About this file

This document is an amendment to a solicitation for durable medical equipment Medicare administrative contractor services. The Centers for Medicare and Medicaid Services is seeking proposals to administer Medicare claims processing, payment services, and other health insurance benefit administration for Jurisdiction C, which includes the states of Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia, Puerto Rico, and the U.S. Virgin Islands. The amendment incorporates questions and responses to the solicitation, revised versions of the solicitation and attachments for the basis of estimate and government provided proposal assumptions in both track changes and clean formats. The closing date for proposal submissions is not extended by this amendment.

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File Type Posted
Q&A Solicitation 75FCMC19R0041 Amend 2.xlsx XLSX spreadsheet
Amendment #0002.pdf PDF
JC_Solicitation_75FCMC19R0041 CLEAN amend 2.docx DOCX document
JC_Solicitation_75FCMC19R0041 redline amend 2.docx DOCX document
JC_Solicitation_75FCMC19R0041 redline Amend 1.docx DOCX document
J.23 Government Provided Proposal Assumptions (GPPA)-clean.docx DOCX document
J.22 Basis of Estimate-redline.xlsx XLSX spreadsheet
J.23 Government Provided Proposal Assumptions (GPPA)-redline.docx DOCX document
J.22 Basis of Estimate-clean.xlsx XLSX spreadsheet
Q&A Solicitation 75FCMC19R0041.xlsx XLSX spreadsheet
JC_Solicitation_75FCMC19R0041 CLEAN Amend 1.docx DOCX document
J.45 CLIN 0012 Cost Proposal Template - Option Year 2 (MPIP).xlsx XLSX spreadsheet
J.1.B List of Key Acronyms.docx DOCX document
J.37 CLIN 0004 Cost Proposal Template - Option Year 2 (PM, MIP, RAC).xlsx XLSX spreadsheet
J.47 CLIN 0014 Cost Proposal Template - Option Year 4 (MPIP).xlsx XLSX spreadsheet
J.36 CLIN 0003 Cost Proposal Template - Option Year 1 (PM, MIP, RAC).xlsx XLSX spreadsheet
J.1.C Fee-For-Service Shared System Base Functions.docx DOCX document
J.40 CLIN 0007 Cost Proposal Template - Option Year 5 (PM, MIP, RAC).xlsx XLSX spreadsheet
J.4 HHS Contracting Guide for Contract of Government Property.docx DOCX document
J.24 Attestations.docx DOCX document
J.41 CLIN 0008 Cost Proposal Template - Option Year 6 (PM, MIP, RAC).xlsx XLSX spreadsheet
J.2 Deliverable Schedule.docx DOCX document
J.7 DME MAC Award Fee Plan and Self Assessment Template.docx DOCX document
J.35 CLIN 0002 Cost Proposal Template - Base Year (PM, MIP, RAC).xlsx XLSX spreadsheet
J.5 Government Systems Provided For Use.docx DOCX document
Solicitation 75FCMC19R0041.pdf PDF
J.22 Basis of Estimate.xlsx XLSX spreadsheet
J.33 Cost Template Summary Sheet.xlsx XLSX spreadsheet
J.25 Past Performance Questionnaire.docx DOCX document
J.9 Non-Disclosure Statement.docx DOCX document
J.49 CLIN 0016 Cost Proposal Template - Option Year 6 (MPIP).xlsx XLSX spreadsheet
J.28 Voluntary Product Accessibility Template.docx DOCX document
J.23.B Government Provided Proposal Assumptions CSR-Handled Telephone Inquiries Tables.docx DOCX document
J.39 CLIN 0006 Cost Proposal Template - Option Year 4 (PM, MIP, RAC).xlsx XLSX spreadsheet
J.1.D Cash Collections Worksheet For HIGLAS Users.xlsx XLSX spreadsheet
J.34 CLIN 0001 Cost Proposal Template - Implementation.xlsx XLSX spreadsheet
J.3 Small Business Subcontracting Plan Template.docx DOCX document
J.1 Statement of Work (SOW)_Jurisdiction C sent12-4.docx DOCX document
J.11 Personal Conflicts of Interest Financial Disclosure.docx DOCX document
J.10 Contractor-Business-Ethics-COI-and-Compliance-Program-Requirements.docx DOCX document
J.1.A List of Key Definitions.docx DOCX document
J.42 CLIN 0009 Cost Proposal Template - Outgoing Contractor Workload Transition Activities.xlsx XLSX spreadsheet
J.6 Contractor Furnished Property.docx DOCX document
J.48 CLIN 0015 Cost Proposal Template - Option Year 5 (MPIP).xlsx XLSX spreadsheet
J.43 CLIN 0010 Cost Proposal Template - Base Year (MPIP).xlsx XLSX spreadsheet
J.32 Systems of Records.docx DOCX document
J.8 MAC Security Incident and Reportable Event Reporting and Response.docx DOCX document
J.23 Government Provided Proposal Assumptions (GPPA).docx DOCX document
J.44 CLIN 0011 Cost Proposal Template - Base Year (MPIP).xlsx XLSX spreadsheet
J.38 CLIN 0005 Cost Proposal Template - Option Year 3 (PM, MIP, RAC).xlsx XLSX spreadsheet
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75FCMC19R0041

x x

1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR

OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

AGG/KE

Contract Specialist Karen Epps

MSCG - DFSC

BALTIMORE MD 21244-1850

7500 SECURITY BLVD., MS: B3-30-03

CMS,OAGM,MSCG,DFSC

02/13/20200001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

01/14/2020

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

AMENDMENT 0001 is hereby issued, which incorporates the following:

1. Questions and Responses to Solicitation #75FCMC19R0041 in Excel format.

2. Revised Solicitation, attached in both Track Changes and Clean versions.

3. Revised Attachment J.22 Basis of Estimate, in both Track Changes and Clean versions

4. Revised Attachment J.23 Government Provided Proposal Assumptions (GPPA), in both Track

Changes and Clean versions.-

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

Jeannine Bohlen

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

File details come from the government source that posted it. Updated .