Questions and Answers.pdf

No Question/Comment Answer

Can the Government provide the acquisition timeline including if there will be a draft RFP?

The results of the RFI will help the Program determine whether an acquisition is worth pursuing. The Program regularly publishes RFIs to determine if an acquisition should be pursued.

What is the anticipated period of performance for this contract including implementation period and go‐live date?

At this time, the Program does not have an anticipated award timeline or go‐live date.

Can the Government provide historical and projected data including: member census and locations, utilization by types of care (Mental Health/Substance

Use Disorders), modalities (in‐person versus telehealth) and coordination of care (NPN, CCEs or other)?

Information on the WTC Health Program is available at http://www.cdc.gov/wtc.

High‐level Program statistics can be found at Program

Statistics ‐ World Trade Center Health Program (cdc.gov).

Additional information will be provided during the solicition process.

What types of services will the contractor be required to provide in addition to access to provider network?

� Medication Assisted Therapy (MAT)

� Medication Management

� Facility outpatient services such as Partial

Hospitalization Program (PHP) or Intensive outpatient therapy (IOP)

� 24 x 7 Crisis services Telephonic Services

� Acute hospital services

� Appointment scheduling

� Referral management

� Claims administration

The contractor will provide outpatient services, coordinate care with other providers and health plans, and educate providers on program coverage and members' unique needs.

The Program covers standard treatments for covered conditions, including PTSD, anxiety, depression, and substance use disorders (SUD). Acute hospital and Crisis line services services are generally not considered outpatient services, and the goal for this need is to focus on outpatient services.

Specifics on service types will be outlined in the solicitation.

Can you provide average paid by Current Procedural

Terminology (CPT) code? Especially 90834, 90837, and

90791.

Specific average rates by CPT codes will be outlined in the solicitation. Reimbursement will be based on FECA rates, which can be reviewed through the Department of Labor's fee schedule. Program specific reimbursement rate calculator will be provided to the selected vendor.

6 Will the RFP be full and open?

It is anticipated that if this becomes a solicitation, it would be full and open.

Does the Government intend to award a single contract or multiple awardees?

The Government has not yet determined whether there will be a single or multiple awards.

How many unique / discreet primary insurance plans would the selected vendor need to coordinate claims with?

The exact number of unique plans is unavailable but will include a range of plans such as Medicare, Medicaid, TRICARE, and private health insurance, varying based on member demographics and geographic location.

Where can we access the required rates under the

Federal Employee Compensation Program?

The FECA fee schedule can be found at the Department of

Labor/Office of Workers Compensation Policy website here:

https://www.dol.gov/agencies/owcp/regs/feeschedule/fee.

Program specific reimbursement rate calculator will be provided to the selected vendor.