Amendment_6_Questions_and_Responses.xlsx
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- Solicitation Notice for Workers' Compensation Medical Bill Processing (WCMBP) Federal contract opportunity
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- DOL141RP21903
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Amendment 6 - Questions and Responses
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| WCMBP OFFEROR QUESTIONS SUBMISSION | ||||
| Unique Question Number | Question Title | Section Number | Question Detail | Government Comment |
| N/A | Identifies the question posed (short title) | Identifies the section number of the document in question (identify bulleted or numbered item, as appropriate) | Discuss the need for clarification or information regarding the identified document section | For Government Use Only |
| 1 | Subcontract Management Plan | RFP Section L.3.2; Section L.3.2.1.17 through L.3.2.1.21 | Table 1, Proposal Organization Structure, identifies a Subcontract Management Plan for Volume 3: Past Performance. Yet the instructions in Section L stop at L.3.2.1.21, Past Performance Subcontractor Consent Letter. Will the Government be providing guidance and a template for this new plan? | Section L.3.2.1.14 has been added in Amendment 5. |
| 2 | Draft Transition-In Plan | RFP Section L.3.2; Section L.3.2.1.17 through L.3.2.1.21 | Table 1, Proposal Organization Structure, identifies a Draft Transition-In Plan for Volume 3: Past Performance. Yet the instructions in Section L stop at L.3.2.1.21, Past Performance Subcontractor Consent Letter. Will the Government be providing guidance for this new plan, beyond the template? | Section L.3.2.1.15 has been added in Amendment 5. |
| 3 | Draft Transition-Out Plan | RFP Section L.3.2; Section L.3.2.1.17 through L.3.2.1.21 | Table 1, Proposal Organization Structure, identifies a Draft Transition-Out Plan for Volume 3: Past Performance. Yet the instructions in Section L stop at L.3.2.1.21, Past Performance Subcontractor Consent Letter. Will the Government be providing guidance for this new plan, beyond the template? | Section L.3.2.1.16 has been added in Amendment 5. |
| 4 | FAD Volume | Section C - 24 Fraud and Abuse Detection | Could the government please provide a breakdown of the historical bill volumes for Fraud and Abuse by program and Bill type (HCFA, UB, Dental, Pharmacy)? | Because Fraud and Abuse Detection is a new functional requirement, DOL doesn't have any historical data with respect to FAD functional requirements. The WCMBP service will implement FAD functional requirements across all bills. Projected/estimated bill volumes are provided in Attachment J.18.1. |
| 5 | Labor Mix Tab Missing Years | Table A-3 Breakdown of Labor Category Skill Mixed | The instructions require that Offerors shall ensure that the total labor dollar values listed on this worksheet match the total labor dollar values on worksheets xxx1 through xxx6. Table A-3 only includes 6 years. Please confirm that Offerors may change Option Year 5 to Award Term 1 and include additional columns for Award Term 2. Alternatively, please provide an updated worksheet. | Section J Attachment 1 has been updated in Amendment 5. |
| 6 | Description in Labor Mix Tab | Table A-3 Breakdown of Labor Category Skill Mixed | Please confirm that Offerors should provide rates, hours, and total dollars by year and by CLIN and that nothing else is required in the description column. | Correct. Nothing else is required in the description column. Section J Attachment 1 has been updated in Amendment 5. |
| 7 | Transition Out Skill Mix on Labor Mix Tab | Table A-3 Breakdown of Labor Category Skill Mixed | Should Offerors include the proposed skill mix for Transition Out on the Labor Mix worksheet? If so, where should we include it? | Section J Attachment 1 has been updated in Amendment 5. Please include proposed skill mix in Section J. |
| 8 | ODCs on Labor Mix Tab | Table A-3 Breakdown of Labor Category Skill Mixed | Please confirm nothing should be included under Other Direct Costs as the worksheet should only represent labor costs. | Section J Attachment 1 has been updated in Amendment 5 to remove ODCs from the Labor Mix tab. |
| 9 | Transition-in Plan | Section C, R0050 Pg# 2-4 | We understand that the Government requires the draft transition-in plan with the proposal submission. How soon does the Government expect the vendor to submit the final plan? | The government estimates the Transition-In Plan will be approved and finalized within 60 days after contract award; the exact date will be determined upon government approval of the baseline integrated master schedule. |
| 10 | Size of Existing Data | Section C, 1.3.5, R1130; Q&As, Question #27 | Is the 6.5PB accessible online or is part of it archived? If any of it is archived, how much of the image data is available online and how much of it is archived? | Yes, part of the 6.5PB is archived, and part is available online. The government does not have the details regarding how much data is archived and how much is available online. It is up to the contractor to ensure their proposed system meets the RFP requirements with regard to both online and archived data. |
| 11 | Pharmacy Bills | Q&As, Question #115 | Would the Government please confirm that pharmacy bills are only received via paper and not electronically? If this is not the case, please provide the number of pharmacy electronic bills received per year per program. | Section C.19 of the Performance Work Statement states that the Government expects pharmacy bills to be received both electronically and in hardcopy form. |
Volumes for pharmacy bills submitted electronically by program in 2013 are: DFEC--1,866,435; DEEOIC--275,863; DCMWC--99,169. Electronic submission includes EDI, Web, POS, and Batch.
