W91YTZ23Q0107_0005.pdf

W91YTZ23Q0107

W40M RHCO ATLANTIC

NORTHERN REG CONTR OFC NRCO

POC: FRANK A. WHORTON

6000 MACARTHUR BLVD

BETHESDA MD 20816

0011903669

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

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

FAR (48 CFR) 53.243

The purpose of this amendnment is to provide Government responses to Contractor questions, revise the PWS, Instructions to Offers, Evaluations and Addendums as necessary.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 27

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

16C. DATE SIGNED

BY 24-Jul-2023

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

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, State and Zip Code) X W91YTZ23Q0107

X 9B. DATED (SEE ITEM 11)

21-Jun-2023

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

CONTRACT ORDER NO. IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

24-Jul-2023

CODE

W40M RHCO ATLANTIC

MEDICAL READINESS CONTR OFFICE EAST

9275 DOERR ROAD BLDG 1221

FORT BELVOIR VA 22060-5580

W91YTZ 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W91YTZ

FACILITY CODECODE

EMAIL:TEL:

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 28-Jul-2023 04:00 PM to 02-Aug-2023 04:00 PM.

The following have been modified:

ADDENDUM TO 52.212-1

FAR 52.212-1 is hereby amended to reflect the changes shown below as to the specific paragraph revised.

The following amends this paragraph with respect to the information and documents required for submission in response to this solicitation.

QUOTE SUBMISSION:

This section specifies the format and content that Offerors will use for submitting their offers in response to this Request for Quote (RFQ). Offerors shall ensure that the information provided within their offer is factual, accurate, and complete.

The Government anticipates awarding a firm-fixed price contract from this solicitation. Award will be made using the lowest price technically acceptable (LPTA) source selection process. Award will be made to the responsible offeror based on the lowest evaluated priced quote meeting or exceeding the acceptability standards for non-cost factors. Award may be made without discussions with offerors, except communications conducted for technical standpoint. The Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary.

The Government may reject any or all offers if such action is in the public interest. The offeror shall submit electronic offers in response to this solicitation no later than the date and time (Eastern Daylight Time) specified in Block 8, SF 1449. Offers shall be submitted to frank.a.whorton.civ@health.mil and Rebecca Ruff, rebecca-lynn.m.ruff.civ@health.mil The Government will not be responsible for any failure of transmission or receipt of the offer, or any failure of the offeror to verify receipt of the offer.

Offeror Questions and Clarifications: The Government is NOT reopening for questions.

Quote Instructions: The submission shall be logically assembled and submitted in three separate volumes. Each section shall be clearly identified. Quotes shall include the following written documentation:

Section 1. Documents/ Forms required:

Request for Quote (RFQ) - Solicitation/Contract/Order for Commercial Items (SF 1449) and Amendments (SF 30).

Offers must be submitted on the SF 1449 and acknowledgement of all amendments, (SF 30) if applicable.

Certifications and Representations included in RFQ - Offeror shall complete fill-ins and submit a PDF copy of the certifications and representations.

Section 2. Evaluation Factors

1. Technical Capability - Factor 1. Offeror shall submit a technical description or product literature for the service it is proposing, which clearly identifies service provided. The technical description shall explain how the proposed service meets the minimum requirements for the service it is proposing as specified in the Performance Work Statement section of this solicitation. This description shall be limited to five (5) pages.

2. Past Performance – Factor 2. Offeror shall submit information, on a single page, identifying federal, state and local Government and private contracts performed within the past three years, where your company provided relevant services that indicates your company’s ability to satisfactorily perform the magnitude of this requirement.

3. Price – Factor 3. Offeror shall provide a quote for the proposed prices for each service in proposed Contract

Line Items. The information provided will be used to assist in the price analysis described in Addendum to 52.212-2.

The following shall be submitted:

(a) Quote with proposed prices. The Offeror agrees to hold the prices in its offer firm for 90 calendar days from the date specified for receipt of offers.

(b) Signed amendments (if any).

(c) Representations and Certifications found at FAR 52.212-3 Alt 1 and 52.209-7- MUST be completed. Para (g) Contract Award. This is amended to provide that the Government may conduct discussions prior to contract award at its sole discretion.

