W912PQ-17-Q-0020_BH_Final.docx

W912PQ-17-Q-0020

Section SF 30 - BLOCK 14 CONTINUATION PAGE

BASIS OF AWARD

Basis for award:

Award will be made to the responsible offeror whose offer, conforming to this Request For Quotations, will be most advantageous to the Government, considering price, technical/management and past performance. Technical/management and past performance when combined are approximately equal to price.

Offerors are required to provide sufficient information to allow the Government to understand their technical/management approach to accomplishing the requirements of the PWS.

Options. We will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. We may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate us to exercise the option(s).

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

FOR

MEDICAL COMMAND New York Army National Guard (NYARNG)

BEHAVIORAL HEALTH SERVICES

1.0 General:

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 and provide Behavioral Health services as defined in this PWS.

1.2 Background: According to the report “DOD (Department of Defense) TASKFORCE ON MENTAL HEALTH JUNE 2007”, The National Guard Bureau recognizes the unique pressures that Service members and their Families experience, especially given the need for Service members to function at their highest level physically and emotionally. For this reason, the National Guard strives to be relevant, ready and accessible to the National Guard community.

Members of the National Guard and Reserve experience particularly constrained access to services. They are more likely to rely upon TRICARE network providers than on Medical Treatment Facilities Outside the clinical treatment system, prevention and early intervention services are also constrained. Relative to active duty families, members of the National Guard and Reserves and their families have limited access to military chaplains, family support programs, and all the other parts of the military landscape designed to support psychological health. Unfortunately, community providers may not be sufficiently aware of or sufficiently trained to fulfill their needs. During times of high operational tempo, the constraints in the capacity to deliver a full continuum of care to members of the National Guard and Reserves and their eligible family members is particularly problematic because it limits the degree to which they are adequately prepared for deployment, supported during deployment, assisted following deployment, and prepared for subsequent deployments.

The NYARNG has a requirement to provide behavioral health consultation services for NYARNG service members and their families (SM/FM), thereby promoting mental fitness and personal wellness for operational readiness and reintegration to civilian life.

1.3 Period of Performance (PoP): The Period of Performance shall be one (1) Base Year of 12 months and four (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.

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 core work hours of 0700 and 1700 Monday through Friday, unless specified otherwise for a Medical Readiness Event. (MRE). MRE’s are typically held on a monthly basis, and could result up to 15-18 events per year depending on the NYARNG Operational requirements. Contractors shall be expected to work MRE weekends and shall flex the work week before or after the MRE. The contractor shall provide 24/7/365 access to clinically appropriate intake, assessment, behavioral health screening and referral services. These services may be conducted in person, telephonically or by email.

Contract services shall not be provided 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. The primary place of performance for the contractor is: Watervilet Arsenal, 1 Buffington Street, Building 120, Watervilet, NY 12189, the Connecticut Street Armory, 184 Connecticut Street, Buffalo NY, Niagara Falls Air Base, 10405 Lockport Rd, Niagara Falls, NY 14304, TBD location NYC. Alternate work sites, during Medical Readiness Events, are typically Camp Smith, Cortlandt Manor, NY; the NYARNG MATES (Maneuver Area Training Equipment Site), located in Fort Drum, NY; the Watervilet Clinic, Building 40-1, Watervilet, NY 12189; and other additional sites as required by the NYARNG. Contract employees will be required to travel at least once a month to execute services described within the PWS. Specifically, in the event of a MRE, the Contractor shall ensure adequate support for travel to locations throughout NY state to best support these activities (i.e. work at armories) as directed by the Contracting Officer (KO).

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.

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 Department of Defense (DOD), Headquarters, and Department of the 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 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 that 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 (Army Enterprise Infrastructure). 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 that threaten 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 Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 and DoD 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 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 that 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 that 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 background investigation 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 that 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 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.

1.4.5.4.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 that 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 that contractor employees maintain their AKO accounts.

It is recommend that a "Corporate Facility Security Officer" (FSO) be designated to serve as your firm's single point of contact for Background Investigation, 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: SFC Brooke Leavitt, (brooke.a.levitt.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) at: https://www.dmdc.osd.mil/tass/.

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

A CAC cannot be issued without evidence that 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 upon departure or dismissal of each contractor employee.

1.4.5.5 HIPPA (Health Information Portability and Accountability Act ): The HIPAA Privacy Rule creates national standards to protect individuals’ medical records and other personal health information. All contract employees shall complete HIPPA certification course on a yearly basis. 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. HIPPA training is available at http://www.health.mil/Training-Center/Joint-Knowledge-Online-JKO (https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf)

1.4.5.6 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 within 15 calendar days after completion of training. Level 1 AT is available at https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf

1.4.5.7 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.

1.4.5.8 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) 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/).

1.4.5.9 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 Classified Information. For Contracts That Require Handling or Access to Classified Information. The contractor shall comply with Federal Acquisition Regulation (FAR) Clause 52.204-2, Security Requirements. This clause involves access to information classified “Confidential,” “Secret,” or “Top Secret” and requires contractors to comply with The Security Agreement (DD Form 441), including the National Industrial Security Program Operating Manual (DoD 5220.22-M) and applicable updates/changes.

