NPSC Physician Assistant/Nurse Practitioner Services at the NNMC

Solicitation / RFP / RFQ

This is a combined synopsis/solicitation for non-personal Physician Assistant/Nurse Practitioner Services to provide patient care within the Emergency Department at Northern Navajo Medical Center (NNMC). The acquisition is an Indian Small Business Economic Enterprise set-aside.

• Provision of non-personal Physician Assistant/Nurse Practitioner Services.

• Performance Work Statement (PWS) is included as an attachment and outlines detailed requirements.

• The contract will have a base period of 6 months, followed by 4 additional 6-month option periods, for a potential total of 30 months of service.

• Contract type is not explicitly stated but implied to be for commercial services.

• Quotes are due by April 22, 2026, at 12:00 pm MST.

• Submission requires three volumes:

  • Volume 1: Administrative Documents (SF-1449, SF-30 amendments, representations and certifications).
  • Volume 2: Technical Capability (detailed approach, qualifications, key personnel resumes/certifications).
  • Volume 3: Price (detailed pricing aligned with technical approach, including all service periods and option CLINs).

• Quotes failing to address all volumes will be marked "Unresponsive."

• Evaluation will be based on the following factors, with Technical Capability and Approach being most advantageous:

  • Technical Capability and Approach
  • Price

• Offers may be evaluated for award purposes by adding the total price for all options to the total price for the basic requirement.

• This acquisition is an Indian Small Business Economic Enterprise set-aside.

• The North American Industry Classification System (NAICS) code is 561320 (Temporary Help Services).

• Full text of provisions and clauses may be accessed electronically at www.acquisition.gov and www.acquisition.gov/hhsar.

• Contact for additional information: Cornelius Tsipai, Contract Specialist at cornelius.tsipai@ihs.gov.

Questions & Answers / Clarifications

This document provides responses to vendor questions regarding solicitation 26Q00118, clarifying requirements for Nurse Practitioner (NP) or Physician Assistant (PA) coverage.

• Incumbent Contractor: NativeArc, LLC, contract number 75H71024P00056.
• Position Requirement: The requirement is for a single position, 1.0 FTE.
• Shift Structure: Typically 7-5 PM, 8-6 PM, 12-10 PM, 2-midnight shifts, with 10-12 hour shifts being common. Coverage may include 7-on/7-off rotations, sporadic PRN shifts, and Monday-Friday 8-hour shifts to cover medical leave.
• Work Location: APPs will be assigned to the fast track or SuperTrack that sees ESI 3 patients, with an emergency physician present in the main ED.
• Patient Volume: APPs typically see 20-30 patients per 10-hour shift.
• Staffing Needs: Primarily for later shifts, with an initial need for approximately 7 shifts every two weeks.
• Background Checks: IHS Shiprock accepts reciprocity for background checks and NBIS if providers have a full five-year clearance, but each provider is subject to review.
• Resumes: Offerors should submit what meets the need for the single position; fewer candidates are preferred.
• Interviews: Key Personnel will not be interviewed as part of the evaluation process.
• Total Coverage: The ideal is approximately 98 hours per day of combined physician and APP coverage.
• ATLS Requirement: ATLS is required for APPs due to Level IV trauma designation and APP involvement in trauma care.
• Annual ER Visits: Just under 40,000 annually, including fast track.
• OB Coverage: NNMC has 24/7 OB coverage; no babies have been delivered in the ED in recent years.

This Q&A clarifies key aspects of the requirement, including staffing levels, shift patterns, work location, and evaluation processes, which may influence bidder proposals.

Statement of Work (SOW) / Performance Work Statement (PWS)

This Performance Work Statement (PWS) outlines the requirements for non-personal services of an Advanced Practice Clinician (PA-C/APN) to support the mission of the Indian Health Service (IHS) within the Emergency Department (ED) SuperTrack program.

• Provide emergent/urgent Emergency Department/SuperTrack care services.

• Duties encompass emergent/urgent Emergency Department/SuperTrack services to IHS patients.

• Services are to be performed at the Navajo Area Indian Health Service (NAIHS), Shiprock Service Unit - Northern Navajo Medical Center (NNMC) in New Mexico.

• Period of Performance is flexible, allowing for short-term (13 weeks), long-term (1-year), and intermittent support.

• Performance will be evaluated based on a Performance-Based Matrix (Section 10.0).

• Key areas include Competency, Compliance, Patient Outcomes, Professionalism, Credentialing, Documentation, and Service Quality.

• Specific standards include 100% required tasks at 100% of required competencies, 100% compliance with IHS policies, and no reports of breached patient safety or infection control.

• Documentation must meet established IHS, Joint Commission, and CMS standards for timeliness, legibility, accuracy, content, date, time, signature, and designated profession.

• Place of Performance: Northern Navajo Medical Center, Shiprock, New Mexico.

• Period of Performance: Flexible, including short-term, long-term, and intermittent support.

• Contractor must be an Advanced Practice Clinician (PA-C/APN) with a minimum of two years of experience.

• Must possess a current, valid, unrestricted license in any U.S. state or territory.

• Mandatory certifications: BLS, ACLS, PALS, ATLS.

• Must meet health requirements, including a fitness for duty certificate and a clean contractor history regarding professional licenses, employment, and criminal actions.

