HT9402-20-R-0001 Final.pdf

FACILITY_CAGE_CO

HT940220R0001

SOLICITATION, OFFER AND AWARD

4. TYPE OF SOLICITATION2. CONTRACT NUMBER 3. SOLICITATION NUMBER

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)

ORDER UNDER DPAS (15 CFR 700)

6. REQUISITION/PURCHASE NUMBER

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

NEGOTIATED (RFP)

SEALED BID (IFB)

5. DATE ISSUED

1. THIS CONTRACT IS A RATED RATING PAGE OF PAGES

DO-C9 1 112

C. E-MAIL ADDRESS

EXT.NUMBERAREA CODE

B. TELEPHONE (NO COLLECT CALLS)A. NAME

10. FOR

INFORMATION

CALL:

CAUTION: LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

(Date)(Hour) local timeuntildepository located in copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the

SOLICITATION

9. Sealed offers in original and

PART IV - REPRESENTATIONS AND INSTRUCTIONS

OTHER STATEMENTS OF OFFERORS

EVALUATION FACTORS FOR AWARD

INSTRS., CONDS., AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND

LIST OF ATTACHMENTS

CONTRACT CLAUSES

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

I

J

K

L

M SPECIAL CONTRACT REQUIREMENTS

CONTRACT ADMINISTRATION DATA

DELIVERIES OR PERFORMANCE

INSPECTION AND ACCEPTANCE

PACKAGING AND MARKING

DESCRIPTION/SPECS./WORK STATEMENT

SUPPLIES OR SERVICES AND PRICES/COSTS

SOLICITATION/CONTRACT FORM

PART II - CONTRACT CLAUSESPART I - THE SCHEDULE

H

G

F

E

D

C

B

A

SEC. DESCRIPTION PAGE(S) (X) DESCRIPTION SEC. (X)

11. TABLE OF CONTENTS

18. OFFER DATE17. SIGNATURE

SUCH ADDRESS IN SCHEDULE.

IS DIFFERENT FROM ABOVE - ENTER

15C. CHECK IF REMITTANCE ADDRESS

EXT.NUMBERAREA CODE

15B. TELEPHONE NUMBER

(Type or print)AND

ADDRESS

OF

OFFEROR

CODE FACILITY

16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER15A. NAME

DATEAMENDMENT NO.DATEAMENDMENT NO.

and related documents numbered and dated):

amendments to the SOLICITATION for offerors

(The offeror acknowledges receipt of

14. ACKNOWLEDGEMENT OF AMENDMENTS

CALENDAR DAYS (%)30 CALENDAR DAYS (%)20 CALENDAR DAYS (%)10 CALENDAR DAYS (%)

(See Section I, Clause No. 52.232.8)

13. DISCOUNT FOR PROMPT PAYMENT

designated point(s), within the time specified in the schedule.

by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the

12. In compliance with the above, the undersigned agrees, if this offer is accepted within ______________ calendar days (60 calendar days unless a different period is inserted

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

OFFER (Must be fully completed by offeror)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

28. AWARD DATE

(Signature of Contracting Officer)

27. UNITED STATES OF AMERICA

25. PAYMENT WILL BE MADE BY

26. NAME OF CONTRACTING OFFICER (Type or print)

CODE 24. ADMINISTERED BY (If other than Item 7)

ITEM

(4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

41 U.S.C. 253 (c) ( 10 U.S.C. 2304 (c) (

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

21. ACCOUNTING AND APPROPRIATION20. AMOUNT19. ACCEPTED AS TO ITEMS NUMBERED

AWARD (To be completed by government)

CODE

X

HT9402

DEFENSE HEALTH AGENCY

DEFENSE HEALTH AGENCY-AURORA

16401 E CENTRETECH PARKWAY

AURORA CO 80011

1200 MS

Lauren Robbins 303 lauren.n.robbins.civ@mail

.mil676-3857

X

X

X

X

X

X

X

X

X

X

X

X

X

PAGE(S)

JACK R. DIEMER

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (Rev. 9-97)

Prescribed by GSA - FAR (48 CFR) 53.214(c)

2-13

C1-C17 D1 E1 F1-F3 G1-G10 H1-H8

I1-I15

J1-J2

K1-K12

L1-L21

M1-M9

See L-4

303-676-3664 jack.r.diemer.civ@mail.mil

Mail Room July 29, 2020

May14, 2020

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F)

Base Period (Transition-In)

0001 Transition-In. 1 LO

(Firm Fixed Price)

LO = Lot

0002 Contract Data Requirements List (CDRLs), Reports 1 LO and Deliverables (DD Forms 1423-1), Section J, Exhibit B.

(Not Separately Priced)

LO = Lot

Option Period 1

1001 CONUS Active Duty Service Member (ADSM) Services, 1 LO

CDT Pricing Tables, Section J, Exhibit A.

The quantities identified in Exhibit A will vary dependent upon actual utilization. Prices identified in Exhibit A are fixed unit prices.

(Fixed Price)

LO = Lot

(Option Line Item)

1002 OCONUS Active Duty Service Member (ADSM) Services 1 LO

(Billed Charges).

(Cost)

LO = Lot

(Option Line Item)

1003 OCONUS Active Duty Service Member (ADSM) Claims 16255 EA

Administrative Cost.

The quantity identified will vary dependent upon the number of approved overseas claims submitted.

(Fixed Price)

EA = Each

(Option Line Item)

Continued ...

$2,638,285.00 $2,638,285.00

NAME OF OFFEROR OR CONTRACTOR

3 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F)

1004 National Institute of Standards and Technology 12 MO

(NIST) Systems Security, and Physical and

Personnel Security.

(Firm Fixed Price)

MO = Month

(Option Line Item)

1005 Incentives. 1 LO

Incentives up to $350,000.00. See Section H.6.

for criteria for earning Incentives. The amount shown is the maximum incentive available.

