W912SN-16-R-7001_Q As.docx

W912NS-16-R-7001 Questions and Answers

Q1: Jan 9-10 2015 Cape Girardeau PAX of 550. Is the number true? Our concern is the small venue for about 550 SM and concerns my team as far as flow and lack of waiting and parking area for a large number of SM.

A1: This is a perfect question for how this “Requirements Indefinite Delivery Contract” provides flexibility when issuing future Task Orders. Below response shows how the quantity could change for the AMRE Tier Size estimated quantity that is in the Solicitation. Do not change the estimated quantity in the Solicitation when you submit your proposal – use the current estimated quantity in the Solicitation. Please reference 52.212-1 for Instruction to offerors

As of today and after pre-screening the rosters there are 440 Soldiers going through this event. They have the Soldiers divided between the two days. 240 on Saturday and 200 on Sunday. Parking is not an issue, the Soldiers park offsite. This will be finalized at the issuance of Task Order.

Q2: Is providing price options acceptable?

A3: No, please only price in accordance with the Solicitation specifically 52.212-1

Q3: Do the Providers need to obtain a license in MO?

A3: No any State License will meet the requirement. The following statement from the PWS paragraph 1.4 Scope: “Medical and dental services shall be performed by Missouri licensed professionals.” is an incorrect statement. Any State License will meet the requirement.

Q4: Are contractors completing Flight Physicals?

A4: No

Q5: Will MOARNG MedDet provide CAC cards to qualified applicants and assist in the process for clearance?

A5: No

Q6: Will MOARNG MedDet provide assistance to obtain access for necessary modules for MedCharts and MODS?

A6: MOARNG will only sponsor access to HRR and eProfile modules

Q7: What is the start/end time on the Friday events Jan 22-24 and Feb 5?

A7: 0800-1730

Q8: Will any of the SM complete the ePHA prior to each event ?

A8: Yes, we are pushing very hard to get as many as possible completed prior to arrival, but no guarantees. How many KIOSK are to be onsite at each event? 2-3 per 200- Soldiers

Q9: Is the guard providing the frig / freezer for Varicella and monitoring the immunizations over the weekend into the night?

A9: No

Q10: Which MILVAX training is the contractor expected to complete? Flu?

A10: Annual MILVAC training for the current season.

Q11: Are we to complete titers for any of the events?

A11: Yes, but limited numbers.

Q12: About how many G6PD, RPR (Syphilis test), Titers, and HIV expected at each event? The number vary by event and number of Soldiers attending.

A12: Looking at the prescreen numbers for the January events it looks like approximate 50% need an HIV drawn. NO RPR tests needed. G6PD at the 10 Jan, 22-24 Jan, 5 Feb and 5-6 Mar events. These events the Soldiers are scheduled to deploy.

Q13: Is the guard supplying the frig to house the HIV test?

A13: No

Q14: What unique tests are expected to be performed for flight physicals or special ops?

A14: No flight physicals or special ops physicals will be scheduled.

Q15: Are contractors performing any Female Paps and /or PG tests at any or all events? Refer to 1.2 background that is not stated in part 5.

A15: PG tests will be completed at the 10 Jan, 22-24 Jan, 5 Feb and 5 Mar events. No Paps will be completed.

Q16: Are pano’s considered 1 and done unless individual oral cavity appears to have changed via restorations or extractions?

A16: Yes

Q17: Bitewing films are to be taken every 18 months or 12 months every state dentist requires various dates?

A17: 12-24 months depending on the patient’s history

Q18: Can Pre-Screened DRC 3 be front loaded at check in?

A18: Yes. This is what we prefer

Q19: How far out from mission date is the contractor held accountable for post dental treatment case management ? i.e. 6 months ?

A19: 6 months

Q20: Is it acceptable to start dental treatment an hour after the initial event starts?

A20: Yes

Q21: Will contractors be provided a lap top with DOEHRS and the personnel to input?

A21: No, see PWS 4.3 the vendor must provide these

Q22: If not, who do we send the calibration certificates to? Not sure?

A22: Needs to stay with the booth, the DOEHRS computer should have it. Proof of compliance IAW DA PAM 40-501

Q23: Will the SM performing the services be able to pre-enter SSN with our laptops if we use them? Yes How many SM will be there to enter into DOEHRS?

A23: No SMs will be at the event, MO Guard SM will load data pre and post, see PWs 4.3. (2 or more at larger events?) Is a 6 man mobile audiometry set up acceptable for the smaller events of 200 and or 3 day events? Yes

Q24: Can SPRINT Test referrals post event and then case managed by the contractor at contractor’s expense acceptable?

A24: No

Q25: Vision- Optometry Correction- (deploying personnel) Will the contractor be responsible for providing the BGS frame examples?

A25: No (Complete SF 771)

Q26: Will the contractor be responsible for ordering and paying for frames and lenses ?

