Q&A Solicitation 75FCMC19R0041.xlsx

XLSX spreadsheet 13 KB Posted

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Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Jurisdiction C
Solicitation number
75FCMC19R0041
Issued by

About this file

This document contains answers to questions from offerors on a solicitation for a Durable Medical Equipment Medicare Administrative Contractor to provide Medicare claims processing and payment services for Jurisdiction C. The solicitation seeks these services for 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 questions and answers clarify requirements around jurisdiction-specific provisions, electronic billing approaches, and the inclusion or exclusion of certain functions from the scope of work. They also address formatting requirements for proposal submissions and correct discrepancies in workload volumes and option period start and end dates provided in solicitation attachments.

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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
75FCMC19R0041.pdf PDF
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
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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Sheet1

Question and Answers for Solicitation No. 75FCMC19R0041
Question No.DocumentSection, Page NoQuestionAnswer
1SolicitationL.14.5.1, pg 126The final bullet of this subsection requires “a description of the Offeror’s approach to accomplishing and integrating the following jurisdiction specific requirements” yet no requirements follow. Could CMS confirm there are no jurisdiction specific requirements for JC?CMS confirms there are no jurisdiction specific requirements for JC. CMS updated section L. 14.5.1 of the solicitation.
2SolicitationL.14.5.3, pg 131The second full bullet on this page refers to the incumbent’s “Electronic Data Interchange (EDI) billing approach” yet EDI claims processing is not part of current DME MAC scopes of work. Could CMS confirm this was included in error, and that CMS is not including EDI as a part of the JC scope?Third bullet in section L.14.5.3 Implementation was updated. CMS has removed the request for Offerors' plans to transition providers from the incumbent’s Electronic Data Interchange (EDI) billing approach to its own EDI billing approach.
3SolicitationL.14.5.3, pg 132The first full bullet on this page references EDI and provider enrollment, which are functions that are not currently performed by the DME MACs. Can CMS please confirm these requirements are included in error and not an indicator of CMS intention to add this to the JC scope of work?CMS confirms EDI and Provider Enrollment were listed in error and have been removed from section 14.5.3 Provider Customer Service Program (PCSP).
4RFPL.11.a, pg 109CMS requests offerors submit using Microsoft Word and Excel using version 2013. However, later in L.11.a.3 #1 states "All files shall be compatible with Microsoft Office 2013 or later versions." And in L.13.2 it states "The BOE must be completed using Excel format (2013 version or newer)." Please confirm that CMS will accept files compatible with Microsoft Office 2013 or later versionThe solicitaton has been updated so that all references indicate "2013 or newer"
5RFPL.11, pg 110Please confirm that the Excel files do not have to be formatted to print on 8.5 x 11. Also, please confirm that the Excel files do not require page numbering to be consistent with section L.15.2 on page 136.The solicitation has been adjusted to correct the discrepancy.
6RFPL.15.2, pg 136Fourth paragraph states that J.37, J.38, J.45, and J.46 are to be submitted in full in electronic format. However, the next paragraph states that J.37, J.38, J.45, and J.46 are to be submitted at the CLIN Summary Level Only. Please confirm that OY2 and OY3 J.37, J.38, J.45, and J.46 are to be submitted at the CLIN Summary Level OnlyCMS confirms that Offerors shall only complete and submit cost templates for Option Years 2-6 at the CLIN summary level. See updated section L.15.2.
7J.23Table 2 pg 3Please confirm that CLIN0009 should be 04/01/27 - 09/30/2027.CMS updated Attachment J.23 Government Provided Proposal Assumptions (GPPA).
8J.232c Pg 3Joint Operating Agreements (JOAs); Operational Start Dates; CLIN Start/End Dates The graphic right above Table 2 specifies that the Base Period starts on 03/01/2021. The current Jurisdiction C contract has an option period that runs from 01/01/2021 through 03/31/2021. Please confirm that the Base Period of the new contract is intended to begin one month before the final option period of the current contract has ended.CMS updated the GPPA to reflect correct dates. See updated Attachment J.23 Government Provided Proposal Assumptions (GPPA).
9J.22WorkloadsThe Base Year Total Proposed / Derived Workload for D.5.2.1 - Telephone Inquiries is 287,524. However Attachment J.23.B Government Provided Proposal Assumption - CSR Telephone Inquiries column C for the Base Period has a volume of 174,713. As there is a discrepancy in volumes, which volume would CMS like proposers to use?CMS confirms the number should be 174,713. See updated Attachment J.22 Basis of Estimate (BOE)

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