(Fixed Price)

LO = Lot

(Option Line Item)

1006 Contract Data Requirements List (CDRLs), Reports 1 LO and Deliverables (DD Forms 1423-1), Section J, Exhibit B.

(Not Separately Priced)

LO = Lot

(Option Line Item)

1007 Transition-out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

Option Period 2

2001 CONUS Active Duty Service Member (ADSM) Services, 1 LO

CDT Pricing Tables, Section J, Exhibit A.

The quantities identified in Exhibit A will vary

Continued ...

$350,000.00 $350,000.00

NAME OF OFFEROR OR CONTRACTOR

4 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F) dependent upon actual utilization. Prices identified in Exhibit A are fixed unit prices.

(Fixed Price)

LO = Lot

(Option Line Item)

2002 OCONUS Active Duty Service Member (ADSM) Services 1 LO

(Billed Charges).

(Cost)

LO = Lot

(Option Line Item)

2003 OCONUS Active Duty Service Member (ADSM) Claims 16580 EA

Administrative Cost.

The quantity identified will vary dependent upon the number of approved overseas claims submitted.

(Fixed Price)

EA = Each

(Option Line Item)

2004 National Institute of Standards and Technology 12 MO

(NIST) Systems Security, and Physical and

Personnel Security.

(Firm Fixed Price)

MO= Month

(Option Line Item)

2005 Incentives. 1 LO

Incentives up to $350,000.00. See Section H.6.

for criteria for earning Incentives. The amount shown is the maximum incentive available.

(Fixed Price)

LO = Lot

(Option Line Item)

Continued ...

$2,724,689.00 $2,724,689.00

NAME OF OFFEROR OR CONTRACTOR

5 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F)

2006 Contract Data Requirements List (CDRLs), Reports 1 LO and Deliverables (DD Forms 1423-1), Section J, Exhibit B.

(Not Separately Priced)

LO = Lot

(Option Line Item)

2007 Transition-out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

Option Period 3

3001 CONUS Active Duty Service Member (ADSM) Services, 1 LO

CDT Pricing Tables, Section J, Exhibit A.

The quantities identified in Exhibit A will vary dependent upon actual utilization. Prices identified in Exhibit A are fixed unit prices.

(Fixed Price)

LO = Lot

(Option Line Item)

3002 OCONUS Active Duty Service Member (ADSM) Services 1 LO

(Billed Charges).

(Cost)

LO = Lot

(Option Line Item)

3003 OCONUS Active Duty Service Member (ADSM) Claims 16911 EA

Administrative Cost.

The quantity identified will vary dependent upon the number of approved overseas claims submitted.

(Fixed Price)

EA = Each

Continued ...

$2,813,923.00 $2,813,923.00

NAME OF OFFEROR OR CONTRACTOR

6 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F)

(Option Line Item)

3004 National Institute of Standards and Technology 12 MO

(NIST) Systems Security, and Physical and

Personnel Security.

(Firm Fixed Price)

MO= Month

(Option Line Item)

3005 Incentives. 1 LO

Incentives up to $350,000.00. See Section H.6.

for criteria for earning Incentives. The amount shown is the maximum incentive available.

(Fixed Price)

LO = Lot

(Option Line Item)

3006 Contract Data Requirements List (CDRLs), Reports 1 LO and Deliverables (DD Forms 1423-1), Section J, Exhibit B.

(Not Separately Priced)

LO = Lot

(Option Line Item)

3007 Transition-out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

Option Period 4

4001 CONUS Active Duty Service Member (ADSM) Services, 1 LO

CDT Pricing Tables, Section J, Exhibit A.

The quantities identified in Exhibit A will vary dependent upon actual utilization. Prices identified in Exhibit A are fixed unit prices.

Continued ...

NAME OF OFFEROR OR CONTRACTOR

7 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F)

(Fixed Price)

LO = Lot

(Option Line Item)

4002 OCONUS Active Duty Service Member (ADSM) Services 1 LO

(Billed Charges).

(Cost)

LO = Lot

(Option Line Item)

4003 OCONUS Active Duty Service Member (ADSM) Claims 17250 EA

Administrative Cost.

The quantity identified will vary dependent upon the number of approved overseas claims submitted.

(Fixed Price)

EA = Each

(Option Line Item)

4004 National Institute of Standards and Technology 12 MO

(NIST) Systems Security, and Physical and

Personnel Security.

(Firm Fixed Price)

MO = Month

(Option Line Item)

4005 Incentives. 1 LO

Incentives up to $350,000.00. See Section H.6.

for criteria for earning Incentives. The amount shown is the maximum incentive available.

(Fixed Price)

LO = Lot

(Option Line Item)

4006 Contract Data Requirements List (CDRLs), Reports 1 LO

Continued ...

$2,906,079.00 $2,906,079.00

NAME OF OFFEROR OR CONTRACTOR

8 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F) and Deliverables (DD Forms 1423-1), Section J, Exhibit B.

(Not Separately Priced)

LO = Lot

(Option Line Item)

4007 Transition-out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

Option Period 5

5001 CONUS Active Duty Service Member (ADSM) Services, 1 LO

CDT Pricing Tables, Section J, Exhibit A.

The quantities identified in Exhibit A will vary dependent upon actual utilization. Prices identified in Exhibit A are fixed unit prices.

(Fixed Price)

LO = Lot

(Option Line Item)

5002 OCONUS Active Duty Service Member (ADSM) Services 1 LO

(Billed Charges).

(Cost)

LO = Lot

(Option Line Item)

5003 OCONUS Active Duty Service Member (ADSM) Claims 17595 EA

Administrative Cost.

The quantity identified will vary dependent upon the number of approved overseas claims submitted.

(Fixed Price)

EA = Each

(Option Line Item)

Continued ...

$3,001,253.00 $3,001,253.00

NAME OF OFFEROR OR CONTRACTOR

9 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F)

5004 National Institute of Standards and Technology 12 MO

(NIST) Systems Security, and Physical and

Personnel Security.

