E.3_MRRC_A_and_B_Questions_and_Answers.xlsx

XLSX spreadsheet 28 KB Posted Oct 24, 2018

Attached to: MRRC A AND MRRC B Federal contract opportunity
Solicitation number: 75FCMC18R0017
Issued by: Department of Health and Human Services Centers for Medicare and Medicaid Services

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Exhibit E.3.

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Other files for this federal contract opportunity

Other files attached to MRRC A AND MRRC B, newest first.
File	Type	Posted
RFP-75FCMC18R0017_Amendment_0001.pdf	PDF	Oct 24, 2018
E.1_MRRC_Business_Proposal_Template.xlsx	XLSX spreadsheet	Oct 24, 2018
75FCMC18R0017_SF-30.pdf	PDF	Oct 24, 2018
J.1_MRRC_A_SOW,_dated_10.22.2018.pdf	PDF	Oct 24, 2018
J.2_MRRC_B_SOW_dated_10.22.2018.pdf	PDF	Oct 24, 2018
J.6__Prime_Proposal_Checklist.docx	DOCX document	Sep 28, 2018
75FCMC18R0017-SF-33.pdf	PDF	Sep 28, 2018
J.5__Responsibility_Questionnaire.docx	DOCX document	Sep 28, 2018
J.7_Subcontractor_Proposal_Checklist.docx	DOCX document	Sep 28, 2018
J.9_Consent_to_Subcontract.docx	DOCX document	Sep 28, 2018
J.1_MRRC_A_SOW.docx	DOCX document	Sep 28, 2018
J.4_Contractor_Business_Ethics_COI_and_Compliance_Program_Requirements.docx	DOCX document	Sep 28, 2018
J.2_MRRC_B_SOW.docx	DOCX document	Sep 28, 2018
E.1_MRRC_Business_Proposal_Template.xlsx	XLSX spreadsheet	Sep 28, 2018
J.8__Subcontract_Checklist.doc	DOC document	Sep 28, 2018
J.3_Contractor_Personal_Conflict_of_Interest_Financial_Disclosure_Template.docx	DOCX document	Sep 28, 2018
E.2_Virus_Detection_Certification.doc	DOC document	Sep 28, 2018
J.10_Past_Performance_Questionnaire.docx	DOCX document	Sep 28, 2018

