Questions and Answers 75D301-21-R-71805.xlsx
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| File | Type | Posted |
|---|---|---|
| Question and Answer Clarifications 75D301-21-R-71805.xlsx | XLSX spreadsheet | |
| 75D301-21-R-71805 Revised 04-30-2021.doc | DOC document | |
| 75D301-21-R-71805 Revised 04-26-2021.doc | DOC document | |
| Attachment J.6 CUI-SSP System Security Plan.docx | DOCX document | |
| 75D301-21-R-71805 Revised 04-19-2021.doc | DOC document | |
| Attachment J.4 Question and Answer Template.xlsx | XLSX spreadsheet | |
| Attachment J.2 - Business Associate Agreement.docx | DOCX document | |
| Attachment J.3 Past Present Performance Questionnaire.docx | DOCX document | |
| 75D301-21-R-71805.doc | DOC document | |
| Attachment J.5 – WTC Health Program Technical Evaluation Criteria Workbook Performance Guarantees.xlsx | XLSX spreadsheet | |
| Attachment J.1 HHS Subcontracting Plan Template.doc | DOC document |
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Sheet1
| RFP 75D301-21-R-71805 | ||||
| Question | ||||
| Number | RFP Page Reference | |||
| (if applicable) | Question | CDC Response | ||
| 1 | Attachment J.5 Tab Additional Requests | Is the GeoAccess reporting required as part of the Phase I Submission? If so, will the offerors be provided with a census file? | No, not required as phase I. | |
| 2 | Attachment J.5 Tab Additional Requests | It is our understanding that the WTC Health Program has 5 customized formularies. On row 10, a formulary disruption is being requested. Are you wanting for us to use our standard formulary to provide a disruption, even though you are requesting custom? | Yes. | |
| 3 | 75D301-21-R-71805 Section C.4.1.4-Establish the retail pharmacy network | Is the PBM disqualified if the disruption is not a 99% match to the current provider? | No. | |
| 4 | 75D301-21-R-71805 Section C.9 - Minimum Vendor Qualifications and Level of Effort | How is 'dedicated' defined for the personnel to be assigned? | An individual that remains consistently assigned to the WTC Health Program for the duration of the contract within their specified role. | |
| 5 | Attachment J.1 HHS Subcontracting Plan | HHS Subcontracting Plan Template requires offerors to prepare a Subcontracting Plan. There are no goals specified in the solicitation document. Please clarify what goals are required of offerors and if this is a requirement of Phase II. | The goals are in Attachment J.1. The Subcontracting Plan should be submitted in Phase II with the business proposal. | |
| 6 | 75D301-21-R-71805 Section C.7 - Deliverables/Reporting Schedule | The Operations Manual requests that offerors provide draft Communication, QA/Internal Audit, FWA, Risk Management, and Transfer of Data plans as part of the proposal. Are these required as part of Phase I or Phase II? | Phase II | |
| 7 | 75D301-21-R-71805 Page 1 Standard Form 33 | Is the Offeror to submit the Standard Form 33 with our Phase 1 Submission? | Yes | |
| 8 | 75D301-21-R-71805 | Is Offeror to submit Section B - Supplies or Services and Prices/Costs with our Phase I submission? | Not required, but can be included in Phase I submission. | |
| 9 | 75D301-21-R-71805 Section C.7 | Is the implementation plan part of the 12 page limit? | No. Please provide a basic operational overview in your initial submission for your white paper. This will be required for Phase II. | |
| 10 | 75D301-21-R-71805 Section C.7 | Does the operations manual count as part of the 12 pages discussed in Section L? Is this part of Phase I or Phase II. | No. Please provide a basic operational overview in your initial submission for your white paper. This will be required for Phase II. | |
| 11 | Exhibit 1 Non Disclosure Agreement | Is this required to be executed and submitted during a phase? | This will be required after contract award, prior to access of government information or the commencement of work at CDC. | |
| 12 | 75D301-21-R-71805 Section L | Regarding (g) Written Submission, during which phase is this to be submitted? | Phase I, by close date of 4 May 2021. | |
| 13 | 75D301-21-R-71805 Section C.4.1 | Can you define the "proposed labor mix of personnel" discussed in item 3? | The proposed staffing model for the WTC Health Program implementation. Please provide models for implementation and ongoing maintenance of the account if there are unique personnel involved. | |