(Firm Fixed Price)

MO = Month

(Option Line Item)

5005 Incentives. 1 LO

Incentives up to $350,000.00. See Section H.6.

for criteria for earning Incentives. The amount shown is the maximum incentive available.

(Fixed Price)

LO = Lot

(Option Line Item)

5006 Contract Data Requirements List (CDRLs), Reports 1 LO and Deliverables (DD Forms 1423-1), Section J, Exhibit B.

(Not Separately Priced)

LO = Lot

(Option Line Item)

5007 Transition-out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

Option Period 6

6001 CONUS Active Duty Service Member (ADSM) Services, 1 LO

CDT Pricing Tables, Section J, Exhibit A.

The quantities identified in Exhibit A will vary dependent upon actual utilization. Prices identified in Exhibit A are fixed unit prices.

(Fixed Price)

LO = Lot

Continued ...

NAME OF OFFEROR OR CONTRACTOR

10 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F)

(Option Line Item)

6002 OCONUS Active Duty Service Member (ADSM) Services 1 LO

(Billed Charges).

(Cost)

LO = Lot

(Option Line Item)

6003 OCONUS Active Duty Service Member (ADSM) Claims 17946 EA

Administrative Cost.

The quantity identified will vary dependent upon the number of approved overseas claims submitted.

(Fixed Price)

EA = Each

(Option Line Item)

6004 National Institute of Standards and Technology 12 MO

(NIST) Systems Security, and Physical and

Personnel Security.

(Firm Fixed Price)

MO = Month

(Option Line Item)

6005 Incentives. 1 LO

Incentives up to $350,000.00. See Section H.6.

for criteria for earning Incentives. The amount shown is the maximum incentive available.

(Fixed Price)

LO = Lot

(Option Line Item)

6006 Contract Data Requirements List (CDRLs), Reports 1 LO and Deliverables (DD Forms 1423-1), Section J, Exhibit B.

(Not Separately Priced)

Continued ...

$3,099,544.00 $3,099,544.00

NAME OF OFFEROR OR CONTRACTOR

11 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F)

LO = Lot

(Option Line Item)

6007 Transition-out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

Option Period 7

7001 CONUS Active Duty Service Member (ADSM) Services, 1 LO

CDT Pricing Tables, Section J, Exhibit A.

The quantities identified in Exhibit A will vary dependent upon actual utilization. Prices identified in Exhibit A are fixed unit prices.

(Fixed Price)

LO = Lot

(Option Line Item)

7002 OCONUS Active Duty Service Member (ADSM) Services 1 LO

(Billed Charges).

(Cost)

LO = Lot

(Option Line Item)

7003 OCONUS Active Duty Service Member (ADSM) Claims 18305 EA

Administrative Cost.

The quantity identified will vary dependent upon the number of approved overseas claims submitted.

(Fixed Price)

EA = Each

(Option Line Item)

7004 National Institute of Standards and Technology 12 MO

(NIST) Systems Security, and Physical and

Personnel Security.

Continued ...

$3,201,054.00 $3,201,054.00

NAME OF OFFEROR OR CONTRACTOR

12 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F)

(Firm Fixed Price)

MO = Month

(Option Line Item)

7005 Incentives. 1 LO

Incentives up to $350,000.00. See Section H.6.

for criteria for earning Incentives. The amount shown is the maximum incentive available.

(Fixed Price)

LO = Lot

(Option Line Item)

7006 Contract Data Requirements List (CDRLs), Reports 1 LO and Deliverables (DD Forms 1423-1), Section J, Exhibit B.

(Not Separately Priced)

LO = Lot

(Option Line Item)

7007 Transition-out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

8001 OP1 Residual Services Phase-Out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

8002 OP2 Residual Services Phase-Out. 1 LO

(Firm Fixed Price)

LO = Lot

Continued ...

NAME OF OFFEROR OR CONTRACTOR

13 112

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0001

(A) (B) (C) (D) (E) (F)

(Option Line Item)

8003 OP3 Residual Services Phase-Out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

8004 OP4 Residual Services Phase-Out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

8005 OP5 Residual Services Phase-Out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

8006 OP6 Residual Services Phase-Out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

8007 OP7 Residual Services Phase-Out. 1 LO

(Firm Fixed Price)

LO = Lot

(Option Line Item)

SECTION C

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

ADDP3

HT9402-20-R-0001 Page C1 of C17

C.1. MISSION.

C.1.1. The Department of Defense (DoD) through the Defense Health Agency (DHA) has a mission to offer dental care services to eligible Active Duty Service Members (ADSMs). In order to fulfill DHA’s mission, the contractor will provide comprehensive dental care services worldwide to eligible ADSMs under the Active Duty Dental Program 3 (ADDP3) contract.

C.1.2. Scope.

C.1.2.1. In support of the DHA Dental Program Section of the TRICARE Health Plan, ADDP3 provides worldwide dental coverage to ADSMs of the Uniformed Services of the U.S. Army, the

U.S. Navy, the U.S. Air Force, the U.S. Marine Corps, and the U. S. Coast Guard. For the purposes of this contract, reference to “ADSMs” are defined as the service members covered by

ADDP3. ADSMs also consist of eligible members of the Reserves and National Guard, Reserve

Component members with delayed activation orders or discharged after serving more than 30 days on active duty in support of a contingency operation or a preplanned mission. Additionally, ADSMs consist of Foreign Forces Members (FFMs) eligible for care pursuant to an approved agreement (e.g. reciprocal health care agreement, North Atlantic Treaty Organization [NATO]

Status of Forces Agreement [SOFA], Partnership for Peace [PFP] SOFA). Finally, the ADSMs also include the Commissioned Corps of the National Oceanic and Atmospheric Administration

(NOAA), and the Commissioned Corps of the Public Health Service (PHS). The Commissioned

Corps of the PHS is not currently included in the ADDP3. However, the Government reserves the right to expand coverage to include PHS personnel under this contract.

