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All Federal Contract Awards
Delivery Order DJBP0700NAS087-DJBP0210RB120057
Award Date
11/1/15
Potential Completion Date
11/30/15
Potential Value
$565
Overview
Contacts
Activity
1
Transactions
1
Subawards
Opportunity Stack
Similar Awards
Funding Federal Agency
Metropolitan Correctional Center New York
Contracting Federal Agency
Federal Correctional Institution Fort Dix
Awardee
Pgba LLC CELFLHMGKHA9
Ultimate Awardee
Not listed
NAICS Category
524291 - Claims Adjusting
PSC Category
B537 - Special Studies/Analysis- Medical/Health
Set-Aside Type
No Set-Aside Used
Federal Contract Vehicle
Not listed
Extent Competed
Competed under SAP
Major Defense Program
Not listed
Pricing Type
Firm Fixed Price
Place of Performance
Columbia, SC 29219, USA
Solicitation Procedures
Simplified Acquisition
Number Of Offers Received
1
Legislative Mandate
Not listed
National Interest Action
Not listed
Research Type
Not listed
Primary Consortia Member
Not listed
DJBP0700NAS087
Indefinite Delivery Contract
DJBP0700NAS087-DJBP0210RB120057
Delivery Order
Description
MEDICAL CLAIMS ADJUDICATION
Posted 12/10/15
5
1
Name
Description
Solicitation Number
FederalAgency
Type
PostedDate
Medical Claims Adjudication
Added: Jan 15, 2014 2:42 pm The Federal Bureau of Prisons (BOP) intends to award a SOLE SOURCE contract action to PGBA, LLC for medical claims adjudication services to ensure compliance with the Medicare Claims processing guidelines/manual in conjunction with the National Correct Coding Initiative edits; for fee schedule healthcare providers. The objective is to ensure compliance with the applicable negotiated fee schedule. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6 and 13.5, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. The solicitation is being issued as Request for Quote (RFQ) RFQ-P0700NAS-14-0135. The solicitation document and incorporated provisions and clauses are those in effect tough Federal Acquisition Circular 2005-72. The North American Industry Classification System Code (NAICS) is 524291 with a size standard of $19.0 million. There is no set-aside established.The performance period will be February 1, 2014 tough July 31, 2014. The requirement is for the following:CLIN: 0001 Quantity: 5,000 Unit: Per ClaimMedical Claims Adjudication Services to include all necessary labor, equipment and material as identified in Attachment I, Statement of Work.CONTRACT CLAUSES:ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions-Commercial ItemsThe terms and conditions for the following clauses are hereby incorporated into this solicitation and resulting contract as an addendum to FAR Clause 52.212-4 (JUL 2013).52.252-2, Clauses Incorporated by Reference (FEB 1998)This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.acquisition.gov/far Upon request the contracting officer shall provide the full text of any clause incorporated by reference.52.203-3 Gratuities (Apr 1984);52.204-4, Printed or Copied Double-Sided on Post Consumer Fiber Content Paper (MAY 2011);52.212-4, Contract Terms and Conditions-Commercial Items (SEP 2013);52.224-1, Privacy Act Notification (Apr 1984);52.224-2, Privacy Act (Apr 1984);52.227-14, Rights in Data - General (DEC 2007);52.232-18, Availability of Funds (APR 1984);52.232-40, Providing Accelerated Payments to Small Business Subcontractors (Dec 2013);52.242-13, Bankruptcy (JUL 1995); The following clauses although incorporated by reference into the solicitation will be incorporated into a resultant contract in full text with applicable fill-in information as noted:52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders - Commercial Items (JAN 2014)(b) (1) 52.203-6; (2) 52.203-13; (4) 52.204-10; (6) 52.209-6; (7) 52.209-9; (8) 52.209-10; (14) 52.219-8; (23) 52.219-28 (26) 52.222-3; (28) 52.222-21; (29) 52.222-26; (30) 52.222-35; (31) 52.222-36; (32) 52.222-37; (33) 52.222-40; (38) 52.223-18; (42) 52.225-13; (48) 52.232-33; (51) 52.239-1The following clauses are incorporated into the solicitation in full text:52.21-603-70 Contracting Officer's Representative (COR) (June 2012)____________________ is hereby designated as the Contracting Officer's Representative (COR) under this contract. (The designated BOP representative will be named upon award.)(b) The COR is responsible, as applicable, for: receiving all deliverables, inspecting and accepting the supplies or services provide hereunder in accordance with the terms and conditions of this contract; providing direction to the contractor which clarifies the contractor effort, fills in details or otherwise serves to accomplish the contractual Scope of Work; evaluating performance; and certifying all invoices/vouchers for acceptance of the supplies or services furnished for payment.