Para (j) Unique Entity ID (UEI) / CAGE Code. The offeror shall obtain these said Codes and submit them to Contracting Center. Registration in the System for Award Management (SAM), if you are a US firm. Award cannot and shall not be made to an offeror without these codes.

Para (m) Quotation Preparation Costs. This solicitation does not commit the Government to pay any costs incurred in the submission of an offer, in making any necessary studies for the preparation thereof, or for any visit(s) the Contracting Officer may request for the purpose of clarification of the offer.

Para (o) Protest received at a level higher than the contracting officer will be referred to the contracting officer.

Protestor may request a review by the contracting officer or an independent review at a level higher than the contracting officer. Requests for appeals or independent review will be addressed to the contracting officer for referral to the review authority. Questions on this process will be referred to the cognizant contracting officer identified in the solicitation.

Para(p) The non-FAR Part 12 discretionary FAR and DFARS provisions included herein are incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-1 herein for locations where full text can be found.

(End of Addendum)

ADDENDUM TO 52.212-2

ADDENDUM TO 52.212-2

Paragraph (a) is hereby supplemented with the following:

Contract Evaluation and Award:

Basis of Award - This solicitation will use lowest price technically acceptable evaluation procedures to make a best value award decision. Award will be made to the responsible offeror that provides the lowest price and a technically acceptable offer. Award will result in a firm fixed contract.

Except for communications conducted for the purpose of minor clarification, the Government intends to evaluate offers and award a contract without discussions.

Therefore, each initial offer should contain the offeror's best terms from a technical and price standpoint. However, the Government reserves the right to conduct discussions if it is later determined by the Contracting Officer to be necessary.

Evaluation Factors. The following factors will be evaluated:

Factor 1. Technical Capability reflects the Government’s confidence in each offeror’s ability, as demonstrated in its offer, to provide the Medical Appointment Services as stated in this solicitation. The Government will evaluate whether the offeror has demonstrated that the quote for the Medical Appointment Services meets the requirements of the Performance Work Statement. Limited to five pages.

The following adjectival ratings will be used in evaluating each offeror's technical offer.

TECHNICAL

EVALUATION

RATING DESCRIPTION

Acceptable Offer clearly meets the minimum requirements of the solicitation.

Unacceptable Offer does not clearly meet the minimum requirements of the solicitation.

Note: Any offeror receiving a rating of “Unacceptable” for Technical Capability will no longer be considered for award.

Factor 2. Past Performance. Offeror is required to submit information, on a single page, identifying federal, state and local Government and private contracts performed within the past three years, where your company provided relevant services that indicates your company’s ability to satisfactorily perform the magnitude of this requirement.

Past Performance will be assessed from the perspectives of an Acceptable/Unacceptable Rating.

Past Performance Evaluation Ratings

Rating Description Acceptable Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown. (See note below)

Unacceptable Based on the offeror’s performance record, the Government has no reasonable expectation that the offeror will be able to successfully perform the required effort.

Note: In case the offeror does not have a record of relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the offeror may not be evaluated favorably or unfavorably on past performance (see FAR 15.305 (a)(2)(iv)).Therefore, the offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, “unknown” shall be considered “acceptable.”

Note: The government may also consider any additional past performance information available, to include the Past Performance Information Retrieval System (PPIRS).

Note: A Past Performance Rating of “Acceptable” must be obtained in order to be considered for award.

Factor 3. Price will be evaluated separately from Technical and will be evaluated for fairness and reasonability in terms of the Government’s requirement. Price must be determined to be fair and reasonable.

Technical and Past Performance when combined are equal to Price.

Award will be made to the lowest-priced offeror provided its technical proposal conforms to the requirements of the solicitation; it has an acceptable record of past performance; its price is determined to be fair and reasonable by the contracting officer; and the contracting officer determines the offeror is responsible.

Paragraph (b) is hereby supplemented with the following: Options are applicable to procurement and will be evaluated.

(End of Addendum to 52.212-2)

PERFORMANCE WORK STATEMENT

PWS

PERFORMANCE WORK

STATEMENT APPOINTMENT

CLERKS

BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT

CAMPBELL, KY

1. 0. INTRODUCTION.