| 14 | 75D301-21-R-71805 | As currently written, the RFP’s Past Performance requirements do not account for an offeror that may submit the experience or past performance of a parent or affiliated company. An agency properly may attribute the experience or past performance of a parent or affiliated company to an offeror where the firm’s proposal demonstrates that the resources of the parent or affiliate will affect the performance of the offeror. See FAR § 15.305(a)(2)(iii); Ecompex, Inc., B-292865.4 et al., June 18, 2004, 2004 CPD ¶ 149 at 5. The relevant consideration is whether the resources of an affiliated company--its workforce, management, facilities or other resources--will be provided or relied upon for contract performance, such that the parent or affiliate will have meaningful involvement in contract performance. West Sound Servs. Grp., LLC, B-406583.4, B-406583.5, July 9, 2014, 2014 CPD ¶ 208 at 14. Please clarify that an offeror is permitted to consider the experience and past performance of its corporate affiliate as “direct experience” where the offeror will be using the resources, management, and personnel of the affiliate to perform the contract by inserting the following language into the RFP: “Offerors who submit past performance and experience information of a parent, sister, predecessor or other affiliated company must describe what involvement such company will have on the instant acquisition. The proposal should clearly indicate how the resources of the parent, sister, predecessor or other affiliate company – its workforce, management, facilities, or other resources – will be provided or relied upon for contract performance. | An offeror is permitted to consider the experience and past performance of its corporate affiliate as “direct experience”. | |
| 15 | 75D301-21-R-71805 Section C.8.i | Can you provide details on how your current POS Rebate program is administered? | Rebates are deducted from the prescription claims and the deductions are applied to the bi-weekly claims ingredient cost charges. | |
| 16 | FAR 2.101 | Are offeror commerciality assertions considered part of the technical proposal page count? | No | |
| 17 | FAR 2.101 | Would the government consider conducting the solicitation using FAR Part 12 procedures? | See Question 57. | |
| 18 | Page 66, L.5 | The first paragraph in section L.5 refers to a Statement of Objectives (SOO). Where is the SOO located within the RFP package? | There is no SOO. This reference should have said Statement of Work (SoW). | |
| 19 | Page 4, C1 | The section states "PBM shall develop processes and utilize technology to manage all point-of-sale edits internally, and the CCE/NPN and providers will be responsible for submitting prior authorization (PA) requests." |
| Please clarify if the government intends that all medication block decisions that require human intervention (PA2 and PA3) to be managed by PBM staff? | Medication block decisions that require human intervention (PA2 and PA3) are to be managed by PBM staff. | |||
| 20 | Page 12, c.4.2.3 | The requirement states "d. | Verify when members have other insurance coverage on file, deny the claim at the point of service with an NCPDP 41 - Submit Bill to Other Processor or Primary Payor error message that includes all necessary information for the pharmacy to bill the primary carrier, including carrier code, carrier name, BIN, and policy number. " |
| Will the survivor member's primary BIN, Processor Control Number, Group ID, Cardholder ID, and other payer help desk phone number (PH) be provided in the eligibility file provided to the PBM? | It is the Program's intent to provide this information to the PBM. In addition to this information that will be provided to the PBM in the initial eligibility file, the expectation is the PBM will also obtain and update any new primary payer that is obtained through its own business processes and apply it to the membership. | ||
| 21 | page 12, C.4.2.4.3 | The requirement states "The PBM shall utilize electronic tools and interfaces that allow program prescribers using e-prescribing software to confirm member eligibility and formulary requirements for a prescription prior to sending the prescription to the network pharmacy (e.g., Surescripts). The system must work in real time and be compatible with most e-prescribing systems. The PBM must also ensure that formulary and member information is updated in real-time when eligibility or formulary changes are made." |
