75FCMC20R0008.pdf
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- Solicitation number
- 75FCMC20R0008
About this file
This document provides details for a solicitation seeking proposals for Part A and Part B Medicare Administrative Contractor services for Jurisdiction L. The solicitation will result in an award to provide specified health insurance benefit administration services including Medicare claims processing and payment services in support of the Medicare Fee-For-Services Program for the states of Delaware, Maryland, New Jersey, Pennsylvania, the District of Columbia, and parts of Virginia. The Centers for Medicare and Medicaid Services intends to award a contract to provide these services for Jurisdiction L, which covers the aforementioned states.
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(x)
75FCMC20R0008
x x 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/RJ
Contract Specialist Rachel Johnson
MSCG - DFSC
BALTIMORE MD 21244-1850
7500 SECURITY BLVD., MS: B3-30-03
CMS,OAGM,MSCG,DFSC
08/03/20200001
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
08/03/2020
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 Answers to Solicitation #75FCMC20R0008 in Excel format.
2. Revised Solicitation #75FCMC20R0008 Sections B-M in redline and clean versions in PDF format.
3. Revised Attachment J.1 Statement of Work (SOW) in redline and clean versions.
4. Revised Attachment J.21 Proposal Self-Check Tool in redline and clean versions.
5. Revised Attachment Basis of Estimate in redline and clean versions.
6. Revised Attachment J.22.A Historic & Proposed FTE, Hours & Gross Cost Instructions &
Narrative in redline and clean versions.
7. Revised Attachment J.23 Government Provided Proposal Assumptions (GPPA) in redline and
Continued ...
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)
MARK WERDER
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 .
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
2 3
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75FCMC20R0008/0001
clean versions.
8. Revised Attachment J.33 Cost Template Summary
Sheet in clean version.
9. Revised Attachment J.34 CLIN 0001 Cost
Proposal Template - Implementation in clean version.
10.Revised Attachment J.35 CLIN 0002 Cost
Proposal Template - Base Year (PM, MIP, RAC) in clean version.
11.Revised Attachment J.36 CLIN 0003 Cost
Proposal Template - Option Year 1 (PM, MIP, RAC) in clean version.
12.Revised Attachment J.37 CLIN 0004 Cost
Proposal Template - Option Year 2 (PM, MIP, RAC) in clean version.
13.Revised Attachment J.38 CLIN 0005 Cost
Proposal Template - Option Year 3 (PM, MIP, RAC) in clean version.
14.Revised Attachment J.39 CLIN 0006 Cost
Proposal Template - Option Year 4 (PM, MIP, RAC) in clean version.
15.Revised Attachment J.40 CLIN 0007 Cost
Proposal Template - Option Year 5 (PM, MIP, RAC) in clean version.
16.Revised Attachment J.41 CLIN 0008 Cost
Proposal Template - Option Year 6 (PM, MIP, RAC) in clean version.
17.Revised Attachment J.42 CLIN 0009 Cost
Proposal Template - Outgoing Contractor Workload
Transition Activities in clean version.
18.Revised Attachment J.43 CLIN 0010 Cost
Proposal Template - Base Year (MPIP) in clean version.
19.Revised Attachment J.44 CLIN 0011 Cost
Proposal Template - Option Year 1 (MPIP) in clean version.
20.Revised Attachment J.45 CLIN 0012 Cost
Proposal Template - Option Year 2 (MPIP) in clean version.
21.Revised Attachment J.46 CLIN 0013 Cost
Proposal Template - Option Year 3 (MPIP) in clean version.
22.Revised Attachment J.47 CLIN 0014 Cost
Proposal Template - Option Year 4 (MPIP) in clean version.
23.Revised Attachment J.48 CLIN 0015 Cost
Proposal Template - Option Year 5 (MPIP) in clean version.
24.Revised Attachment J.49 CLIN 0016 Cost
Proposal Template - Option Year 6 (MPIP) in clean
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 3
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75FCMC20R0008/0001
version.
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
| 2020-09-02T14:09:30-0400 | |
| Mark Werder -S |
File details come from the government source that posted it. Updated .