1.1.1. The Contractor shall provide health care support for the Blanchfield Army Community Hospital, Fort Campbell, KY. The services will be of a nature and scope described in the paragraphs below. The contract Health Care Provider (CSP) will work in conjunction with other appointment clerk, professionals, and non-contract personnel. The contactor shall provide the service of Appointment Clerks to be performed at Blanchfield Army Community Hospital and other satellite clinics, Ft Campbell, KY 42223 as directed by the Chief, Clinical Support division. The Contractor shall perform services in accordance with the ethical professional standards of the health care industry.

1.1.1.1. The quality of care provided by the Contractor CSP shall be of a quality meeting or exceeding currently recognized national standards as established by the Joint Commission (JC). Contractor CSP shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The Contractor CSP shall abide by the Medical Treatment Facility (MTF) rules, regulations and by laws, including Medical Staff By laws, as well as applicable Army regulations governing such things as medical records.

1.1. GENERAL.

1.1.1. This contract is a non-personal services contract (as defined by FAR Subpart 37.101). The personnel rendering services are not subject; either by the contractor’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees. The government will evaluate the quality of professional and administrative services provided and retains control over the professional aspects of services rendered (e.g., professional judgments, etc.).

1.1.2. The contractor shall not employ active-duty military nor government employees to perform services under this contract.

1.1.3. Responsibility and Procedures.

1.1.3.1 The contractor shall ensure that any/all employees performing services under this contract shall be able to read write and speak English well enough to effectively communicate with all patients and with the Medical treatment Facility (MTF).

1.1.3.2. The contractor is responsible for ensuring that any/all employees rendering services are rested and fully physically and mentally capable of performing the duties required under this contract.

1.1.3.3. Contractor employees shall wear professional attire, maintain a professional appearance, and exercise a professional level of personal hygiene at all times while providing services under this contract.

Contractor employees shall wear a visible identification badge on the front of outer clothing at all times while providing services under this contract.

1.1.3.4 Contractor employees shall comply with all BACH policies and regulations at the MTF.

1.1.3.5. The contractor shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from another facility.

1.1.4. Confidentiality / HIPAA. The Contractor CSP shall abide by AR 40-3 and AR 40-66 concerning the nature of limited privileged communication between patient and appointment clerks for security and personnel reliability programs. They shall also abide by federal and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act of 1996. All regulations referenced are available for review from the Contracting Officer Representative (COR) , MTF, or the KO. All medical records and reports will remain the property of the government.

1.5. The Contractor appointment clerk shall direct all requests for medical information on patients to the Chief, Patient Administration Division. The Contractor appointment clerks shall not release any medical or personal information on a patient without first receiving written approval from the government.

1.1.5. Removal of Contractor Appointment Clerks. At any time during the performance of this contract, the Contracting Officer or COR may direct the contractor to immediately remove any Contractor appointment clerks whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other Contractors Appointment clerk, government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non- urgent concerns to the attention of the contractor.

1.1.5.1. The Contractor is required to remove immediately any contractor personnel whose actions or impaired state raises reasonable suspicion that clear and present danger or physical harm exists to a patient, other contractor employees, Government personnel or the impaired individual. If, after any investigation deemed necessary by government representatives and discussions with the contractor's representative, the Contracting Officer conclude that the contract Appointment Clerk impairment requires permanent removal from performance under the contract, the Contracting Officer will notify the contractor that permanent removal is required. In the event of disagreements between the government and the contractor's representative concerning matters of impaired contract CSPs, the decision of the Contracting Officer will be final. During the period of time between the removal on a suspicion of impairment by government personnel and the final decision of the Contracting Officer, the contractor agrees to provide a backup/replacement contract appointment clerk in accordance with the terms of this contract.

1.1.5.2. If the need for a removal occurs, the COR will contact the contractor's point of contact and direct the contractor to remove that individual from the military facility and to not use that individual to perform any healthcare services required under this contract until the issue has been resolved by the Contracting Officer. The contractor shall formally meet with the COR to discuss further action in accordance with the MTF Quality Assurance and Inspection (QA&I) Plan and AR 40-68. A review of the basis for removal will be made by the Contracting Officer within 3 working days after the COR directed the removal.

1.1.5.3. If, after any investigation deemed necessary by the Contracting Officer and discussions with the contractor's representative, the Contracting Officer concludes that the Contractor Appointment Clerk impairment requires permanent removal from performance under the contract, the Contracting Officer will notify the contractor that permanent removal is required. In the event of disagreements between the government and the contractor's representative concerning matters of impaired Contractor Appointment clerks, the decision of the Contracting Officer will be final. During the period of time between the removal and the final decision of the Contracting Officer, the contractor shall provide a backup/replacement Contractor appointment clerk in accordance with the terms and conditions of this contract The Government requires the Contractor to maintain a minimum of 85% FTE fill-rate during the course of the period of performance.