| 12 | Location of Assumptions and Constraints | L.3.2.1/L.3.2 Table 1 | Regarding the location of this proposal section: there is no location identified in Table 1. Should this be section 1.14 of the Technical Volume? | Assumptions and Constraints should be addressed as subsections within the Technical and Management Narratives as appropriate. |
| 13 | Categorized Position Resumes | F.5 Table 1 | Table 1 indicates that Categorized Position Resumes should be discussed in the proposal. It is not clear from Section L where this is intended to be discussed. Please clarify. | Categorized position resumes should be discussed in proposal section 1.10, Management Narrative. |
| 14 | Key Positions | Section L.2.3.10 | In aligning Table 1 with the detailed instructions in Section L.2.3.1, we are finding some inconsistencies and would like clarification on where items should be addressed: |
• L.2.3.1.9 is covered in Technical Volume 1.10 – Management Narrative
• L.2.3.1.12 is covered in Technical Volume 1.11 - Key Position Letter of Commitment
• L.2.3.1.11 is covered in Technical Volume 1.12 Key Position Resume
• L.2.3.1.13 is covered in Technical Volume 1.13 Project Schedule
Where should the requirements of L.2.3.1.10 be covered? Should this be a separate (new) section before 1.11?
| Section L.3.2.1.10 should be addressed in the Management Narrative of the Technical Volume. | ||||
| 15 | DLHWC Volumes | Question 61 | What are the anticipated volumes for the DLHWC program? How many cases does DLHWC have in a year and what is the historical count of average cases per year? | The anticipated volume of bills for the DLHWC program is approximately 1500 medical bills a year submitted to the WCMBP service for processing. The annual volume of DLHWC cases is not relevant to this acquisition. |
| 16 | Past Performance Questionnaire Template (Section J, Attachment 13) | L.3.2.1.20 | This Offeror previously obtained completed Past Performance Questionnaires from all clients with the expectation that they were needed in time to meet a March 14, 2014 proposal submission date. Will DOL accept completed Past Performance Questionnaire Templates issued with the Jan 14, 2014 solicitation release so that we are not required to request a 2nd-round of reference information from the same clients for the same proposal submission? | Past performance questionnaires will need to be resubmitted by offerors if they are not in compliance with the Amendment 5 Section J.13 attachment Past Performance Questionnaire. |
| 17 | Section L instructions for completing Past Performance Questionnaire | Section L.3.2.1.20 and Section J, Attachment 13 | DOL replaced the Past Performance Questionnaire but Section L.3.2.1.20 instructions are for the former Questionnaire (Offeror to complete Parts I & II; client to complete Part III). Can DOL indicate what parts of the Questionnaire should be completed by the Offeror and by the Client? | The Offeror shall complete blocks 1-17 in the Past Performance Questionnaire. The past performance client completes the remaining blocks. Section L has been updated in Amendment 5. |
| 18 | Longshore program details | Attachment 18.2 2013 Bill Document Types (by program) | ||
| DOL indicated yearly volumes for Longshore document consisted only of HCFA’s and UB which represented total of 1500 documents per year. Can the Government confirm that there are no Pharmacy bills or other case type documents that the contractor must support? | The Government confirms that DLHWC is expected to submit only HCFA and UB documents to the WCMBP service for medical bill processing. The detailed workflow for this process will need to be established during requirements sessions between the Contractor and OWCP subject matter experts. | |||
| 19 | Longshore program details | Can DOL describe anticipated eligibility data flow process from government to the contractor and vice verse for the Longshore program. | The detailed workflow for this process will need to be established during requirements sessions between the Contractor and OWCP subject matter experts. | |
| 20 | R0046 | C.2.1.1 | Does the Government require earned value management reporting during the Implementation phase, or the Operations Phase, or both? | EVM reporting is not required. The Government requires the detailed project schedule listed in R0046 during the Implementation Phase as well as during the execution of enhancements during the Operations Phase. |
| 21 | Deliveries or Performance | Section F.4 | The government's response to Q #131 stated that "tailoring is not applicable. The clause has been revised to reflect the exact wording in the FAR". However on our review of Section F.4 we note that the FAR language was not revised. Please revise and update Section F.4 with the applicable FAR language. | Section F.4 has been updated in Amendment 5. |
| 22 | Interrelationships of Subcontractors | Section H.15/H.16 | In the government's response to Q#135, Interrelationships of subcontractors, the government responded that support contractors are to be permitted access to "cost" information to the same degree that access is accorded to government personnel. Since this is a FFP contract and there are no provisions for cost reporting please explain why the "cost" is included in H.16? | Section H.16: replace "cost" with "price". |
| 23 | Instructions to Offerors | Section L.3 | In the Government’s Qs&As posted on May 30, 2014 the Government responded “No” to certain questions that effectively sought Government acknowledgement to deviate from the RFP requirements. |
Section L.3, FAR 52.215-1 , Instructions to Offeror – Competitive Acquisition (Jan 2004, Alternat II (Oct 1997) c (9) states: Offerors may submit proposals that depart from the stated requirements. Any deviations from the requirements in the solicitation – as well as the comparative advantage to the Government - shall be clearly identified, explicitly defined, linked to the specific requirement(s) it addresses or obviates in the Proposal Compliance Matrix, and explain why acceptance of the proposal would be advantageous to the Government. The Government reserves the right to amend the solicitation to allow all Offerors an opportunity to submit revised requirements. Non-conformance with the instructions of this solicitation may result in an unfavorable proposal evaluation.