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Questions

Q.	Document Name	Section Number	Section Name	Page No.	Question/Comment	CMS RESPONSE
1	RFP	H.1.c.2	Solicitation Section H Special Contract Requirements, H.1. Business Ethics, Conflict of Interest and Compliance (DEC 2015) c.2 Proposed Restraint on Future Contractor Activities:	29	Section H.1.c.2 states that “CMS considers it a conflict if the MRRC A or MRRC B become affiliated with or involved with an MAO or with any entity that has contracts or affiliations with an MAO.” Are we correct in assuming that CMS would consider an effective mitigation plan if this situation exists for an interested entity?	The assumption is incorrect. CMS has determined that the award of the MRRC-A and MRRC-B contracts may involve a significant organizational conflict of interest due to the nature of the work to be performed. Under contracts awarded through this solicitation, MRRCs will perform medical record reviews for Medicare Advantage Organizations (MAO) Risk Adjustment Data Validation (RADV) activities to verify diagnoses submitted by MAOs for payment under Medicare Part C; therefore, if the MRRC A or MRRC B is, or becomes, affiliated with or involved (financially (organizationally or contractually)) with an MAO or with any entity that has contracts or affiliations with an MAO, a significant conflict of interest would arise. Due to the significance of this conflict, as stated in solicitation section H.1.c.2, CMS has determined it appropriate to avoid the conflict of interest. Accordingly, CMS will not accept proposed mitigation strategies associated to these specific relationships/affiliations.
2	RFP	B.3, 7th paragraph	DETERMINATION OF ORDER TYPE	5	Is the “time period” during which performance is measured Monthly, Quarterly or Annually?	Solicitation section B.3 is intended to explain the contract type and the basis for payment of the fixed fee. The solicitation is amended to change the title of section B.3 to "Contract Type and Fixed Payment Schedule". The 7th paragraph of Section B.3 is intended to clarify that the fixed fee will be paid at the end of each contract period (base period, option period 1, option period 2 etc.) with the exception of the 15% to be withheld, provided contract performance is deemed satisfactory by the Governement and the level of effort is specifed in the contract has been expended.
3					Please identify the incumbent contractors for MRRC A and MRRC B for coordination during transition.	The incumbent contractor for MRRC A is Reli Group, Inc., the contract number is HHSM-500-2017-00039C. The incumbent contactor for MRRC B is Visual Axis, LLC, the contract number is HHSM-500-2017-00040C
4	RFP	Section L.9	D.3 Financial Statements	Page 77 of 90	Will the balance sheet and cashflow statements suffice for the requirement?	Solicitation Section L.9 has been amended to now read as L.10. The Financial statements referenced in Paragraph D.3 shall be inclusive of a Balance Sheet, Statement of Cash Flow, and Income Statement. We understand that some accounting systems do not have the capability to generate the Statement of Cash Flow. In that instance, the offeror shall clearly state in their proposal that their accounting system does not have the capability to generate the Statement of Cash Flow. However, Balance Sheet and Income Statement are required of all offerors.
5	RFP	Section F	Business Proposal Spreadsheet	Page 82 of 90	The instructions provides that in every excel “cell” no number shall go beyond two decimal places - FTE computations can result in more than two decimal places in order to be accurate with the labor hours, (480 hours over 1880 hours is 0.255319149), can CMS allow for FTE computations to be presented as-is (not rounded)?	The instructions remain unchanged as such please round to no more than two decimal places.
6	RFP	Section L.9	Section B. Contract Forms (Prime Only)	Page 76 of 90	The instructions provide that “Signed, dated, and fully executed package consisting of: SF 33, Section B, and Section G and Section K.” There are ~ 60+ pages in total - can these be inserted as a PDF file into the Business Volume instead of screen capturing to maintain readability?	Yes
7	RFP	Section B	Supplies or Services and Prices/Costs	Page 4 of 90	Will CMS please clarify the expected invoice schedule for the fixed fee? The solicitation states that the percent of fee received will depend on the specified level of effort met, and also that performance must be satisfactory, which will be determined at the expiration of each time period. Does that mean that the contractor will not be able to invoice the fixed fee until the end of each contract year? That could create a significant burden for small businesses.	Yes, payment of fixed fee will be made at the end of each contract year. However, throughout each contract year (period), the contractor will be reimbursed for reasonable, allowable, and allocable billed costs in accordance with FAR 52.216-7 Allowable Cost and Payment. Please also note, in accordance with FAR 52.216-7(c) small business concerns may receive more frequent payments. Also, see response to question 2 above regarding the Fixed Fee Payment schedule.
8	Past Performance Questionnaire	Section L.8	Paragraph 5 Past Performance Attachment J.10	3	Will the Government accept CPARs in lieu of Past Performance Questionnaires	Yes, as stated in Section L.8 (L.9 based Amendment 000001), offerors and proposed significant subcontractors 'without' relevant Federal Government past performance experience may ask costumers to submit no more than three Past Performance Questionnaires (PPQ) for the same or similar work directly to the Contracting Officer (See Attachment J.10).
9	SF 33 cover page and RFP	L.7 A and L.8.1	Proposal Submission,

