SF_30_Amend_0001_4-11-13.pdf

_____1______

(x)

HT9402-12-R-0005

x x copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT

THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

HT9402

AURORA CO 80011-9066

16401 E CENTRETECH PARKWAY

TRICARE MANAGEMENT ACTIVITY COD

DEPARTMENT OF DEFENSE

HT9402

AURORA CO 80011-9066

16401 E CENTRETECH PARKWAY

TRICARE MANAGEMENT ACTIVITY COD

DEPARTMENT OF DEFENSE

04/11/20130001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

04/05/2013

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not, is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of this Amendment 0001 is to incorporate various changes into the TDEFIC Solicitation.

Continued on next page

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

Scott Lamond

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

scott.lamond@tma.osd.mil

303.676.3649

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

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a. The requirement for benchmark testing is deleted (See revised Attachment J-1, Draft TRICARE Operations Manual, Chapter 20, Section 5, 2.0. Start-up Requirements, paragraph 2.1, Systems Development).

b. Section B, Supplies or Services and Prices/Costs, was revised to correct the estimated quantities for Paper Claims Processing CLINs as follows:

CLIN 0101 the estimated quantity is increased from 185,000 to 6,519,394.

CLIN 0201 the estimated quantity is increased from 185,000 to 6,714,976.

CLIN 0301 the estimated quantity is increased from 180,000 to 6,916,425.

CLIN 0401 the estimated quantity is increased from 180,000 to 7,123,918.

CLIN 0501 the estimated quantity is increased from 180,000 to 7,337,635.

CLIN 0601 the estimated quantity is increased from 180,000 to 7,557,764.

c. Section J, List of Documents, Exhibits, and Other Attachments, was revised to reflect the correct attachments.

d. Section K, Representations, Certifications and Other Statements of Offerors, was updated to incorporate the Deviation 2013-O0010 to DFARS Clause 252.209-7995, REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID DELINQUENT TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW—FISCAL YEAR 2013 APPROPRIATIONS (DEVIATION 2013-O0010) (April 2013)

e. The following documents were revised to correct other minor typographical and grammatical errors in the documents indicated as follows (See track changes shown in the specific documents referenced below):

(1) Section C, Description/Specifications/Work Statement, paragraph 1.0 General was revised to read: 1.0. General: This contract applies to Active Duty family members, retired members, qualifying reservists and retired reservist members, their spouses and children and their surviving family members.

(2) Section C, paragraph 7.1.7: Deleted the comma in the first line after “provided.”

(3) Section G, Contract Administration Data, paragraph G.4 (c)(4): Changed “government wide” to “government-wide.”

(4) Section G, paragraph G.8.5.1, fourth line: Changed “fund” to “funds.”

(5) Section G, paragraph G.10.1, was revised as follows: “Authorization from TMA/CRM to release payments will be sent to the contractor via fax or e-mail no later than 5:00 PM Eastern Time on the day of receipt (as defined in paragraph G.9.2. Voucher Transmission Requirements) of the batch or voucher.”

(6) Section L, Instructions, Conditions, and Notices to Offerors, paragraph L.2.2.8, changed Continued ...

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HT9402-12-R-0005/0001

“pursues” to “pursue.”

(7) Section L, paragraph L.2.3, fourth line: Added a comma after “(the offeror)”

(8) Section L, paragraph L.6.3.2 was revised to add the following to end of paragraph L.6.3.2.: “(See Attachment J-8, Methodology for TMA’s Beneficiary Satisfaction Survey).”

(9) Section L, paragraph L.7.2, third line: Added a period after “subcontractor.”

(10) Section L, paragraph L.7.3. First sentence was revised to read “L.7.3. The offeror shall identify the five largest relevant contracts for itself and each of its first-tier subcontractors that are currently ongoing or have concluded in the last three years. The contracts shall be relevant to the services of this solicitation with similar magnitude based on the number of covered lives and the total number of claims processed annually.”

(11) Section L, paragraph L.9.4, fourth line: Added “to” between “fails” and “submit.”

(12) Attachment J-1, Draft TRICARE Operations Manual, Chapter 20, is revised as follows:

(a) Section 2. Jurisdiction, paragraph 2.1, Out of Jurisdiction Claims, was deleted.

(b) Section 5, Transition, paragraph 2.1, Systems Development, was revised to read “Approximately 60 calendar days prior to the initiation of services delivery under this contract, the non-claims processing systems and the telecommunications interconnections between these systems shall be reviewed by the TMA or its designees, to include a demonstration by the contractor of the system(s) capabilities, to determine whether the systems satisfy the requirements of TRICARE as otherwise provided in the contract. This includes the telecommunications links with TMA and DEERS. The review will also confirm connection to the NIPERNET for TRICARE Duplicate Claims System (DCS). The contractor shall effect any modifications required by TMA prior to the initiation of services delivery under this contract.”

