG consistent with all services described within the PWS as shown below. Specifically, in the event of a mobilization event, the Contractor shall ensure adequate case management support is available for travel to locations to best support these activities (i.e. work at armories) as directed by the Contracting Officer. If changes to the original work in this PWS arise during the performance of the contract, the contracting company will notify the COR. If the changes are determined to be within the scope of the contract, the Contracting Officer will provide 30 calendar day notice to the contractor with full description of the need and request a proposal. The Contracting Officer will negotiate a modification to the contract to provide this in-scope work effort. Travel to and from the primary worksite will not be reimbursed. 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. Telecommuting is not authorized.

1.4.4.1 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.

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

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 Contracting Officer’s Representative (COR). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by DOD, HQDA and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

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

1.4.5.2 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the AEI. 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:

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

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

c. 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.

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

e. Practice safe network and Internet operating principles and take no actions threatening the integrity of the system or network.

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

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

1.4.5.4.i HSPD-12 Background Investigation Requirements: The contractor ensure Common Access Cards (CACs) are obtained by all contract or subcontract personnel assigned to work on the Government site and by personnel requiring access to a DoD network (and other eligible populations as specified in DTM-08-003 Attachment 3, paragraph 3a.) are required to, at a minimum, have received a favorable FBI fingerprint check and must have submitted to the Office of Personnel Management (OPM) a National Agency Check with Inquiries (NACI) or equivalent/higher investigation. It is the responsibility of the contractor to ensure all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form at the earliest possible date and that this form is forwarded to the COR immediately. The COR will review the form for completeness and accuracy and forward to the NGB Personnel Security manager who will initiate the investigation process via the PSIP. Contractor personnel will then receive two e-mail messages; the first will confirm the request has been received by the Office of Personnel Management, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system. Upon completion of the e-QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the BI will be initiated. The contractor shall ensure all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system are complied with immediately. The contractor is cautioned the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from 2-6 weeks and shall factor this lead time into its hiring/placement process. The contractor shall make all reasonable efforts to ensure contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

1.4.5.4.ii Trusted Associate Sponsorship System (TASS): The contractor is responsible for processing applications for Common Access Cards (CAC) for every contractor employee who deploys with the military force OR who has need to access any government computer network in accordance with FAR 52.204-9, "Personal Identity Verification of Contractor Personnel."

The contractor is responsible for managing requests for new or renewal CAC cards in sufficient time to ensure all contractor employees have them when needed to perform work under this contract. The norm is at least ten calendar days advance notice to the Trusted Agent (TA), unless there are extenuating circumstances approved by the Contracting Officer's Representative (COR) or Contracting Officer. .

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

It is recommend a "Corporate Facility Security Officer" (FSO) be designated to serve as your firm's single point of contact for Background Investigation (BI), the TASS application process and other CAC and security related matters. If a FSO is not established, each contractor employee requiring a CAC will be required to process their own applications.

CAC applications shall be processed through the TASS. The contractor's FSO or contractor employee shall submit requests for a CAC via email to the designated TASS Trusted Agent (TA) before accessing the TASS website. The TASS TA for this requirement will be: SMSgt Heidi Mule’ at heidi.s.mule.mil@mail.mil.

The government will establish a TASS application account for each CAC Request and will provide each contractor employee a USER ID and Password, via email, to the FSO. The FSO or contractor employee shall access the TASS account and complete the CAC application (entering/editing contractor information as applicable) https://www.dmdc.osd.mil/tass/.

The FSO or contractor employee will submit completed applications in TASS and will follow up to ensure the TA is processing the request.

A CAC cannot be issued without evidence the FSO has initiated a National Agency Check with Written Inquires (NACI).

The government will inform the contractor's applicant, via email, of one of the following:

a. Approved.* Upon approval, the information is transferred to the Defense Enrollment Eligibility Reporting System (DEERS) database and an email notification is sent to the contractor with instructions on obtaining their CAC. The contractor proceeds to a Real-Time Automated Personnel Identification System (RAPIDS) station (RAPIDS Site Locator: http://www.dmdc.osd.mil/rsl/).

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

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

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

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

1.4.5.5 AT Level 1 Awareness Training (AT): All contractor 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, or to the KO if a COR is not assigned, within 15 calendar days after completion of training. Level 1 AT is available at https://atlevel1.dtic.mil/at/.The Contractor’s employees will receive annual AT training at Camp Beauregard, Pineville, LA.

1.4.5.6 Information Assurance (IA)/Information Technology (IT) Training: All contractor 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 training requirements in DoDD 8570.01, 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 services supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award.