In the light of the Governments “ No” responses to certain questions if a contractor decides to submit a deviation pursuant to FAR 52.215-1 would the proposal be evaluated for award or be considered non-responsive and not considered for award.
“The solicitation incorporates FAR 52.215-1(c)(9), which states as follows:
‘Offerors may submit proposals that depart from stated requirements. Such proposals shall clearly identify why the acceptance of the proposal would be advantageous to the Government. Any deviations from the terms and conditions of the solicitation, as well as the comparative advantage to the Government, shall be clearly identified and explicitly defined. The Government reserves the right to amend the solicitation to allow all offerors an opportunity to submit revised proposals based on the revised requirements.’
While proposals that depart from stated requirements may be considered pursuant to FAR 52.215-1(c)(9), acceptance of such offers may require an amendment to the solicitation to give other competitors the opportunity to make offers to the revised requirements. In addition, please note that FAR 52.215-1(c)(9) requires, among other things, that such proposals justify, clearly identify, and explicitly define any deviations from the terms and conditions of the solicitation. Proposals that follow the procedures contemplated by FAR 52.215-1(c)(9) will not be treated as unacceptable so long as the offeror provides a full discussion of any exceptions, a detailed explanation, and a justification that allows for evaluation of the exception. That being said, offerors bear the risk that a proposal will be rejected and the offeror excluded from the competitive range to the extent that these procedures are not followed, to the extent that the deviations proposed are totally out of compliance with the RFP, and/or to the extent that the deviations take exception to significant requirements that change the essential character or condition of the solicitation. Offerors are also reminded that award may be made without discussions.”
| 24 | Government Reponse to #176 | Amendment 3 Q & A #176 | Government's response ends with a comma. Is the response truncated? | The response wasn't truncated. The comma was a typo and should, in fact, be a period. | |
| 25 | Background Investigations | Section H.2 | The Office of Personnel Management (OPM) will conduct background investigations of all contractor employees and the contractor is responsible for the cost of the investigations, unless the DOL Contracting Officer or designee directs otherwise. Can DOL provide an estimated cost for the investigations? | Section H.2, page H-3 was misconstrued by the Offeror. This section states: "All contractor employees proposed to perform under this contract at a government facility or proposed to access Department of Labor (DOL) information or other sensitive information require background investigations. The Office of Personnel Management (OPM) will conduct background investigations of contractor employees. Since OPM only accepts requests from Federal agencies to conduct background investigations, the Contractor will make arrangements with the Federal Project Manager or COR to send the contractor employee's completed investigation papers to the DOL Agency for submission to OPM prior to enter on duty (EOD)." The Offeror should note that NOT all contractor employees require background investigations--only those contractor employees described in section H.2 as noted above. The Government usually doesn't charge the contractor for background investigations, however, when the contract employee requiring investigation is not co-located with a Government office that provides fingerprint service, then the contractor needs to obtain hard-card fingerprints at a local police station. That may require a nominal fee to the contractor. Section H.2.1 has been revised in Amendment 5. | |
| 26 | Resumes for Categorized Positions | Section L.3.2.1.11 and Section J - List of Attachments | Section L.3.2.1.11 read together with Table 1 in Section L requires the bidder to submit resumes of Key Personnel defined in Section C - PWS, Table 1 of Clause 4.1 (Staffing Requirements). In addition, Section J - List of Attachments at serial no. 8 indicates in yellow highlighted text that the Key Position Resume Template will also be used for the categorized position resumes and other staff resumes. Please clarify if the categorized position resumes are required and what other staff resumes DOL is suggesting to be submitted with the proposal? | Only Key Position resumes are required to be submitted with the proposal. The template at Section J Attachment 8 will be used for any other resume submissions after award. | |
| 27 | Instructions to Offerors | Section L.1 | Section L.1 states that the offeror shall complete the following FAR provision blocks of text and submit them as part of the Contract Volume. Should this be part of the Price Volume and if yes, will the government please update the proposal organization Table-1 in Section L? | Yes, Table L.1 has been updated in Amendment 5. | |
| 28 | L.3.2.7.1 - Schedule of Supplies or Services and Prices/Costs | Amendment 3 Q&A #77, | |||
| Labor Mix | Will DOL clarify what "Description" is required in column B of the new worksheet titled "Labor Mix" since the labor category titles are required in column A? | No description is required, Section J Attachment 1 has been updated in Amendment 5. | |||
| 29 | Clarification of requested project schedule | Amendment 3 Q&A #3, | |||