1.1.7. Conflict of Interest.

1.1.7.1. Contractor appointment clerks shall not use patient care rendered pursuant to this agreement as a part of a study, research grant, or publication without the prior written consent of the MTF Commander.

1.1.7.2. Contractor appointment clerks shall not bill the patient, an insurer, or anyone else for services rendered. The Contractor appointment clerk is prohibited from receiving compensation of any kind for eligible patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified in the contract.

1.1.7.3. Contractor appointment clerk shall not, while performing services under this contract advise, recommend, or suggest to persons eligible to receive medical care at Army expense that such persons should receive care from the Contractor CSP at any place other than at the MTF. The Contractor appointment clerk will not refer any patients to any company or service to which they have a direct or indirect involvement (including partnership programs and ancillary services not offered by the MTF).

1.1.7.4. Contractor appointment clerk shall not introduce new medical procedures or changes in standing operating procedures without first coordinating with the Chief of Services.

1.1.7.5. Contractor appointment clerk is not prohibited by reason of his employment under this contract from conducting private practice, if there is no conflict with the performance of services under this contract.

1.1.7.6. Contractor appointment clerk shall not use Government facilities or other Government property in connection with conducting a private practice.

1.1.7.7. Contractor appointment clerk shall not be an employee of the United States Government if the employment would create a conflict of interest. The Contractor appointment clerk who is an employee of the Department of Defense, either military or civilian, shall not be employed unless such person seeks and receives approval in accordance with DoD 5500.7-R and DHA Reg 600-3.

1.1.8. Sexual Assault and Response Program (SAPR)

1.1.8.1. The contractor shall comply with the DoD Sexual Assault Prevention and Response (SAPR)Program requirements on prevention, response, and oversight to sexual assault. Providers shall refer to the Department of Defense Directive (DoDD) 6495.01, Sexual Assault and Response (SAPR) Program at:

https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodd/649501p.pdf?ver=MlV9x4KY K2qsh38GtGegBw%3d%3d

1.1.8.2. The SAPR Program shall focus on the victim and on doing what is necessary and appropriate to support victim recovery, and, if a Service member, to support that Service member to be fully mission capable and engaged. The SAPR Program shall provide care that is gender-responsive, culturally competent, and recovery oriented.

1.2. SCOPE OF WORK: The Contractor shall provide qualified personnel, services, materials, equipment, supplies and facilities necessary to perform [see attachment #1].

1.2.1. The Contractor shall comply with all applicable laws, rules and regulations, including but not limited to those included in Section 6 of the PWS.

1.3. SAFETY REQUIREMENTS: The Contractor appointment clerk shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA).

1.3.1. CRIME CONTROL ACT OF 1990. No performance under this contract will be allowed without full compliance with the Crime Control Act of 1990 and the Department of the Army Circular 690-92-1, 15 November 1992, Criminal History Background Checks on Individuals in Child Care Services. Contractor shall ensure that proposed providers cooperate with and assist the Government in conducting any necessary background checks.

1.3.2. COMPLIANCE WITH CRIME CONTROL ACT OF 1990. This position requires the contractor to comply with Public Law 101-647 (Crime Control Act) and submit to a criminal history background check performed by the government. The contractor shall schedule an appointment with the Security & Intelligence Office, MTF within 3 working days after start of performance under this contract. The contractor will be fingerprinted and complete a Standard Form SF85-P. If the contract employee is in a position that requires access to Critical Sensitive or Classified Information the contract agency Facility Security Office (FSO) is responsible for ensuring that the employee has the required SECURITY clearance to include submitting a SF86 EPSQ questionnaire to DSS and obtaining the necessary SECURITY clearance level through Defense Investigative Security Clearance Office (DISCO) as prescribed by the National Industrial Security Program Operating Manual (NISPOM) The contractor shall be advised that a FAVORABLE report is needed as a condition of employment under Army Contracts. Until the final background checks are completed, line of sight restriction shall apply and access to classified or Critical Sensitive information will be denied until a final SECURITY clearance or an interim SECURITY clearance has been granted by DISCO and the appropriate security verification and visitation letter has been received by the MTF Security and Intelligence office. The security office will notify each department head when line of sight requirement can be lifted.