| Please provide a list of current e-prescribing platforms utilized by CCEs | SureScripts integrated within EPIC, RxNT, e-prescribing integrated with GE Centricity Physician's Office. | ||
| 22 | page 12, C.4.2.4.3 | The requirement states "The PBM shall utilize electronic tools and interfaces that allow program prescribers using e-prescribing software to confirm member eligibility and formulary requirements for a prescription prior to sending the prescription to the network pharmacy (e.g., Surescripts). The system must work in real time and be compatible with most e-prescribing systems. The PBM must also ensure that formulary and member information is updated in real-time when eligibility or formulary changes are made." |
| Will the PBM be provided access/credentials to e-prescribing platforms utilized by Program stakeholders. | The PBM will utilize its own e-prescribing platform(s) and provide support and training to providers. | ||
| 23 | page 28, c.8.3 | The requirement states " A minimum per Brand Name claim rebate guarantee amount will be provided for each paid Brand Name prescription claim for each year of the contract. " |
| For survivor coordinated transactions where the Program is not primary, but rather submitted as secondary payer, the PBM would be ineligible for manufacturer rebates. Please confirm that this requirement does not apply to transactions in which benefits are coordinated with the Program identified as the secondary payer. | Would not apply to claims where the Program is the secondary payer. | |||
| 24 | 2021_WTC_RFP SECTION C.4.2.11 – Market Check Provision | Based on the description of the program requirements the program not fit a pure group health program, with this in mind can you elaborate on who the market is in this scenario? | Similarly sized clients. | |
| 25 | 2021_WTC_RFP Pricing Model – Pass Through Pricing d) | In this section it is notated that the amount paid to dispensing pharmacies will equal amount paid by the WTC, but there is no reference to an administration fee in this section. Can you confirm that the WTCHP is expecting to pay an administration fee on top of the amount paid to dispensing pharmacy if the pass through pricing model is selected? | Confirmed. | |
| 26 | Attachment J 5 – Financial | Please elaborate on definition of pre/post rollback. | ||
| Please elaborate on definition of ZBL allowed and included. | ||||
| Please elaborate on meaning of MAC at Mail. | ||||
| Please elaborate on meaning of Day Supply Minimum. | ||||
| Please provide definition of Exclusive Specialty “retail lock” |
Please clarify the Admin Fee section and what is expected in these boxes. Does this apply to the pass through model only?
Please provide definitions and requirements for Rebate – Bid Requirements flat-guaranteed and minimum guaranteed.
Please provide details around what client rebate percentage, Incentive Plan design and non-incentive plan design mean? Are all sections expected to be billed out for each pricing arrangement? Please elaborate on definition of pre/post rollback.
Please indicate whether your firm utilizes pre or post rollback basis for your discount guarantee calculations.
Please elaborate on definition of ZBL allowed and included.
Zero balance claims are those which calculate out to have $0 plan cost share. Indicate whether your firm includes ZBL claims in your price performance calculations.
Please elaborate on meaning of MAC at Mail.
Indicate whether your firm’s prescribed MAC rate for a particular GCN/GPI is provided for mail order claims.
Please elaborate on meaning of Day Supply Minimum.
Indicate the minimum day supply for a claim to be considered a mail order claim.
Please provide definition of Exclusive Specialty “retail lock”.
Indicate of your firm's rates assume the plan sponsor will elect exclusive specialty and thereby channel all specialty claims to a single, or few, specialty vendors.
Please clarify the Admin Fee section and what is expected in these boxes. Does this apply to the pass through model only?
