Tele-Emergency (Tele-Ed) High-Acuity Emergency Support and Telemedicine Sexual Assault Medical Forensic Evaluation support services for Great Plains Area Indian Health Service Units

COMBINED SYNOPSIS/SOLICITATION
No. 75H70627R00007

A. NOTICE TYPE
This combined synopsis/solicitation for commercial services is prepared using the format prescribed by FAR Subpart 12.6, as supplemented by the information contained herein. This announcement constitutes the solicitation. Proposals are being requested, and a separate written solicitation will not be issued unless otherwise determined by the Contracting Officer.

B. CONTRACT AWARD
The Great Plains Area Indian Health Service (IHS) intends to award a Firm Fixed-Price (FFP), Indefinite-Delivery/Indefinite-Quantity (IDIQ), Non-Personal Services contract for 24/7/365 telemedicine clinical support services for five (5) rural hospitals with Indian Health Service facilities in North Dakota and South Dakota (“Spoke Sites”). The contractor shall provide Tele-Emergency (Tele-ED) high-acuity emergency support and Telemedicine Sexual Assault Medical Forensic Evaluation (TeleSAMFE/TeleSANE) support services identified in the Performance Work Statement (PWS) and individual task orders. The anticipated start date is August 1, 2027.

Services will be ordered through written task orders issued by the Contracting Officer (CO) or authorized Ordering Official. Each task order will identify the applicable period of performance, covered facilities, required hours of coverage and staffing/surge expectations, reporting cadence, site-specific workflows, and applicable performance metrics.

The Contractor shall furnish qualified licensed independent Tele-ED clinicians and TeleSAMFE/TeleSANE clinicians, qualified prescribing providers when required, staffing management, surge capability, credentialing support, and all other Contractor-furnished resources necessary to perform the PWS and applicable task orders.

Contractor personnel shall perform as independent contractor personnel and shall not be supervised or controlled by Government personnel.

C. SOLICITATION PROVISIONS AND CLAUSES
This solicitation incorporates applicable Federal Acquisition Regulation (FAR) and Health and Human Services Acquisition Regulation (HHSAR) provisions and clauses in effect as of the date of issuance.

Federal Acquisition Circular (FAC): 2026-01, effective March 13, 2026. Acquisition-specific provisions and clauses shall be reviewed and incorporated by the Contracting Officer prior to release.

Because this acquisition is structured as an IDIQ, the resulting solicitation and contract will include applicable indefinite-delivery provisions and clauses, including FAR 52.216-18, Ordering; FAR 52.216-19, Order Limitations; and FAR 52.216-22, Indefinite Quantity.

D. SET-ASIDE INFORMATION
This requirement is issued as an:
Indian Small Business Economic Enterprise (ISBEE) Set-Aside
NAICS Code: 621999 – All Other Miscellaneous Ambulatory Health Care Services
Size Standard: $13.5 million

The Offeror shall meet all applicable ISBEE eligibility requirements at the time of proposal submission and award.

E. CONTRACT TYPE AND PRICING REQUIREMENTS
The anticipated contract type is:
Firm-Fixed-Price (FFP), Indefinite-Delivery/Indefinite-Quantity (IDIQ), Non-Personal Healthcare Services. Services will be ordered through written task orders issued in accordance with the IDIQ contract, the Performance Work Statement (PWS), and the terms and conditions of the resulting contract.

The IDIQ contract will have a five-year ordering period consisting of five (5) years or sixty (60) months. The anticipated ordering period is August 1, 2027, through July 31, 2032.

IDIQ CONTRACT MINIMUM AND MAXIMUM
Contract Minimum Amount: $1,000,000.00

Contract Maximum Amount: $7,500,000.00

Task Order Minimum Amount: $1,000.00

Task Order Maximum Amount: $1,700,000.00

Offerors shall propose firm-fixed monthly unit prices by facility for the ordering period. Proposed prices shall include all personnel, management, supervision, credentialing, licensing, professional liability insurance, administrative support, training, technology or resources not expressly Government-furnished, surge and backup capability, overhead, profit, and all other costs necessary to satisfy the applicable PWS and task-order requirements.

