Nonpersonal Ambulatory Healthcare Services - Hopi & Ft Yuma Service Units

The Department of Health and Human Services (HHS), Indian Health Service (IHS), Phoenix Area Indian Health Service (PAIHS) has issued a combined synopsis/solicitation (RFQ-26-PHX-048) to establish a Blanket Purchase Agreement (BPA) for nonpersonal ambulatory healthcare services. This acquisition is a 100% set-aside for Indian Small Business Economic Enterprises (ISBEEs) under the Buy Indian Act and is restricted to eligible Indian economic firms. The resulting BPA will have a single five-year ordering period, utilizing firm-fixed-price BPA Calls to secure qualified healthcare professionals. Services will primarily support the Fort Yuma Health Care Center in Winterhaven, California, with potential ordering support for the Hopi Health Care Center in Polacca, Arizona. Requested labor categories include Family Nurse Practitioners, Registered Nurses, Certified Medical Assistants, Clinical Laboratory Scientists, Radiologic Technologists, Optometrists, and Podiatrists. Quoters must submit four distinct volumes: Technical Capability, Relevant Experience/Past Performance, Price (fully burdened hourly rates), and Buy Indian Documentation. Written questions must be submitted to the designated Contract Specialist by July 23, 2026. Evaluation for award will be conducted on a best-value basis, with Technical Capability and Management Approach being the most important factor, followed by Relevant Experience and Price. The government reserves the right to issue one or multiple BPAs, or to award by individual labor category, to best meet its operational requirements.

This document is Attachment A - Pricing Schedule for a federal solicitation. It outlines the labor categories and pricing instructions for a Blanket Purchase Agreement (BPA). Offerors must provide fully burdened hourly rates, rounded to two decimal places, for seven distinct medical labor categories: Family Nurse Practitioner, Registered Nurse, Certified Medical Assistant, Clinical Laboratory Scientist, Radiologic Technologist, Optometrist, and Podiatrist. The schedule lists estimated annual hours for each category—2,080 hours for most, and 6,040 hours for Optometrists—which the government will use solely for quotation evaluation and acquisition planning. These estimates do not establish minimum or maximum ordering obligations or guarantee BPA Calls. Offerors must indicate "Yes" or "No" in the "Quoted" column for each labor category; those marked "No" will not be evaluated for award. The government reserves the right to issue BPA Calls for any labor category independently.

This Performance Work Statement (PWS) outlines requirements for a contractor to provide nonpersonal Family Nurse Practitioner (FNP) services at the Fort Yuma Health Care Center (FYHCC) in Winterhaven, California. The primary objective is to maintain same-day and acute ambulatory primary care services for the facility's Native American patient population under a Multi-Specialty Ambulatory Care Services Blanket Purchase Agreement (BPA). Qualified FNPs will evaluate, diagnose, treat, and disposition patients, averaging 12 to 20 encounters per full-day session. Key responsibilities include ordering diagnostic tests, prescribing medications, coordinating referrals, and documenting care within the government’s electronic health record (EHR) system. Candidates must possess a master's or doctoral degree in nursing, national FNP certification, an active and unrestricted state license, and at least two years of recent clinical experience in primary or urgent care. They must also maintain Basic Life Support (BLS) certification and obtain necessary security clearances and clinical privileges at FYHCC. As an independent contractor, the provider is solely responsible for all personnel management, including scheduling, compensation, and supervising its workforce. The government will evaluate performance using a Quality Assurance Surveillance Plan (QASP), which monitors clinic coverage, EHR documentation timeliness (95% completed same-day), and clinical competency. Deliverables include submitting candidate packages 45 days before the start date, monthly coverage and credential status reports, and electronic invoices submitted through the Invoice Processing Platform (IPP).

This Performance Work Statement (PWS) outlines the requirements for nonpersonal Registered Nurse (RN) ambulatory nursing services at the Fort Yuma Health Care Center (FYHCC), an Indian Health Service (IHS) facility in Winterhaven, California. The selected contractor will provide qualified and cleared RNs to maintain continuity of outpatient clinical operations, patient safety, and timely access to care. Key responsibilities include patient intake, triage, medication administration, documentation in the government electronic health record (EHR) system, and clinic-flow support. Candidates must possess an associate degree in nursing or higher, an active and unrestricted RN license, at least two years of recent ambulatory care experience, and a current Basic Life Support (BLS) certification. As a nonpersonal services contract, the contractor remains solely responsible for managing, supervising, and scheduling its workforce, while the government evaluates performance based on specific Quality Assurance Surveillance Plan (QASP) standards. These metrics require 100% shift coverage, proper licensing, strict medication safety compliance, and at least 95% of EHR documentation completed on the day of service. The government will provide clinic space, equipment, and facility orientation. Key deliverables include a candidate onboarding package submitted 45 days prior to the start date, monthly coverage and service performance reports, and electronic invoices submitted through the Invoice Processing Platform (IPP). Contracted nurses must maintain independent professional nursing judgment while complying with all federal, IHS, and FYHCC safety and privacy regulations.