| Section C, 2.1.1, "Transition-In" | Will DOL clarify that "fully resource-loaded" does not include costs as this would be a form of an Earned Value Management System (EVMS), which would increase costs for the additional resources to maintain it? | Yes. Fully resource loaded does not include cost. The Government does not expect to see cost ratios calculated for the project schedule reported to the Government. The use of the term "fully resource-loaded" with respect to the project schedule reported to the Government refers to the resources assigned to the project tasks in order to prevent overallocation of resources. | |||
| 30 | Section B.2.3, Service Enhancements | Amendment 3 Q&A #31, Service Enhancements Pool | If unused service enhancement hours are rolled forward to the next operational year, how will DOL be breaking up the last month's invoice for each annual bill processing CLIN since it would be a violation of FAR 52.232-1 to invoice the entire CLIN when these enhancement services have not been rendered and accepted? | The Government has decided not to roll forward service enhancement hours. The Government has removed service enhancements from the bill processing CLINs and created new CLINs for service enhancements only, one for each operational period of performance. These are Labor Hour CLINS and are to be used for approved service enhancements that are directed by the Government during operations, after the Go-Live date. The Government will award these CLINs on an as needed basis after the Go-Live date, in funding increments not to exceed the ceiling for each period of performance. The labor hour ceiling for these CLINs shall equal 12,000 hours for each 12-month operational period of performance. For contract periods that include both Implementation and Operations, the vendor shall pro-rate the proposed number of enhancement hours based on the months of Operations only (1,000 hours for each month of Operations). Section B and Section J Attachment 1 have been updated in Amendment 5. | |
| 31 | Section B.2.3, Service Enhancements | Amendment 3 Q&A #31, Service Enhancements Pool | If unused service enhancement hours are rolled forward to the next operational year, will DOL be extending the period of performance on the applicable bill processing CLIN to allow for work outside the 12-month scope of the CLIN in accordance with Sections B and F of the pending contract? | Refer to the answer to question #30. | |
| 32 | Section B.2.3, Service Enhancements | Amendment 3 Q&A #31, Service Enhancements Pool | If unused service enhancement hours are rolled forward to the next operational year, will DOL be exercising multiple overlapping bill processing CLINs to cover the current services other than service enhancements hours? | Refer to the answer to question #30. | |
| 33 | Section B.2.3, Service Enhancements | Amendment 3 Q&A #31, Service Enhancements Pool | Will the unused service enhancement hours be billable at the end of the contract if there is a remaining balance? | Refer to the answer to question #30. | |
| 34 | Section B.2.3, Service Enhancements | Amendment 3 Q&A #31, Service Enhancements Pool | If unused service enhancement hours are rolled forward to the next operational year, how will DOL be breaking up the last month's invoice for each annual bill processing CLIN since it would be a violation of FAR 52.232-1 to invoice the entire CLIN when these enhancement services have not been rendered and accepted? | Refer to the answer to question #30. | |
| 35 | Section B.2.3, Service Enhancements | Amendment 3 Q&A #31, Service Enhancements Pool | If unused service enhancement hours are rolled forward to the next operational year, will DOL be extending the period of performance on the applicable bill processing CLIN to allow for work outside the 12-month scope of the CLIN in accordance with Sections B and F of the pending contract? | Refer to the answer to question #30. | |
| 36 | Section B.2.3, Service Enhancements | Amendment 3 Q&A #31, Service Enhancements Pool | If unused service enhancement hours are rolled forward to the next operational year, will DOL be exercising multiple overlapping bill processing CLINs to cover the current services other than service enhancements hours? | Refer to the answer to question #30. | |
| 37 | Section B.2.3, Service Enhancements | Amendment 3 Q&A #31, Service Enhancements Pool | If unused service enhancement hours are rolled forward to the next operational year, how will DOL be breaking up the last month's invoice for each annual bill processing CLIN since it would be a violation of FAR 52.232-1 to invoice the entire CLIN when these enhancement services have not been rendered and accepted? | Refer to the answer to question #30. | |
| 38 | Section B.2.3, Service Enhancements | Amendment 3 Q&A #31, Service Enhancements Pool | If unused service enhancement hours are rolled forward to the next operational year, will DOL be extending the period of performance on the applicable bill processing CLIN to allow for work outside the 12-month scope of the CLIN in accordance with Sections B and F of the pending contract? | Refer to the answer to question #30. | |
| 39 | Section B.2.3, Service Enhancements | Amendment 3 Q&A #31, Service Enhancements Pool | If unused service enhancement hours are rolled forward to the next operational year, will DOL be exercising multiple overlapping bill processing CLINs to cover the current services other than service enhancements hours? | Refer to the answer to question #30. | |