Enter the fees corresponding to the type of model you have selected in Cell D-11 - Pricing Arrangement. If the administrative fees are $0.00 based on the pricing arrangement selected, indicate that information.
Please provide definitions and requirements for Rebate – Bid Requirements flat-guaranteed and minimum guaranteed.
Flat Guaranteed - a flat amount per claim (either per brand, per rebatable brand, or per any claim). Additional rebate earned by the PBM would be retained by that PBM. Any shortfall in actual rebate would be absorbed by the PBM.
Minimum Guaranteed - a minimum rebate that required a true-up at year end to make WTC Health Program whole for any rebates earned in excess of the minimums that were paid out throughout the year. There would never be a reverse true-up where WTC Health Program would owe money back to the PBM.
Client Rebate Percentage Indicate what % (1 - 100%) of the manufacturers rebates are paid to WTC Health Program.
Incentive and Non-Incentive plan design PBMs bidders do not have to complete this section as there are no member copayments to drive utilization between drug tiers.
Are all sections expected to be billed out for each pricing arrangement?
Yes. All sections should be completed. Some bidders may desire to provide both a pass through and a traditional quote. In those cases copy an additional column and complete a second set of terms for consideration.
| 27 | N/A | Please confirm electronic submission only. | Confirmed. Please see Section L.4.(f) |
| 28 | Page 1 | Please confirm Page 1, Standard form 33, should be submitted with Vendor's Phase I response. | Confirmed |
| 29 | Page 12 | Would Client accept the following modification to Section C.4.2.2.1: "The PBM shall have a national pharmacy network that covers all US states and territories and includes all major retailers. At a minimum, the retail pharmacy network will contain at least 60,000 pharmacies nationwide..." | A 60,000 network pharmacy count is acceptable. |
| 30 | Page 13 | "The PBM may not enact any changes to the pharmacy network that will cause disruption to members without written approval from the WTC Health Program 90 days prior to the prospective change." |
| Would Client consider adding a threshold to this term to limit scope (e.g. the number of impacted members or size of disruption). Pharmacies consistently move from PSAO to PSAO or close pharmacies, and Vendor may need to restrict pharmacies due to audit, FWA or exclusion which may require changes/disruption. | WTC Health Program considers 90 days to be a standard notice time but is aware that other business disruption events can occur and would be expected to be notified of these immediately. | |||
| 31 | Page 23 | "Pharmacy audits are required to ensure that claims submitted to the Program for payment meet the WTC Health Program policies and rules." Could Client provide a copy of the applicable policies and rules for Vendor's review? | The policies and rules are the business requirements within this Work Statement, subsequent service agreements and amendments, and any documentation incorporated into the final executed agreement with the vendor. | |
| 32 | Page 20 | "If a pass-through pricing arrangement is utilized for rebates, anticipated rebates will be factored into the overall cost proposal (discounts) and provided at the point of sale to ensure timely benefit of such rebates as opposed retrospective rebate credits or payments made to WTCHP." |
| Can Client confirm is looking for a POS rebate arrangement only or a minimum rebate guarantee assuming quarterly payments? | WTC Health Program requests vendors offer the arrangement they are most effective at providing that provides the greatest value for the services required. | ||||
| 33 | Page 23 | "Paid claims will be compared to: a) | Hardcopy prescription files." By hard copy, does Client mean Vendor's 835 reimbursement file? | Hardcopy prescription files refer to those original prescriptions that are maintained by the dispensing pharmacies. | |
| 34 | Page 28 | Please confirm that a draft of the Operations Manual should be submitted with Vendor's Phase I proposal. Please provide page limitations, if applicable. | Please provide a basic operational overview in your initial submission for your white paper. This will be required for Phase II. | ||
| 35 | Page 42 | Please define ROB. | Rules of Behavior | ||
| 36 | Page 68 | Please confirm whether a staffing plan should be submitted with Vendor's technical proposal. | Please provide a basic staffing plan in your initial submission for your white paper. This will be required for Phase II. | ||