Contract employees who previously received a background check and do not have a two-year break in service must get verification from Security and Intelligence Office. All employees are required to have a record re-verification and internal record check at a minimum of every five years.

1.3.3. COMMENCEMENT OF SERVICES.

1.3.3.1. Commencement of Required Services for Appointment Clerks. The Contractor shall be required to commence with required services within 45 calendar days of award (date of Contracting Officer signature) of initial requirements. The contractor shall likewise commence with required services for any follow-on requirements issued under subsequent task orders as specified on the task orders. To ensure required commencement of services, the contractor will submit complete profile application and credentialing packets.

1.3.3.2. Replacement Personnel for Appointment Clerks. The contractor will be required to provide a permanent replacement for any primary provider who has either vacated their position, or who has an unscheduled absence in excess of 15 consecutive workdays. The replacement shall commence with required services within 60 calendar days of written notification by the designated site representative that the primary provider has exceeded the authorized forbearance period. To ensure required commencement of replacement services, the contractor shall submit complete, profile application and credentials packets within 30 calendar days of required notification.

1.3.4. ORIENTATION AND TRAINING

1.3.4.1. Prior to providing services, the contract appointment clerks will be given a Government sponsored orientation to familiarize the contract appointment clerks with the policies and procedures of the MTF. Orientation attendance will be required of all contract appointment clerks and will be scheduled by the COR or the department chief during the appointment clerks normal duty hours.

1.3.4.2. The contractor shall ensure contract appointment clerks are knowledgeable of the policies and procedures of their specific place of duty and of the medical activity. The contractor shall ensure contract appointment clerks receive all staff training required by the MTF as a precondition/condition to performance. Such training may include instruction on automation processing, quality assurance policies and local in-service and safety briefing.

This training shall be conducted during the scheduled shift of the contract appointment clerk.

1.3.4.3. Government Unique Training. The Government may elect to provide government training to contract CSP’s who are performing services under this contract. If the government elects to provide such training, the government will provide such training at no additional expense to the contractor or to the contract appointment clerk. When directed by the contracting officer, contract appointment clerks shall attend all such training in a paid status as part of the normal service required and billed under the contract. Hours for attending government required training shall be compensated at the hourly rates established in the contract. Newly hired contract providers shall be required to complete new employee orientation which is provided by the MTF. Thereafter, contract providers shall be required to complete quarterly training to meet competency requirements. Orientation and annual/or quarterly training requirements are a condition of employment for which the contractor will be compensated at the hourly rate reflected in the contract.

1.3.4.4. Computer Training: Contract providers who have any interaction with the hospital computer systems must receive training for the applicable system. These systems include but are not limited to:

1.3.4.4.1. Composite Healthcare Computer System (CHCS). The Government will provide training to contract CSPs in the CHCS and/or other specific procedures that the medical activity’s staff is required to use. Access to such patient data systems is an “Automated Data Processing Sensitive” position requiring compliance with AR 380- 19 and AR 380-67. CHCS contains the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the MTF.

1.3.4.4.2. Ambulatory Data System (ADS). This computer system produces forms on which the providers identify the appropriate billing codes for diagnoses and procedures for each patient.

1.3.4.4.3. Training for CHCS and other computer training will be scheduled through the OIC/NCOIC of the Department. The training will be on-site and during normal duty hours. This training will be at no cost to the contractor.

1.3.4.4.4. Armed Forces Longitudinal Technological Application (AHLTA). Contract employees shall attend training in the use of AHLTA. The length of training will depend upon the computer skills of the individual contract employee. This training will be coordinated and scheduled by the Chief, Department of Family Medicine or his designated representative. (Access to such patient data systems is an “Automated Data Processing Sensitive” position requiring compliance with AR 25-2 and AR 380-67.