| 40 | BOEs with Dollar Values | Section L.3.2.2.2 Basis of Estimate Narrative | Will DOL confirm that the BOEs with dollar values can reference worksheets submitted in Section J Attachment 1 as part of the Price Volume in Table 1, which contains the dollar values and the calculations? Are additional worksheets allowed to be incorporated into Attachment 1 for other BOE supporting rationale such as trade-off analysis? | Yes, references to additional worksheets are allowed. The contractor is allowed to submit additional worksheets to be used as BOE references to support pricing submitted in Attachment 1. | |
| 41 | Continuity of Staff | L.3.2.1.10, Key Positions | Given DOL's response to Question #120, was it the Government's intent to remove the following language from L.3.2.1.10, "For key positions in which the Government requests staffing during both the Implementation and Operations phases, the Government may assess more risk to those positions for which the Contractor does not maintain continuity of staff between the two phases."? | The references to staff continuity risk were removed from Section C. Section M has been updated in Amendment 5 to conform with Section L.3.2.1.10. | |
| 42 | Section J, Attachment 28 Templates | Section J, Attachment 28 | Will DOL provide copies of the Quality Control, Project Management, System Integration Management, and Configuration Management Plan Templates with the next Amendment to give Offerors opportunity to review the Government’s expectations for organization and content of these Plans? This advanced understanding of expectations for content will enhance discussion of these Plans and associated activities in Offeror’s proposal responses. | The Government intends to provide the plan templates as specified in Section J Attachment 28 after contract award as part of Government Furnished Information. These templates have not been finalized, and are still being updated. If the contractor has templates they would like to use, the Government is willing to consider contractor format for review and approval. The contractor can submit its proposed templates for government review and approval after contract award. | |
| 43 | Request removal or clarification of redaction requirement. | Section L.3 | As currently stated in Section L.3, “[r]edacted for the purpose of this solicitation is defined as removal of corporate identifiers such as address, logo, names of key personnel, etc.” The response to Question 74 further explains that “company names, POCs, and/or logos or any other information that can be traced to the identity of the company” should be redacted. “Any other information that can be traced to the identity of the company” and “etc.” are vague and open to interpretation. For instance, an offeror describing its proposed solution within the context of its previous experience may be providing information that “can be traced to the identity of the company.” This constraint could prove to be a significant disadvantage to one or more vendors in that it may force redaction of significant technical passages and therefore serve to be counter to the government’s stated goal “to ensure a fair and impartial evaluation” (response to Question 177). As another example, the naming of key personnel who would be working on the project would also need to be redacted, creating a similar disadvantage for only those vendors impacted by this requirement. In each of these examples, the redaction requirement as stated may force the removal of information required to be submitted in the technical volume of the proposal for it to be considered compliant with the Solicitation. We request that the redaction requirement be removed entirely or the definition of “redaction” limited to “removal of company name, slogans, color schemes, logos and visual symbols only.” | "Redacted" for the purpose of this solicitation is defined as removal of corporate identifiers such as address, logo, names of key personnel, and all other identifiable information that can be traced to the identity of the company. | |
| 44 | Order of Past Performance references | Section L.3.2.1.18 | There are two conflicting instructions for ordering the Past Performance references: "The Offeror shall sort the reference list in descending order of relevancy (i.e. the most relevant contract listed first)." and "The Offeror shall structure the Past Performance Reference List, such that the references for the prime contract and major subcontractor(s) are listed in order from highest to lowest according to the amount (in dollars) of work proposed for each." Please clarify if the Past Performance references should be listed according to relevancy or amount. | The Offeror shall sort the reference list in descending order of relevancy (i.e. the most relevant contract listed first). | |
| 45 | Allowable limit of Past Performance references | Section L.3.2.1.18 | What is the "allowable limit" of past performance references? | The Offeror shall include projects that demonstrate relevant experience, including the last five (5) federal, state, or local government or commercial on-going or completed contracts within the last (5) years. The allowable limit is up to five (5). | |
| 46 | Instructions to Offerors | Section L | The updated Proposal Organization Structure- Table 1 does not include instructions on where to include the completed Section A. In which Volume should Section A be included? | This should be submitted with the Price Volume. | |
| 47 | Instructions to Offerors | Section L | The updated Proposal Organization Structure- Table 1 does not include instructions on where to include the completed Section K. In which Volume should Section K be included? | This should be submitted with the Price Volume. | |