1.4.5.7 Information Awareness: All contractor employees with access to a government information system shall be registered in the ATCTS (Army Training Certification Tracking System) (https://atc.us.army.mil/iastar/index.php) prior to 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/).

1.4.5.8 WATCH Training. Not applicable

1.4.5.9 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 affected contractor employee, to the COR, or to the KO if a COR is not assigned, within 15 calendar days after completion of training. Level 1 OPSEC training is available at http://cdsetrain.dtic.mil/opsec/.

1.4.5.10 OPSEC SOP/Plan. Not applicable

1.4.5.11 Classified Information. Not applicable

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. The contractor shall establish and implement methods of ensuring all keys/key cards issued by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued by the Government shall be duplicated. The contractor shall include procedures covering key control in the QC Plan. 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 Contracting Officer’s Representative (COR). Contractor’s employees will sign for any issued keys or key codes. Contractor’s employees will maintain and safeguard keys, key codes, and entry and access to the LANG facilities to safeguard PII, OPSEC, and LAARNG equipment and materials.

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 replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted 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 Lock Combinations: Not applicable

1.4.7 Special Qualifications: The RN case managers require the expertise as dictated by the practice of nursing - the systematic application of substantial specialized knowledge and skills derived from the biological, physical, and behavioral sciences, to the care, treatment, counsel, and health teaching of individuals who are experiencing changes in the normal health processes or who require assistance in the maintenance of health and the prevention or management of illness, injury, or disability.

1.4.7.1 Special Qualifications: The PA provider requires the expertise as dictated by the National Commission on the Certification of Physician Assistants (NCCPA) and the Louisiana State Board of Medical Examiners (LSBME).

1.4.7.2 Special Qualifications: The NP provider requires the expertise as dictated by the American Academy of Nurse Practitioners Certification Program (AANP), American Nurses Credentialing Center (ANCC), and the Louisiana State Board of Nursing (LSBN).

1.4.7.3 Special Qualifications: The LVN/LPN Case Managers require the expertise as dictated by the Louisiana State Board of Practical Nurse Examiners.

1.4.7.4 The Behavioral Health Associate requires the expertise as dictated by the individual State Licensing boards which set the scope of practice for social workers and must work under the expertise of a LCSW. Case management knowledge domains consist of assessment, planning, implementation, coordination, monitoring and evaluations of the options and services required to meet the ARNG Soldier’s health and human services needs.

1.4.7.5 The case management personnel will be experienced in all aspects and qualified in their respective functional areas. Contactor personnel shall not perform inherently governmental functions (i.e., representation of government, decision authority, etc.).

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO. The KO, Contracting Officer’s Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor performance. The first meeting will be scheduled shortly after contract award and before the starting of work. An agenda and requirements list will be e-mailed out from the government several days in advance of the meeting. The purpose of this meeting is to ensure the contract transition will go well and neither party is preventing, or will prevent, successful completion of the contract as required.

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, (or the KO if a COR is not assigned), 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: Contract personnel are required to wear badges in the performance of this contract. 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 their employees who depart employment for any reason. All identification media (i.e., badges and vehicles passes) shall be returned 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. Such actions may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment. The Contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Contractor Travel. If contractor travel is required, a separate Not To Exceed (NTE) Contract Line Item Number (CLIN) will be added to the contract to pay for travel expenses.) The contractor shall travel to National Guard armories within Louisiana during the performance of this contract to work at Physical Health Assessment exercises.

The contractor shall 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 authorization by the KO prior to travel arrangements being made. Contractor’s employees shall travel in coordination with LAARNG policies to reduce travel expense through carpooling, double occupancy for lodging as possible, and use of government lodging.

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

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

1.4.15 Phase In / Phase Out Periods: Not applicable

1.4.16 Telework: Not applicable

2. Definitions and Acronyms:

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

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

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

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

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 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 assure the quality of an end product or service meets 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.

2.1.12 WORK HOURS. The Contractor’s Employees are to work 10 hour work days in compliance with the LAARNG Compressed work schedule regulations.

2.1.13 WORK WEEK. Tuesday through Friday, unless specified otherwise.

2.1.14 Paid Time Off (PTO) will follow guidelines of the Federal General Service PTO regulations. Accrued PTO will roll over each year with no limits.