C.1.2.1.1. Dental Services. ADDP will supplement ADSM care provided in the DoD’s Dental

Treatment Facilities (DTFs), as well as provide care to those ADSMs living in regions without access to DTFs. The contractor shall supplement authorized care by developing and maintaining a dental provider network in the Continental United States (CONUS), which includes the 50

United States, District of Columbia, U.S. Virgin Islands, Guam, Puerto Rico, American Samoa, and the Northern Mariana Islands. The Outside Continental United States (OCONUS) service area includes all other countries, island masses and territorial waters. The contractor shall supplement authorized OCONUS remote care by developing and maintaining agreements with

TRICARE OCONUS Preferred Dentists (TOPDs).

C.1.2.1.2. TRICARE Overseas Program (TOP) Remote Dental Services. The ADSM

OCONUS dental coverage was previously provided by the TRICARE Overseas Program (TOP) contract. Under ADDP, the contractor shall provide OCONUS routine, urgent, and emergency dental care services to ADSMs who are enrolled in remote areas (greater than 50 miles from the nearest Military Treatment Facility [MTF] capable of providing dental care services). The

Kingdom of Bahrain and Souda Bay, Greece, areas are exceptions because, for these two locations, ADSMs do not have to be enrolled as a remote ADSM in order to receive care.

Additionally, the contractor shall provide OCONUS urgent and emergency dental care to

ADSMs who are on Temporary Duty/Temporary Additional Duty (TDY/TAD), deployed, deployed on liberty, or in an authorized leave status in a remote overseas location. The

Government anticipates it will transition the TOP remote dental services into ADDP at award.

The Government reserves the right to modify the contract to add the TOP remote dental services

ADDP3

HT9402-20-R-0001 Page C2 of C17 at a later date (see Section B, Contract Line Item Number [CLIN] x002; Section J, Attachment J-

3b, Program Operations for OCONUS; and Attachment J-13, Transition-In).

C.2. APPLICABLE DIRECTIVES. The following documents form an integral part of this contract and have the same force and effect as if set forth in full text. The TRICARE Manuals provide instruction, guidance and responsibilities to establish contractual requirements for implementation of federal statutes and regulations. In the event of a conflict between the manuals and either statute or regulation, which are incorporated into this contract, the statute or regulation takes precedence. If there is a conflict between the manuals, the order of precedence is (1) TRICARE Policy Manual (TPM); (2) TRICARE Systems Manual (TSM); and (3)

TRICARE Operations Manual (TOM). The TRICARE Manuals are located at http://manuals.health.mil. If the contractor believes that a conflict exists between the incorporated documents, the contractor shall inform the Contracting Officer.

C.2.1. Title 10, United States Code (U.S.C.), Chapter 55, Section 1074(c)(1).

C.2.2. 32 Code of Federal Regulations (CFR) Part 199.1, 199.3, 199.6, 199.9.

C.2.3. 36 CFR Part 1222 (data created or received and maintained for the Government by contractors).

C.2.4. 45 CFR Parts 160, 162 and 164 (the Health Insurance Portability and Accountability Act

[HIPAA] of 1996 security and privacy standards, transaction and code set standards, National

Provider Identifier [NPI] requirements and implementation specifications).

C.2.5. National Institute of Standards and Technology (NIST) Special Publications (SP) 800-

171.

C.2.6. TRICARE Policy Manual (TPM) 6010.60-M, April 1, 2015, through change 64. The following TPM Sections apply:

Chapter 10, Section 5.1, Transitional Assistance Management Program, paragraph 2.10

Dental Coverage

Chapter 10, Section 9.1 – Early Eligibility Benefits for the Reserve Components (RCs)

Chapter 10, Section 10.1 – TRICARE Coverage for Certain Members of the National

Guard (NG)

C.2.7. TRICARE Systems Manual (TSM) 7950.3-M, April 1, 2015, through change 36. The following TSM Chapters apply:

Chapter 1, General Automated Data Processing (ADP) Requirements

Chapter 3, Defense Enrollment Eligibility Reporting System (DEERS) (excluding

Section 5.1)

Note: The TRICARE Encounter Data (TED) requirement as stated in the TSM does not apply to

ADDP.

ADDP3

HT9402-20-R-0001 Page C3 of C17

C.2.8. TRICARE Operations Manual (TOM) 6010.59-M, April 1, 2015, through change 65. The following TOM Chapters apply:

Chapter 1, Section 1 – Organization of the Defense Health Agency (DHA)

Section 2 – Contract Administration and Instructions (excluding paragraphs

4.0 and 5.0)

Section 4 – Management (excluding paragraphs 2.2, 2.3, 2.4, 3.1, 3.2, 3.4 and

4.0)

Section 5 – Compliance with Federal Statutes

Section 6 – Legal Matters

Chapter 9, Records Management (Section 5, paragraph 3.0 titled “Transfer to Other

Contractors/Records Center” does not apply to ADDP per Section J, Attachment J-14, Transition-Out and Residual Services)

Chapter 11, Addendum A TRICARE Logo

Chapter 13, Program Integrity

Chapter 14, Reports, Section 1 – Contract Data Requirements Lists (CDRLs), Plans and

Access

Chapter 19, Health Insurance Portability and Accountability Act (HIPAA) of 1996

Chapter 24, TRICARE Overseas Program, Section 12 – TRICARE Overseas Program

(TOP) Point of Contact (POC) Program

Chapter 28, Prescription Monitoring Program (PMP)

Appendix A, Definitions

Acronyms and Abbreviations may be located at http://manuals.health.mil

C.2.9. When a statute, regulation, or manual changes, the contract requirements shall not change until the Contracting Officer modifies the contract to incorporate the change. The contractor shall utilize the most current version of the TRICARE manuals for the requirements stated above

(paragraphs C.2.6. through C.2.8.). When a manual change is applicable to the contract, a contract modification shall be issued to incorporate the change and update the manual references to reflect the latest manual change number. Manual change numbers may also be updated when other modifications are issued. In the event there are no applicable manual changes during an option period (OP), an administrative modification may be issued annually to update the manual references to the most current manual change number.