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 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).

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.

1.4.7 Special Qualifications: The contractor shall ensure all employees possess all required licenses, education and experience necessary for the performance of this contract.

Required licenses and certifications:

Licensed NY State Clinical Social worker (LCSW) or equivalent with a minimum of 7 years of experience in the practice of psychology or clinical social work.

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 Federal Acquisition Regulations 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 Contacting Officer 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, 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 directions 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 their employees who depart employment for any reason. All identification media (i.e., badges and vehicles passes) shall be returned to the COR/KO within three 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: The contractor shall travel to execute missions to support and augment the NYARNG consistent with all services described within the PWS. Specifically, in the event of a mobilization event or MRE, the Contractor shall ensure adequate support for travel to locations throughout NY state to support these activities (i.e. work at armories) as directed by the KO. 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 other than routine intrastate travel requires COR recommendation for approval and authorization by the contracting officer prior to travel arrangements being made.

The contractor may be required to travel to off-site training/conference locations and to ship training aids to these locations in the performance of this contract. The cost of shipping training aids shall be borne by the Government.

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 Telework: In furtherance of Continuity of Operations Planning (COOP), a telework program may be enacted to ensure the Government's mission-critical operations stay operational during times of National Emergency or incidents of National Significance. Teleworking shall be at no additional cost to the Government.

2.0 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 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 Performance Work Statement.

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 Key Personnel listed in 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 assure 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.

2.1.12 WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

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

2.2 ACRONYMS:

AEI Army Enterprise Infrastructure AFARS Army Federal Acquisition Regulation Supplement AKO Army Knowledge Online AR Army Regulation AT Awareness Training AT/OPSEC Antiterrorism/Operational Security AUP Acceptable Use Policy BBP Best Business Practices CFP/M/E Contractor Furnished Property, Materials, and Equipment CFR Code of Federal Regulations CM Contract Manger COMSEC Communication Security CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTS Commercial-Off-the-Shelf DA Department of the Army DEERS Defense Enrollment Eligibility Reporting System 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 DODI Department of Defense Instruction DSS Deputy State Surgeon DTM Directive Type Memorandum e-QiP Electronic Questionnaires for Investigations Processing FMR Fully Medically Ready FAR Federal Acquisition Regulation FM Family Member FPCON Force Protection Condition FSO Corporate Facility Security Officer GFP/M/E/S Government Furnished Property/Material/Equipment/Services HIPPA Health Information Portability and Accountability Act IA Information Assurance IMR Individual Medical Readiness IS Information System(s) JFHQ Joint Force Headquarters JTR Joint Travel Requirement KO Contracting Officer MATES Maneuver Area Training Equipment Site MODS Medical Operation Data Systems MRE Medical Readiness Event NDAA National Defense Authorization Act NYARNG New York Army National Guard OCI Organizational Conflict of Interest ODC Other Direct Costs OPM Office of Personnel Management PHA Periodic Health Assessment PDHRA Post-Deployment Health Re-Assessment PII Personally Identifiable Information PIPO Phase In/Phase Out POC Point of Contact PoP Period of Performance PRS Performance Requirements Summary PSIP Personnel Security Investigation Portal PSIS Personnel Security Investigation Portal PTSD Post-Traumatic Stress Disorder 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 FM Family Member SRP Soldier Readiness Processing TASS Trusted Associate Sponsorship System TE Technical Exhibit

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 contractor to perform services outlined in this PWS to include desk space, telephones, computers and other items necessary to maintain an office environment. These facilities shall only be used in the performance of this contract.

3.2 Materials: Plain Paper Copier. Both the Government and contractor share this unit. The Government shall provide all service and supplies, including paper, which is mutually used by all parties. Contractor use of the copier shall be limited to that work which is generated in the performance of this contract.

3.3 Equipment: Network/LAN access. Access to the LAN shall be provided for official Government business only. Transmission of information over the Internet shall be restricted in accordance with governing directives.

3.3.1 The Government will make mobile and email capable smartphones available for use by the on-site contractor personnel.

3.4 Services: The Government shall provide distribution and metering of official inter-office and Government official first class mail. First class mail handled and metered by the Government mail service shall contain the senders’ identification. The contractor shall provide for receipt and mailing of all unofficial first class mail. The contractor shall comply with guidance when preparing official mail.

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.

5.0 Requirements: The Contractor shall:

5.1. Provide a fully trained and qualified workforce to perform Behavioral Health and Care/Case Management Services. Records of training, qualification, and certification shall be maintained by the contractor and made available for Government review upon request. Contractor shall provide the KO and COR a copy of the contractor's employee training records not later than the Post Award Orientation Conference. This plan shall define responsibilities of personnel involved in the training process to include initial, recurring and proficiency training.

5.1.1 The contractor shall provide 24/7/365 access to clinically appropriate intake, assessment, behavioral health screening and referral services. These services may be conducted in person, telephonically or by email.