| 37 | Page 68 | Please clarify whether resumes should be submitted during Phase I. Section L.4.1 states that resumes of key personnel should be included in Phase II. | Resumes are required for Phase II. | ||
| 38 | Page 68 | Can attachments and other reference materials be submitted to support Vendor's Implementation and Operationalization Plan? For example - organizational charts, detailed implementation timelines, etc. If yes, please confirm ancillary attachments will not count against established page limitations. | These will count toward the page limit (12 pages in single-spacing or 24 pages in double-spacing format). High-level overviews can be provided. | ||
| 39 | Page 30 | Will failure to meet minimum qualifications at time of proposal submission result in disqualification of Vendor? | WTC Heath Program encourages responses with clarifying information from bidders regarding how closely they can come to meeting the minimum requirements. | ||
| 40 | Page 30 | To expand the pool of potential qualified vendors, would Client consider modifying the following minimum requirement as follows: "Three (3) continuous years of experience providing PBM services to a client organization with a group size of sixty thousand (60,000) or more covered lives." | WTC Heath Program encourages responses with clarifying information from bidders regarding how closely they can come to meeting the minimum requirements. | ||
| 41 | Page 30 | To expand the pool of potential qualified vendors, would Client consider modifying the following minimum requirement as follows: "Three (3) continuous years of experience in administration of a retail pharmacy network; | WTC Heath Program encourages responses with clarifying information from bidders regarding how closely they can come to meeting the minimum requirements. | ||
| 42 | Page 30 | To expand the pool of potential qualified vendors, would Client consider modifying the following minimum requirement as follows: "By the effective date, URAC accreditation (URAC, formerly known as the Utilization Review Accreditation Commission, is the independent, non-profit organization that provides accreditation and certification for pharmacy benefit managers)" | WTC Heath Program encourages responses with clarifying information from bidders regarding how closely they can come to meeting the minimum requirements. | ||
| 43 | Page 42 | "Computer software, including the source code, if applicable." Can Client confirm that this deliverable only applies to source code pertaining to Client-specific development? | Computer software, including the source code, if applicable. Only refers to any software or coding that occurs on behalf of the Program. Preexisting software and code that is not modified is not covered. But this does include all code used in the generation of reports for the Program. | ||
| 44 | Page 58 | Can Client please confirm that Section K is required as part of Vendor's Phase I submission? | Yes, Section K is required as part of Phase 1. | ||
| 45 | Page 60 - 65 | Please confirm Section K should be submitted with Vendor's Phase I response. | Yes, Section K is required as part of Phase 1. | ||
| 46 | Attachment J.1 | Please confirm whether the subcontracting goals disclosed in Attachment J.1 are mandatory requirements. | The goals are proposed, but are not mandatory. | ||
| 47 | Attachment J.1 | Please confirm whether evaluation points will be assigned to Vendor's compliance with subcontracting goals. | The subcontracting plan is not evaluated as a part of the source selection procedures and does not receive evaluation points. The plan will be determined to be acceptable or unacceptable by the contracting officer. | ||
| 48 | Attachment J.1 | Please confirm whether Attachment J.1 is required as part of Phase 1. | See Question 5. | ||
| 49 | Page 2, Section B | X001 CLINS call for a 1 year fixed price for PBM work to be performed with the performance work standard. In the Technical evaluation criteria spreadsheet, financial tab, you ask for individual drug pricing implying this is IDIQ per unit pricing. Please clarify if you will be revising this CLIN to breakout pricing on a per unit basis. | This is required at Phase II from finalists, as a Best and Final Offer (BAFO). This corresponds to Financial tab that vendors will complete on Attachment J.5. | ||