C.3. GENERAL REQUIREMENTS.

C.3.1. Contract Management and Administration. The contractor shall establish clear organizational lines of authority and responsibility to ensure adequate, effective resources are assigned to the contract requirements. The contractor shall have primary and alternate points of contact who are authorized to negotiate with the Government and commit to contract implementation and compliance (see Section G.2.5.). The contractor shall notify the

Government within 5 business days of personnel changes to the contractor’s leadership (e.g.

president, vice president, etc.) and/or any changes to the primary and alternate points of contact.

C.3.1.1. The contractor shall establish and maintain effective management strategies, staff education and training programs, lines of authority, and reporting and coordination interfaces

ADDP3

HT9402-20-R-0001 Page C4 of C17 with the Government. The contractor shall comply with the directives cited in paragraph C.2., Applicable Directives.

C.3.2. Out of Office and Closures. The contractor shall notify the Government when its primary and alternate points of contact will be out of the office for a full day or more. The contractor shall notify the Government when it or its subcontractors have unscheduled closures of their offices.

C.3.3. Proper Identification of Contractor Personnel. Contractors, including subcontractors at all tiers, shall provide for a clear distinction from Government personnel. Contractor employees shall not act, advertise, or presume to be Government employees, agents, or representatives. Contractor employees are required to appropriately identify themselves as contractor employees at all times, including in telephone conversations, formal and informal written correspondence, paper and electronic, and in any other situation where their actions could be construed as acts of Government officials, unless, in the judgment of the Government, no harm can come from failing to identify themselves. Contractor employees shall be introduced as contractor personnel and display distinguishing visible identification at all times whether in conversations, meetings, or other forms of communication with Government personnel.

C.3.3.1. Contractor personnel, while performing in a contractor capacity, shall refrain from using their retired or reserve component military rank or title (if applicable) in written or verbal communications associated with the contracts for which they provide services.

C.3.3.2. The contractor shall incorporate the substance of this requirement in all subcontracts awarded under this contract.

C.3.4. Government and Contractor Visits/Meetings. Generally, the Government will provide a 14-day notice for all meetings hosted by DHA at one of its Government locations. The

Government anticipates hosting approximately 4 meetings per year. These meetings are in addition to those stated Section J, Attachment J-13, Transition-In; and Attachment J-14, Transition-Out and Residual Services. All contractor travel costs associated with any of these meetings shall be the responsibility of the contractor.

Deliverables

M070 Employee Access to DoD IS/Networks Report

A020 Proposed Freedom of Information Act (FOIA) Releasable Contract

R020 Identification of Systems of Records Notice Report

C.4. PERFORMANCE REQUIREMENTS.

C.4.1. The contractor shall provide worldwide dental care services for ADSMs.

C.4.1.1. The contractor shall comply with the most current version of American Dental

Association's (ADA) Current Dental Terminology (CDT) manual for covered services and update its required systems.

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Performance Standards

a) Standard: Whenever the ADA issues an updated CDT manual, the contractor shall identify

CDT codes to be added, deleted and/or revised for Section J, Attachment J-2, Benefits, Exclusions and Limitations. The contractor shall provide the DHA Dental Program Section with its recommended changes for approval. The ADA updates CDT codes approximately once a year and the revisions are effective January 1 of the following year (see Section H.2, Current

Dental Terminology).

Acceptable Quality Level (AQL): The contractor shall submit its CDT recommendation within 30 calendar days of the release of the ADA’s updated CDT manual.

b) Standard: The contractor shall update its systems to reflect the DHA Dental Program

Section’s approved CDT code changes no later than January 1 of the following year.

AQL: System updates shall be completed no later than January 1 100% of the time.

C.4.1.2. The contractor shall process remote ADSMs’ enrollments.

Performance Standard

a) Standard: The contractor shall process remote ADSMs’ enrollment actions in accordance with

TSM, Chapter 3; and Section J, Attachment J-3a, Program Operations.

AQL: 99% of remote ADSM enrollment actions shall be accurate and complete, and within 5 business days of receipt of the updated information.

M010 Management Report

C.4.1.3. The contractor shall provide and maintain access to general and specialty network providers for ADSMs.

Network compliance shall be determined based off the network provider’s fixed structure location. “Driving miles” do not include alternative means of transportation (e.g. ferries, trains, or planes) in order for the beneficiary to access the provider’s office.

“Rural” is defined as less than 1,000 residents per square mile.

“Suburban” is defined as 1,000 to 3,000 residents per square mile.

“Urban” is defined as more than 3,000 residents per square mile.

See Section H.6.1., Network Provider Retention incentive, and Section J, Attachment J-3a, Program Operations for provider requirements.

Performance Standards

a) Standard: The contractor shall establish networks for general dental care in the 50 United

States, District of Columbia, U.S. Virgin Islands, Guam, Puerto Rico, American Samoa, and the

Northern Mariana Islands.

AQL: (1) For Rural: 97% of ADSMs shall have access to two general dentists within 21 calendar days of requesting a periodic or initial (non-emergency) appointment and within

35 driving miles of ADSM DTF referred care and place of residence for remote ADSMs.

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(2) For Suburban: 97% of ADSMs shall have access to two general dentists within 21

15 driving miles of ADSM DTF referred care and place of residence for remote ADSMs.

(3) For Urban: 97% of ADSMs shall have access to one general dentist within 21

5 driving miles of ADSM DTF referred care and place of residence for remote ADSMs.

b) Standard: The contractor shall establish networks for specialty dental care in the 50 United

States, District of Columbia, U.S. Virgin Islands, Guam, Puerto Rico, American Samoa, and the

Northern Mariana Islands.