General

1, 69 and 71	The Proposal submission instructions state, "Offerors shall submit their proposal in accordance with Block 9 of the SF-33 (page 1) to the address below as prescribed in Section L." Block 9 from page 1 shows that offers are to submit 1 original and 1 copy. Section L.8.1 (General) states, "Offeror’s shall ONLY submit electronic copies of their proposal on CD’s…" Please clarify how the proposal is to be submitted.	An offeror should submit a total of 6 Compact Discs (CDs): two CDs containing identical versions of each of the 3 required proposal volumes.
10	RFP	L.8.1	Technical Proposal	71	Would CMS consider changing the requirement of submitting CD-ROMs to an e-mail submission?	No, at this time CMS requests proposals on CD, refer to response to Question 9 above.
11	SF 33 cover page and RFP	L.8	Technical Proposal	72	Will CMS confirm that the Key Personnel and Staffing Plan section has a page limit of 24 pages, consisting of: • 5 pages for the narrative

• 3 pages for each resume and letter of commitment

• 1 page for the organizational chart

As stated in solicitation Section L.9 (as Amended) the Key Personnel and Staffing Plan is limited to a total of 5 pages. This 5 page limit excludes the Organizational Charts, Resumes for Key Personnel and Letters of Commitment which are limited to 3 pages each.
12	Task 2	Proposal/ L.7 Proposal Submission

Section A

69	Would the Government consider allowing electronic submission of proposals instead of express mailed CDs?	No, at this time CMS requests proposals on CD, refer to response for Questions 9 and 10 above.
13	SOW	2b	Key Personnel	7	Will CMS please remove the BOLDED language as it pertains to specific RADV experience? This language is not fair and reasonable given the nature of this being an 8a set-aside. Only those with Part C RADV medical record experience who are an 8a are eligible is a sound premise, and it would restrict the competition to minimal contractors, perhaps only one, given the current base of contractors who have RADV experience. The Project Director shall be experienced in the management and direction of CMS Part C RADV medical record data abstraction and managed care data systems, claims processing, and analysis of large health care data sets respectively.

The Senior Analyst shall be experienced in analyzing Medicare claims data, RADV medical record abstraction procedures and applying methods for CMS Part C RADV. The senior analyst shall be knowledgeable about managed care and health plans. Experience in management information systems, claims processing, statistical analysis and report writing is required