• Required immunizations include Rubella, Mumps, Measles, Hepatitis B series, Chickenpox, and Tetanus Diphtheria (Td). Flu vaccination is required; COVID-19 vaccination is strongly encouraged.

• Must read, understand, speak, and write English and be respectful of local culture.

• Must possess basic IT skills.

• Must attend mandatory orientations and training.

• Background checks (Level I and Level II) are required.

• This is a non-personal services contract; the contractor acts as an independent contractor.

• Contractor must maintain liability insurance.

• Order of precedence for conflicts: Supervisor's directions, Position Description, PWS Exhibits, PWS Narrative.

Form / Attachment / Pricing Sheet

This document is the Indian Health Service (IHS) Buy Indian Act Indian Economic Enterprise Representation Form. It serves as a self-certification for offerors to confirm they meet the definition of an "Indian Economic Enterprise" as required by the Buy Indian Act (25 U.S.C. 47 and HHSAR 326.601).

• Eligibility Requirements: Offerors must meet the definition of an "Indian Economic Enterprise" at the time of offer, contract award, and throughout the contract performance period. Any changes in eligibility must be immediately reported to the Contracting Officer.
• Documentation: Contracting Officers may request documentation of eligibility for set-aside or sole source contracts under the Buy Indian Act. Awards may be subject to protest if eligibility is questioned.
• Registration: Successful offerors must be registered with the System of Award Management (SAM).
• Penalties: Submission of false or misleading information is a violation of law, punishable under 18 U.S.C. 1001, and false claims are subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287.
• Representation Section: Bidders must indicate whether they do or do not meet the definition of an "Indian Economic Enterprise" with "Indian Ownership."
• Required Fields: The form requires the Offeror to provide:
  • Name of Federally Recognized Tribal Entity (if applicable)
  • Name of the 51% owner of the IEE Firm
  • Business Name
  • DUNS Number
  • Certifying Signature
  • Print Name

This form is critical for any bidder seeking to be considered for opportunities designated under the Buy Indian Act. Bidders must accurately complete this self-certification to demonstrate their eligibility. Failure to meet the criteria or complete the form correctly could disqualify an offer.

Solicitation / RFP / RFQ

This solicitation is for a Non-Personal Service Contract to provide Physician Assistant/Nurse Practitioner services for the Emergency Department at the Northern Navajo Medical Center in Shiprock, NM. The services are to be performed in accordance with an attached Performance Work Statement (PWS).

• Provision of Physician Assistant/Nurse Practitioner services for direct patient care.

• Services to be performed at the Northern Navajo Medical Center, Shiprock, NM 87420.

• The contract includes a base period and four option periods.

• Contract Type: Labor-Hour CLIN with a not-to-exceed value (TBD).

• Period of Performance:

  • Base Period: 06/01/2026 to 11/30/2026
  • Option Period 1: 12/01/2026 to 05/31/2027
  • Option Period 2: 06/01/2027 to 11/30/2027
  • Option Period 3: 12/01/2027 to 05/31/2028
  • Option Period 4: 06/01/2028 to 11/30/2028

• Bill Rate: TBD / hr. (REG/OT). This is an all-inclusive rate.

• Offer Due Date: 04/21/2026 at 1200 MT.

• The solicitation incorporates FAR clauses 52.212-1, 52.212-3, and 52.212-5 by reference, and these are attached.

• Payment will be made via electronic payment process through www.ipp.gov.

• This acquisition is set-aside for Indian Small Business Economic Enterprises (ISBEE).

• NAICS Code: 561320 (Temporary Help Services)

• Size Standard: $34 Million

• The attached document is the Solicitation/Contract/Order for Commercial Items (SF-1449).

Solicitation / RFP / RFQ

This is a combined synopsis/solicitation for Non-personal Physician Assistant/Nurse Practitioner Services to provide patient care within the Emergency Department at Northern Navajo Medical Center (NNMC). The acquisition is set aside for Indian Small Business Economic Enterprise.

• Provision of Physician Assistant/Nurse Practitioner services.

• Performance Work Statement (PWS) is included as an attachment, detailing specific requirements.

• Contractor must demonstrate ability to meet or exceed PWS requirements.

• Key personnel qualifications must be met.

• The contract will have a base period of 6 months, followed by 4 option periods of 6 months each, for a potential total of 30 months of service.

• NAICS Code: 561320 Temporary Help Services.

• Offers must be submitted in three volumes:

  • Volume 1: Administrative Documents (SF-1449, SF-30 amendments, representations and certifications).
  • Volume 2: Technical Capability (approach to meeting PWS requirements, contractor qualifications, key personnel resumes/certifications).
  • Volume 3: Price (detailed pricing aligned with technical approach, including all CLINs and option periods).

• Quotes failing to address all volumes will be marked "Unresponsive".

• Evaluation will be based on Technical Capability and Approach, and Price.

• Key deadlines:

  • Quotes Due: April 21, 2026, 12:00 pm MST.

• Indian Small Business Economic Enterprise set-aside.

• The solicitation incorporates provisions and clauses by reference, accessible electronically.

• Contact for questions: Cornelius Tsipai, Contract Specialist at cornelius.tsipai@ihs.gov.