5.1.2 Care/Case Management. When clinically appropriate, provide clinical case management services including assessment, intervention plan, referral, and monitoring of clinical progress. Assess the New York Army National Guard service members and their families (SM/FM) for his/her presenting issues; define an appropriate intervention plan; work with collateral agents (if applicable); conduct follow up with the SM/FM and collateral agents; and consult with the SM's Deputy State Surgeon (DSS)/Contracting Officer Representative (COR) regarding duty limiting conditions (if applicable).

5.1.3 Provide Behavioral Health Coordination Services to include Clinical consultations to leadership to foster quality care and mission readiness while respecting HIPAA regulations and respective licensing and/or ethical standards.

5.2 Behavioral Health Services:

5.2.1 Maintain Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards and guidelines.

5.2.2. Maintain a current NY State License in Clinical Social worker (LCSW) or equivalent.

5.2.3 Track medical status of all Soldiers.

5.2.4 Request profile exams/evaluations and audiology exams at physical exam center.

5.2.5 Coordinate Soldier treatment plans with appropriate medical facilities.

5.2.6 Submit case processing, medical documentation, and profile concerns to military/contacted provider.

5.2.7 Provide updates of activities within the Behavioral Health Section, including number of SM contacts, types of evaluations, dispositions of SM, number of profiles written, number of cases managed, and number of urgent cases evaluated on the first business day of the month for the preceding month.

5.2.8 Submit clinical paperwork, including entries into eCase, eProfile updates, completion of profile form (DA Form 3822), Report of Mental Status Evaluation and (Standard Form 600) Chronological Record of Medical Care, and other forms when required no later than five business days following a SM contact.

5.2.9 Attend Medical Readiness events as determined by the needs of the state and the individual units.

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

5.2.11 Conduct clinically appropriate risk assessment, evaluations and behavioral health screenings using selected screening and evaluation tools.

5.2.12 Refer SM to community treatment providers when clinically indicated and provide follow up support, guidance, and accountability assurance.

5.2.13 Review behavioral health documentation, evaluate, and monitor the behavioral health status of SMs.

5.2.14 Provide non-clinical consultations on a variety of behavioral health and wellness issues including elements of military or civilian life that do not clearly fit into a mental, behavioral, or emotional disorder, problem, concern or well-being framework, yet require the expertise of a behavioral health professional to assist in short term problem resolution.

5.2.15 Assess and track NYARNG behavioral health status and needs. Provide a monthly report consisting of the overall behavioral health status for the NY ARNG and recommendations to improve the status. Report due on the seventh day of the each month.

5.2.16 Provide innovative recommendations for the planning, developing, and implementing of the Behavioral Health Section.

5.2.17 Work directly with Family Programs to improve and develop initiatives for the NYARNG BH HealthCare system.

5.2.18 Monitor all clinical behavioral health services provided to NYARNG service members.

5.2.19 Provide recommendations regarding implementation, development, and sustainment of the Star Behavioral Health Provider initiative.

5.2.20 Provide various types of clinical and administrative psychological evaluations for NYARNG SMs, including fitness for duty evaluations and Mandatory Retention Decision Point (MRDP) evaluations.

5.2.21 Review behavioral health documentation, evaluate using psychological techniques, and monitor the behavioral health status of SMs. Provide recommendations on behavioral health profiles. Ensure accurate profiles are in place for SMs with behavioral health difficulties.

5.2.22 Provide quarterly briefing to Behavioral Health Senior Officers and Deputy State Surgeon on all behavioral health cases.

5.2.23 Serve as a resource for Soldiers and unit commands regarding implementation of treatment recommendations and restrictions of Soldier activities.

5.2.24 Track record of successful networking such as telephoning and e-mailing Points of Contacts (POC) with BH Personnel across the States and Territories and established working relationships with BH leadership at the NGB level.

5.2.25 Meet with Family Program Staff and Unit Leadership maintaining a strong connection and working relationships with the New York psychological and mental health community.

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 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 2015. 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)

AR 40-66

TECHNICAL 1:

PERFORMANCE REQUIREMENTS SUMMARY for NYARNG BEHAVIORAL HEALTH PWS

COR will randomly monitor on monthly basis

5.2.7

TECHNICAL EXHIBIT 2 Behavioral Health PWS

Deliverables Schedule

5.2.15 Provide a monthly report of the overall behavioral health status for the NY ARNG

TECHNICAL EXHIBIT 3

Estimated Workload Data

(This information is provided for historical background only. It is not a guarantee of Workload quantities.)

Section SF 1449 - CONTINUATION SHEET

BEHAVIORAL HEALTH SERVICES

FFP

The contractor will provide all material, supplies, training, equipment and labor in accordance with attached Performance Work Statement (PWS) for Behavioral Health Services for the NY Army National Guard.

The Contracting Officer Representative is LTC Luis Garcia, phone 518-270-1510 Email luis.garcia9.mil@mail.mil Pricing must be provided in accordance with FAR Clause 52.222-46 EVALUATION OF COMPENSATION FOR PROFESSIONAL EMPLOYEES (FEB 1993)- Total Compensation Plan to include salary and all benefits.

FOB: Destination

PURCHASE REQUEST NUMBER: 0011004021-0001

NET AMT

TRAVEL BASE YEAR

The Contractor shall be authorized travel expenses consistent with the substantive…