This Performance Work Statement (PWS) outlines the requirements for contractor-provided Certified Medical Assistant (CMA) services at the Fort Yuma Health Care Center (FYHCC), an Indian Health Service (IHS) facility in Winterhaven, California. The selected contractor will provide nonpersonal, ambulatory clinical support services on-site to maintain outpatient clinic operations, patient flow, and timely access to care. Key responsibilities of the CMAs include preparing and stocking exam rooms, rooming patients, recording vital signs and intake information, collecting and labeling specimens, administering medications or immunizations under supervision, and entering documentation into the government's electronic health record (EHR) system. Candidates must possess a postsecondary medical assistant training credential, a national CMA certification, a current Basic Life Support (BLS) certification, and at least two years of recent outpatient or clinic experience. Because the facility is located in California, all personnel must meet the state’s specific training, scope of practice, and supervision requirements for medical assistants. The contract is structured on a nonpersonal services basis, meaning the contractor is solely responsible for staff recruitment, scheduling, supervision, and compensation. Performance will be monitored via a Quality Assurance Surveillance Plan (QASP) evaluating clinic coverage, documentation accuracy, and safety compliance. Key deliverables include candidate packages submitted 45 days before the start date, task-specific competency records, monthly staffing and coverage reports, and monthly service performance reports. Invoices must be submitted electronically through the Invoice Processing Platform (IPP).

This Performance Work Statement (PWS) outlines the requirements for contractor-provided Clinical Laboratory Scientist (CLS) services at the Fort Yuma Health Care Center (FYHCC) in Winterhaven, California. Operating under a nonpersonal services Blanket Purchase Agreement (BPA), the contractor will provide qualified, California-licensed CLS personnel to perform ambulatory clinical laboratory testing, phlebotomy, specimen handling, and quality control. The contractor is solely responsible for recruiting, supervising, scheduling, and compensating its staff, ensuring operational continuity during specified coverage windows. Key duties include processing specimens, documenting results in the Government’s laboratory information system (LIS) and electronic health records (EHR), and reporting critical values. To ensure safety and compliance, candidates must possess a bachelor's degree in clinical laboratory science, a minimum of two years of CLIA-certified laboratory experience, and active California licensure. The Government will monitor performance using a Quality Assurance Surveillance Plan (QASP) focused on coverage reliability, testing accuracy, reporting timeliness, and specimen integrity. Contractors must submit several monthly deliverables, including coverage and quality assurance reports, to the Contracting Officer (CO) and Contracting Officer’s Representative (COR). Invoices must be submitted electronically through the Invoice Processing Platform (IPP) with supporting service records. All services will be performed on-site in compliance with CLIA, HIPAA, and Indian Health Service (IHS) standards.

This Performance Work Statement (PWS) outlines requirements for a contractor to provide nonpersonal, ambulatory Radiologic Technologist (RT) services at the Fort Yuma Health Care Center (FYHCC), an Indian Health Service (IHS) facility in Winterhaven, California. The primary objective is to maintain continuity of outpatient diagnostic imaging operations, patient safety, and timely access to imaging services. Under this Blanket Purchase Agreement (BPA), qualified, cleared, and competency-validated technologists will perform diagnostic radiographic studies, operate imaging equipment, document exams within government systems (EHR, RIS, and PACS), and adhere to radiation safety and ALARA principles. Because this is a nonpersonal services contract, the contractor remains solely responsible for recruiting, scheduling, supervising, and managing its personnel. Key performance standards require 100% shift coverage, active ARRT certifications, and a minimum of 95% technically adequate images with same-day transmission. Additionally, documentation must be completed within 24 hours of service. The government will provide access to facilities, imaging equipment, and local system orientation. Contractors must submit candidate packages at least 45 days prior to a technologist's start date and provide monthly coverage and performance reports. Invoices must be submitted electronically through the Invoice Processing Platform (IPP) with supporting records. All services must comply with the Indian Health Manual, HIPAA, radiation safety laws, and federal privacy requirements.

This Performance Work Statement (PWS) outlines requirements for a contractor to provide nonpersonal, ambulatory primary eye care services at the Fort Yuma Health Care Center (FYHCC) in Winterhaven, California, an Indian Health Service (IHS) facility. Under a Multi-Specialty Ambulatory Care Services Blanket Purchase Agreement (BPA), qualified, licensed, and privileged Optometrists will perform comprehensive eye exams, diagnose and treat ocular diseases, prescribe corrective lenses and medications, document patient encounters in the government’s electronic health record (EHR), and coordinate specialty referrals. As an independent contractor, the awardee is solely responsible for recruiting, scheduling, supervising, and managing its workforce to maintain staffing continuity during specified clinic coverage hours (typically Monday through Friday, 0800-1700). Clinicians must possess a Doctor of Optometry degree, an active U.S. license, at least two years of recent clinical experience, and active BLS certification. The government will provide clinic space, standard ophthalmic equipment, and system access. Performance is governed by a Quality Assurance Surveillance Plan (QASP) enforcing strict metrics, including completing 95% of EHR documentation on the day of service and maintaining 100% credential compliance. Key deliverables include submitting candidate packages 45 days prior to the start date, monthly coverage and quality reports, and electronic invoices via the Invoice Processing Platform (IPP). All operations must adhere to IHS guidelines, local FYHCC bylaws, and HIPAA regulations.