(c) The COR does not have the authority to alter the contractor's obligations under the contract, and/or modify any of the expressed terms, conditions, specifications, or cost of the agreement. If as a result of technical discussions it is desirable to alter/change contractual obligations or the Scope of Work, the Contracting Officer shall issue such changes.52.24-403-70 NOTICE OF CONTRACTOR PERSONNEL SECURITY REQUIREMENTS (OCT 2005)Compliance with Homeland Security Presidential Directive-12 (HSPD-12) and FederalInformation Processing Standard Publication 201 (FIPS 201)1 entitled "Personal IdentificationVerification (PIV) for Federal Employees and Contractors," Phase I.1. Long-Term Contractor Personnel:In order to be compliant with HSPD-12/PIV I, the following investigative requirements must bemet for each new long-term2 contractor employee whose background investigation (BI) processbegins on or after October 27, 2005:a. Contractor Personnel must present two forms of identification in original form prior tobadge issuance (acceptable documents are listed in Form I-9, OMB No. 1615-0047, "Employment Eligibility Verification, " and at least one document must be a valid Stateor Federal government-issued picture ID);b. Contractor Personnel must appear in person at least once before a DOJ official who isresponsible for checking the identification documents. This identity proofing must becompleted sometime during the clearance process but prior to badge issuance and mustbe documented by the DOJ official;c. Contractor Personnel must undergo a BI commensurate with the designated risk levelassociated with the duties of each position. Outlined below are the minimum BIrequirements for each risk level:• High Risk - Background Investigation (5 year scope)• Moderate Risk - Limited Background Investigation (LBI) or MinimumBackground Investigation (MBI)• Low Risk - National Agency Check with Inquiries (NACI) investigationd. The pre-appointment BI waiver requirements for all position sensitivity levels are a:1) Favorable review of the security questionnaire form;2) Favorable fingerprint results;3) Favorable credit report, if required;34) Waiver request memorandum, including both the Office of PersonnelManagement schedule date and position sensitivity/risk level; and5) Favorable review of the National Agency Check (NAC)4 portion of the applicableBI that is determined by position sensitivity/risk level.A badge may be issued following approval of the above waiver requirements.If the NAC is not received within five days of OPM ' s scheduling date, the badge can beissued based on a favorable review of the Security Questionnaire and the Federal Bureauof Investigation Criminal History Check (i.e., fingerprint check results).e. Badge re-validation will occur once the investigation is completed and favorablyadjudicated. If the BI results so justify, badges issued under these procedures will besuspended or revoked.2. Short-Term Contractor Personnel:It is the policy of the DOJ that short-term contractors having access to DOJ information systemsand/or DOJ facilities or space for six months or fewer are subject to the identity proofingrequirements listed in items 1a. and 1b. above. The pre-appointment waiver requirements forshort-term contractors are:a. Favorable review of the security questionnaire form;b. Favorable fingerprint results;c. Favorable credit report, if required;5 andd. Waiver request memorandum indicating both the position sensitivity/risk level and theduration of the appointment. The commensurate BI does not need to be initiated.A badge may be issued following approval of the above waiver requirements and the badge willexpire six months from the date of issuance. This process can only be used once for a short-termcontractor in a twelve month period. This will ensure that any consecutive short-termappointments are subject to the full PIV-I identity proofing process.For example, if a contractor employee requires daily access for a tee or four-week period, thiscontractor would be cleared according to the above short-term requirements. However, if asecond request is submitted for the same contractor employee within a twelve-month period forthe purpose of extending the initial contract or for employment under a totally different contractfor another tee or four-week period, this contractor would now be considered "long-term" andmust be cleared according to the long-term requirements as stated in this interim policy.3. Intermittent Contractors:An exception to the above-mentioned short-term requirements would be intermittent contractors.a. For purposes of this policy, "intermittent" is defined as those contractor employeesneeding access to DOJ information systems and/or DOJ facilities or space for amaximum of one day per week, regardless of the duration of the required intermittentaccess. For example, the water delivery contractor that delivers water one time eachweek and is working on a one-year contract.b. Contractors requiring intermittent access should follow the Department's escort policy.Please reference the August 11, 2004, and January 29, 2001, Department Security Officerpolicy memoranda that conveys the requirements for contractor facility escorted access.c. Due to extenuating circumstances, if a component