Sources Sought 3M.pdf

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Sources Sought -Outpatient Prospective Payment System (OPPS) Pricer Software
Solicitation number
HT001525RFI0002
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This document is a Sources Sought notice for a sole source firm fixed price requirement for Outpatient Prospective Payment System (OPPS) Pricer software from 3M. The Defense Health Agency (DHA) intends to award a sole source contract to 3M for the licensing of a mainframe version of a TRICARE-specific OPPS Pricer software, with a base period of performance from December 22, 2024, to December 21, 2025, and two one-year option periods. The 3M Outpatient Code Editor (OCE) software and TRICARE Pricer software are required to edit, process, and price hospital outpatient claims for TRICARE eligible beneficiaries, and are compatible with the 3M mainframe and licensing PC software currently used by the TRICARE Health Plan. The TRICARE Health Plan is statutorily mandated to follow the Centers for Medicare and Medicaid Services (CMS) reimbursement rules, and 3M's OCE and Pricer software have been authorized by CMS. Interested sources are requested to submit capability statements and authorized letters from the manufacturer demonstrating their authority to provide the required software.

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SOURCES SOUGHT

THIS IS A SOURCES SOUGHT FOR A SOLE SOURCE FIRM FIXED PRICE REQUIREMENT.

THIS NOTICE IS UNDER THE AUTHORITY OF FEDERAL ACQUISITION REGULATION (FAR)

PART 6.302-1, ONLY ONE RESPONSIBLE SOURCE AND NO OTHER SUPPLIES OR SERVICES

WILL SATISFY AGENCY REQUIREMENTS. THIS IS NOT A REQUEST FOR COMPETITIVE

QUOTES.

NAICS Code 513210 (Software Publishers), 3M; business size standard is $47,000,000.00

The Defense Health Agency (DHA), Ft Sam Houston, TX intends to issue a sole source contract award to 3M for Software (SW) with a base period of performance beginning 22 December 2024 – 21 December 2025, and Two (2) one (1) year options.

The 3M Outpatient Code Editor (OCE) Software, edits and processes hospital outpatient claims and the TRICARE Pricer Software, determines how to price claims based on the output from the TRICARE OCE which coincides with that of the Centers for Medicare and Medicaid Services (CMS).

TRICARE Health Plan (THP) is responsible for editing and processing hospital outpatient claims for TRICARE eligible beneficiaries. The fundamental functionality required by THP is for the licensing of a mainframe version of a TRICARE specific Outpatient Prospective Payment System (OPPS) Pricer. Both, 3M’s OCE and Pricer, are compatible with the 3M mainframe and licensing PC software currently used by THP which sanctions the auditing and verification of accuracy of payment for hospital outpatient claims.

Additionally, THP is statutorily mandated to follow CMS’ reimbursement rules, and 3M’s OCE and Pricer software have been authorized by CMS.

All interested sources may submit a capability statement that identifies business size, along with authorized letter from the manufacturer with detailed information and convincing evidence that clearly demonstrates the authority to provide the software as outlined above.

If no responses are received within the date as indicated in publication of this notice, a sole source award will be made. Responses to this notice can be sent via email to Shariyun Lawson (Shariyun.k.lawson.civ@health.mil) and Thomas L. Reese (thomas.l.reese4.civ@health.mil) .

Posting approved by:

Thomas Reese Contracting Officer

DHA EMS-CD

mailto:Shariyun.k.lawson.civ@health.mil mailto:thomas.l.reese4.civ@health.mil

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