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

HT9402-12-R-0005/0001

(13) Attachment J-2, Definitions, the definition of “Retained Claims” was revised to “Claims retained (held in the contractor’s possession) for any reason. Contractors shall retain all claims that contain sufficient information to allow processing to completion and all claims for which missing information may be developed from in-house sources, including DEERS and contractor operated or maintained electronic, paper, or film files. NOTE: Nothing in this definition prohibits a contractor from retaining a claim for external development.”

(14) Attachment J-8, Methodology for TMA’s Beneficiary Satisfaction Survey, the title was changed and at the beginning of the third paragraph “Satisfaction” was changed to “Highly Satisfied.”

As a result of these revisions, the total page count increased by 1 from 91 pages to 92 pages.

Delivery: 30 Days After Receipt Of Order Delivery Location Code: HT9402

DEPARTMENT OF DEFENSE

TRICARE MANAGEMENT ACTIVITY COD

16401 E CENTRETECH PARKWAY

AURORA CO 80011-9066

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED

HT9402-12-R-0005/0001

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TRICARE Management Activity is a Department of Defense organization and is therefore exempt from federal and state taxes.

This will be a fixed price contract for all Contract Line Item Numbers (CLINs):

TRANSITION

Date of Award for a minimum of 10 months From: 1 September 2013 Through 30 June 2014

0001 TRANSITION/PHASE-IN: to include 1 LT _________..____________

Security (Physical, Personnel and NIST) Certifications

0002 DATA. Proposed and delivered in accordance with

Section C and Section J (CDRLs) (Not Separately Priced)

OPTION PERIOD 1:

12 months From July 1, 2014 through June 30, 2015

ELECTRONIC CLAIMS PROCESSING

(All quantities are estimated)

44000000

CL _________..____________

0101 PAPER CLAIMS PROCESSING 6519394 CL _________..____________

0102 ADMINISTRATION. Includes all costs not included 12 MO _________..____________ within Electronic and Paper Claims Processing

CLINS

010201 DATA. Proposed and delivered in accordance with

Section C and Section J (CDRLs) (Not Separately Priced) (Qty:0 and Amt: $0.00)

HT9402-12-R-0005/0001

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ITEM NO.

SUPPLIES/SERVICES QUANTITY UNIT

UNIT PRICE

AMOUNT

0103 TRANSITION-OUT 1 LT _________..____________

OPTION PERIOD 2:

From July 1, 2015 through June 30, 2016

44220000

0201 PAPER CLAIMS PROCESSING 6714976 CL _________..____________

0202 ADMINISTRATION. Includes all costs not included 12 MO _________..____________ in Electronic and Paper Claims Processing CLINs

020201 DATA. Proposed and delivered in accordance with

Section C and Section J (CDRLs) ((Not separately priced)

0203 TRANSITION-OUT 1 LT _________..____________

OPTION PERIOD 3:

From July 1, 2016 through June 30, 2017

44441100

0301 PAPER CLAIMS PROCESSING 6916425 CL _________..____________

0302 ADMINISTRATION. Includes all costs not included 12 MO _________..____________ in Electronic and Paper Claims Processing CLINs.

HT9402-12-R-0005/0001

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030201 DATA. Proposed and delivered in accordance with Section C and Section J (CDRLs)(Not separately

Priced)

TRANSITION-OUT

LT

OPTION PERIOD 4:

From July 1, 2017 through June 30, 2018

44886621

CL ___________ _________.

0401 PAPER CLAIMS PROCESSING 7123918 CL _________..____________

0402 ADMINISTRATION.

Includes all costs not included 12 MO _________..____________

040201 DATA. Proposed and delivered accordance with

Section C and Section J

(Not separately priced)

OPTION PERIOD 5:

12 Months From: July 1, 2018 Through: June 30, 2019

0500 ELECTRONIC CLAIMS PROCESSING 45111621 CL _________..____________

HT9402-12-R-0005/0001

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0501 PAPER CLAIMS PROCESSING 7337635 CL _________..____________

0502 ADMINISTRATION. Includes all costs not included 12 MO _________..____________

050201 DATA. Proposed and delivered in accordance with Section C and Section J (CDRLs).

(Not separately priced)

OPTION PERIOD 6:

12 Months From: July 1, 2019 Through: June 30, 2020

0600 ELECTRONIC CLAIMS PROCESSING 45336609 CL _________..____________

0601 PAPER CLAIMS PROCESSING 7557764 CL _________..____________

0602 ADMINISTRATION. Includes all costs not included 12 MO _________..

in Electronic or Paper Claims Processing CLINS.

060201 DATA. Proposed and delivered in accordance with

Section C and Section J (CDRLs) (Not Separately Priced)