1.3.4.4.5. MHS Genesis. The Government will provide training to contract CSPs in the MHS Genesis and/or other specific procedures that the medical activity’s staff is required to use. Access to such patient data systems is an “Automated Data Processing Sensitive” position requiring compliance with AR 380- 19 and AR 380-67. CHCS contains the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the MTF

1.3.4.4.6. INFECTION CONTROL ORIENTATION BRIEFING. The contract appointment clerk is required to attend, an initial one- hour Infection Control Orientation Briefing at the Newcomers orientation after start date at the MTF. The CSP will be required to attend and follow the annual Infection Control Training and/or Specialized Training in accordance with Infection Control Program, MWI 44-9, Section 1-8.

1.4. SECURITY REQUIREMENTS. The MTFs are restricted access military installations. CSPS shall not begin performance until the complete documentation for a Personnel Background Investigation has been submitted. An Identification (ID) badge, the Common Access Card (CAC) and the vehicle registration will not be issued until complete documentation has been submitted to the appropriate Installation, MTF, or other Security Manager(s), as required at the facility. The CAC card is required for access to Government computer databases and also is presented to the security guards when entering the military installation. If a background investigation results in an unfavorable finding, the contracting officer will notify the contractor and the contractor employee will not be granted access to the facility, will not be able to perform services at the facility, and must return all identification badges, CAC cards, and other items issued previously by the government. The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use at the end of each business day. The Contractor shall ensure all government facilities, equipment, and materials shall be secured at the close of each duty day.

1.4.1. Antiterrorism (AT) / Operations Security (OPSEC) Requirements: For OPSEC to be effective, all Contractors must be aware of OPSEC and understand how OPSEC complements traditional security programs. All personnel must know how to apply and practice OPSEC in the performance of their daily tasks. OPSEC must become a mindset of all Contractor employees and be performed as second nature. To accomplish this level of OPSEC vigilance, OPSEC training programs must be action and job-oriented, enabling the workforce to put into practice the knowledge and tactics, techniques, and procedures (TTPs) they learned in training. Training should maximize the use of lessons learned to illustrate OPSEC objectives and requirements. In order to ensure accomplishment of training, the Government will include OPSEC training as a part of their organization’s annual training guidance.

Contractor employees must complete Level I OPSEC and AT Awareness training within 30 calendar days of reporting to duty in according to Army Regulation 530-1 and 525.13. AT Level I awareness training is also available at https://atlevel1.dtic.mil/at

1.4.2. IWATCH Training. The contractor and all associated sub-contractors shall brief all CSPs on the local iWATCH program (training standards provided by the MTF antiterrorism officer). This locally developed training will be used to inform CSPs of the types of behavior to watch for and instruct CSPs to report suspicious activity to the COR. This training shall be completed within 14 calendar days of contract award and within 14 calendar days of new CSPs commencing performance with the results reported to the COR NLT 30 calendar days after contract award.

1.4.3. CSPs Who Require Access to Government Information Systems. All CSPs with access to a government information system must successfully complete the Annual DOD Cyber Awareness Challenge training prior to access to the information systems and then annually thereafter.

1.4.4. For Contracts that Require OPSEC Training. Per AR 530-1, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All contractor employees must complete annual OPSEC awareness training.

1.4.5. Contractor employees who require access to Government Information Systems, All contractor employees with access to a government information system must be registered in Amedd Personal Education and Quality System (APEQS) at commencement of services and must successfully complete the DoD Information Assurance Awareness training prior to access to the information system. Successful completion of the current version of this training must be accomplished annually thereafter.

1.4.6. Information Assurance (IA) Information Technology (IT) Training. All contractor employees and associated subcontractor employees must complete the DoD IA awareness training before issuance of network access.

Successful completion of the current version of this training must be accomplished annually thereafter. All contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01-M, and AR 25-2 within six months of employment.

1.4.7. Upon award of the contract, the contractor will immediately contact the COR for processing procedures to meet the security requirements, for information needed to access the installation/MTF initially, as well as in-processing forms.

1.4.8. Security Identification Badges. Contractor CSP shall comply with the local installation and MTF personnel identification and access requirements.

1.4.9. Each contract CSP shall wear a visible security ID badge, provided by the military installation or the MTF, on the front of his/her outer clothing.

1.4.10. The contractor shall be responsible for ensuring all CSPs timely renew ID, CAC, and access documents.

Absences due to the loss or expiration of such badges shall not relieve the contractor of its obligation to perform the health care services required under this contract.

1.4.11. The contract CSP shall immediately report any lost or stolen security badges to the COR.

1.4.12. The contract CSP shall turn in the MTF badge, Common Access Card (CAC), and Civilian ID Card to the COR upon termination of their services under this contract.

