Q523--FY26: Inoperative Neuromonitoring (IONM) Services

CONTINUATION PAGE SOLICITATION NUMBER 36C24826Q0569 AMENDMENT 0001 The purpose of this amendment is to make the following changes to the RFQ:

1. Extend the due date and time for receipt of quotes until Monday, June 15, 2026, at 4:00 pm EST.

2. Revised Section B.3, Section 2.1.2, Board Certification, of the Performance Work Statement (PWS), page 13. All Contractor s Neurophysiologist physician(s) must be Board Certified by the American Board of Psychiatry and Neurology (ABPN) . Vendor Questions and Answers: Q1. 1.1 Description of Services says IONM providers must be able to support Spine surgery, Neurosurgery, Vascular Surgery, Otolaryngology, Cardiac Surgery, Thoracic Surgery, Orthopedics, and if necessary, Interventional Neuroradiology. Can you please break out the estimated volume of each case type? A1. The estimated case distribution is approximately 90 percent Vascular and 10 percent Spine.

Reference: PWS Section 1.1, Description of Services, page 9. Q2. Do you anticipate any changes in surgeon staffing or case types that would increase or decrease these case volumes over the next few years? A2. No changes are anticipated at this time.

Reference: PWS Section 4.4.2.8.2, Intraoperative Follow-up, page 27. Q3. 2.1.2 Board Certification says physician(s) must be Board Certified by the American Board of Neurological Surgery (ABNS) while page 69 requires certification by the American Board of Psychiatry & Neurology (ABPN) or American Osteopathic Board Neurology and Psychiatry (AOBNP). The latter, ABPN is the industry standard for IONM. Can you please revise 2.1.2 to be ABPN, not ABNS? A3. Refer to Answer #2. Q4. Page 69 requires Basic Life Support (BLS) for both the onsite IONM technologists and the remote neurologists. The Neurophysiologist Physician is a remote role. Because they will never physically be in a position to administer direct life support, please remove the requirement for the Neurophysiologist Physician to have Basic Life Support (BLS) and/or Advanced Cardiovascular Life Support (ACLS) certification. A4. The Neurophysiologist Physicians are not required to hold BLS or ACLS certification, as they perform their duties remotely.

Reference: Contract Provision Section E, Subfactor A Qualifications of Candidates, page 69.