| 50 | Page 17, C.4.2.7 | Is the Federal Supply Schedule related to Federal Workers Compensation Federal Fee Schedule billing guidelines? If so, is that a mandatory requirement? Our adjudication platform currently does not support the federal supply schedule in the lesser of logic as this is not industry standard outside of Workers Compensation. We request that the logic be amended to lesser of AWP discount, MAC (where applicable), or U&C (where applicable). | This is not a mandatory requirement. Please provide your best value offer to WTC Health Program. | ||
| 51 | Page 17, C.4.2.7 | The nature of Medi-Span MNOY classification can result in single-source generics being bucketed as "MNO" which means the "Y" bucket may not include all generic claims as requested. Does the Program favor MNOY for purposes of guarantee reconciliation in which "MNO" would be considered Brand and "Y" Generic; or would the Program prefer BGA classification whereby all generics (including multi- and single-source generics) are always considered generic for discount guarantee reconciliation purposes. | Yes. The MNOY classification is required. | ||
| 52 | Page 17, C.4.2.7 | We see the Program is open to different pricing arrangements - would a combination offer also be acceptable? (ie. Pass-through at Retail and Traditional at Mail) | Yes. Please provide the price arrangement that provides your best value offer to WTC Health Program. | ||
| 53 | Page 17, C.4.2.7 | A PBM can support 340b pricing as part of the lesser of logic to the extent that participating pharmacies submit a 340b price at the time of claims adjudication. Please confirm that this is sufficient to meet the requirement. | This is sufficient to meet this requirement. | ||
| 54 | Page 22, C.4.3.1 | Can you provide the Program's current formulary documents in Excel? In order to accurately model rebates, we request the following: |
- NDC-level file of each formulary
- Flags for any drug that requires prior authorization or step therapy, and the criteria or policy associated with each drug subject to PA or ST
- The benefit design for each formulary (i.e. open, closed, incentive)
- Tiers (if applicable) and what each tier represents (i.e. Tier 1 = generic, 2 = preferred brand, etc)
| - Excluded drugs | This information can be provided for Phase II. | |||
| 55 | Page 26, C.7 | Should the Operations Manual referenced in this section, to be provided with Factor 1, concern only the 5 sections included in the rightmost column of the table in Section C.7, or should it cover all of the operational sections in C.4.2, C.4.3, and C.4.5 as well? | All operational sections should be included. The sections listed in the rightmost column are plans that were referenced within the SOW that should be maintained as part of the Operations Manual. | |
| 56 | Page 27, C.8 | In an effort to provide transparency and "real-time" rebate value; would the program be acceptable of 100% pass-through of all rebates and manufacturer admin fee revenue with a monthly payment schedule? | WTC Health Program is open to the price arrangement that provides your best value offer. | |
| 57 | Page 61, K.3 | This contract is commercially competed and awarded. All competitors are quoting industry standard drugs with industry benchmarked pricing using AWP. Drug costs account for well over 90% of the contract value. Services account for a small fraction of total spend. We recommend cost accounting puts an unnecessary burden on the costs with little value. Please consider removing this requirement and changing this procurement to a FAR 12 contract. | We will be awarding a commercial contract under FAR 15 procedures and will use the exemption from CAS for commercial items. We have removed the CAS clauses. | |
| 58 | Page 65, L.4.(a) | This contract is currently a Part 15 contract calling for cost accounting even though this contract is a commercially competed and awarded contract where FAR Part 12 is the norm for federal government PBM contracts. All competitors are quoting industry standard drugs with industry benchmarked pricing using AWP. Drug costs account for 90%+ of the total contract value. Please consider changing this to a FAR Part 12 contract. | See question 57. | |
| 59 | Page 66, L.4.1 | Please confirm that the page limit for Prior Demonstrated Experience should be five; two for Part A and three for Part B. | Yes, that is correct. See factor 2 under "M.3.2 Instructions for each Factor" for more details. | |