F. PRICE SCHEDULE
Offerors shall complete the price schedule below by entering a Firm-Fixed-Price monthly unit price and extended price for each CLIN. The proposed monthly price shall include all personnel, management, supervision, credentialing, licensing, professional liability insurance, administrative support, training, technology or resources not Government-furnished, surge/backup capability, overhead, profit, and all other costs necessary to perform the PWS and applicable task orders. The estimated annual consult volumes stated in each CLIN description are provided for offerors’ planning and pricing purposes only and represent the Government’s good-faith estimate; actual utilization may vary by plus or minus fifteen percent (+/-15%) without constituting a change to the monthly rate. The monthly rate for each year shall remain fixed regardless of actual consult volume within this variance band.

Unit of Issue: Month. The quantities shown are for pricing and evaluation of the stated performance periods. Estimated consult volumes in the PWS are planning estimates only and do not guarantee actual quantities or clinical demand.

The IDIQ contract maximum of $7,500,000.00 is an ordering ceiling only and does not represent the Government's estimated expenditure, anticipated award value, or guaranteed level of ordering. The Government guarantees only the minimum amount identified in Section E.

Offerors shall enter their proposed Firm Fixed-Price unit and extended prices in the spaces provided below. Government internal cost estimates are not provided as part of this solicitation.

CLIN Reference Key – Site and Estimated Volumes
CLIN       Spoke Site                                      Est. Annual eCritical Consults     Est. Annual eSANE Consults
0001       Pine Ridge IHS Pine Ridge, SD                        3,475                                            695

0002       Rosebud IHS, Rosebud, SD                              2,040                                           410

0003    Cheyenne River IHS, Eagle Butte, SD                 1,770                                           355

0004    Standing Rock Service Unit, Fort Yates, ND        1,595                                           320

0005    QNBMHCF in Belcourt, ND                                  950                                              190

All CLINs are subject to a plus or minus fifteen percent (+/-15%) quantity variance to account for fluctuations in actual eCritical and eSANE requirements. Each CLIN covers eCritical Care (Tele-ED) and eSANE (TeleSAMFE) Consult Services as described in PWS Sections C.3.1 and C.3.2.

Pricing Schedule – Monthly Unit Price by Year

CLIN Spoke Site  Yr 1 Monthly  Yr 2 Monthly  Yr 3 Monthly  Yr 4 Monthly  Yr 5 Monthly CLIN 5-Yr Ttl

0001 Pine Ridge, SD $________ $________      $________     $________      $________    $________

0002 Rosebud, SD    $________ $________      $________     $________      $________    $________

0003 Eagle Butte, SD$________ $________      $________     $________      $________    $________

0004 Fort Yates, ND  $________ $________      $________     $________      $________    $________

0005 Belcourt, ND     $________ $________      $________     $________      $________    $________

        Total Evaluated Price                                                                                                         $________

Each “Monthly” figure above represents the Firm Fixed-Price monthly rate for that year (12 months); the CLIN 5-Year Total reflects the sum of all five years’ rates, each extended by 12 months.

The Total Evaluated Price above will be used for proposal evaluation purposes only and does not obligate the Government beyond the guaranteed minimum stated in B.2.

Price Evaluation
The Government will evaluate proposed pricing based on the Total Evaluated Price for the entire potential period of performance. The Total Evaluated Price will be the sum of the extended amounts for the base period and all option periods.

The Government will evaluate price fairness and reasonableness using one or more appropriate price-analysis techniques, which may include comparison of proposed prices received from Offerors, comparison with the Independent Government Cost Estimate (IGCE), comparison with historical pricing information for similar healthcare support requirements, market research, and/or other appropriate techniques in accordance with applicable FAR requirements.

G. DESCRIPTION OF REQUIREMENT
The purpose of this acquisition is to provide synchronous audio-video telemedicine support using a hub-and-spoke model for the following service lines, as ordered by a task order. The work will support five (5) rural hospitals in South Dakota and North Dakota (each a “Spoke Site”). Each Spoke Site is associated with an applicable Service Unit. Approximate ED volumes are as follows:
Facility                                             Location                                 Annual ED Volume
Pine Ridge Hospital                   Pine Ridge, SD                                     27,794
Rosebud Hospital                      Rosebud, SD                                        16,324
Eagle Butte Hospital                  Eagle Butte, SD                                    14,141
QNBMHCF                                Belcourt, ND                                          12,762
Fort Yates Hospital                    Fort Yates, ND                                         7,591

Real-time consultative support for emergent and time-sensitive clinical events in the ED and other authorized settings, included but not limited to:
• Cardiac/respiratory arrest (ACLS/PALS guidance) and post-ROSC support.
• Trauma resuscitation support and stabilization.
• Airway emergencies and ventilatory support guidance.
• Sepsis and septic shock stabilization.
•Pediatric emergency stabilization.
•Stroke and neurologic emergencies (triage/transfer support).
•Toxicology/overdose stabilization.
•Obstetric emergencies (stabilization support with scope/privileges).
•Surge/mass casualty events upon request.