requests unescorted access or DOJ ITsystem access for an intermittent contractor, the same pre-employment backgroundinvestigation waiver requirements that apply to short-term contractors are required.d. If an intermittent contractor is approved for unescorted access, the contractor will only beissued a daily badge. The daily badge will be issued upon entrance into a DOJ facility orspace and must be returned upon exiting the same facility or space.e. If an intermittent contractor is approved for unescorted access, the approval will notexceed one year. If the intermittent contractor requires unescorted access beyond oneyear, the contractor will need to be re-approved each year.4. An individual transferring from another department or agency shall not be re-adjudicatedprovided the individual has a current (within the last five years), favorably adjudicated BImeeting HSPD-12 and DOJ's BI requirements.5. The DOJ's current escorted contractor policy remains unchanged by this acquisitionnotice 52.27-103-72 DOJ Contractor Residency Requirement (Jun 2004)For tee of the five years immediately prior to submission of an offer/bid/quote, or prior to performance under a contract or commitment, individuals or contractor employees providing services must have:1. legally resided in the United States (U.S.);2. worked for the U.S. overseas in a Federal or military capacity; or3. been a dependent of a Federal or military employee serving overseas.If the individual is not a U.S. citizen, they must be from a country allied with the U.S. The following website provides current information regarding allied countries:http://www.opm,gov/employ/html/citizen.htm . By signing this contract or commitment document, or by commencing performance, the contractor agrees to this restriction.(End of Clause)52.224-102(a) Security of Systems and Data, Including Personally Identifiable Information (MAR 2008)a. Systems Security: The work to be performed under this contract requires the handling of data that originated within the Department, data that the contractor manages or acquires for the Department, and/or data that is acquired in order to perform the contract and concerns Department programs or personnel.For all systems handling such data, the contractor shall comply with all security requirements applicable to Department of Justice Systems, including by not limited to all Executive Branch system security requirements (e.g., requirements imposed by OMB and NIST), DOJ IT Security Standards and DOJ Order 2640.2E. The contractor shall provide DOJ access to and information regarding the contractor's systems when requested by the Department in connection with its efforts to ensure compliance with all such security requirements, and shall otherwise cooperate with the Department in such efforts. DOJ access shall include independent validation testing of controls, system penetration testing by DOJ, FISMA data reviews, and access by the DOJ Office of the Inspector General for its reviews.The use of contractor-owned laptops or other media storage devices to process of store data covered by this clause is prohibited until the contractor provides a letter to the Contracting Officer (CO) certifying the following requirements:1. Laptops must employ encryption using a NIST Federal Information Processing Standard (FIPS) 140-2 approved product;2. The contractor must develop and implement a process to ensure that security and other applications software is kept up-to-date;3. Mobile computing devices will utilize anti-viral software and a host-based firewall mechanism;4. The contractor shall log all computer-readable data extracts from databases holding sensitive information and verify each extract including sensitive data has been erased within 90 days or its use is still required. All DOJ information is sensitive information unless designated as non-sensitive by the Department;5. Contractor-owned removable media, such as removable hard drives, flash drives, CDs, and floppy disks, containing DJB data, shall not be removed from DOJ facilities unless encrypted using a NIST FIPS 140-2 approved product;6. When no longer needed, all removable media and laptop hard drives shall be processed (sanitized, degaussed, or destroyed) in accordance with security requirements applicable to DOJ;7. Contracting firms shall keep an accurate inventory of devices used on DOJ contracts;8. Rules of behavior must be signed by users. These rules shall address at a minimum: authorized and official use; prohibition against unauthorized users; and protection of sensitive data and personally identifiable information.9. All DOJ data will be removed from contractor-owned laptops upon termination of contractor work. This removal must be accomplished in accordance with DOJ IT Security Standard requirements. Certification of data removal will be performed by the Contractor's project manager and a letter confirming certification will be delivered to the CO within 15 days of termination of contractor work.b. Data Security: By acceptance