The Part C RADV medical data abstraction knowledge is an important requirement because experience in this area is needed to be able to successfully complete the work on time with minimal errors and successfully fulfill the contract requirements. CMS believes that the the experience requirements outlined in the SOW for CMS Part C RADV medical data abstraction is vital to successful outcomes. CMS believes that this requirement is not unique to one contractor and will not restrict competition.
14	RFP/SOW	L.8	TECHNICAL PROPOSAL INSTRUCTIONS (VOLUME I) and Key Personnel and Staffing:	72 & 74	The *Note states that resumes of key personnel and Letters of Commitment shall be a maximum of 3 pages each. Paragraph #4 states that resumes of Key Personnel shall not exceed 3 pages; Letters of Commitment shall not exceed 2 pages. Please clarify if resumes can not exceed 3 pages plus up to 2 pages for Letters of Commitment.	Page 74 is corrected and is now consistent with page 72.
15	RFP	L.7	Proposal Submission
69	In lieu of or addition to mailing and/or physical delivery of proposals, will the government accept electronic email submissions of proposal packages from prime contractors and their subcontractors?	No, at this time, CMS requests proposals on CD, refer to response to Question 10 above.
16	RFP	L.8.1	Executive Summary	73	The timeframe from proposal due date to period of performance is 123 days. Could the government please shorten the offer validity period from 240 days?	No, proposals shall be valid for 240 days
17	SOW	III	SPECIFIC REQUIREMENTS/Task I	11	Please identify the incumbent contractors for MRRC A and MRRC B for coordination during transition.	Please refer to the response for Question 3
18	MRRC A - Statement of Work	Attachment J.1	Section III Task 2	12	Paragraph 2 states “The Contractor shall provide sufficient, qualified coding staff to complete all aspects of RADV project, within the timeframes defined by CMS. All coders must be full qualified, certified, at a minimum as detailed in this SOW, and able to code all provider medical record types: hospital inpatient, hospital outpatient, and physician.” Will CMS please clarify what these minimum requirements (such as years of experience) and certifications are (e.g., CCS, RHIT, RHIA, etc.)?	CMS revised the SOW to include minimum years of experience and specified acceptable certifications.
19	MRRC A - Statement of Work	Attachment J.1	Section III Task 2	12	The SOW states that “The contractor shall properly staff for at least one 1.) Senior Coder…” There are no listed requirements for this position. Will CMS please clarify what these minimum requirements (such as years of experience) and certifications are (e.g., CCS, RHIT, RHIA, etc.)?	CMS revised the SOW to include minimum years of experience and specified acceptable certifications.
20	MRRC A - Statement of Work	Attachment J.1	Section III Task 2	12	The last paragraph states “The contractor shall use the coder discussion journal procedure detailed under task four (4) when necessary…” However, there does not appear to be any coder discussion journal procedure under task four. Will CMS please clarify if this should refer to the coder discussion journal procedure that is currently under task five (5)?	CMS revised Task 2 of the SOW to reference the following: "The contractor shall use the coder discussion journal procedure detailed under task five (5) when necessary."
21	MRRC A - Statement of Work	Attachment J.1	Section II. B	7	The SOW requires that the Project Director have a master’s degree or a bachelor’s degree plus additional (3) years of related professional experience. In lieu of a Master’s or Bachelor’s degree will the government allow the offeror to substitute RADV Part C program management experience plus the following credentials: CCS, RHIA, or RHIT certifications?	The requirements are outlined in the SOW; Master’s or Bachelor’s degree, plus additional (3) years of related professional experience is required. Certifications cannot be substituted in lieu of a degree.
22					We observed that the 2 contracts currently being performed by Provider Resources (HHSM500201700120G) and Reli Group (HHSM500201700084G) both expire in September 2022. What is the reason this contract is being recompeted in advance of the ultimate expiration date?	The question as it relates to the current RFP is not clear since it references task orders that are not for MRRC-A and MMRC-B services. The incumbent contractor for MRRC A is Reli Group, Inc., the contract number is HHSM-500-2017-00039C. The incumbent contactor for MRRC B is Visual Axis, LLC, the contract number is HHSM-500-2017-00040C.
