This RFA is issued to establish contracts for the listed temporary medical personnel and the related account management services as described in greater detail herein. Additional personnel classifications may be added to the contracts by written amendments, if needed. The contracts that are established as a result of this RFA will be used by various Divisions and Programs within DHS. These Divisions or Programs are responsible for selecting which of the contractors to utilize. In total, in recent months, the Department has spent $300,000 to $550,000 per month for medical registry services. There is no guaranteed purchasing volume for any contracts utilized as a result of this RFA. As this is a multi-year contracting need, it is anticipated that Department usage, throughout the life of these contracts, will fluctuate due to realities imposed by changing economic conditions as reflected in budget authorizations, patient population and needs, hiring activities, and seasonal need.