Q A_Set_3_ADDP_Solicitation.docx

SOLICITATION H9402-13-R-0002

ACTIVE DUTY DENTAL PROGRAM (ADDP)

QUESTION AND ANSWER (Q&A) SET #3

1. Exhibit A has duplicates for procedure codes D0477 and D7560. Please confirm the following corrections for these duplicate procedure codes:

· duplicate D0477 - the first should be D0476

· duplicate D7560 - the second should be D7660

Answer: These procedure codes will be corrected in Amendment 1.

2. In prior TMA dental solicitations, including the draft version of this solicitation, the TMA made it a point to request substantial quantities of substantiating pricing data. However, in this final solicitation the opposite seems to be the case. Is it the TMA's expectation that the Pricing Volume, Vol IV, consist of:

Answer: The paragraphs in the RFP under Section L.8 VOLUME IV – PRICE PROPOSAL FACTOR 3 - PRICE describe TMA’s instructions for preparation of the offeror’s proposal. All solicitations are stand-alone within the four corners of the document.

3. What is the format for manual enrollments? What is the enrollment process?

Answer: The Government assumes you are speaking to C.4.5 and C.8.2.2. The contractor shall enroll these remote ADSMs through DEERS Online Enrollment System (DOES) as stated in TSM Chapter 3 Section 1.6. See Section J Attachments J-3 and J-7 for further details on these members.

4. Will services ever be paid overseas for those with foreign addresses in DEERS?

Answer: No, overseas dental care is not covered by ADDP. Dental care provided overseas is covered by the TRICARE Overseas Program. See Section C.1.2 for the geographical locations covered by the ADDP contract. See Sections C.8.2 and C.8.2.3, and Section J Attachments J-3 and J-7 for procedures when an ADSM has a foreign address in DEERS but is requesting care in a geographical location covered by ADDP.

5. Do the sponsors utilize the BWE for enrollment?

Answer: No, ADDP sponsors do not enroll themselves, see the TSM Chapter 3 Sections 1.3 and 1.6.

6. For the referrals, what is the volume that is submitted via paper vs. electronic?

Answer: The Government does not track this information and does not have further information than that provided with the claims data in November 2012, at the same timeframe the draft RFP was posted that interested parties also had the opportunity to comment on.

7. What is the volume of RADSM referrals?

Answer: Remote claims and DTF referred claims are indicated in the claims file data provided in November 2012. This information is provided by each individual claim in the claims data file. The claims data indicates by code whether the care was provided in a DTF Service Area or if the claim is considered remote. See the Variable labeled DTF_AREA in the data dictionary which was provided in November 2012, at the same timeframe the draft RFP was posted that interested parties also had the opportunity to comment on.

8. What is the volume of appointments scheduled by UCCI, DTF, ADSM respectively?

Answer: The Government provided the volume of appointments scheduled by the incumbent to all interested parties points of contact on Mar 1st 2013 via email for this solicitation. The Government does not track appointments scheduled by the DTFs or ADSMs and does not have additional detail.

9. What is the breakdown of volume between member and provider?

Answer: The Government assumes that you are asking how many members per provider. If so, the Government does not track that information. The Government provided data on the number of eligible ADSMs in November 2012 at the same timeframe the draft RFP was posted that interested parties also had the opportunity to comment on. The claims data provided at that time indicates various information on providers.

10. We do not believe that "Executive Order 13495 - Nondisplacement of Qualified Workers Under Service Contracts" applies to the ADDP. Are we correct in assuming that it does not apply?

Answer: See FAR Clause in Section I, 52.222-17, Nondisplacement of Qualified Workers which is included and applicable to this solicitation.