Real-time on-demand telemedicine support to enable timely, high-quality Sexual Assault Medical Forensic Evaluations (SAMFE), consistent with applicable standards of care and trauma-informed practices, including:
•Trauma-informed patient engagement, consent guidance, and patient autonomy support.
•Medical and assault history guidance using non-leading techniques.
•Physical assessment and injury identification guidance.
•Forensic evidence collection and documentation support.
•STI and pregnancy prophylaxis guidance per site protocol.
•Safety planning and referral coordination.
•De-identified case review and quality improvement support.

The Contractor shall provide synchronous Tele-ED and TeleSAMFE/TeleSANE guidance services 24 hours per day, 7 days per week, including weekends and federal holidays, unless a task order specifies otherwise. Services will use Webex or another platform identified by IHS.

H. PLACE OF PERFORMANCE AND PERIOD OF PERFORMANCE
Initial facilities supported under the PWS are:
•Pine Ridge Hospital, Pine Ridge, South Dakota.
•Rosebud Hospital, Rosebud, South Dakota.
•Eagle Butte Hospital, Eagle Butte, South Dakota.
•Fort Yates Hospital, Fort Yates, North Dakota.
•Belcourt Hospital, Belcourt, North Dakota.

Approximate monthly consult volumes are provided for planning only and are not guaranteed. Actual quantities will be based on clinical demand and the scope of individual task orders.

Anticipated Start Date: August 1, 2027 through July 31, 2032. Maximum IDIQ Ordering Period: Sixty (60) months.

IDIQ Ordering Period and Task Order Performance
The anticipated IDIQ ordering period begins August 1, 2027, and continues through July 31, 2032, a single continuous five (5) year period with no option periods.

Individual task orders will establish their respective periods of performance within the terms and conditions of the IDIQ contract.

An individual task order may extend beyond the end of the IDIQ ordering period when authorized by the contract and consistent with FAR 52.216-22, Indefinite Quantity.

I. INSTRUCTIONS TO OFFERORS
Offerors shall submit a complete proposal in response to this solicitation and the Performance Work Statement (PWS), on company letterhead stationery, signed and dated. At a minimum, the proposal shall address the following information to demonstrate the offeror’s capability to satisfy the requirement:

Solicitation Information
•Solicitation number RFP 75H70627P00007 and amendment acknowledgments, when issued

•Closing date: December 8, 2026 at 12:00pm CT

•Offeror legal business name, address, telephone number, email address of contact person, UEI, and active SAM registration information

•Technical description of the item/service being offered in sufficient detail to evaluate compliance with the requirements of the solicitation. This may include product literature, or other documents, if necessary

•Price and any discount terms

•“Remit to” address, if different than mailing address

•Completed representations and certifications required by the final solicitation

•Past performance information, when included as an evaluation factor, to include recent and relevant contracts forthe same or similar items and other references (including contract numbers, points of contact with telephonenumbers and other relevant information)

•A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation.Offerors that fail to furnish required representations or information, or reject the terms and conditions of thesolicitation may be excluded from consideration

•The following forms must be filled out and completed: SF1449 Solicitation

Price Proposal
•Completed Government price schedule using the pricing structure established in the final solicitation
•Pricing that includes all Contractor-furnished personnel, management, staffing/surge resources, credentialingsupport, training, administrative support, technology/resources not Government-furnished, and other costsnecessary to satisfy the PWS and task orders

