Q--Notice of Award

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. The NAICS code is 621330 and size standard is less than $7.0 million. The incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-26, effective 1 June 2008 & Class Deviation 2005-00001. Performance Work Statement 1. Background. The Montana National Guard has invested a tremendous amount of resources to enhance its Deployment Cycle Support program. One of these enhancements is the periodic behavioral health screenings of service members during Individual Drill Training (IDT) weekends following deployment. Screening is now mandatory every six months for two years after deployment; after two years, screening is mandatory once per year. The Montana National Guard is not resourced with enough credentialed behavioral health care providers to conduct all the necessary behavioral screenings and has a requirement for weekend behavioral health providers. The annual screenings are to be conducted in conjunction with the annual Periodic Health Assessment (PHA) process. 2. Description of Services. The Montana National Guard anticipates contracting with a single contractor for behavioral healthcare professionals who shall be capable of: (a) Conducting behavioral health care screenings of Soldiers and Airmen, which will: (1) Be face-to-face screenings conducted on IDT (drill) weekends. (2) Utilize Montana National Guard screening/referral forms (attached). (3) Be conducted at a rate of up to 10 Soldiers/Airmen per hour per provider (80 per day) depending on screening population (4) Be conducted by properly credentialed health care providers. (b) Providing educational talks and presentations. (c) Discussing behavioral health issues one-on-one with Montana Soldiers and Airmen. (d) Facilitating a professional working relationship with the Montana National Guard medical staff. 3. Requirements for Health Care Providers. To be provided post-award: (b) Professional credentials and forms, to be given to the Air National Guard 120th MDG/SGA Credentials Manager, which shall be the following: - A current, unrestricted license to practice as a Licensed Clinical Practicing Counselor (LCPC) or a Licensed Clinical Social Worker (LCSW) in the State of Montana; - Evidence of malpractice insurance from a property casualty insurer licensed in the State of Montana; - National Practitioner Identifier; - Current Basic Life Support (BLS) documentation - A diploma, - Records of CPE (Continuing Professional Education) for the past 24 months - AF Form 1540, Application for Clinical Privileges/Medical Staff Appointment; - AF Form 1562, Credentials Evaluation of Health Care Practitioners; - AF Form 1541, Credentials Continuing Health Education Training Record 4. Deliverables. (a) Screening and referral forms: To be submitted to Medical Detachment (MED DET) and Medical Group Officer in Charge at the conclusion of each IDT weekend. (b) Monthly reports: (1) To the Montana Army National Guard Office in Charge summarizing services provided; (2) To the Montana Air National Guard Office in Charge summarizing services provided; and (3) To the Montana National Guard JFHQ J-1 summarizing services provided, to include a summary of referrals and any other information necessary to evaluate the effectiveness and value of the services provided. The monthly report to the J-1 shall not contain PHI (personally identifiable healthcare information). (c) An annual report: (1) To the Montana Army National Guard Office in Charge summarizing services provided; (2) To the Montana Air National Guard Office in Charge summarizing services provided; and (3) To the Montana National Guard JFHQ J-1 summarizing services provided, to include a summary of referrals without PHI (personally identifiable healthcare information), and any other information necessary to evaluate the effectiveness and value of the services provided. The annual report to the J-1 shall not contain PHI (personally identifiable healthcare information). 5. Schedule of Events, Base Year. Providers will be available for the Army and Air National Guard per the following schedule at the location: Air National Guard, Great Falls International Airport (GFIAP), Great Falls, MT 8-9 Jan 11 1 provider Great Falls 5-6 Feb 11 1 provider Great Falls 5-6 Mar 11 1 provider Great Falls 2-3 Apr 11 1 provider Great Falls 14-15 May 11 1 provider Great Falls 4-5 Jun 11 1 provider Great Falls 9-10 Jul 11 1 provider Great Falls 13-14 Aug 11 1 provider Great Falls 10-11 Sep 11 1 provider Great Falls 1-2 Oct 11 1 provider Great Falls 5-6 Nov 11 1 provider Great Falls 3-4 Dec 11 1 provider Great Falls Army National Guard 8 Jan 11 1 provider Fort Harrison (Helena, MT) 9 Jan 11 1 provider Fort Harrison 22 Jan 11 1 provider Billings Armed Forces Reserve Center 5 Feb 11 1 provider Fort Harrison 5 Feb 11 1 provider Billings Armed Forces Reserve Center 5 Mar 11 1 provider Fort Harrison 2 Apr 11 1 provider Fort Harrison 14 May 11 1 provider Fort Harrison 4 Jun 11 1 provider Fort Harrison 5 Jun 11 1 provider Fort Harrison 9 Jul 11 1 provider Fort Harrison 6 Aug 11 1 provider Kalispell Armed Forces Reserve Center 10 Sep 11 1 provider Fort Harrison 11 Sep 11 1 provider Fort Harrison 1 Oct 11 1 provider Fort Harrison 2 Oct 11 1 provider Fort Harrison 5 Nov 11 1 provider Fort Harrison 6 Nov 11 1 provider Fort Harrison 3 Dec 11 1 provider Fort Harrison 4 Dec 11 1 provider Fort Harrison Modifications to these dates, locations, and hours may be made by giving the provider 30 days notice of changes. Dates for Option Years 1-4 will be provided with Notice of Intent to Exercise Option, no later than 60 days prior to the effective date of the option. The