This Performance Work Statement (PWS) outlines the requirements for contractor-provided, nonpersonal Optometrist services at the Hopi Health Care Center (HHCC) in Polacca, Arizona. An Indian Health Service (IHS) facility accredited by the AAAHC, HHCC requires qualified optometrists to deliver comprehensive primary eye care, mitigating periodic staffing shortages. Key responsibilities include conducting eye exams, prescribing corrective lenses or medications, performing minor ocular procedures, documenting encounters in EHR/RPMS on the day of service, and managing patient referrals. Candidates must possess a Doctor of Optometry degree, at least two years of clinical experience, an active U.S. optometry license, and BLS certification. Contractors must submit credentialing and security clearance documentation at least 45 days before the scheduled start date to satisfy federal background investigations and IHS policies. Performance is monitored via a Quality Assurance Surveillance Plan (QASP) assessing clinical compliance, EHR documentation, and infection control. Work schedules encompass full-time (40 hours per week) and part-time/intermittent arrangements, with remote work prohibited. Personnel who are removed must be replaced within one week. Administrative deliverables include timesheets and electronic invoices submitted through the Invoice Processing Platform (IPP).

This Performance Work Statement (PWS) outlines the requirements for contractor-provided, nonpersonal ambulatory podiatric care services at the Fort Yuma Health Care Center (FYHCC) in Winterhaven, California. Serving a primarily Native American population, this Indian Health Service (IHS) facility requires qualified, credentialed, and privileged Podiatrists (Doctors of Podiatric Medicine) to maintain outpatient access and continuity of care. Contractor clinicians will perform podiatric examinations, wound care, minor procedures, and diagnostic ordering, while documenting encounters within the Government's electronic health record (EHR). Because this is a nonpersonal services contract, the contractor remains solely responsible for supervising, scheduling, and compensating its staff, while the government evaluates performance and clinical outcomes. Key qualifications include an active, unrestricted state license, completion of an accredited residency, at least two years of recent clinical experience, and active Basic Life Support (BLS) certification. Clinicians must perform all duties on-site during normal operating hours (Monday through Friday, 0800-1700 Pacific Time). The Quality Assurance Surveillance Plan (QASP) measures performance across multiple objectives, requiring 100% clinic coverage, 100% credential compliance, and at least 95% of EHR documentation completed on the day of service. Key deliverables include candidate onboarding packages submitted 45 days prior to start, monthly coverage and credential status reports, monthly service performance summaries, and electronic invoices submitted through the Invoice Processing Platform (IPP). All services must strictly comply with IHS, FYHCC medical staff bylaws, HIPAA privacy regulations, and AAAHC accreditation standards.

This document is an Indian Economic Enterprise (IEE) Representation Form issued by the Department of Health & Human Services, Indian Health Service (IHS). It is used during the federal solicitation, Request for Information (RFI), or Sources Sought process to allow offerors to self-certify their eligibility under the Buy Indian Act (25 U.S.C. 47). To qualify for set-aside or sole-source contracts under this authority, an offeror must self-certify that it meets the definition of an IEE. This eligibility must be maintained at the time of submission, at the time of award, and throughout the entire duration of the contract. Additionally, the successful offeror must be registered in the System for Award Management (SAM). Contracting officers reserve the right to request supporting documentation to verify eligibility, and awards may be subject to protest. The form warns that submitting false or misleading information is a violation of federal law and is punishable under criminal and civil statutes, including the False Claims Act. To complete the representation, the offeror must state whether they meet the definition of an IEE with Indian ownership, and provide the name of the majority owner, the name of the federally recognized tribal entity, the business name, their Unique Entity Identifier (UEI) number, and an authorized certifying signature.

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This document is a federal Business Associate Agreement (BAA) between the Indian Health Service (IHS), acting as the Covered Entity, and an awarded vendor, acting as the Business Associate. Attached as Attachment B to a government contract, the agreement establishes legally binding requirements to safeguard Protected Health Information (PHI) in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations. Under the agreement, the Business Associate must implement procedural, physical, and electronic safeguards to secure PHI and limit its use and disclosure to the minimum amount necessary. Crucial obligations include ensuring all subcontractors adhere to the same restrictions, reporting unauthorized uses or disclosures within 30 days, and notifying the IHS of any suspected or confirmed data breaches within one hour of discovery. Additionally, the vendor must facilitate individual rights to access, amend, and receive an accounting of PHI disclosures within five calendar days of a request. The agreement permits the vendor to use PHI primarily to perform contracted services, which includes anticipated access to the IHS Master Patient Index (MPI). Upon contract termination, the vendor must return or destroy all remaining PHI and provide documentation of its destruction within 30 days. Finally, the agreement includes an indemnification clause requiring the vendor to hold the IHS harmless and reimburse all costs associated with civil or criminal investigations stemming from the vendor's failure to comply with HIPAA rules.