NON-EMERGENT TRANSPORTATION SERVICES
NAVAJO AREA INDIAN HEALTH SERVICE (hereinafter referred to as the “NAIHS) and
_________________________ (hereinafter referred to as the “Contractor”) enter into the Basic Ordering Agreement (BOA) for the provision of Non-Emergent Ground Transportation Services to IHS and Purchased/Referred Care (PRC) eligible patients. THIS BASIC ORDERING AGREEMENT IS NOT A CONTRACT, pursuant to 48 C.F.R. Part 16.703(a). A binding contract is established at the time an individual Task Order is issued by an Ordering Official, as identified in Section VIII.
I. FEE SCHEDULE
The Contractor shall accept prevailing Arizona Health Care Cost Containment System (AHCCCS) rates for Non-Emergent Ground Transportation Services as reimbursement, and considered as payment in full as final compensation.
AHCCCS allowable rates will be automatically adjusted upon receipt of the regulatory changes by the State of Arizona. Contractor shall notify the Navajo Area IHS Division of Acquisition Management and Contracts, P.O. Box 9020, Window Rock, AZ, 86515, in writing, of any changes in AHCCCS Rates.
II. PERIOD OF PERFORMANCE
The effective date of this BOA is from Date of Award through December 31, 2015, subject to extension provision in Section XXIV (Period of Performance).
III. TERMS & CONDITIONS
Participating contractors shall provide all necessary resources, personnel, drugs, supplies, equipment, facilities, and other items and expertise necessary for, or incident to providing non-emergent ground transportation services for patient’s referred by Navajo Area Indian Health Service authorizing official.
IV. SCOPE OF WORK
A. The Contractor shall provide non-emergency ground transportation to eligible IHS/Purchased Referred Care (PRC) beneficiaries of the NAIHS. Majority of transports shall be for medically necessary dialysis and dialysis related. Transport services shall initiate form residence or patient’s selected point of departure to the dialysis center and return.
B. The non-emergency ground transportation services shall be authorized by the Clinical Director or Purchased/Referred Care (PRC) prior to transport of patients. If the Clinical Director is unavailable, the PRC may authorize the approval of the transports.
C. The Contractor shall provide transportation within the States of Arizona, New Mexico, Utah, and Colorado. Since NAIHS is under the “He Who Refers Pays” clause, only those patients scheduled through NAIHS/PRC for the dialysis will be eligible for non-emergent ground transport services under this agreement.
D. When providing patient non-emergent ground transportation, it is imperative that no other person(s) be accommodated with the same transport services. In additional, drivers shall not make any stops or accommodate their own or patient’s personal interest, or make any other non-medically relate transport that is strictly prohibited.
E. The Contractor shall maintain a trip log and make notes of any exceptional circumstances that hinder proper transport of beneficiaries. Any consequential incidents of significance that interfere in the program transport of patients will be dated, annotated in the log, and signed by the vehicle operator. Furthermore the vehicle operator will note any exceptional medical circumstances of the condition of any transported.
F. Transportation services shall be scheduled with the Contractor twenty four (24) hours in advance by the Service Unit PRC department.
G. The Contractor shall be notified of any patients infected with a disease or serious illness that might require special transportation arrangement. IHS has a policy regarding the transportation of infected patients. The Infection Control Officer or the Clinical Director shall be available for consultation on the appropriate precautions.
H. The Contractor shall provide the Program Manager with current roster of transport drivers throughout the term of this agreement and their respective CPR Certifications.