23					Please provide a work breakdown structure (WBS) clarifying the labor categories, labor category descriptions, and FTEs per labor category performing on the CURRENT contract(s).	The information is not available because the WBS, labor categories, labor category descriptions and FTEs per labor category to perform on the contracts wll be dependent upon each contractor's unique technical approach, organizational structure, etc.
24					Please provide a work breakdown structure (WBS) clarifying the labor categories, labor category descriptions, and FTEs per labor category to perform on this contract	The informaiton is not available because the WBS, labor categories, labor category descriptions and FTEs per labor category to perform on the contracts wll be dependent upon each contractor's unique technical approach, organizational structure, etc.
25	J1: MRRC A SOW and J2 MRRC B SOW,	II.B	Key Personnel	7 & 8	The work experience requirements for the Project Director appear overly specific and restrictive and would result in an unfair competitive advantage for the incumbent contractors beyond their normal advantages. The current language would also unnecessarily limit competition to the point where the competition will not be meaningful. Would CMS consider the following revision to the second sentence, “The Project Director shall be experienced in the management and direction of medical record data abstraction and managed care data systems, claims processing, and analysis of large health care data sets respectively,” as the experience would still be relevant, specific, and instructive to the proposed tasks?	See response to question #13
26	J1: MRRC A SOW	III. – Task 2:	Conduct Medical Record Discrepant Confirmation	11	Can CMS confirm that, for purposes of Task 2, the words “project,” “audit,” and “sample” are being used interchangeably?	In Task 2 the words “project,” “audit,” and “sample” are terms that are not used interchangeably. The word project is used consistently. The words audit and sample are not used in task 2.
27	J2: MRRC B SOW	III. – Task 3	Conduct Medical Record Abstraction	13	Can CMS confirm that, for purposes of Task 3, the words “study,” “audit,” and “sample” are being used interchangeably?	In Task 3 the words “study,” “audit,” and “sample” are terms that are not used interchangeably. Rather "ad hoc studies" and "post audit reviews" are used; however they are not being used interchangeably. The word sample is not used in Task 3.
28	J1: MRRC A SOW	III. – Task 7:	Conduct Evaluation of MMAOs Appeals Submissions and Provide Appeals Support	14	Can CMS confirm that, for purposes of Task 7, the words “project,” “audit,” and “sample” are being used interchangeably?	In Task 7 the words “project,” “audit,” and “sample” are not being used interchangeably.
29	J2: MRRC B SOW	III. – Task 8.61	RADV Project Training	17	Can CMS confirm that, for purposes of Task 8.6.1, the words “project,” “audit,” and “sample” are being used interchangeably?	In Task 8.61 the words “project,” “audit,” and “sample” are terms that are not used interchangeably. The word project is used consistently. The words audit and sample are not used in task 8.61
30	J.1_MRRC_A_SOW/ J.2_MRRC_B_SOW	Section III	SPECIFIC REQUIREMENTS Task 1: Transition	10	Can the government please confirm that these tasks are recompetes of existing contracts # HHSM-500-2017-00040C and HHSM-500-2017-00039C?	Yes, the incumbent contractor for MRRC A is Reli Group, Inc. and the contract number is HHSM-500-2017-00039C. The incumbent contactor for MRRC B is Visual Axis, LLC and the contract number is HHSM-500-2017-00040C. Please refer to response to Question 3
31	J.1_MRRC_A_SOW/ J.2_MRRC_B_SOW	Section III	SPECIFIC REQUIREMENTS Task 1: Transition	10	How many contractors are currently supporting MRRC work?	The incumbent contractor for MRRC A is Reli Group, Inc. and the contract number is HHSM-500-2017-00039C. The incumbent contactor for MRRC B is Visual Axis, LLC and the contract number is HHSM-500-2017-00040C. Please refer to the response for Question 3 and 22 above.
32	J.1_MRRC_A_SOW/ J.2_MRRC_B_SOW	Section III	SPECIFIC REQUIREMENTS Task 2	11	How does the government manage/assign workload allocation across multiple current MRRC contractors such as Reli, Visual Axis, PRI, etc?	The question is not relevant to the future work being competed in this RFP. Workload requirements for the MRRC contractors being competed are indicated in the applicable SOWs.