| 48 | Central Mail Room | Amendment #3 Q & A; #144 | Currently, the only DCMWC and DEEOIC documents indexed and transmitted to DOL’s OIS system are the correspondence documents received in PO Boxes 8306 and 8307. Is it the government’s intention to also require bill attachments that are received in PO Boxes 8302, 8303, 8304 and 8305 (bill processing) to be imaged, indexed and transmitted to DOL’s OIS system? | No, all bill attachments are sent through the appropriate bill processing PO box along with bill submissions. There is no need to transmit these files to the OIS system. | |
| 49 | Bill Volume for DLHWC | Section J Attachment 18.2 DOL Bills type Counts by Program | Could you please confirm the bill counts for the DLHWC Longshore program is correct at 1,500 bills for 2013? How is the DLHWC bill volume determined since the current bill processing system does not process Longshore bills? | The estimated volume of DLHWC bills is 1500 annually, as determined by historical data otherwise available to DLHWC. | |
| 50 | Past Performance Questionnaire | Section L.3.2.1.20 | Amendment 1, dated May 30, contains an updated past performance questionnaire form. Based upon our review, the content of the form is very similar to the previously supplied DOL form except for the format. Out of respect for our clients’ time, if the Contractor has already received a client-completed past performance questionnaire back using the previous template, will the DOL accept that initial format? | See Question #16 | |
| 51 | Current Number of Documents | Section C PWS - Section 24.3 What is the expected number of documents per year for each type of document: medical claims, prescription records, physician enrollments, etc., for the programs covered by the contract? | Section 6.2 Implementation of the May 21, 2014 revised PWS says: "Anticipated volumes are expected to average approximately 39,000 documents (pieces of mail) per day. Mail is anticipated to contain an average 2.1 images per document. Each piece of mail is anticipated to contain one (1) document." An expected 39,000 documents per day translates to over 14.2 million documents per year. The combined total of all 4 programs document counts provided in WCMBP_Section_J_Attachment_18.2 is 3,583,308. To what is this difference attributable? | This number was derived from the 2016 projected document volume of 9,705,000 (line 22 of Section J Attachment 18.1), divided by the number of Federal business days of 249 which equals 38, 975. This number was rounded up to 39,000. | |
| 52 | Current Number of Documents | Section C PWS - Section 24.3 What is the expected number of documents per year for each type of document: medical claims, prescription records, physician enrollments, etc., for the programs covered by the contract? | WCMBP_Section_J_Attachment_18.2 does not provide document counts for physician enrollments (OWCP-1168). Are these counts available? | 18.1 includes provider enrollment document estimates projected for the likely operational years. The Government does not have separate physician enrollment data. | |
| 53 | Current Number of Documents | Section C PWS - Section 24.3 What is the expected number of documents per year for each type of document: medical claims, prescription records, physician enrollments, etc., for the programs covered by the contract? | Does the OWCP's RFP foresee the contractors working with additional forms, aside from those listed in WCMBP_Section_J_Attachment_18.2. For example, should the contractor expect to have access to these additional forms used for the Division of Federal Employees' Compensation (DFEC) program? |
CA-1* Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation CA-2* Notice of Occupational Disease and Claim for Compensation CA-2a* Notice of Recurrence CA-5* Claim for Compensation by Widow, Widower, and/or Children CA-5b* Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren CA-6 Official Supervisor's Report of Employee's Death CA-7* Claim for Compensation CA-7a* Time Analysis Form, used for claiming compensation, including repurchase of paid leave CA-7b Leave Buy Back (LBB) Worksheet/Certification and Election CA-10 What A Federal Employee Should Do When Injured At Work CA-12* Claim For Continuance of Compensation Under the Federal Employees' Compensation Act CA-17* Duty Status Report CA-20* Attending Physician's Report CA-35 Evidence Required in Support of a Claim for Occupational Disease CA-40* Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a CA-41* Claim for Survivor Benefits Under the Federal Employees’ Compensation Act Section 8102a Death Gratuity CA-42* Official Notice of Employees’ Death for Purposes of FECA Section 8102a Death Gratuity CA-278 Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act CA-721* Notice of Law Enforcement Officer's Injury Or Occupational Disease CA-722* Notice of Law Enforcement Officer's Death CA-1031 Letter to Dependents to Verify Claimant Support CA-1074 Letter to Parents in Death Claim Development CA-1108* Statement of Recovery Letter with Long Form CA-1122* Statement of Recovery Letter with Short Form CA-2231* Claim for Reimbursement Assisted Reemployment OWCP-5a* Work Capacity Evaluation Psychiatric/Psychological Conditions OWCP-5b* Work Capacity Evaluation Cardiovascular/Pulmonary Conditions OWCP-5c* Work Capacity Evaluation for Musculoskeletal Conditions OWCP-16* Rehabilitation Plan And Award OWCP-17* Rehabilitation Maintenance Certificate OWCP-20* Overpayment Recovery Questionnaire OWCP-44* Rehabilitation Action Report OWCP-04 Uniform Billing Form OWCP-957* Medical Travel Refund Request
| OWCP-1168 Provider Enrollment form | Yes. The contractor is expected to work with all submitted forms. | ||||
