SOLICITATION NOTICE
Q -- ORTHOPEDIC SERVICES - FAR provision 52.212-4 - Verification Form
- Notice Date
- 9/9/2014
- Notice Type
- Combined Synopsis/Solicitation
- NAICS
- 621111
— Offices of Physicians (except Mental Health Specialists)
- Contracting Office
- Department of Health and Human Services, Indian Health Service, Billings Area Office, 2900 4th Avenue North, PO Box 36600, Billings, Montana, 59107
- ZIP Code
- 59107
- Solicitation Number
- RFP-244-14-0008-REL
- Archive Date
- 10/8/2014
- Point of Contact
- Rita E Langager, Phone: 406.247.7293
- E-Mail Address
-
rita.langager@ihs.gov
(rita.langager@ihs.gov)
- Small Business Set-Aside
- N/A
- Description
- The verification form must be completed for each physician presented and submitted with the offer. Federal Acquisition Regulation (FAR) 52.212-4, Offeror Representations and Certifications - Commercial Items (MAY 2014) must be completed and submitted with the offer. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. The procurement is conducted pursuant to the authority of FAR Part 15, Contracting by Negotiation; FAR Part 12, Acquisition of Commercial Items (Title VIII of the Federal Acquisition Streamlining Act of 1994 (Public Law 103-355)); and FAR 37.104, Personal Services Contracts (Public Law 103-332, Department of the Interior and Related Agencies Appropriation Act, Title II, September 30, 1994, 108 Stat. 2530 as implemented by 25 U.S.C. 1638c). This announcement constitutes the only solicitation; therefore, a written solicitation will not be issued. The Billings Area Indian Health Service (IHS) intends to award a fixed-price commercial item contract in response to Request for Proposal (RFP) 244-14-0008-REL. The solicitation is issued on an unrestricted basis. The solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-76. The associated North American Industry Classification System code is 621111 and the small business size standard is $11.0 million. PRICE SCHEDULE: Potential Contractors shall provide an all-inclusive rate for the ½ day clinics for the base year and each subsequent option year. Moreover, the Contractors shall select the method of reimbursement for the offsite outpatient services by checking the appropriate box below for the base year and each option year. BASE YEAR - 10/01/2014 - 09/30/2015: 36 Clinics @ $____________________ per Clinic = $_________________________; [ ] Reimbursement to the Contractor for hospital/offsite outpatient services shall be at a rate no higher than Medicare reimbursement methodologies established by the IHS Fiscal Intermediary (FI) (New Mexico Blue Cross/Blue Shield); or [ ] Reimbursement to the Contractor for hospital/offsite outpatient services shall be at a ________% discount from Medicare reimbursement methodologies as established by the IHS FI. OPTION YEAR ONE - 10/01/2015 - 09/30/2016: 36 Clinics @ $____________________ per Clinic = $_________________________; [ ] Reimbursement to the Contractor for hospital/offsite outpatient services shall be at a rate no higher than Medicare reimbursement methodologies established by the IHS Fiscal Intermediary (FI) (New Mexico Blue Cross/Blue Shield); or [ ] Reimbursement to the Contractor for hospital/offsite outpatient services shall be at a ________% discount from Medicare reimbursement methodologies as established by the IHS FI. OPTION YEAR TWO - 10/01/2016 - 09/30/2017: 36 Clinics @ $____________________ per Clinic = $_________________________; [ ] Reimbursement to the Contractor for hospital/offsite outpatient services shall be at a rate no higher than Medicare reimbursement methodologies established by the IHS Fiscal Intermediary (FI) (New Mexico Blue Cross/Blue Shield); or [ ] Reimbursement to the Contractor for hospital/offsite outpatient services shall be at a ________% discount from Medicare reimbursement methodologies as established by the IHS FI. OPTION YEAR THREE: 10/01/2017 - 09/30/2018: 36 Clinics @ $____________________ per Clinic = $_________________________; [ ] Reimbursement to the Contractor for hospital/offsite outpatient services shall be at a rate no higher than Medicare reimbursement methodologies established by the IHS Fiscal Intermediary (FI) (New Mexico Blue Cross/Blue Shield); or [ ] Reimbursement to the Contractor for hospital/offsite outpatient services shall be at a ________% discount from Medicare reimbursement methodologies as established by the IHS FI. OPTION YEAR FOUR: 10/01/2018 - 09/30/2019: 36 Clinics @ $____________________ per Clinic = $_________________________; [ ] Reimbursement to the Contractor for hospital/offsite outpatient services shall be at a rate no higher than Medicare reimbursement methodologies established by the IHS Fiscal Intermediary (FI) (New Mexico Blue Cross/Blue