1.4.13. Contractor must adhere to and comply with the requirements of AR 190-13, The Army Physical Security

Program and AR 680-10, Child Development Services.

1.5.1.2. Reserved.

1.5.2. Safeguarding Material and Confidentiality of Information – ADP Security

1.5.2.1. The contractor shall be responsible for safeguarding all Government property provided or obtained in connection with this contract. The contractor shall safeguard information of a confidential or sensitive nature.

Neither the contractor nor any of its contract CSPs shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in security or interrupt the continuity of operations or which breaches the requirements of the Federal Privacy Act of 1974.

However, the contractor may be required to provide testimony in legal or administrative procedures. Such participation must be consistent with the disclosure requirements imposed in this contract and coordinated with the contracting officer.

1.5.2.2. The contract CSP under this contract shall have access to and/or process information requiring protection under the Privacy Act of 1974. These positions are considered “Automated Data Processing (ADP) Sensitive” positions. Compliance with DoD Directive 5200.2, DoD 5200.2-R, AR 25-2 and AR 380-67 (for Army), and applicable regulations for other services, is mandatory for ADP Sensitive positions.

1.5.2.3. Unless otherwise specified, all financial, statistical, personnel, and/or technical data, which is furnished, produced or otherwise available to the contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of health care services under this contract. The contractor shall not release any of the above information without prior written consent of the KO. The contractor and contract CSPs shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract and those established by the MTF commander.

1.5.2.4. The contractor and contract CSPs shall abide by federal and local MTF regulations and requirements concerning the nature of privileged communication between patients and the CSP as may be necessary for security and personnel reliability programs. They shall also abide by federal and local MTF regulations concerning the confidentiality of patient records, to include but not limited to the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act (HIPAA) of 1996. All regulations referenced are available for review from the COR, MTF, or the KO. All medical records and reports will remain the property of the Government.1.6. Personal Security Investigation Requirements

1.6.1. The contractor and CSPs shall abide by federal and local MTF regulations and requirements concerning the nature of privileged communication between patients and the CSP as may be necessary for security and personnel reliability programs. They shall also abide by federal and local MTF regulations concerning the confidentiality of patient records to include but not limited to the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act (HIPAA) of 1996. All regulations referenced are available for review from the COR, MTF, or the KO. All medical records and reports will remain the property of the Government.

1.6.1.1. MANDATORY REPORTING REQUIREMENT: Sexual Assault Reporting. The contractor will immediately (within 24 hours) report an incident of sexual assault to the COR.

1.6.2. The following procedures are required as part of the security requirements in C.3.6.1. CSPs under individual task orders will have access to and/or process information requiring protection under the Privacy Act of 1974. These positions are considered Sensitive positions. Compliance with DoD Directive 5200.28, DoD 5200.2-R, AR 25-2, and AR 380-67 is mandatory for Sensitive positions. Therefore, a National Agency Check with Inquiries (NACI) is required for each CSP under this contract. For JTF CAPMED facilities and Navy facilities, a NACLC (National Agency Check with Local Check and Credit Check) will be required lieu of the NACI. The contractor shall fully adhere with security requirements and the provisions of referenced publications by having each of their CSPs who are performing under the individual task order make an appointment (through the COR) with the appropriate security organization at the installation. Each individual will be fingerprinted and required to complete the appropriate forms, usually a Standard Form 85-P, Questionnaire for Public Trust Positions, and a SF 86, for NACLC checks.

The contractor shall advise their CSP that a positive report is needed as a condition of employment under this contract. The contractor shall apply for the NACI/NACLC within three (3) workdays after start of performance for each contract CSP.

1.6.3. The contractor and contract CSPs determined by the MTF to be involved in the delivery of health care to children under the age of 18 on a frequent and regular basis must meet the requirements of the Crime Prevention Act of 1990, as specified in the Supplement to the PWS, Criminal History Background Check Requirements.

1.6.4. Contractor Employees Who Require Access to Government Information Systems. All contractor employees with access to a government info system must be registered in the ATCTS (Army Training Certification Tracking System) at commencement of services and must successfully complete the Annual DOD Cyber Awareness Challenge prior to access to the information systems and then annually thereafter.