total potential effective period of the award resulting from this solicitation is is 60 months from date of award. The Contractor shall not be required to accept any new orders beyond 60 months from the award date. Quality Assurance Surveillance Plan This Quality Assurance Surveillance Plan (QASP) has been developed and designed by the Contracting Officers Representatives (CORs) at Fort Harrison, MT for Behavioral Health Screening Services Contract, Contract. This contract will be administered through the J1 Director of Manpower and Personnel at Fort Harrison Montana and Gore Hill Great Falls Montana and is designed to provide behavioral health care screening for the members of the Montana Army and Air National Guard The quality of the services provided will be assessed and surveilled in the following three areas: 1. Assurances prior to screenings: a. Surveillance of provider credentials and required forms (current and complete). b. Surveillance that proper badges and building access coordination have been made. c. Surveillance that a private, privacy sound-proof, clinic exam room is available in which to conduct the screenings. d. Surveillance to ensure that HIPPA Business Associate agreements have been completed with any non-provider organizations who may be receiving or processing PHI related to these screenings. e. Periodic surveillance of National Healthcare Provider Data base for reportable information on contracted health care providers. f. Surveillance of provide travel arrangements (checking to see if travel and lodging arrangements are available) 2. Assurances during screenings: a. Planning and surveillance to ensure that pre-screening forms are able to be filled out privately by soldiers, that sufficient time is given to soldiers to fill out forms, and that clip boards and pencils are provided. b. Planning and surveillance to ensure that pre-screening forms are individually stapled or prong-clipped inside a privacy file folder so that privity of the disclosed information is maintained while the soldiers are waiting to see their health care providers. c. Planning and surveillance to ensure that anyone referred to the PHA screeners who is not going through the entire health assessment is wearing the same uniform as those going through the entire health assessment. d. Surveillance to ensure that appropriate patient flow is maintained through the screening station. e. Surveillance of reports turned in by the health care providers at the end of each IDT weekend, assuring timely reporting and completeness of the forms submitted. 3. Assurances associated with payment a. Review of each monthly invoice and assurance that billed services were properly provided and all deliverables have been submitted, inspected, and accepted. b. For monthly invoices, submission of a written recommendation to the Contracting Officer for each invoice recommending rejection or payment of submitted invoices. c. For final payment, submission of a written recommendation to the Contracting Office stating that all contract services and deliverables, including the required annual report, has been submitted, inspected, and accepted. Additional Information COR: The Contracting Office shall appoint a COR to assist in the administration of this contract and its associated Quality Assurance Surveillance Plan. A sample appointment letter is attached. Quality Assurance: The contractor shall adopt a quality assurance program that monitors all service activities to ensure contract compliance. The government will monitor the contractors performance in accordance with the Quality Assurance Surveillance Plan. The QASP is attached. Regulatory Compliance: The contractor shall ensure the requirements of Occupational Safety and Health Administration (OSHA), HIPPA, and other applicable Federal regulations are met. Security Requirements: All contract employees shall adhere to all local and National Guard security regulations and directives. Invoicing and Payment: This contract will have separate CLINs for each drill weekend, by location. A separate invoice may be submitted for each CLIN, for which separate payment will be made. Advance payments for services will not be made. Final payment, after the last IDT weekend of the year, will be authorized only after all services, including submission, inspection, and acceptance of the required annually summary report, has been completed. Self-referrals: Referral of a soldier for additional treatment to a medical group affiliated with the referring provider is prohibited by this contract. Additionally, self-referrals are prohibited by federal rules against fraud, waste and abuse. Should a self-referral be discovered it will be a reportable event and grounds for contract termination. Referrals: TRICARE is the Department of Defenses health care service provider. TRICAREs Western Regional Service Provider is TriWest Healthcare Alliance. All referrals for additional treatment must be made to TriWest Healthcare Alliance mental healthcare providers. Federal Funding: Funds are not presently available for this acquisition. No contract award will be made until appropriated funds are made available. Questions and Answers Email all questions to CPT Bryan Baldwin, contact@example.gov. Do not contact the J1, Montana Medical Command or 120th FW, as this will only delay receipt of answers. Questions must be received NLT close of business 18 November 2010. Answers will be provided with questions on a non-attribution basis and will be posted to the GPE as an amendment to this solicitation. Instructions to Offerors Offerors shall provide a firm, fixed price for health care services based upon the