Shield); or [ ] Reimbursement to the Contractor for hospital/offsite outpatient services shall be at a ________% discount from Medicare reimbursement methodologies as established by the IHS FI. GRAND TOTAL: $_________________________. PERIOD OF PERFORMANCE: The performance of this contract shall be for 12 months with four 12-month options. STATEMENT OF WORK: The purpose of this acquisition is to acquire Orthopedic Services at the Northern Cheyenne Service Unit, PHS Indian Health Center, Lame Deer, Montana. The Contractor shall provide three ½ day clinics per month during each 12-month term. The clinic schedule will be coordinated with the Physical Therapist/Outreach Orthopedic Clinic Coordinator at the Northern Cheyenne Service Unit. MAJOR DUTIES: The Contractor shall evaluate and treat patients in need of an orthopedic specialty care provider. The provider must be a licensed orthopedic physician or licensed physician assistant who works directly with an orthopedic physician. The orthopedic physician must provide at least two of the ½ day clinics each month during each 12-month term. The work involves all aspects of outpatient orthopedic care with patients who have an extremely wide variety of physical and emotional health problems. The orthopedic provider will perform services within their legal scope of practice and participate in the coordination of care with other healthcare providers. The orthopedic provider will have access to radiology services and treatment rooms suitable for seeing patients with orthopedic needs. Medical support will be provided by the Physical Therapy Department at the Service Unit. The Contractor will be required to complete peer reviews as requested by the Chief Medical Officer. Peer reviews will be completed by an orthopedic physician for an orthopedic physician and for a physician assistant by another physician assistant or orthopedic physician. The peer reviews will be reviewed by the Northern Cheyenne Service Unit Chief Medical Officer. The Contractor will be required to complete medical records in accordance with Northern Cheyenne Service Unit policies and procedures and AAAHC accreditation requirements. All reports will be placed in the patient's medical record at the Service Unit and at the Contractor's facility. The work may be complex, requiring consultation with other healthcare providers and specialists. The work requires simultaneous application of multiple knowledge, skills, and abilities in orthopedics. The purpose of the work is to provide direct patient care, which directly affects the health and well being of individual patients, patient families and impacts the health status of the entire community served. Offsite services provided by the orthopedic group including surgeries, MRI and radiology services, or other procedures and urgent/emergent office visits and diagnostic testing, will be subject to approval by the Northern Cheyenne Service Unit Contract Care Committee and funded through the Contract Health Service Department. All radiology services that can be provided by the Service Unit prior to a visit will be performed in-house. The guidelines include Public Health Service, Indian Health Service, Billings Area Office, Service Unit and Outpatient Department staff regulations, policies and procedures. In nearly all cases, the orthopedic provider's professional judgment will be used for determining the care that is in the patient's best interest. Personal contacts are with patients, families of patients, medical officers and other health professionals, other ancillary employees, administrators and healthcare providers from the private sector. The purpose of the contacts is to obtain and exchange health information, resolve problems, educate, influence, and motivate individuals and groups to understand and accept recommended medical information, diagnosis, and treatment. The work involves standing, bending and lifting patients throughout the work day; and handling needles and medication for injection which pose a risk for individual injury. Injuries could also result from physically handling patients or with working with patients that may be emotionally disoriented. The work is performed in an outpatient setting with continued exposure to patients having a variety of illnesses and communicable diseases. The Contractor may be subjected to adverse weather and hostile patients and/or their families. MEDICAL CREDENTIALS AND PRIVILEGES: Indian Health Service Manual Part 3, Chapter 1, describes the policy and procedures for the credentialing and clinical privileging of medical staff working in Indian Health Service (IHS) facilities. The policy and procedures can be accessed at http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p3c1. Contracted