of, or performance on, this contract, the contractor agrees that with respect to the data identified in paragraph a, in the event of any actual or suspected breach of such data (i.e., loss of control, compromise, unauthorized disclosure, access for an unauthorized purpose, or other unauthorized access, whether physical or electronic), the contractor will immediately (and in no event later than within one hour of discovery) report the breach to the DOJ CO and the contracting officer's technical representative (COTR).If the data breach occurs outside of regular business hours and/or neither the CO or the COTR can be reached, the contractor shall call the DOJ Computer Emergency Readiness Team (DOJCERT) at 1-866-US4-CERT (1-866-874-2378) within one hour of discovery of the breach. The contractor shall also notify the CO as soon as possible during regular business hours.c. Personally Identifiable Information Notification Requirement:The contractor further certifies that it has a security policy in place that contains procedures to promptly notify any individual whose personally identifiable information (as defined by OMB) was, or is reasonably believed to have been, breached. Any notification shall be coordinated with the Department, and shall not proceed until the Department has made a determination that notification would not impede a law enforcement investigation or jeopardize national security. The method and content of any notification by the contractor shall be coordinated with, and be subject to the approval, of the Department. The contractor assumes full responsibility for taking corrective action consistent with the Department's Data Breach Notification Procedures, which may include offering credit monitoring when appropriate.d. Pass-tough of Security Requirements to SubcontractorsThe requirements set forth in Paragraphs a tough c above, apply to all subcontractors who perform work in connection with this contract. For each subcontractor, the contractor must certify that it has required the subcontractor to adhere to all such requirements. Any breach by a subcontractor of any of the provisions set forth in this clause will be attributed to the contractor.(End of Clause)52.232-99 Providing Accelerated Payment to Small Business Subcontractors (Deviation) (Aug 2012)(a) Upon receipt of accelerated payments from the Government, the contractor is required to make accelerated payments to small business subcontractors to the maximum extent practicable after receipt of a proper invoice and all proper documentation from the small business subcontractor.(b) Include the substance of this clause, including this paragraph (b), in all subcontracts with small business concerns.(c) The acceleration of payments under this clause does not provide any new rights under the Prompt Payment Act. (End of Clause)52.239-101 Information Technology Security DOJ Order 2640.2F (Nov 2008)Department of Justice (DOJ) Order 2640.2F prohibits the use of non-U.S. citizens in the performance of this contract or commitment for any position that involves access to or assisting in the development, operation, management, or maintenance of any DOJ Information Technology System. By signing this contract or by beginning performance, the contractor agrees to this restriction.SOLICITATION PROVISIONS:ADDENDUM TO FAR 52.212-1, Instructions to Offerors -Commercial Items (JUL 2013)The terms and conditions for the following provisions are hereby incorporated into this solicitation as an addendum to FAR provision 52.212-1.52.252-1, Solicitation Provisions Incorporated by Reference (FEB 1998)This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): www.acquisition.gov/far.52.204-7, System for Award Management (JUL 2013);52.209-7, Information Regarding Responsibility Matters (JUL 2013);52.212-1, Instructions to Offerors - Commercial Items (JUL 2013);52.212-3, Offeror Representations and Certifications -Commercial Items (NOV 2013);52.233-2 Service of Protest (SEPT 2006) - (a) Procurement Executive, BOP, 320 First Street, N.W., Room 5005, Washington, DC 20534 The following provisions are incorporated into the solicitation in full text:52.27-103-71 FAITH-BASED AND COMMUNITY-BASED ORGANIZATIONS (AUD 2005)Faith-based and Community-based organizations can submit offers/bids/quotations equally with other organizations for contracts for which they are eligible.2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998) (a) The following definitions apply in this provision: (1) "Agency Protest Official" means the official, other than the contracting officer, designated to review and decide procurement protests filed with a contracting activity of the Department of Justice. (2) "Deciding Official" means the person chosen by the protestor to decide the agency protest; it may be either the Contracting Officer or the Agency Protest Official. (3) "Interested Party" means an actual or prospective offeror whose direct economic interest would benefitted by the award of a contract or by the failure to award a