75H70423Q00034 AMD0001 PPI.pdf

Medical Review of Purchased/Referred Care (PRC) Appeals 75H70423Q00034 Amendment 0001

Pre-Proposal Inquiries

RFQ Section Page

Question Answer

Part 2 – Services and Supplies

1 When listing the fixed price, should the vendor either provide a firm fixed price per case, or should vendor provide an overall cost for the base year period with an assumption of 50 cases completed per year.

Provide an overall cost for the base year period with an assumption of 50 cases completed per year.

The Government will award this contract to the lowest priced technically acceptable quote. Quoters are advised that it is possible that only the lowest-priced, timely submitted quote may be evaluated. The Government will evaluate priced based on the total proposed price calculated as the sum of CLIN 1 (Base), CLIN 2 (Option Year I), CLIN 3 (Option Year II), CLIN 4 (Option Year III) and CLIN 5 (Option Year

IV).

The offeror

3.3 Objective/Purpose

and Part 5 – Instructions to Offerors

2, 17 For board certified physicians, does IHS want names and/or resumes for each potential Board Certified physician, or does the offeror have discretion to add information as needed to appropriately respond to bid

Page 18 (a) The Government will award this contract to the lowest priced technically acceptable quote. Quoters are advised that it is possible that only the lowest-priced, timely submitted quote may be evaluated. The Government will evaluate priced based on the total proposed price calculated as the sum of CLIN 1 (Base), CLIN 2 (Option Year I), CLIN 3 (Option Year II), CLIN 4 (Option Year III) and CLIN 5 (Option Year

IV).

The offeror have discretion to add information as needed to appropriately respond to bid

Part 4 – Contract Clauses FAR 52.212-5(b)(11)

10 FAR 52.212-5(b)(11) has a red “X” next to 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Oct 2022) ( 15 U.S.C.

657a). Is this contract a set-aside for Hub-Zone, or is it open to other small and large business as noted in Part 5 - Instructions

Page 10 & 11 Updated in Amendment 0001 – changed to the following:

__ (11) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Oct 2022) ( 15 U.S.C. 657a).

X (14)(i) 52.219-6, Notice of Total Small Business Set- Aside (Nov 2020) ( 15 U.S.C. 644).

__ (ii) Alternate I (Mar 2020) of 52.219-6.

Part 5 – Instructions 18 Offeror wishes to confirm that submissions can be submitted electronically via email and that hard-copy submissions are not necessary

Page 18. All quotes and revisions shall be submitted via email to Valerie.heartbroker@ihs.gov on or before 3:00 PM Eastern Time on 20 March 22, 2023.

I just wanted to confirm that IHS is expecting NTE 50 appeals handled annually?

Page 3. 3.6.3 Deliverables and Schedule:

The PRC files will be sent by ORAP staff directly to the contractor. The expected turnaround time for a medical review is 14 days.

The contractor is expected to review up to 50 appeal files during the base year and each option period.

Additionally, there is language (page 31) that states there should be no more than 20% of annual hours spent on this contract - is that an accurate assumption (we are calculating NTE 376 hours out of 1,992).

FAR 52.212-3, Offeror Representations and Certifications- Commercial Products and Commercial Services (Dec 2022). See FAR 22.1003-4(d)(1) to make the determination.

There is mention of NTE 21 pages in the response with customer endorsements provided, and references by expert users in the field of study. To be technically acceptable, can you clarify what this would look like and how we would include these references in our proposal?

Page 17 Offerors shall include a cover page which shall include a point of contact (name, telephone number, and email address), proposed firm-fixed-prices (i.e. complete the pricing table in Subpart 2.2), estimated delivery date, business size and type (e.g.

small, 8(a) small businesses, veteran-owned small businesses, woman-owned small businesses, etc.), Dun and Bradstreet (DUNS) number, country of manufacturing of equipment (if applicable), and certification that all company information listed in the System for Award Management (SAM) database is complete, accurate, and current.

Is there a requirement to be technically acceptable to include the resume of the board certified physician reviewer in our proposal?

Page 18 (a) The Government will award this contract to the lowest priced technically acceptable quote. Quoters are advised that it is possible that only the lowest-priced, timely submitted quote may be evaluated. The Government will evaluate priced based on the total proposed price calculated as the sum of CLIN 1 (Base), CLIN 2 (Option Year I), CLIN 3 (Option Year II), CLIN 4 (Option Year III) and CLIN 5 (Option Year

IV).

The offeror have discretion to add information as needed to appropriately respond to bid

Are you able to provide info on how long an average appeals take to complete? I saw mention of 14 days for decisions to be due, but no estimate on average completion time.

Unable to provide an average completion time.

Scope of work states on Page 3. The expected turnaround time for a medical review is 14 days.

The contractor is expected to review up to 50 appeal files during the base year and each option period.

Also - would IHS consider extending the due date for this requirement further from Monday?

Proposal Due Date remains the same. a All quotes and revisions shall be submitted via email to Valerie.heartbroker@ihs.gov on or before 3:00 PM Eastern Time on 20 March 22, 2023.