Technical Capability Information
•Ability to provide board-certified/board-eligible Emergency Medicine physicians, or a task-order approvedequivalent qualified clinician model, with demonstrated experience in high-acuity emergency stabilization andresuscitation
•Ability to provide qualified SANE-certified clinicians holding current SANE-A certification (or equivalentdocumented SANE training and competency) with a minimum of two (2) years' recent SAMFE/SANEexperience
•Approach to 24/7/365 synchronous audio-video coverage, rapid activation and response, continuouscoverage with no unplanned lapses, backup/redundant staffing, and concurrent-event/surge capacityacross multiple Spoke Sites
•Approach to maintaining current ACLS/PALS/NRP certification for Tele-ED clinicians and completing telehealthcompetency training prior to go-live
•Approach to trauma-informed, culturally responsive care, including consent guidance, non-leading history-taking techniques, and patient autonomy support for TeleSAMFE evaluations
•Ability to hold active, unrestricted clinical licensure and satisfy each Spoke Site's credentialing/privilegingrequirements, including use of proxy credentialing where authorized by CMS and local medical staff bylaws
•Approach to EHR/documentation workflow, including completion of consult notes within 24 hours and inclusion ofrequired minimum documentation elements for both Tele-ED and TeleSAMFE encounters
•Approach to Key Personnel staffing structure, including Program Manager, Clinical Lead/Medical Director, Tele-EDClinicians, TeleSANE Clinicians, and Technical Support Lead
•Recruitment, retention, scheduling, and surge staffing capability across all five Spoke Sites
•Continuity-of-operations and contingency planning for staffing interruptions, technology outages, or demand surges
•Credentialing, privileging, and licensure management process across multiple, separately credentialing Spoke Sites
•Quality assurance and performance-monitoring procedures, including chart audit/peer review and de-identified qualityimprovement case review
•Communication, escalation, and coordination approach with Government, COR, and on-site facility personnelwhile preserving the non-personal-services relationship
•Corrective-action process for performance deficiencies and failure to meet PRS/AQL standards

Past Performance Information
Offerors should provide recent and relevant past performance demonstrating experience in tele-emergency medicine (Tele-ED) services, telemedicine sexual assault medical forensic evaluation (TeleSAMFE/TeleSANE) services, emergency department clinical support, telehealth clinician staffing, non-personal healthcare services, or comparable requirements. Offers are encouraged to submit references addressing both the Tele-ED and TeleSANE/TeleSAMFE service lines where available, if requested in the final solicitation. The Contracting Officer shall establish the final recency period, required data elements, and evaluation methodology.

BASIS FOR AWARD
FAR 52.212-2, Evaluation - Commercial Products and Commercial Services. The Government will evaluate proposals in accordance with FAR 52.212-2. Award will be made to the responsible Offeror whose proposal conforms to the solicitation requirements and is determined to provide the best value to the Government, price and other factors considered. The Government intends to evaluate proposals and make award without discussions. Offerors should therefore submit their best technical and price proposals initially. The Government reserves the right to conduct discussions, request clarifications, or seek additional information if determined necessary by the Contracting Officer.

Evaluation Factors: Technical Capability; Past Performance; and Price. Technical Capability and Past Performance are non-price factors. When combined, the non-price factors are significantly more important than Price. The Government will consider the overall merits, strengths, weaknesses, deficiencies, and performance risks associated with each proposal in determining best value.

Technical Factor Rating Definitions
Outstanding - Proposal greatly exceeds all minimum requirements of the criteria; demonstrates exceptional capability; has a high probability of successful performance; and contains no significant weaknesses or deficiencies.

Good - Proposal exceeds all minimum requirements of the criteria; demonstrates above-average capability; has a strong probability of successful performance; and contains no significant weaknesses.

Acceptable - Proposal meets all minimum requirements of the criteria; demonstrates adequate capability; has an acceptable probability of successful performance; and contains no significant weaknesses or deficiencies.

Marginal - Proposal fails to adequately meet one or more requirements of the criteria; demonstrates limited capability; has an uncertain probability of successful performance; and contains significant weaknesses or deficiencies.

Unacceptable - Proposal fails to meet minimum requirements of the criteria; demonstrates inadequate capability; has a low probability of successful performance; and requires major revisions.

Factor 1 - Technical Capability
The Government will evaluate the Offeror's ability and approach to furnish qualified Tele-ED and TeleSANE/TeleSAMFE clinical personnel and perform the services identified in the PWS, including: board-certified/board-eligible Emergency Medicine physicians or task-order approved equivalent qualified clinician model; SANE-A certified clinicians with a minimum of two (2) years’ recent SAMFE/SANE experience; 24/7/365 synchronous audio-video coverage with no unplanned lapses; response-time performance; trauma-informed, culturally responsive care and non-leading history-taking approach for TeleSAMFE evaluations; forensic evidence collection and documentation support; proxy credentialing and site-specific privileging across all five Spoke Sites: HER documentation consistent with PWS minimum documentation elements; and continuity/surge capability.