33	SOW/RFP	B.3	Contractors Involved in Risk Adjustment Data Validation	4	Are all of the contractors listed in this section conflicted out of supporting any MRRC tasks given the audit nature of the work?	Please see the revised RFP section H.1.
34	SOW/RFP	K.1	FAR 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JAN 2017) (a)	60	How will the government confirm that the small business size standard is $15.0 million average annual income prior to award?	Small business size standard is based on the NAICS code selected for this aquision and published by Small Business Administration. In accordance with Solicitation Section I.7, FAR 52.219-18 (b), Notification of Competition Limited to Eligible 8(A) Participants, by submission of its offer, the offeror represents that it is a small business concern expressly certified by the Small Business Administration (SBA) for participation in the SBA’s 8(a) Program. Also, in accordance with FAR 19.805-2, the Contracting Officer will request an eligibility determination for the apparent successful offeror from the SBA.
35		L.10	BUSINESS ETHICS, CONFLICTS OF INTEREST		What existing contracts would CMS view as a conflict of interest for performing the work under this contract?	Please refer to question #33.
36		B.3	DETERMINATION OF ORDER TYPE		The government states” In the event that the contractor provides more than 100% of the estimated LOE, the fixed fee of the contract shall not be adjusted.” To clarify if the government places more than 100% of the LOE with a vendor, the fee % would not change, but a vendor would still be eligible to collect fee on this effort?	No. This is the Cost Plus Fixed Fee contract. The fee will be listed in the contract as a fixed amount and could only be changed through the negotiated agreement.
37	Awards				How many awards does the government envision making under this contract	2 Awards, one for MRRC-A and one for MRRC-B
38	RFP	D.4	Adequate Accounting and Estimating Systems	78	Will the Government consider a Pre-Audit that was performed in 2017 versus one year from the date of proposal?	Please, see the revised Section D.4 and corresponding Section L.11 of the solicitation.
39	SOW	General Requirements/ Section II	“The Contractor shall be able to access CDAT…”	5	Please provide the technical requirements to access CDAT.	CDAT is accessible using any major browser. If using Internet Explorer, the most recent version should be used.
40	SOW	General Requirements/ Section II.A	Assumptions and Constraints “The Contractor shall establish connectivity to CMS…"	6	Please provide the connectivity requirements. Will the Contractor be required to use CMSNET or another type of connectivity?	CDAT or any other systems specified by CMS do not require CMSNet connectivity.
41	SOW	General Requirements/ Section II.A	Assumptions and Constraints “From past experience, MAOS tend to submit the majority of records late in the “submission window”…”	6	Please clarify the timeframe defined as the submission window. Also, do all MAOs have the same submission window, or will all MAOs be submitting their records during the same time period?	The submission window is the time period that the MAOs are given to submit their records. Historically the submission windows have ranged between 12-20 weeks. It is at CMS' discretion when to launch submission windows. During the period of performance CMS may run multiple Contract-Level RADV audits. For each Contract-Level RADV audit, MAOs submit their records during the same time period.
42	SOW	Task 2	Conduct Medical Record Focused Reviews “The Contractor shall provide sufficient, qualified coding staff to complete all aspects of RADV projects, within the timeframes defined by CMS.”	12	Please provide the timeframes for the Contractor to complete the tasks.	Once CMS announces the audit, those timeframes will be disseminated. The contractor should use the aggregate medical records amounts, stated in the SOW, as a basis for determining how long it will take to complete the task.
43	SOW	Task 2	Conduct Medical Record Focused Reviews	12	What is the volume of medical records received in a foreign language? Please provide the historical breakdown of the volume of medical records by language.	CMS is unable to provide a projection of the number of foreign medical records based on historical data. We can reasonably expect approximately 5 percent of the medical records to be in a foreign language. In the past, medical records have come in English, but there have been occurrences in Spanish and Chinese. It is difficult to provide this type of projection as foreign medical record reviews occur on an as-needed basis.