contract. (b) A protest filed directly with the Department of Justice must: (1) Indicate that it is a protest to the agency. (2) Be filed with the Contracting Officer. (3) State whether the protestor chooses to have the Contracting Officer or the Agency Protest Official decide the protest. If the protest is silent on this matter, the Contracting Officer will decide the protest. (4) Indicate whether the protestor prefers to make an oral or written presentation of arguments in support of the protest to the deciding official. (5) Include the information required by FAR 33.103(d)(2): (i) Name, address, fax number and telephone number of the protestor. (ii) Solicitation or contract number. (iii) Detailed statement of the legal and factual grounds for the protest, to include a description of resulting prejudice to the protestor. (iv) Copies of relevant documents. (v) Request for a ruling by the agency. (vi) Statement as to the form of relief requested. (vii) All information establishing that the protestor is an interested party for the purpose of filing a protest. (viii) All information establishing the timeliness of the protest. (c) An interested party filing a protest with the Department of Justice has the choice of requesting either that the Contracting Officer or the Agency Protest Official decide the protest. (d) The decision by the Agency Protest Official is an alternative to a decision by the Contracting officer. The Agency Protest Official will not consider appeals from the Contracting officer's decision on an agency protest. (e) The deciding official must conduct a scheduling conference with the protestor within five (5) days after the protest is filed. The scheduling conference will establish deadlines for oral or written arguments in support of the agency protest and for agency officials to present information in response to the protest issues. The deciding official may hear oral arguments in support of the agency protest at the same time as the scheduling conference, depending on availability of the necessary parties. (f) Oral conferences may take place either by telephone or in person. Other parties may attend at the discretion of the deciding official. (g) The protestor has only one opportunity to support or explain the substance of its protest. Department of Justice procedures do not provide for any discovery. The deciding official may request additional information from either the agency or the protestor. The deciding official will resolve the protest tough informal presentations or meetings to the maximum extent practicable. (h) An interested party may represent itself or be represented by legal counsel. The Department of Justice will not reimburse the protester for any legal fees related to the agency protest. (i) The Department of Justice will stay award or suspend contract performance in accordance with FAR 33.103(f). The stay or suspension, unless over-ridden, remains in effect until the protest is decided, dismissed, or withdrawn. (j) The deciding official will make a best effort to issue a decision on the protest within twenty (20) days after the filing date. The decision may be oral or written. (k) The Department of Justice may dismiss or stay proceeding on an agency protest if a protest on the same or similar basis is filed with a protest forum outside the Department of Justice.Additional Contract Requirements:Contractors are advised that the Contracting Officer will verify registration in the System for Award Management (SAM) database (www.sam.gov) and the Online Representations and Certifications Application (orca.bpn.gov) prior to award of any contract, by entering the potential awardee's Data Universal Numbering System (DUNS) number into each database.SUBMISSION OF QUOTES:On letterhead or business stationary, the following information is required:1) The solicitation number;2) The time specified in the solicitation for receipt of quotes;3) The name, address, and telephone number of the quoter including contractor's DUNS number and Tax ID;4) "Remit to" address, if different than mailing address;5) Performance Period6) Terms (i.e., Net 30)7) Company SizeList of Attachments:Attachment I, Statement of WorkQuotes may be submitted electronically to rmorrow@bop.gov or may be received at the following address of the issuing contracting office: Federal Bureau of Prisons, National Acquisitions & Systems Section, 320 First Street, NW, Room 5005, Washington, DC 20534.Quotes must be received no later than 4:00 p.m. (EST) on Tuesday, January 21, 2014. Questions regarding this requirement may be directed in writing to Ronda Morrow, Contract Specialist, at the e-mail address listed in this notice. The Contract Specialist may also be contacted by phone at (202) 616-6150; collect calls will not be accepted.
RFQ-P0700NAS-14-0135
Department of Justice Bureau of Prisons Central Office
Award Notice 1/1
1/15/14, 2:42 PM
5
1
Mod #
Description
ReasonForModification
Federal Obligation
Date
Not listed
MEDICAL CLAIMS ADJUDICATION
Not listed
$565
12/10/15