2.2 ACRONYMS:

AFARS Army Federal Acquisition Regulation Supplement AR Army Regulation AT/OPSEC Antiterrorism/Operational Security CFR Code of Federal Regulations CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTS Commercial-Off-the-Shelf DA Department of the Army DD250 Department of Defense Form 250 (Receiving Report) DD254 Department of Defense Contract Security Requirement List DFARS Defense Federal Acquisition Regulation Supplement DOD Department of Defense FAR Federal Acquisition Regulation GFP/M/E/S Government Furnished Property/Material/Equipment/Services IA Information Assurance IS Information System(s) KO Contracting Officer

OCI Organizational Conflict of Interest ODC Other Direct Costs PII Personally Identifiable Information PIPO Phase In/Phase Out POC Point of Contact PRS Performance Requirements Summary PTO Paid Time Off PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program SM Service Member TE Technical Exhibit

3.0 Government Furnished Property, Materials, and Equipment (GFP/M/E):

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

3.2 Materials: N/A

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

3.4 Services: N/A

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 required by the contract.

4.2 Secret Facility Clearance: N/A.

4.3 Contractor provides web-based payroll services to the Contractor’s employees.

5.0 Requirements: The intent of this requirement is to provide case management services for the LAARNG in support of surge and contingency requirements as well as its steady-state mission. Any changes to the initial staffing will be completed through a bilateral supplemental agreement. The Contractor shall provide knowledgeable, experienced contractor support personnel to perform the specified tasks below. Contractor personnel must have the Knowledge, Skills and Abilities (KSA) as listed below for each of the specified tasks. The government will provide all applicable regulations, policy, directives and other pertinent directives associated with the specific duties. The contractor will provide development, maintenance, and training of courseware to support the activities in this SOW and ensure contract personnel attend training as directed by the Commander.

5.1 Detailed Position Descriptions:

5.1.1 Physician Assistant/Nurse Practitioner (PA/NP):

The PA/NP shall serve as a provider to the State Surgeon’s Office supporting the Deputy State Surgeon. The PA/NP should be able to review medical documentation and make recommendations based on Army regulations on the retainability or deployability of a service member. The PA/NP shall demonstrate the required technical skills and expertise necessary to perform these functions with very minimal guidance. The PA/NP shall be knowledgeable in most aspects of medical care and qualified in their respective functional areas. Personnel assigned must be proficient with computers and be able to successfully utilize Microsoft Office, Outlook, Excel, PowerPoint, and Access with minimal assistance. The PA/NP also must be proficient in the use of basic office machines such as: copiers, printers, scanners, fax machines, and telephone. Personnel must be able to multitask within several different areas of responsibility.

Personnel assigned must have clear and precise verbal and written communication skills demonstrated through frequent phone communication, e-mail correspondence, and meetings with Military and Civilian Personnel. The PA/NP shall become proficient in medical modules to include Medical Operational Data System (MODS) and Medical Electronic Data (for) Care History and Readiness Tracking (MED-CHART) system. Must be knowledgeable of HIPAA Regulations and make sure that HIPAA Regulations are enforced at all times. HIPAA Trained and Certified. The PA/NP shall maintain licensure through their respective licensing and credentialing agents.

Skills

· Possess 5 years minimum clinical experience as PA/NP.

· Possess past experience in serving military or Veteran’s populations.

Position Requirements

· Basic Life Support (BLS) Certified

· Possess and maintain appropriate state licensing credentials.

· Pre-employment background check mandatory.

· Computer literate.

Responsibilities and Duties

· Maintain proficiency with Army National Guard regulations and policies as they apply to deploying and non-deploying service members.

· Responsible for understanding web-based electronic data systems via MODS and MEDCHART.

· Responsible for protecting the confidential nature of service member’s files and medical issues.

· Establish and utilize listing of local resources to ensure soldiers have available alternative options to military health benefits.

· Ensure service members understand their medical readiness responsibilities.

· Obtain release of information form in accordance to the Health Insurance Portability and Accountability Act (HIPAA).

· Provide information about privacy rights and have service members sign consents.

· Maintain service member’s medical records in accordance with Army Regulation (AR) 40-66.

· Educate service members on resources available to improve medical/dental readiness.

· Provide guidance to RN case managers as they manage service member’s care from receipt of condition to the point when soldier is deployable, evaluated for Fitness of Duty, or referred to a Medical Review Board.

· Work with the RN Case Manager Supervisor and other RN Case Managers in coordinating with service members to assess and arrange for treatment of conditions that have or will result in a medical/dental non-deployable or non-retainable status.

· Work directly with the RN Case Managers in reviewing service member’s medical records.

· Document any interaction with a service member in the service member’s medical record.