AQL: (1) 90% of ADSMs shall have access to an orthodontist within 28 calendar days of requesting an appointment and within 35 driving miles of ADSM DTF referred care and place of residence for remote ADSMs.

(2) 95% of ADSMs shall have access to an oral surgeon within 28 calendar days of

(3) 85% of ADSMs shall have access to an endodontist within 28 calendar days of

(4) 85% of ADSMs shall have access to a periodontist within 28 calendar days of

(5) 80% of ADSMs shall have access to a prosthodontist within 28 calendar days of

c) Standard: The contractor shall maintain a network provider retention rate in accordance with

Section J, Exhibit B, Contract Data Requirements List (CDRL) M050, Provider Network Access

Report. For OP 1 the COR will validate the baseline 6 months after start of dental care delivery.

The baseline shall be reset at the beginning of each OP, and the Contracting Officer

Representative (COR) will re-validate at the end of the OP.

AQL: 95% of network providers shall be retained annually.

M050 Provider Network Access Report

C.4.1.4. The contractor shall develop, maintain and make available to ADSMs, providers and Government representatives an up-to-date directory of network providers.

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a) Standard: The contractor shall post the updated directory on the contractor’s website in accordance with Section J, Attachment J-3a, Program Operations.

AQL: 100% updated within 5 business days of receipt of the updated information.

M050 Provider Network Access Report

C.4.1.5. The contractor shall develop and maintain agreements with TRICARE OCONUS

Preferred Dentists (TOPDs).

a) Standard: The contractor shall complete agreements with existing providers identified by the

Government and for any new providers identified each option period in accordance with Section

J, Attachments J-3b, Program Operations for OCONUS; and J-13, Transition-In.

AQL: The contractor shall complete agreements with 95% of those existing providers identified by the DHA COR prior to OP 1 and any new providers identified each option period.

b) Standard: The contractor shall make available to ADSMs, TOPDs and Government representatives an up-to-date list of TOPDs in accordance with Section J, Attachment J-3b, Program Operations for OCONUS.

AQL: 100% updated within 5 business days of receipt of the updated information.

W010 Transition-In Status Report

R010 MOU with TRICARE Overseas Program (TOP) Contractor

C.4.1.6. The contractor shall process referrals, appointments and authorizations for

ADSMs.

a) Standard: The contractor shall schedule appointments as requested in accordance with Section

J, Attachment J-3a, Program Operations.

AQL: 90% of appointments shall be scheduled within 5 business days of the request.

b) Standard: The contractor shall complete authorization requests in accordance with Section J, Attachment J-3a, Program Operations.

AQL: (1) 95% of authorization requests shall be electronically sent to the Dental Service Point of Contact (DSPOC) within 5 business days of receipt of a complete authorization request (to include required documentation).

(2) 100% of authorization requests shall be electronically sent to the DSPOC within 7 business days of receipt of a complete authorization request (to include required documentation).

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(3) 95% of authorization requests shall be completed within 5 business days of receiving all required information from the DSPOC.

(4) 100% of authorization requests shall be completed within 7 business days of receiving all required information from the DSPOC.

C.4.1.7. The contractor shall process claims to completion for ADSMs and providers.

“Process to completion” is defined in the TOM, Appendix A.

a) Standard: Process claims to completion.

AQL: (1) CONUS Claims

95% within 14 calendar days of receipt.

98% within 30 calendar days of receipt.

100% within 60 calendar days of receipt.

(2) OCONUS Claims

95% within 21 calendar days of receipt.

98% within 45 calendar days of receipt.

100% within 60 calendar days of receipt.

b) Standard: Claims shall be accurately paid in accordance with the covered benefit. CONUS and OCONUS claims shall be separately tracked.

AQL: 98% are accurately paid on initial submission of the claim.

c) Standard: Claim errors shall be corrected. CONUS and OCONUS claims shall be separately tracked.

AQL: 99% are corrected within 10 calendar days after contractor identifies the error.

M020 Market Basket Comparison/CDT Summary Report

A010 Market Basket Comparison/CDT Summary Report

A070 MOU with TRICARE Claims Review Services (TCRS) Contractor

R190 MOU with Federal Employee Dental & Vison Insurance Program (FEDVIP)

C.4.1.8. The contractor shall process all appeals to completion.

a) Standard: The contractor shall process provider, ADSM and remote ADSM appeals in

AQL: (1) 100% of completed appeal packages shall be forwarded to the DSPOC within 7 calendar days of receipt.

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(2) The appealing party will be notified of the decision within 14 calendar days after receipt 100% of the time.

C.4.1.9. The contractor shall process all grievances to completion.

a) Standard: The contractor shall process provider and ADSM and grievances to completion in

AQL: 95% within 60 calendar days of receipt.

99.9% within 90 calendar days of receipt.

C.4.1.10. The contractor shall provide readily accessible comprehensive customer service for ADSMs and providers.

a) Standard: The contractor shall provide customer service in accordance with Section J, Attachment J-3a, Program Operations.

AQL: (1) 98% of telephone calls answered by Automated Response Unit within 30 seconds.

(2) 80% of telephone calls answered by Customer Service Representative (CSR) within

30 seconds of selection by caller.

(3) 5% or less telephone calls blocked at all times (measured at least hourly).

(4) 80% of telephone calls resolved during the initial call; 99.9% within 7 business days.

(5) Priority Written and E-mail Correspondence (final response). Priority correspondence is that which is received from Members of Congress, DoD leadership and DHA leadership.

95% within 7 business days of receipt

99.9% within 20 business days of receipt.

(6) Non-priority (routine) Written and E-mail Correspondence (final response).

85% within 10 business days of receipt

99.9% within 30 business days of receipt.

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C.4.2. The contractor shall promote the value of utilizing diagnostic and preventive services.