A26: No

Q27: Will the contractor need to enter into STRS to order frames?

A27: Yes

Q28: Are contractors performing tonometry for over 40s?

A28: No

Q29: What type of scanner must the contractor have onsite?

A29: The scanner must meet the minimum clarity requirements of the HRR module.

Q30: Will contractors upload only onsite to HRR if HRR is automating properly?

A30: Yes

Q31: Is the contractor indexing in HRR?

A31: No, scanning only

Q32: If so, can the contractor be provided a state SOP for HRR indexing?

A32: NA

Q33: Is the contractor to perform MedPros entry onsite during the event?

A33: Yes

Q34: Will the MedDet going to provide contractors an overprint or a form for providers to complete? A34: No, SF 600s are used for any profiling concerns.

Q35: Will an SOP from the MEDDET be provided on marking if the SM is deployable in MHA?

A35: No, AR 40-501 Ch 5 needs to be referenced when making deployability determinations.

Q36: Will an SOP from the MEDDET be provided for documenting Behavioral concerns?

A36: No, all concerns will be annotated on an SF 600 or in the PHA itself.

Q37: Will the contractor provide a BH Specialist onsite for every event?

A37: Yes

Q38: Exhibit 3 does not include optometry exams and SPRINT testing although they are mentioned in the PWS. Are these services required?

A38: Yes

Q39: What are the evaluation criteria for award?

A39: Please reference 52.212-2 on page 47 of the Solicitation

Q40: Will the award be single or multiple?

A40: This is a Requirements Indefinite Delivery Contract awarded to one contractor with future Task Orders awarded to the one contractor the received the base Award.

Q41: Will government space be available for medical?

A41: Yes

Q42: The requirements for audiology are set forth in 5.2.6. Will the government enforce this requirement in the evaluation process?

A42: Yes; it will be a part of the Technical Evaluation.

Q43: What documentation must the vendor provide to document that they possess the required equipment listed in the PWS?

A43: Proof of compliance IAW DA PAM 40-501 (see below)

3-6. Monitoring audiometry equipment The current DOD-approved equipment for hearing conservation and hearing readiness monitoring is the DOEHRS-HC System.

DOEHRS-HC can be used to complete up to eight audiometric tests simultaneously and can also be used as a management tracking and reporting tool. The DOEHRS-HC audiometer-

(1) Automates audiometric tests and the completion of test forms.

(2) Must receive an annual, comprehensive electro-acoustical calibration to ensure it is functioning properly and in accordance with the American National Standards Institute (ANSI) Standard S3.6. Prior to its use each day, the equipment will receive biological calibration and function checks to ensure it remains in calibration and is properly functioning. The DOEHRS-HC User Manual contains instructions for completing biological calibration and function checks.

b. The audiometric test environment background noise levels must not exceed those shown in table 3-2. The HPM is responsible for ensuring that qualified personnel evaluate the test environment on an annual basis using equipment conforming to-

(1) Type 1 sound level meter requirements of ANSI Standard S1.4 and S1.4A Amendment (or latest approved ANSI standard).

(2) Requirements for Order 3, Type 3-D, extended range as specified by the latest ANSI Standard S1.11.

c. The current audiometric booth certification must be posted on the outside of the booth in an easily seen location.

d. Ventilation systems in audiometric test booths must provide adequate air exchange for patient comfort and must not interfere with the required allowable noise levels when turned on (see table 3-2).

e. Do not paint the interior of audiometric test booths. Painting the metal interior will interfere with its noise reducing effectiveness.

f. Any significant new noise, either inside or outside of the booth, or the relocation of the booth, requires calibration recertification.

g. The Audiometric Test Booth Certification Form and Fact Sheet is available at the USAPHC Website http://phc.

amedd.army.mil/PHC%20Resource%20Library/AudiometricTestBoothCertification.pdf. DOEHRS-HC testing is conducted in a standard, calibrated, certified environment only.

Q44: How far in advance will the contractor be provided with Exhibit 3 and a task order to execute the event?

A44: Task Orders and Exhibit 3s will be provided at a minimum of 2 weeks prior to the event.

Q45: What is the estimated percentage of Soldier Requiring Treatment?

A45: The best way to answer this question is to provide Missouri’s FY15 AMRE statistics. In FY15, an average of 12.63% (the highest percentage event had 17.95%) of Soldier attending an AMRE required Dental Treatment. The conversion rate from non-dental ready to dental ready was 61.9%. Vendors need to be fully prepared to convert all Soldiers within the PWS standards to dental ready at each event. The conversion rate goes into past performance consideration.

Q46: Is it safe to say about 8,125 Soldiers will be cared for on this contract over the 1 year period of performance?

A46: All numbers in the Solicitation are estimates which will be finalized at the execution of each task order. In FY15 a total of 7,145 were seen at 22 separate AMREs. This contract has an estimate for 2 additional AMREs.