44	SOW	Task 2	Conduct Medical Record Focused Reviews	12	Historically, what has been the volume of determinations that required a physician reviewer?	We can reasonably expect approximately 2 percent of the medical records to be escalated to physician reviewer.
45	SOW	Task 2	Conduct Medical Record Focused Reviews	5	Will the MRRC contractor require CMSNet connectivity to access CDAT or any other systems specified by CMS? If yes, do we need to provide cost of CMSNet connectivity in ODCs?	CDAT or any other systems specified by CMS do not require CMSNet connectivity.
46	SOW	Task 2		6	Can the Government provide details on the volume of medical records to be reviewed on a monthly and quarterly basis? Can the Government provide details on Submission Window timeline?	The volume of medical records is discussed in the SOW under Task 3: "The Contractor shall be prepared to perform medical record review up to one hundred thousand (100,000) medical records for each twelve (12) month period." MRRC A and MRRC B "will perform up to thirty thousand (30,000) post audit medical record reviews." The submission window is the time period that the MAOs are given to submit their records. Historically the submission windows have ranged between 12-20 weeks. It is at CMS' discretion when to launch submission windows.
47	SOW	Task 2	General Question		Are there any systems being transferred from the incumbent to the new awardee?	No systems will not be transferred.
48	SOW	Task 2/Section I Scope B. Background 2.	Description of Medicare Advantage Risk Adjustment Data Validation Activities “Medical Record Submission and Receipt. MAOs are required to submit the requested enrollee’s medical records to CMS via the Central Data Abstraction Tool (CDAT) or another system as specified by CMS."	3-4	Is it CMS' expectation that all of the required medical records are going to be available in CDAT for the MRRC contractor to perform the reviews? Will there be any instance when the MRRC contractor has to key the medical records into the CDAT or any other system specified by CMS?	All medical records will be available in CDAT, the MRRC contractor will not be required to input medical record.
49	J1: MRRC A SOW and J2 MRRC B SOW,	II.B	Key Personnel	8-Jan	The work experience requirements for the System Analyst appear overly specific and restrictive and would result in an unfair competitive advantage for the incumbent contractors beyond their normal advantages. The current language would also unnecessarily limit competition to the point where the competition will not be meaningful. Would CMS consider the following revision to the first sentence, “The Senior Analyst shall be experienced in analyzing Medicare claims data, medical record data abstraction procedures and applying methods for risk adjustment and data validation,” as the experience would still be relevant, specific, and instructive to the proposed tasks?	See response to question #13
50	1_MRRC_A_SOW/J.2_MRRC_B_SOW	A.9	Assumptions and Constraints	Page 6	Please define the “submission window”.	The submission window is the time period that the MAOs are given to submit their records. Historically the submission windows have ranged between 12-20 weeks. It is at CMS' discretion when to launch submission windows. During the period of performance CMS may run multiple Contract-Level RADV audits. For each Contract-Level RADV audit, MAOs submit their records during the same time period.
51	1_MRRC_A_SOW/J.2_MRRC_B_SOW	Section B	Key Personnel	Page 7	Are all key personnel required to be 100% dedicated to this project?	CMS requires all key personnel be 100% dedicated to the contract.
52					In the notice, the NAICS is noted as 541990 which is a change for the NAICS used when these contracts were awarded last year. Last year, the NAICS used was 524292. Is the NAICS code used in the RFP the correct NAICS?	Yes the NAICS code listed in the RFP is correct which is 541990
53					Can companies from outside the USA apply for this RFP? If so will contractors need to come over for meetings?	No, Please refer to section G.12 CONTRACTOR WORK PERFORMED OUTSIDE THE UNITED STATES AND ITS TERRITORIES (APR 2016)
54					Cant the tasks for this RFP be performed outside the USA?	No, Please refer to section G.12 CONTRACTOR WORK PERFORMED OUTSIDE THE UNITED STATES AND ITS TERRITORIES (APR 2016)
55					Would the Government consider opening the opportunity up to all Small Businesses?	This acquisition is set-aside for small business concerns expressly certified by the Small Business Administration (SBA) for participation in the SBA's 8(a) Business Development Program.
56					It appears that CMS used PSC R709 for this solicitation. It seems that this code has expired in 2011. Would CMS consider revising the code?	Upon further research we confirmed that the R709 code indeed expired. Therefore, we revised the PSC code for this solicitation to R704.
57					Solicitation Exhibit E.1 MRRC Business Proposal Template, in worksheets Summary and Base Year through Option Year 4 lists different labor categories in addition to the 3 key personnel labor categories. Does it mean that the proposal must use all and only those labor categories listed in the spreadsheet?	The business proposal spreadsheet shall be adjusted as needed to provide true representation of the unique technical approach proposed by the offeror. Just like the information listed in BLS Matrix worksheet, the labor categories listed in Summary and Base Year through Option Year 4 worksheets were included for informational purposes only. In order to avoid any confusion, we revised the Exhibit E.1 MRRC Business Proposal Template by removing the labor categories from Summary and Base Year through Option Year 4 worksheets. However, we left the example provided in the BLS Matrix worksheet, which we hope will aid in preparation of the justification for the specific labor rates used in the proposal.

Questions and/or Comments for CMS to Address - RFP-75FCMC18R0017 MRRC A & B

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