Military Health System

3.1.2.1  The contractor shall furnish clinical support personnel who are licensed or certified to practice in the state and in their specialty where such licensing or certification are available and meet facility requirements of where the individual will practice. The contractor shall ensure clinical support personnel obtained on a personal services basis meet the licensure requirements of 10 USC Section 1094. The specific facility requirements will be contained in each PWS/SOW.

3.1.2.2  The contractor shall provide clinical support personnel accepted and credentialed by the Market/MTF within 60 days of receiving the executed contract action, or within the time frame otherwise established between the parties and identified within the PWS/SOW. The contractor shall furnish qualified health care personnel with the necessary credentials to meet the Market/MTF privileging requirements in accordance with the specifications contained in the PWS/SOW. The contractor shall provide the documentation supporting the fulfillment of the requirements to the Market/MTF credentialing office where the individual will work 30 days prior to the individual’s first day of work.

3.1.3.1  The contractor may obtain CSA personnel on a personal services basis or a non-personal services basis as specified in the PWS/SOW. The contractor shall supervise all CSA personnel obtained on a non-personal services basis for the purposes of directing the terms and conditions of employment. This does not preclude Market/MTF oversight on administrative aspects of patient care activities, such as scheduling, peer review, quality assessment, etc. Contractor furnished personnel shall comply with privileging requirements, utilization review/management criteria, quality assessment, criteria, and peer review and quality of care reviews in accordance with the policy, procedures, and regulatory provisions established for Government practitioners (32 CFR 199.15, 199.16 and TPM, Chapter 11).

3.1.3.2  The contractor shall ensure all CSA personnel comply with all Market/MTF specific requirements including all local Employee Health Program (EHP), Federal Occupational Safety Act and Health Act (OSHA), Bloodborn Pathogens Program (BBP) requirements, and Market/MTF training requirements.

3.1.4.1  The contractor shall provide individual professional providers who meet the credentialing and privileging requirements of 32 CFR 199.6 to the Market/MTF. In addition, contractor shall ensure the staff members agree to comply with the licensing and credentialing directives of the Market/MTF and to fully participate in Market/MTF quality assessment and improvement activities required by the Market/MTF. DoD requirements for the basic credentials and privileging of health care providers are set forth in 32 CFR 199.6 and DoD Directives (DoDD) 6025.6, 6025.11, and 6024.14. The contractor shall provide the Market Directors/MTF Directors with all documentation required by these and all applicable Army, Navy, Air Force, or Space Force directives at least 30 days prior to the provider’s first day of work in a Market/MTF. The contractor shall provide the Market Director/MTF Director with the original and one copy of all information on credentials for civilian providers working in the Market/MTF. (The Market/MTF will return the original document upon the completion of the Market/MTF credentialing process.) The contractor shall query the National Practitioner Data Bank (NPDB) about each provider upon initial appointment and every two years thereafter and provide the Market Director/MTF Director with copies of the NPDB report each time the contractor receives one on a CSA professional provider.

3.1.4.2  The contractor shall credential all clinical support personnel in accordance with the PWS/SOW. The contractor shall provide the documentation supporting the fulfillment of the requirements to the Market/MTF where the individual will work at least 30 calendar days prior to the individual’s first day of work.