The Government will also evaluate the Offeror’s approach to managing contract performance and ensuring reliable coverage, including recruitment and retention of qualified clinicians; 24/7 scheduling and surge coverage; credentialing, licensing, and suitability management across multiple, separately credentialing facilities; quality assurance and performance monitoring, including chart audit/peer review and de-identified quality improvement case review; communication and coordination with the Government, COR, and on-site facility personnel while preserving the non-personal-services relationship; continuity of operations; and contingency planning for staffing shortages, provider availability issues, technology disruptions, or unexpected service interruptions.

Factor 2 - Past Performance
The Government will evaluate the Offeror's recent and relevant past performance. Relevant past performance may include tele-emergency medicine (Tele-ED) services, telemedicine sexual assault medical forensic evaluation (TeleSAMFE/TeleSANE) services, emergency department clinical support, telehealth clinician staffing, non-personal healthcare services, and/or similar healthcare support requirements. Recent past performance is defined as contracts performed within three (3) years from the solicitation closing date. The Government may consider information obtained from CPARS, Government databases, references provided by the Offeror, Federal procurement records, and other available sources. Offerors without recent and relevant past performance, or where past performance information is unavailable, may receive a neutral evaluation. A neutral evaluation will not be considered either favorable or unfavorable.

Factor 3 - Price
The Government will evaluate the Total Evaluated Price for the entire potential period of performance, including the base period and all option years. The Government will evaluate price fairness and reasonableness using appropriate price-analysis techniques, which may include comparison of proposed prices received from Offerors, comparison with the IGCE, comparison with historical pricing information, market research information, and/or other appropriate price-analysis techniques in accordance with FAR requirements. The Government will consider the relationship between price and technical capability in determining the proposal that represents the best value.

J. CONTRACT TERMS AND CONDITIONS
The resulting contract and task orders will require compliance with applicable Federal, HHS, IHS, facility, credentialing, privacy, security, patient-safety, clinical-practice, and reporting requirements incorporated into the final solicitation and contract.

The Contractor shall maintain the non-personal nature of the services. Government personnel may monitor results and compliance but shall not supervise or control Contractor personnel.

K. ADDITIONAL FAR/HHSAR REQUIREMENTS
Applicable FAR and HHSAR provisions and clauses shall be selected and incorporated by the Contracting Officer based on the acquisition strategy, contract type, dollar value, period of performance, and nature of the healthcare services.

The PWS references, among other authorities, FAR 37.101 and 37.103, FAR 52.217-9, HIPAA requirements at 45 CFR Parts 160 and 164, the Indian Child Protection and Family Violence Prevention Act, and the Emergency Medical Treatment and Labor Act (EMTALA).

Applicable IDIQ provisions and clauses include FAR 52.216-18, Ordering; FAR 52.216-19, Order Limitations; and FAR 52.216-22, Indefinite Quantity.

L. PROPOSAL SUBMISSION INFORMATION
Submit proposals electronically to: Great Plains Area Indian Health Service, Attn: PURCHASING AGENT – Farrah Azure, Email: Farrah.Azure@ihs.gov. or Betty Neilan, Email: Betty.Neilan@ihs.gov. Questions Due: November 27, 2026. Proposals Due: December 8, 2026. Offerors must have: a valid Unique Entity Identifier (UEI); a Taxpayer Identification Number (TIN); and an active registration in the System for Award Management (SAM.gov). The proposal must provide complete, accurate, and current information required by this solicitation. Failure to submit required information may result in the proposal being determined incomplete or ineligible for award. No contract award shall be made to any vendor listed on the HHS Office of Inspector General Exclusions List at the time of award.

Acceptance Period: The Offeror agrees to hold its proposal, including all proposed prices, firm for acceptance by the Government through February 29, 2027.

Offerors shall propose prices based on the requirements and pricing structure identified in the solicitation and shall not base proposed prices on an assumption that the Government will order services up to the $7,500,000.00 IDIQ ceiling.

Invoice Processing Platform (IPP): The Indian Health Service utilizes the Department of the Treasury's Invoice Processing Platform (IPP) for electronic submission and processing of payment requests. Invoices submitted under any resulting contract shall be submitted electronically through IPP in accordance with applicable HHSAR requirements. Contractors are encouraged to register for IPP prior to contract award if they have not already established an account. If the Contractor believes use of IPP would be unduly burdensome, the Contractor shall include an explanation with its proposal for consideration by the Contracting Officer.