health care providers are subject to the same quality assurance, credentials, licensure, and qualification standards as required of IHS personnel. Health care providers, other than paraprofessionals, must be licensed in the United States, the District of Columbia, Puerto Rico, or a Territory of the United States to perform the contract services within IHS facilities. To verify active and inactive medical licenses, the attached certification statement must be completed and submitted for each physician being presented. GOVERNMENT FURNISHED PROPERTY: The IHS shall provide a clinic exam room, computer, telephone and any other equipment and supplies necessary to accomplish the services. The Northern Cheyenne Service Unit will be responsible for getting the Contractor access and clearance to all computer services necessary to carry out his/her duties. COMPUTER SECURITY: Pursuant to the Federal Information Security Management Act of 2002 (FISMA), the contractor will be required to complete a course in Computer Security Awareness Training (CSAT). This training must be completed annually by all employees including all contractors, volunteers, students, and summer externs. The Contractor will be required to comply with the Federal Information Processing Standards Publication (FIPS PUB) Number 201, "Personal Identity Verification of Federal Employees and Contractors" and the associated Office of Management and Budget (OMB) implementation guidance for personal identity verification for all affected contractor and subcontractor personnel. Access/clearance to all pertinent computer systems, including completing the Rules of Behavior form, Security training; and a Business Partner Interconnection Security Agreement (BPISA), should be coordinated with the Site Manager or LeAnn Christianson, contract Information System Security Officer (ISSO) in the Office of Information Management (OIM) at the Billings Area Office. LeAnn can be reached at (406) 247-7166 or by e-mail at LeAnn.Christianson@ihs.gov. SPECIAL CONTRACT REQUIREMENTS: Contractors cannot serve as expert witnesses in any suit against the Federal Government. Many of the IHS patients receiving services may only speak a native language and/or reside on a Native American Reservation; therefore, the Contractor must demonstrate sensitivity to cross-cultural and language differences. The Privacy Act of 1974 mandates that the Contractor maintain complete confidentiality of all administrative, medical and personnel records, and all other pertinent information that comes to his/her attention or knowledge. The Privacy Act carries both civil and criminal penalties for unlawful disclosure of records. Violation of such confidentiality shall be cause for adverse action. All IHS regulations and policies applicable to these Acts shall be enforced. The Contractor shall comply with IHS facility infection control and safety procedures, practices, and standards. Federal Tort Claims Act coverage for medical related claims is extended to the individuals providing orthopedic services. However, the services must have been performed within the scope of the personal services contract. CONTRACTING OFFICER AUTHORITY: Authority to negotiate changes in the terms, conditions or amounts cited in this contract is reserved for the Contracting Officer. CONTRACTING OFFICER'S REPRESENTATIVE: The Contracting Officer's Representative (COR) shall be responsible for: (1) Monitoring the Contractor's technical progress, including surveillance and assessment of performance and recommending technical changes; (2) Interpreting the Statement of Work; (3) Technical evaluation as required; (4) Technical inspections and acceptance; and (5) Assisting the Contractor in the resolution of technical problems encountered during performance of the contract. INVOICE SUBMISSION AND PAYMENT: The Contractor shall submit its invoice to the COR at the Northern Cheyenne Service Unit, P.O. Box 70, Lame Deer, Montana 59043. The Contractor agrees to include the following information on each invoice: (1) Contractor's name, physical and e-mail address and telephone number; (2) Contract Number; (3) Invoice number and date; (4) Cost or price; (5) Dates of Service; and (6) Remit to address. Payment shall be made by the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107. PRO-CHILDREN ACT OF 1994: The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-Children Act of 1994, which imposes restrictions on smoking where federally funded children's services are provided. CHILD CARE NATIONAL AGENCY CHECK AND INVESTIGATION (CNACI). A CNACI must be completed for all Indian Health Service (IHS) contractor personnel within the Billings Area. Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act and P.L. 101-647, Crime Control Act of 1990, require the IHS to conduct a character and criminal history background investigation on all contractors performing services in IHS facilities. The character and background investigations will be conducted by the Northern Cheyenne Service Unit. Fingerprints must also be taken as part of the pre-employment process and must be completed before the physician is allowed to work. The fingerprints should be coordinated with the Service Unit. PROVISIONS AND CLAUSES: The following provisions and clauses apply to this acquisition. The FAR provision 52.212-1, Instructions to Offerors Commercial Items; and 52.212-3, Offeror Representations and Certifications Commercial Items are incorporated by reference. The provision at 52.212-2 applies to this acquisition and is provided in full text. FAR 52.212-2 EVALUATION-COMMERCIAL ITEMS (JAN 1999): (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. THE CONTRACTOR SHALL PROVIDE EVIDENCE OF, OR SUBMIT A WRITTEN RESPONSE TO, THE FOLLOWING TECHNICAL EVALUATION FACTORS: The following factors shall be used to evaluate offers: (1) Medical License = 35 POINTS (Potential contractors must submit a copy of a current, unrestricted State license with the offer); (2) Resume/Curriculum Vitae = 35 POINTS (Resume/CV must include information relating to: (i) Board Certification or Board Eligibility; (ii) Specialty Training; and (iii) Clinical Practical Experience, including past and current experience); and (4) Past Performance = 30 POINTS. The offeror must demonstrate its record of successful performance in past contracts and/or jobs, Government and/or commercial. Each offeror will be evaluated on its performance under existing and prior contracts/jobs. The offeror must list at least three contracts/jobs and include the following information. (1) Name of Government agency/Company; (2) Contract number, if applicable; (3) Dates of Service/Employment; (4) Total contract value/Hourly wage; (5) Description of contract work/Job duties; (6) Contracting Officer/Company Manager and telephone number; (7) Program Manager and telephone number, if applicable. Technical and past performance, when combined, are considered approximately equal. (b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). (c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. The following FAR and Health and Human Services Acquisition Regulation (HHSAR) clauses are applicable: 52.204-4, 52.204-7, 52.204-9, 52.204-13, 52.212-4, 52.212-5, 52.215-5, 52.217-8, 52.217-9, 52.223-5, 52.223-6, 52.224-1, 52.224-2, 52.225-25, 52.227-14, 52.227-17, 52.228-5, 52.229-3, 52.232-11, 52.232-18, 52.232-39, 52.233-2, 52.237-2, 52.237-3, 52.242-15, 52.242-17, 352.201-70, 352.202-1, 352.203-70, 352.215-1, 352.215-70, 352.222-70, 352.223-70, 352.224-70, 352.227-70, 352.231-71, 352.237-70, 352.237-71, 352.237-72, 352.239-73, 352.242-71, 352.242-72, 352.242-73, and 352.270-2. The following FAR clauses cited in 52.212-5 are applicable to the acquisition: 52.203-6 with Alternate I, 52.204-10, 52.209-6, 52.209-10, 52.219-8, 52.219-28, 52.222-3, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-40, 52.222-54, 52.223-18, 52.225-13 and 52.232-33. Upon request, the Contracting Officer will provide full text copies of the FAR and HHSAR provisions and clauses. The provisions and clauses may also be accessed electronically at https://www.acquisition.gov/ and http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=3524d214210697effd2fd5c77848a806&rgn=div5&view=text&node=48:4.0.1.8.33&idno=48. PROPOSAL SUBMISSION INSTRUCTIONS: The Contractor shall provide evidence of, or submit a written response to, the technical evaluation factors in FAR 52.212-2. In addition, the Contractor shall submit a completed copy of FAR 52.212-3 with its offer. Contractors intending to conduct business with the Federal Government must register with the System for Award Management (SAM). SAM replaces the Department of Defense's Central Contractor Registration (CCR) database. SAM is now the primary Government repository, which retains information on Government contractors. You may register via the Internet at www.sam.gov. All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 Fourth Avenue North, Room 304, Billings, Montana 59101, no later than 2:00 p.m., on September 23, 2014. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your company's name and address. Offers will also be accepted by e-mail at Rita.Langager@ihs.gov or by fax at (406) 247-7108. ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFP. In addition, it must contain a statement to the effect that it is firm for a period of at least 90 days from the date of receipt by the Government.
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