C.4.2.1. The contractor shall inform and educate ADSMs, providers, and Military Dental

Treatment Facilities (DTF) staff about the program benefits with emphasis to the ADSMs about the benefit of utilizing diagnostic and preventive services.

a) Standard: The contractor shall comply with its education plan in accordance with Section J, Attachment J-3a, Program Operations. The contractor shall allow 30 calendar days for the DHA

Dental Program Section to approve/deny any changes to the contractor’s education plan. Timing of the publication and/or implementation shall be mutually agreed upon between the contractor and DHA Dental Program Section.

AQL: 99% of planned education activities shall be completed within the current option period.

AP010 ADSM, Provider and DTF Education Plan

R110 MOU with DHA Communications

C.4.3. The contractor shall provide data systems to coordinate care between the DHA

Dental Program Section, Military DTF ADSM referred care, and remote ADSM dental care authorizations, and the means in which to monitor dental health plan data and outcome measures for all dental care rendered.

C.4.3.1. The contractor shall provide training for the users on the data systems stated in

Section J, Attachment J-3c, Program Operations for Data Systems.

a) Standard: The contractor shall train (initial and refresher) and provide secure means for the users to access the systems for viewing and/or utilization. The contractor may provide the training on-site or electronically.

AQL: (1) Initial system training conducted during the Transition-In period shall be completed no later than 30 calendar days prior to OP 1.

(2) After start of OP 1, new users shall receive initial training no later than 30 calendar days after identification is made to the contractor.

(3) Refresher training shall be provided quarterly.

C.4.3.2. The contractor shall provide Government designated users with read-only access to the contractor’s full ADDP data set.

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a) Standard: The user shall have the ability to download any of the data elements for manipulation purposes in accordance with Section J, Attachment J-3c, Program Operations for

Data Systems.

AQL: The system shall be available 99% of the time 24 hours, 7 days a week (excluding downtime for scheduled maintenance).

C.4.3.3. The contractor shall provide Government designated users with read-only access to an ADDP dashboard.

a) Standard: The ADDP data shall be provided in a consolidated manner in which the user shall have the ability to easily view dental health plan data and the outcome measurements without having to manipulate the data in order to retrieve the information in accordance with Section J, Attachment J-3c, Program Operations for Data Systems.

C.4.3.4. The contractor shall establish an electronic means to track and transmit ADSM referrals and authorizations.

a) Standard: The system shall be Health Insurance Portability and Accountability Act (HIPAA) and Public Key Infrastructure (PKI) compliant, which shall allow the user the ability to search, process, and transmit referrals and authorizations in accordance with Section J, Attachment J-3c, Program Operations for Data Systems.

C.4.3.5. The contractor’s system shall interface with the Military Health Services (MHS)

Genesis/Defense Health Medical Systems Modernization (DHMSM) Electronic Health

Record System (EHRS).

The contractor shall implement the MHS Genesis/DHMSM EHRS at a later date as directed by

DHA. DHA will provide the MHS Genesis/DHMSM EHRS requirements will be incorporated into the contract prior to implementation.

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C.4.3.6. The contractor shall correct any data submission mistakes identified by the

Government or the contractor.

a) Standard: If the Government or the contractor identify data submission mistakes (e.g. the manner in which the data is submitted leads to incorrect data reporting), the contractor shall correct the mistakes.

AQL: 99% within 30 calendar days of identification.

100% within 60 calendar days of identification.

C.5. ADDITIONAL REQUIREMENTS.

C.5.1. System Security. The contractor shall acquire, develop, and maintain processes for safeguarding unclassified DoD information, including covered defense information, commonly referred to as controlled unclassified information on all contractor/subcontractor systems/networks that store, process, transmit or access unclassified DoD information or controlled unclassified information in accordance with TSM, Chapter 1, Section 1.1. The contractor shall implement and maintain adequate security in its project, enterprise, or company-wide internal information systems or covered contractor information systems that process, store, create, or transmit unclassified DoD information in accordance with the basic safeguarding requirements in FAR 52.204-21. The contractor shall implement and maintain adequate security in its project, enterprise, or company-wide internal information systems or covered contractor information systems that process, store, create, or transmit covered defense information, commonly referred to as controlled unclassified information (e.g. PII/PHI), in accordance with safeguarding covered defense and cyber incident reporting requirements in DFARS Clause

252.204-7012. Covered contractor information systems shall be subject to the security requirements in National Institute of Standards and Technology (NIST) Special Publication (SP)

800-171, "Protecting Controlled Unclassified Information in Nonfederal Information Systems and Organizations", Privacy Act Program Requirements (DoD 5400.11-R), NIST Certification and Compliance Checklist, and the Personnel Security Program (DoD 5200.2-R). The contractor's Annual Checklist and Certification for Minimum Level of Enhanced Safeguarding for DoD Controlled Unclassified Information (also known as the "NIST Checklist") is required prior to accessing DoD data, interfacing with Government systems, or conducting testing.

A030 NIST Certification of Compliance Report

A050 Disaster Recovery Test Results Report

AP020 Continuity of Operations Plan (COOP)

C.5.2. Health Insurance Portability and Accountability Act (HIPAA). The contractor shall comply with the HIPAA requirements of TOM, Chapter 19.

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Deliverables

M030 HIPAA/Privacy Complaint Report

A040 Risk Assessment Letter of Assurance

R070 Designated Standards Maintenance Organization (DSMO) Meeting Summary Report

R130 Breach Report

C.5.3. Transition.

C.5.3.1. The transition-in of this contract shall be conducted in accordance with the requirements stated in Section J, Attachments J-13, Transition-In.

R030 Transition-In Integrated Master Plan (IMP) and Integrated Master Schedule (IMS)

R180 B2B Gateway Questionnaire

C.5.3.2. The transition-out and the residual services activities shall be conducted in accordance with Section J, Attachment J-14, Transition-Out and Residual Services. Transition-Out costs shall not apply, nor shall any payment be made on CLIN X007, if an incumbent contractor succeeds itself.