| 54 | Current Number of Documents | Section C PWS - Section 24.3 What is the expected number of documents per year for each type of document: medical claims, prescription records, physician enrollments, etc., for the programs covered by the contract? | If additional documents relevant to the RFP (such as those listed above) have not been provided in WCMBP_Section_J_Attachment_18.2, please list these and provide their corresponding document counts. | Please see response to Question #53. | |
| 55 | Current Number of Documents | Section C PWS - Section 24.3 What is the expected number of documents per year for each type of document: medical claims, prescription records, physician enrollments, etc., for the programs covered by the contract? | The Longshore document counts provided in WCMBP_Section_J_Attachment_18.2 seem small. Are these correct? If so, how many Longshoremen benefitted from the Longshore program in 2013? | Yes. The estimated count is correct. The number of DLHWC claimants is not relevant to this acquisition. | |
| 56 | Current Number of Documents | Section C PWS - Section 24.3 What is the expected number of documents per year for each type of document: medical claims, prescription records, physician enrollments, etc., for the programs covered by the contract? | For all programs, the Pharmacy counts provided in WCMBP_Section_J_Attachment_18.2 seem small compared to the HCFA and other claims counts. Are the Pharmacy document counts correct? If so, do the Pharmacy counts provided reflect individual prescriptions or prescription claim forms? | Section 18.2 Pharmacy counts are for hardcopy submissions that include both indivdual prescriptions and prescription claim forms. The volumes of pharmacy bills submitted electronically for 2013 are noted in the Government's response to Question 11 above. | |
| 57 | Storage and Destruction | Section C PWS - R0291 - The Contractor shall store all OWCP paper documents for a period of 60 days in a NARA-compliant facility that meets all of the standards in 36 CFR 1234.10 – 1234.14. | Can the Contractor assume that once we complete the digitization process of a document at our production facility, it is to then be placed within our NARA-certified facility for an approximate length of 60 days? Or, is the requirement to perform the digitization, as well as the storage of 60 days within the NARA-certified facility? | The document is to be placed in a NARA-certified facility once digitization is complete. Offerors should note that both HIPAA and PII regulations and security provisions are required to be in place for all portions of the Contractor facilities that handle this sensitive information. Also, the 60 days of storage is not an approximation but a requirement. | |
| 58 | Storage and Destruction | Section C PWS - R0292 - The Contractor shall destroy and dispose of the OWCP documents, after 60 days, in a manner consistent with Federal Guidelines on the proper destruction of documents containing sensitive information. | Is the timeline for destruction of 60 days after digitization? Or, is it from time of the OWCP documents being accepted, without exceptions? | The storage timeline count begins with completion of the digitization of the document. Please note the required performance metrics for completion of scanning of received documents. | |
| 59 | Enrollment Process | Section C PWS - R0549 - The Contractor shall maintain original OWCP hardcopies of enrollment and re-enrollment packages’ supporting documentation for 60 days after imaging in a secure facility permitting access only to authorized personnel. | Will the enrollment documents also require NARA-certified storage? | Yes | |
| 60 | DLHWC Authorizations | Section C PWS - Section 16 | In Section 16 of the PWS (Authorizations), the Government specifies that for the DFEC and DEEOIC programs the proposed system would have to handle adjudication and routing of authorization requests, whereas for DCMWC the proposed system would have to accept an authorization file upload. For DLHWC, would authorizations be handled via adjudication/routing within the proposed system (similar to DFEC and DEEOIC)? Or, would the proposed system be expected to receive a file upload similar to DCMWC? | DLHWC does not require processing of authorizations by the WCMBP service. Specific business process workflows for DLHWC will be identified during requirements elaboration. | |
| 61 | Prescription Plan Cards | Section C PWS - Section 19 | |||
| (info not provided in PWS) | Do all four DOL divisions' current pharmacy program issue prescription plan cards to their injured employees? | No | |||
| 62 | Reimbursement to PBM | Section C PWS - Section 19 | |||
| 1.1.6., 2.1.6, 3.1.6 | Does the DOL reimburse their pharmacy benefit manager for some or all prescription payments? For example, a POS transaction billed under the pharmacy benefit manager? | DOL reimburses pharmacies directly. | |||
| 63 | PBM Discount Levels & Dispense Fees | Section C PWS - Section 19 | |||
| 1.1.6., 2.1.6, 3.1.6 | Is there a uniform pricing level that prescriptions are being reimbursed at today by all four divisions? Understanding it is an AWP based rate structure, what discount levels and dispense fees are in place? | Each program uses its own Pharmacy Fee schedule. | |||
| 64 | Pharmacy Bills Paid Annually | Section C PWS - Section 19 | What is the total number of pharmacy bills paid annually, inclusive of all POS, paper, and electronic submissions? | Please see response to Question #56. | |
| 65 | Number of Government Users | Section C PWS | Could you please give some estimate of the total number of Government personnel that will be expected to access the WCMBP system between OWCP HQ and all National and District Offices for DFEC, DEEOIC, DCMWC, and DLHWC? | Requirement R0938 notes the minimum number of internal users, which includes all authorized OWCP personnel. | |