1.6.4.1. For Contracts that Require an OPSEC Standing Operating Procedure/Plan. The contractor shall develop an OPSEC Standing Operating Procedure (SOP)/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP/Plan will include the government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. In addition, the contractor shall identify an individual who will be an OPSEC Coordinator. The contractor will ensure this individual becomes OPSEC Level II certified per AR 530-1.

1.6.4.2. For Contracts that Require OPSEC Training. Per AR 530-1, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All contractor employees must complete annual OPSEC awareness training.

1.6.4.3 For Cyber Awareness (CA)/information technology (IT) certification. Per DoD 8570.01-M , DFARS

252.239.7001 and AR 25-2, the contractor employees supporting CA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M must be completed upon contract award.

1.7. MEDIA INQUIRIES. The contractor shall not respond to any media inquiries. Any inquiries from the media shall be immediately relayed to the COR who will relay them to the MTF Commander. There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF commander. Other than routine inquiries for external agencies, all other inquiries and complaints shall be brought to the attention of the contractor and contractor employee.

1.8. STANDARDS OF PERFORMANCE.

1.8.1. The government requires that the contractor shall provide technically competent appointment clerks who will provide services at a standard enabling the MTF to provide a high level of quality health care.

1.8.2. JC Standards. Contractor shall take part in Department or MTF programs as required to meet JC standards.

1.8.3. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: contractor providing personnel exceeding the minimum qualification standards; patient customer service comments; provider and contractor relationship with hospital staff/government contracting personnel; compliance with hospital policy and procedures.

1.8.4. Performance Reports, will be provided by the COR annually to ensure acceptable performance of the contract;

annual reports provided by COR to Contracting Officer after completion of each performance period will be reported to the DOD Past Performance Information Management System (PPIMS).

1.8.5. Reserved.

1.8.6. The Contractor shall be responsible for the security of all Soldier information.

1.8.7. Neither the Contractor nor any of its contract service providers shall disclose or cause to disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions.

1.8.8. All inquiries, comments or complaints arising from any matter observed, experienced, or learned of as a result of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the contracting officer representative (COR) and the contracting officer.

1.8.9. The Contractor shall only conduct business with designated government personnel listed as points of contact (POCs). Names of authorized personnel shall be provided to the Contractor by the Government, in writing, and updated as necessary throughout the contract period. The contractor must designate the point of contact prior to the start of contract performance.

1.8.10. U.S. Government records, copies of original results and reports, verified original data, corrected data, and corrected supporting final reports are maintained by the Contractor, but remain the property of the U.S. Government.

These files/results must be surrendered to the COR.

1.8.11. Contractor Verification System (CVS) for contractors at Army Facility

1.8.12. The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

1.8.13. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally controlled facility or access to a Federal information system.

1.8.14. The contractor shall ensure compliance with the provisions set forth below. For purposes of FAR Clause 52.204-9, the Government will designate a Trusted Agent (TA), and the contractor shall designate a Facility Security Officer (FSO), for this contract. The Government reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

1.8.15. In-processing Requirements. Contractor personnel are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

1.8.16. For every contract service provider, the FSO shall provide the following information to the TA for input into the DEERS/RAPIDS System:

(a) Last Name

(b) First Name

(c) Middle Name

(d) Social Security Number

(e) Date of Birth

(f) E-mail Address (may be either the e-mail address of the incoming individual or the FSO).

1.8.17. The contract service providers shall have an Army Knowledge Online (AKO) account in order to submit the application. AKO registration may be accessed via https://www.us.army.mil.

1.8.18. The DEERS/RAPIDS Systems will send a notice to the e-mail address provided IAW the above requirement, in which the contract service provider’s user ID and password are provided. In the event the e-mail message is sent to the FSO, the FSO shall notify the contractor of the contract service provider’s user ID and password.

1.8.19. The contract service provider shall log into the DEERS/RAPIDS System, and submit an application for acceptance into the System, using the user ID and password provided.

1.8.20. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been accepted, returned or rejected will be provided to the individual’s e-mail address provided within 48 hours after submission. If the application is returned or rejected, the contract service provider shall contact the TA and comply with the TA’s guidance to attempt to correct and resolve the issues.

1.8.21. Upon approval of the application, the contract service provider shall receive an e-mail sent to the address provided stating the Common Access Card (CAC) application was approved and to…