M060 Transition-Out and Residual Services Status Report

R040 Transition-Out and Residual Services Plan

C.5.4. Government Furnished Information.

C.5.4.1. The Government shall provide the contractor electronic data files containing relevant information pertaining to all ADSMs. The Government shall provide to the contractor a list of these data files and delivery times at the transition-in meeting with DMDC (see Section J, Attachments J-13, Transition-In). These data files will assist the contractor in determining their provider network adequacy and with ADSM educational purposes. The contractor shall comply with the security requirements stated in C.5.1. prior to receiving the data files.

C.5.4.2. The Government shall provide the contractor the appropriate application software required to access the DMDC Defense Eligibility Enrollment Reporting System (DEERS) to perform eligibility inquiries and remote enrollments. The Government shall grant the contractor access to DEERS only after the contractor's staff and all subcontractors' staff who will utilize systems which access and maintain ADDP data, are compliant with the safeguarding methods for unclassified DoD information, personnel security and clearance requirements as stated in C.5.1.

The contractor and its subcontractors shall comply with C.5.1. no later than 120 calendar days after award.

C.5.4.3. DMDC will print and mail enrollment cards for remote ADSMs. ADSMs that are not remote do not require an enrollment card (see TSM, Chapter 3, Section 4.2).

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C.5.4.4. The Government shall print and provide to the contractor educational documents as identified in Section J, Attachment J-3a, Program Operations.

C.5.5. Quality.

C.5.5.1. Quality Control Program (QCP). The contractor shall develop and implement a QCP in accordance with the TOM, Chapter 1, Section 4 (excluding paragraphs 2.2, 2.3, 2.4, 3.1, 3.2,

3.4 and 4.0) and Section J, Exhibit B, CDRL AP030, QCP Plan. The contractor shall maintain a

QCP that ensures that services are performed in accordance with the contract. The contractor shall develop and implement procedures to identify, prevent, and correct problems for the duration of the contract.

Q010 Quality Control Program (QCP) Report

AP030 Quality Control Program (QCP) Plan

C.5.5.1.1. Clinical Quality. The contractor shall ensure that their QCP Plan includes written policies and procedures to identify and review all potential quality issues (PQIs) from any source, to include grievances. A quality issue (QI) is a verified deviation, as determined by a qualified reviewer, from acceptable standards of practice or care as a result of some process, individual, or institutional component of the health care/dental care system. All QIs, regardless of the source, shall be reviewed and confirmed by qualified staff to determine deviations from standards of care, assign severity levels, recommend interventions to include Corrective Action

Plans (CAPs), report to licensure boards, and follow-up monitoring through resolution. All standard of care determinations shall be approved by the contractor’s head of clinical dental care.

The contractor shall assure all identified issues are tracked and trended and any patterns are identified; all issues must be appropriately addressed until complete resolution is achieved. The contractor shall ensure that no results from a quality review (quality assurance information) are disclosed to any person or entity unless specifically provided for under 10 USC §1102.

M010 Monthly Management Report

Q010 Quarterly Quality Control Program (QCP) Report

C.5.5.2. Contract Surveillance. The CO and COR will develop a Quality Assurance

Surveillance Plan (QASP) to define acceptable quality levels and identify how the COR will monitor the quality of the contractor’s performance and address contractor performance that falls below these standards. The CO and COR will finalize the QASP after award and provide a copy to the contractor (for purposes of the RFP see Section J, Attachment J-18, Draft QASP). The

QASP is a living document, and the Government may unilaterally update it as necessary. The

CO and COR will complete an annual contractor’s performance evaluation in the Contractor

Performance Assessment Report System (CPARS).

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C.5.6. Records Management. All contractor records generated under this contract shall be maintained in accordance with 36 CFR 1222; TOM, Chapter 9; Section J, Attachment J-13, Transition-In; and Attachment J-14, Transition-Out and Residual Services.

R140 Declaration of Transfer and Destruction of Records

C.5.7. Fraud and Abuse.

C.5.7.1. The contractor shall implement a Fraud and Abuse program in accordance with TOM, Chapter 13.

Q020 Fraud and Abuse Summary Report

A060 Fraud Detection and Prevention Strategy and Internal Procedures

R060 Threats Report

R090 Standard Operating Procedures (Desk Procedures)

R150 Random Sample Audit Worksheet

R160 Fraud/Abuse Patient Harm-Initial Notification Checklist

R170 DHA/MTF Fraud and Abuse Referral Cover Sheet

C.5.7.2. Potential Fraud and Abuse Cases. The contractor shall refer to DHA any potential case that involves more than a $10,000 loss to the Government and any potential case involving patient harm regardless of loss value (see TOM, Chapter 13, Section 3, for further requirements).

C.5.7.3. Post Payment Utilization Reviews. When performing post payment utilization reviews, the contractor shall consider high volume ADSMs as those ADSMs whose charges exceed $25,000 during a 12-month reporting period. High volume providers are considered institutional providers whose payments exceed $750,000, individual providers whose payments exceed $100,000, and group/clinics whose payments exceed $100,000 (the threshold average is

$25,000 per professional provider within the group) during a 12-month reporting period (see

TOM, Chapter 13, Section 4, for further requirements).

C.5.8. Military Health System (MHS) Data Repository (MDR) and MHS Mart (M2).

C.5.8.1. MDR is DHA’s centralized data repository that captures, archives, validates, integrates and distributes DHA corporate health care data worldwide. It receives and validates data from the DoD’s worldwide network of more than 260 health care facilities and from non-DoD data sources. M2 is DHA’s management and reporting tool. Each DHA contractor and DHA must program their systems to transmit and receive claims payment data to MDR and M2. The contractor shall provide dental care encounter data for input into the MDR. The data, which includes both clinical and financial information, will then be available for reporting and inquiry purposes in the MDR. The data will also be available on the reports residing on the M2.

C.5.8.2. The contractor shall work with the DHA…