| 66 | Image Capture | Section C PWS - R0256 - The Contractor shall accept documents from other electronic sources including fax and image files. | Please provide expected fax volume. | 2013 fax document volumes by program were: DFEC--417,500; DEEOIC--16,202; and DCMWC--381. Fax documents are assumed to contain a header page and two data pages per document. | |
| 67 | Image Capture | Section C PWS - R0256 - The Contractor shall accept documents from other electronic sources including fax and image files. | Please provide expected image volume. | No volume data is available, but DOL anticipates the DLHWC medical bills will be input as image files. | |
| 68 | Bill Volume | Section 18.1 | Section 18.1 shows annual bills processed as 5,241,066 bills. Bills submitted on paper equals 3,738,047 and EDI bills equals 498,508, which leaves 1,004,511 bill unaccounted. Please explain the difference and clarify if the unaccounted 1,004,511 bills are received via fax or image. | The volumes provided for Bill Processing and Mailroom activities cannot be combined to arrive at the total count of bills processed. | |
| 69 | Bill Volume | Section 18.2 | Section 18.2 shows bills processed in 2013. The total count shown is 3,583,308 which is much lower then the anticipated volume of 5,241,066 in 2016. Please explain the difference and clarify if the 3,583,308 number represents paper bills only. | Yes. The number in the Attachment 18.2 represents hard copies of the document types listed and the frequency distribution. The projected volume for 2016 in Attachment 18.1 includes both electronic and hard copy documents. | |
| 70 | Historical Fee Schedules | Section C PWS - R0672 | |||
| The Contractor shall maintain, display and use for its bill processes, Fee Schedule historical files from 1964 through the period of performance of the contract as required by the government. | In the DOL's recent Amendment 1 response and answer to a similar question (Question 225), your response was that the fee schedule data is currently publicly available on the DOL website. In reviewing the DOL website, the data is available only back to 2004. Please confirm that the remaining fee schedule data will be made available and in electronic format. | DOL will provide fee schedule information from 1964 through 2003 as part of GFI following contract award. | |||
| 71 | RVs for Sight Impaired Claimants | Section C PWS - R1088 | |||
| The Contractor shall provide the capability to produce and distribute RVs for sight impaired claimants. | Please provide further clarification regarding this requirement. Do these RVs have to be produced using a larger font size? In Braille? | Yes, RVs will need to be produced for sight-impaired clients, including large print and Braille as directed by the Government. Requirement R0002 in Section C (PWS) requires that: The Contractor shall ensure that its WCMBP solution satisfies the requirements of the following Federal regulations: |
• The Americans with Disabilities Act and Section 508 of the Rehabilitation Act Currently, DFEC has only one claimant in this category who is receiving a large-print RV.
| 72 | B.2.6 - Transition-Out & Invoices | Amendment 3 Q&A #78 & 164, Transition-Out Duration & H.18.2 Fixed Price CLINs | In accordance with Q&A #78 & 164, will DOL confirm that CLIN 0006 is a 2-year CLIN that will be invoiced in 24 equal payments? How will CLIN 0006 be treated if the new awardee of the follow-on contract does not successfully go-live and become operational? | Yes, the period of performance for CLIN 0006 is estimated to be 24 months. When the government directs the Contractor to begin transition out services, CLIN 0006 monthly invoicing may occur. If the new awardee of the follow-on contract does not successfully go-live and become operational, the government may direct the Contractor to stop transition out services. |
| 73 | Incentives & Invoices | Amendment 3 Q&A #161, 162, 163, & 164 | Will DOL incorporate the responses to questions # 161, 162, 163, and 164 into Section H.18.2, Section G.1.5 and Section F? | Section H.18.2 and Section F.8 Table 3 have been updated in Amendment 6. |
| 74 | Information Security Standards | Amendment 3 Q&A #83, Section 3: Information Security Standards : 3.2.1 | Will DOL confirm that the response for "all resources" is related to the OCR Correction / KFI indexing functions in the question as not to conflict with the requirements for the WCMBP Contingency Plan for Disaster Recovery, Business Continuity, and Pandemic Influenza? | "All resources" refers to all Contractor and Subcontractor staff with access to PII, PHI or other sensitive information. Staff performing functions requiring this access are required to work at a secure physical production processing center. The Government will review and approve the Contractor's WCMBP Contingency Plan after contract award. |
| 75 | Changes | Amendment 3 Q&A 254, H.18, Page H-17 | Since the RFP now includes Attachment 18, 18.1, and 18.2 through 18.7, will DOL confirm which attachments apply for the + or - 15% volume adjustment? If Attachments 18.2 through 18.7 apply, how will future volumes be monitored? If Attachment 18 applies, will DOL confirm that the term "originals" for bills processing includes bills that are returned and resubmitted as originals? | Refer to Section H.18.2 and Section B. Only Section J Attachment 18 - Volume Sensitive Operational Data applies to the +/- 15% volume adjustment. The term "originals" is defined in Section B.3. |
File details come from the government source that posted it. Updated .