6_Section_F_5-19-15.doc

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TRICARE Quality Monitoring Contract (TQMC)
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HT9402-15-R-0005
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Section F

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SECTION F, DELIVERIES OR PERFORMANCE

1.0 CONTRACT CLAUSES:

52.242-15 STOP-WORK ORDER (AUG 1989)

2.0 PERIOD OF PERFORMANCE:

From the date of award to the beginning of Option Year 1, the contractor shall begin transition-in activities and complete the specific tasks by the timelines specified in the contractor’s Transition-in Plan (CDRL OT010). The Contracting Officer (CO) will revise the periods of performance for the option years (OYs) based on the actual date of award. If exercised, periods of performance for OYs 1-5 will be:

OY 1: October 1, 2015, through September 30, 2016 OY 2: October 1, 2016, through September 30, 2017

OY 3: October 1, 2017, through September 30, 2018 OY 4: October 1, 2018, through September 30, 2019 OY 5: October 1, 2019, through September 30, 2020

3.0 PLACE OF DELIVERY AND PROCEDURES:

3.1 The contractor will submit the majority of TQMC deliverables and correspondence via email or the DHA web-based E-Commerce Performance Assessment Tool (PAT) (see Section F, paragraph 6.0). For items the contractor cannot submit by these means, the contractor shall deliver them to the DHA designated point of contact at:

Defense Health Agency, Clinical Support Division, Health Systems Performance Branch, 7700 Arlington Boulevard, Suite 5101, Falls Church, VA 22042-5101.

3.2 For items the contractor cannot submit via email to the Contracting Officer, the contractor shall deliver them to:

Defense Health Agency, Contract Operations Division-Aurora (TQMC)

16401 E. Centretech Parkway Aurora, CO 80011 - 9066

3.3 Normal delivery hours are 7:30 a .m. to 4:00 p.m. (local time), Monday through Friday, excluding federal holidays.

4.0 NOTICE REGARDING LATE DELIVERY:

In the event the contractor anticipates difficulty in complying with the task order schedule, the contractor shall immediately notify the Contracting Officer’s Representative (COR) in writing, giving pertinent details, including the date by which it expects to make delivery. This notification shall be informational only in character and COR’s receipt of the notice shall not be construed as a waiver by the Government of any contract delivery schedule, or any rights or remedies provided by law or under this contract.

5.0 EXTENSIONS: The contractor shall request in writing an extension of due dates for a deliverable under this contract to the COR prior to the due date. Requests shall include a detailed explanation of the circumstances justifying the extension, the date by which delivery can occur, and the justification for that date. In reviewing a request for extension, the COR shall consider whether there were circumstances beyond the foreseeable control of the contractor that prevented timely delivery and recommend approval or disapproval to the CO. Failure to adequately manage workload shall not be an acceptable basis for an extension. The contractor cannot assume an extension will automatically be granted.

6.0 REPORTS AND PLANS:

6.1 Unless otherwise specified, contractors shall electronically submit all deliverables in a format approved by the Government including, but not limited to, Microsoft Office Excel, Word, PowerPoint, and PDF. Unless otherwise specified, the contractor shall submit all deliverables via the PAT in the DHA E-commerce Extranet (https://tma-extranet.csd.disa.mil/logon/privacystatement.cfm). If the contractor has any questions concerning the PAT, the contractor shall contact PAT Support at PATSupport@dha.mil or (303) 676-3667. See the TOM Chapter 14, and Section 2 for report submission requirements.

6.2 The contractor shall ensure each deliverable contains accurate and complete data in accordance with its Internal Quality Management Plan (CDRL AP020) and healthcare best practices and standards. Each deliverable must be supported with sufficient documentation and audit trails. The deliverables shall be titled as listed. The contractor shall submit a negative response if there is no data to report.

6.3 The contractor shall provide all the following reports and plans that are specified in Section J, Exhibit A, Contract Data Requirements List (CDRL).

6.3.1 Weekly Reports:

W010 Transition-in Weekly Report

W020 Transition-out Weekly Report

6.3.2 Monthly Reports:

M010 Secure Web Portal

M020 Global Trigger Tool-MTF Report M030 Global Trigger Tool Service/DHA System Level Reporting M040 Global Trigger Tool FAQ Report

M050 Behavioral Health Facilities Certification List M060 Monthly Progress Report

M070 Knowledge Development

6.3.3 Quarterly Reports:

Q010 Health Plan Data Reporting

Q020 ORYX® Data Reporting Q030 ORYX® Data Submission

Q040 RESERVED

Q050 National Hospital Quality Measures Raw Data File Q060 National Hospital Quality Measures Report Q070 Purchased Care Contractor Performance Report

Q080 Internal Quality Management Report

6.3.4 Annual Reports:

A010 Annual HEDIS® Compliance Audit A020 NIST Certification of Compliance Report A030 Autism Care Demonstration Quality Management Report

6.3.5 Annual Plans:

AP010 Continuity of Operations Plan (COOP) AP020 Internal Quality Management Program (IQMP) Plan AP030 Program Management Plan

6.3.6 As Required Reports and Plans:

R010 Standard of Care/Quality of Care Reviews

R020 Medical Necessity Reconsideration Reviews (Second Level Appeals) R030 Assessment Report for Behavioral Health Facilities

R040 Assessment of Evolving Practices, Devices, Medicines, Treatment and Procedures R050 Quality Improvement Studies

R060 Meeting Support

R070 Internal Reviews R080 DHA Contractor Non-Disclosure Agreement (DHA Form 49)

R090 External Reviews

R100 Breach Report

6.3.7 One Time Plans:

OT010 Transition-In Plan OT020 Transition-Out Plan

PAGE

TQMC HT9402-15-R-0005, Section F

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