following schedule of items and prices: Base Year CLIN Description Unit 0001 Behavioral Health Services, Army EA 0002 Behavioral Health Services, Air EA 0003 Behavioral Health Services, Army, Option Yr 1 EA 0004 Behavioral Health Services, Air, Option Yr 1 EA 0005 Behavioral Health Services, Army, Option Yr 2 EA 0006 Behavioral Health Services, Air, Option Yr 2 EA 0007 Behavioral Health Services, Army, Option Yr 3 EA 0008 Behavioral Health Services, Air, Option Yr 3 EA 0009 Behavioral Health Services, Army, Option Yr 4 EA 0010 Behavioral Health Services, Air, Option Yr 4 EA Offerors shall provide the resume of their health care providers with three letters of recommendation. Proposals shall also include no more than 3 past performance narratives describing past performance of services of similar scope as described in the performance work statement. Proposal shall also include technical approach narrative that addresses the contractors ability to meet the requirements in the above Performance Work Statement and the contractors experience with and knowledge of Army National Guard behavior health operations and regulations. Contractor is authorized travel and per diem in accordance with the JTR. 52.212-2, Evaluation-- Commercial Items (January 1999). 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. The following factors shall be used to evaluate offers: price, past performance, and the following technical factors in descending order of importance: 1) The contractors ability to meet the requirements in the above Performance Work Statement; and 2) Contractors experience with and knowledge of Army National Guard behavior health operations and regulations. The technical evaluation factors listed above, and past performance, when combined are approximately equal in value to Price. Offerors shall ensure that the above technical factors are addressed in their proposals. The following Federal Acquisition Regulation (FAR) and its supplements DFAR and AFAR provisions and clauses apply to this acquisition; 52.203-3 Gratuities APR 1984 52.203-6 ALT 1 Restrictions on Subcontractor Sales to the Government OCT 1995 52.204-4 Printed on Copied-Double Sided on Recycled Paper AUG 2000 52.204-7 Central Contractor Registration APR 2008 52.204-9 Personal Identity Verification of Contractor Personnel SEP 2007 52.212-1 Instructions to Offerors - Commercial Items JUN 2008 52.212-2 EvaluationCommercial Items JAN 1998 52.212-3 ALT I Offeror Representations and Certifications--Commercial Items APR 2002 52.212-4 Contract Terms and Conditions--Commercial Items FEB 2007 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items JUN 2008 52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns JUL 2005 52.219-28 Post-Award Small Business Program Representation JUN 2007 52.222-21 Prohibition of Segregated Facilities FEB 1999 52.222-3 Convict Labor JUN 2003 52.222-19 Child Labor Cooperation with Authorities and Remedies FEB 2008 52.222-21 Prohibition of Segregated Facilities FEB 1999 52.222-26 Equal Opportunity MAR 2007 52.222-35 Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and other Eligible Veterans SEP 2006 52.222-37 Employment Reports on Special Disabled Veterans, Veterans of the Vietnam Era, and other Eligible Veterans SEP 2006 52.222-39 Notification of Employee Rights Concerning Payment of Union Dues or Fees DEC 2004 52.222-36 Affirmative Action for Workers with Disabilities JUN 1998 52.222-41 Service Contract Act of 1956 NOV 2007 52.222-50 Combating Trafficking in Persons AUG 2007 52.222-54 Employment Eligibility Verification 52.223-5 Pollution Prevention and Right to Know Information AUG 2003 52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.228-5 InsuranceWork on a Government Installation JAN 1997 52.232-33 Payment by Electronic Funds Transfer--Central Contractor Registration OCT 2003 52.233-2 Service of Protest SEP 2006 52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.237-2 Protection of Government Buildings, Equipment and Vegetation OCT 1995 52.252-2 Clauses Incorporated by Reference FEB 1998 252.201-7000 Contracting Officers Representative AUG 1992 252.203-7000 Requirements Relating to Compensation of Former DoD Officials 252.203-7002 Whistleblower Rights 252.204-7004 Alt A Central Contractor Registration (52.204-7) Alternate A SEP 2997 252.207-7001 Disclosure of Ownership or Control by the Government of a Terrorist Country 252.212-7001 (Dev) Contract Terms and Conditions Required to Implement Statutes or Executive Orders Applicable to Defense Acquisitions of Commercial Items (Deviation) MAR 2008 252.223-7006 252.225-7001 Buy American ActBalance of Payments Program Certificate JUN 2005 252.225-7012 Preference for Certain Domestic Commodities MAR 2008 252.232-7010 Levies on Contract Payments DEC 2006 252.243-7002 Requests for Equitable Adjustment MAR 1998 The provisions of DFAR 52.212-3 Alt I, Offeror Representations and Certifications-Commercial Items (April 2002) apply to this RFP. The provisions of DFAR 52.212-3 Alt I clause need to be completed and a signed copy of this provision submitted with any offer. You can visit the website at http://farsite.hill.af.mil for the provisions and clauses needed for this synopsis/solicitation. Proposals may be submitted by hard copy to: USPFO for Montana Purchasing & Contracting Department ATTN: CPT Bryan Baldwin 1956 Mt. Majo Street Post Office Box 4789 Fort Harrison, Montana 59636-4789 Or, electronically by e-mail to: contact@example.gov Deadline for proposals is no later than 29 November 2010 by 4:00 P.M. Mountain Standard Time. If you have any questions, please contact CPT Bryan Baldwin at +1 (555) 000-0000 or email contact@example.gov