Sources Sought Notice 08 24 2012.docx

SOURCES SOUGHT NOTICE

RFQ:

HHSM-500-2012-RFP-0008

Procurement Type:

Sources Sought

Date Posted:

August 17, 2012

Response Date:

August 31, 2012

Title:

National Supplier Clearinghouse Medicare Administrative Contractor (NSC MAC)

General Information:

The Centers for Medicare & Medicaid Services (CMS) is hereby conducting market research to identify small businesses e.g., 8(a), veteran-owned small businesses, service-disabled veteran owned small business, HUBZone small business, small disadvantaged business, and woman-owned small business) to support informed decisions about how to procure for the required services, i.e., a total small business set-aside action; a set-aside for a particular subset of small businesses; full and open competition, etc. This is not a Request for Proposal. There is no solicitation available at this time. Request for a solicitation will not receive a response.

NAICS Code for this effort:

The North American Industrial Classification System (NAICS) code is: 524298 - All Other Insurance Related Activities – SB Size Standard -- $7M

Project Background:

The primary function of the National supplier Clearinghouse (NSC) is to 1) ensure that only qualified suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) are enrolled or remain enrolled in the Medicare program; 2) take the necessary actions to revoke enrolled suppliers who no longer meet supplier standards; and 3) establish and maintain a fraud prevention and detection program.

An Optional Task for a Multi-Specialty Provider Enrollment Contractor has been added as an additional component to this Sources Sought. When directed by CMS, the primary function for this Contractor shall be to assist other Medicare contractors as required in processing provider enrollment applications. The Contractor shall interface with the existing Carrier, Fiscal Intermediary, RHHI, and A/B Medicare Administrative Contractor (MAC) to coordinate and manage the processing of provider enrollment actions to include the following: (a) routinely process enrollment applications associated with certain special provider types, (b) on occasion, assist other contractors in alleviating any existing application backlogs that may occur; (c) routinely perform enrollment data clean-up and reconciliation projects as required. The Contractor while performing its multi-specialty enrollment functions will be responsible for processing the following application types for the multi-contractor backlogs and specialty contractor enrollments: CMS-855A, CMS-855B, CMS-855I, CMS-855R, and the CMS-855O. The Contractor will not be directly involved in the processing of claims or any other functions currently performed by other Medicare contractors. The Contractor shall be the single organizational entity responsible for issuing, revalidating or revoking Medicare supplier billing privileges for CMS specialty providers and suppliers types, such as but not limited to, Indian Health Services, tribal organizations, and Centralized Flu Billers.

Instructions/Requirements for Submitting Sources Sought Responses to CMS:

Interested parties having the corporate capability and expertise necessary to perform the stated requirements outlined in the draft Statement of Work (SOW) may submit capability statements via email to Justin.Menefee@cms.hhs.gov and Nicole.Hoey@cms.hhs.gov. Email responses on or before 10:00am (local prevailing time) August 31, 2012. Please limit responses to no more than 9 pages. CMS software standard is MS Word. Therefore, responses should be submitted in a Word, or Word compatible document.

CMS requests that respondents specifically address each question identified below. In general, while this Sources Sought is not a request for a technical proposal, respondents should provide enough information for CMS to make a determination as to the capability to perform the same or similar work as identified in the attached DRAFT SOW.

Responses should include, at a minimum, the information identified in each of the following:

1. Business Information –

a. Company Name

b. Company Address

c. D&B DUNS Number

d. Does your organization have a Government approved accounting system? If so, please identify the agency that approved the system.

e. Type of company (i.e., small business, 8(a), women owned, veteran owned, etc.) as validated via the System for Award Management (SAMS) (CCR). Note: All offerors who wish to be awarded a Government contract must register on SAMS located at https://www.sam.gov/portal/public/SAM/

f. Company Point of Contact – Name, Phone and Email address

g. Point of contact, phone and email address of individuals who can corroborate the demonstrated capabilities identified in the response.

2. ISO Certification: CMS is requiring ISO certification for this effort. Is your organization ISO registered and/or compliant?

3. Medicare DMEPOS Enrollment Process and Procedures: Please provide your general overall experience (including length of experience) with and or knowledge of DMEPOS enrollment processes and procedures.

4. Fraud prevention related activities: Please provide your general overall experience (including length of experience) with fraud related activities as described in the draft SOW, including conducting site visits with DMEPOS and/or other Medicare provider enrollment.

5. Please explain your capability to conduct enrollment and reenrollment activities for approximately 100,000 DMEPOS suppliers and/or other Medicare providers.

6. Please explain your capability to respond to telephone inquires and written correspondence for approximately 100,000 customers on a continuing basis.

7. Please explain your capability to make approximately 34,000 site visits per year on DMEPOS suppliers and other provider/suppliers located throughout the United States, its territories and Puerto Rico.

8. Please explain your capability to process enrollment information using the Provider Enrollment Chain and Ownership System (PECOS).

9. Please explain your capability to conduct hearings and appeals of revoked and/or denied suppliers.

10. Demonstrate your capability to perform the multi-specialty provider enrollment task.

Other Information:

· Proprietary Information and Disclaimers: All transmitted information marked proprietary shall be treated as such. Therefore, respondents should identify any proprietary information in its response. Information submitted in response to this notice will be used at the discretion of the Government. Proprietary materials will neither be distributed, nor discussed with, any other organization or business. Further, the information submitted will remain confidential insofar as permitted by law, including the Freedom of Information and Privacy Acts. CMS reserves the right to utilize any non-proprietary technical information in the anticipated SOW or solicitation.

· Respondents should be aware that this notice is for marketing purposes only and any responses submitted do not constitute a commitment by CMS to treat any offeror more or less favorably in any anticipated forthcoming solicitation and/or ultimate award.

· Responses to the notice are not offers and cannot be accepted by CMS to form a binding contract. CMS does not intend to award a contract on the basis of this notice, or to otherwise pay for the information solicited. No reimbursement for costs will be made associated with providing information in response to this notice or follow-up information request.

· Responses to the notice will not be returned and will not be accepted after the due date. All communications shall be by email.

· Only responses from small businesses will be reviewed.

· Respondents will not be notified of the results of the review of the responses. Information received will be considered solely for the purpose of determining whether small business firms possess the capability to fulfill the Government’s requirement.

Points of Contact:

Justin Menefee, Contract Specialist, Phone 410-786-7629, Fax 410-786-9088, email Justin.Menefee@cms.hhs.gov

Nicole Hoey, Contract Officer, Phone 410-786-0489, Fax 410-786-9088, Email Nicole.Hoey@cms.hhs.gov

On behalf of the Centers for Medicare & Medicaid Services, thank you for your interest in the programs of Medicare.