| 60 | Page 70, M.3.2 | Please confirm that Attachment J.6, IT System Security Plan does not count towards the Factor 1 12 page limit. | Confirmed. Attachment J.6 will not count towards the 12-page single-spaced limit. | |
| 61 | Attachment J.1 | Is drug spend counted towards the $700,000 threshold, or only administrative fees? | Only costs that can be invoiced on the contract are counted towards the $700,000.00 threshold. | |
| 62 | Attachment J.1 | We maintain a corporate wide subcontracting plan to address all of our very important subcontracting requirements. Will a corporate subcontracting plan that encompasses all of our subcontracting contracts meet this requirement? | Please submit the individual plan on the template provided. Offerors may propose goals and do not have to accept CDC's proposed goals. | |
| 63 | N/A | Does the Program conduct any 340b negotiations? If not, are there plans to do so? | No. There are no plans to do so. To the extend an offeror can incorporate its own 340B arrangement to the benefit of WTC Health Program, that should be included in your ultimate offer. | |
| 64 | N/A | Does Service Contract Wage Rates apply to the PBM employees working on this contract? | Since CDC has not identified the labor categories which will be utilized under the resulting contract, the offeror shall determine whether employees are exempt or not from SCLS. SCLS are generally applicable. | |
| 65 | Attachment J.5, Financial tab | Will the financial tab be updated to reflect the base period and OY 4? | The financial tab should be completed with the prospective rates for the plan year(s) in which the contract would be live. | |
| 66 | N/A | Will the Program provide a second Q&A opportunity following Phase I? Due to the short period allocated for Phase I, we believe a second Q&A period will help all bidders gain a deeper understanding of the requirements. | No. There are no plans to do so. | |
| 67 | N/A | The RFP response template does not appear to give us an opportunity to respond with alternative language to various parts of the RFP, like Section C. Will we be allowed the page limit for alternative contract language? | If changes to the SOW correspond to the technical approach, offerors may submit a tracked changes version of the SOW. The submission shall be made as part of Phase II and discussed as a part of the oral proposal. | |
| 68 | N/A | Please provide a detailed list of all current clinical and utilization management programs the Program has in place. | Please see Section C.4.3.2 of the SOW. The PBM shall have the ability to apply all standard utilization management edits – PA’s, DUR, step therapy, quantity limits, days’ supply limits, prescriber blocks, and others that may optimize medication utilization. | |
| 69 | 15 of 72 | Can the CDC please clarify the preference of what times are required for the call center to be staffed. In one section it states 24/7/365 hours and in another section it states 5 am -- 9 pm ET minimum with 24-hours for on-call: a) | Furnish a dedicated toll-free number exclusive to WTC Health Program for incoming service calls, including telephone technology for the hearing impaired and multi-lingual support. The dedicated call center for pharmacies, members, and account management must be staffed 24 hours / 7-days per week/ 365 days per year. | |
| e) | Minimum live contact hours of 5am – 9pm ET with 24 hour on-call emergency messaging for returned calls within 4 hours. Does this mean that that an on-call service is acceptable between 9pmET and 5am ET? | Yes. | ||
| 70 | 28 of 72 | One of the minimum vendor qualifications is that the bidder have "5 continuous years of experience providing PBM services to a client organization with a group size of 100,000 or more covered lives." If we have a client that provided services to over 100,000 unique individuals annually, but whose average daily population is less than 100,000 on a month-by-month basis, does that disqualify us? Please clarify. | WTC Heath Program encourages responses with clarifying information from bidders regarding how closely they can come to meeting the minimum requirements. | |
| 71 | Page 59, Section K | The beta.sam.gov lists the NAICS code as 524292 - Third Party Administration of Insurance and Pension Funds, but the solicitation document lists 621498 - All Other Outpatient Care Centers as the NAICS code in Section K. Which NAICS code is correct? | NAICS code 524292, Third Party Administration of Insurance and Pension Funds, is the correct NAICS code. | |
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