· Create temporary and/or permanent profiles for service members based on medical documentation from their civilian provider or military treatment facility.

· Document, review and digitally sign Medical Health Assessments.

· Must be able to obtain a CAC card.

· Perform initial interview with service member and conduct interviews regarding their medical status.

· Coordinate prior authorizations for treatment received by the Military Health Care Program TRICARE, and the Military Medical Support Office.

· Furnish information/documentation to military provider(s) and or approval authority responsible for evaluating soldier’s follow-up status.

· Travel in support of unit medical readiness events at armories throughout the State of Louisiana and mobilization/demobilization stations.

5.1.2 RN Case Manager Supervisor:

The RN Case Manager Supervisor (Lead Case Manager) shall serve as support staff to the State Surgeon’s Office supporting the Deputy State Surgeon. The RN Case Manager Supervisor should be able to review medical documentation and make recommendations based on Army regulations on the retainability or deployability of a service member. The RN Case Manager Supervisor shall demonstrate the required technical skills and expertise necessary to perform these functions with very minimal guidance. The RN Case Manager Supervisor shall be knowledgeable in most aspects of medical care and qualified in their respective functional areas. Personnel assigned must be proficient with computers and be able to successfully utilize Microsoft Office, Outlook, Excel, PowerPoint, and Access with minimal assistance. The RN Case Manager Supervisor also must be proficient in the use of basic office machines such as: copiers, printers, scanners, fax machines, and telephone. The RN Case Manager Supervisor must be able to multitask within several different areas of responsibility. The RN Case Manager Supervisor must have clear and precise verbal and written communication skills demonstrated through frequent phone communication, e-mail correspondence, and meetings with Military and Civilian Personnel. The RN Case Manager Supervisor shall be proficient in medical modules to include Medical Operational Data System (MODS) and Medical Electronic Data (for) Care History and Readiness Tracking (MED-CHART) system. Must be knowledgeable of HIPAA Regulations and make sure that HIPAA Regulations are enforced at all times. HIPAA Trained and Certified. The RN Case Manager Supervisor shall maintain licensure through the Louisiana State Board of Nursing.

Skills:

· Possess minimum of five years experience as case manager or case management certification.

· Possess past experience in serving military or Veteran’s populations.

· Possess a history of at least one year of experience as a supervisor, charge nurse or management position.

Position Requirements:

· Basic Life Support (BLS) Certified Registered Nurse

· The RN Case Manager Supervisor shall have at least two years of experience as a registered nurse.

· Possess and maintain appropriate state credentials.

· Pre-employment background check mandatory.

· Computer literate.

Responsibilities and Duties:

· Maintain proficiency with Army National Guard regulations and policies as they apply to deploying and non-deploying service members.

· Responsible for understanding web-based electronic data systems via MODS and MEDCHART.

· Responsible for protecting the confidential nature of service member’s files and medical issues.

· Establish and utilize listing of local resources to ensure soldiers have available alternative options to military health benefits.

· Ensure service members understand their medical readiness responsibilities.

· Obtain release of information form in accordance to the Health Insurance Portability and Accountability Act (HIPAA).

· Provide information about privacy rights and have service members sign consents.

· Maintain service member’s medical records in accordance with Army Regulation (AR) 40-66.

· Educate service members on resources available to improve medical/dental readiness.

· Assist service members to maintain a Medical Readiness Classification of 1 or 2 by tracking medical and dental appointments.

· Actively manage service member’s care from receipt of condition to the point when soldier is deployable, evaluated for Fitness of Duty, or referred to a Medical Review Board.

· Work with civilian and military medical providers in coordinating with service members to assess and arrange for treatment of conditions that have or will result in a medical/dental non-deployable or non-retainable status.

· Work directly with civilian and military medical providers in reviewing service member’s medical records.

· Document any interaction with a service member in the service member’s medical record.

· Create temporary and/or permanent profile drafts to be reviewed by a medical provider for service members based on medical documentation from their civilian provider or military treatment facility.

· Document and review Medical Health Assessments prior to signature by a medical provider.

· Must be able to obtain a CAC card.

· Perform initial interviews with service member and conduct interviews regarding their medical status.

· Coordinate prior authorizations for treatment received by the Military Health Care Program TRICARE, and the Military Medical Support Office.

· Furnish information/documentation to military provider(s) and or approval authority responsible for evaluating soldier’s follow-up status.

· Supervise a team of RN Case Managers and Care Coordinators and Administrative Assistants during daily operations.

· Provide daily and weekly case reporting to the Deputy State Surgeon.

· Attend meetings scheduled through the State…