TQMC_Section_F_3-10-15.doc

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TRICARE Quality Monitoring Contract (TQMC) Draft Solicitation
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HT9402-15-R-0005
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SECTION F

DELIVERIES OR PERFORMANCE

FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at these web site addresses:

https://www.acquisition.gov/far/ or http://farsite.hill.af.mil/ or http://www.acq.osd.mil/dpap/dfars/

FAR 52.242-15 STOP-WORK ORDER (AUG 1989)

(Reference FAR 42.1305(b))

3.0 PERIOD OF PERFORMANCE

Base Period (Transition-In) will be a minimum of 3 months beginning at date of contract award.

If exercised, Options 1, 2, 3, and 4, will be:

Option Period 1: April 1, 2015 through March 31, 2016

Option Period 2: April 1, 2016 through March 31, 2017

Option Period 3: April 1, 2017 through March 31, 2018

Option Period 4: April 1, 2018 through March 31, 2019

4.0 PLACE OF DELIVERY AND PROCEDURES

4.1. All certified and overnight mail for Contract Technical Reporting is to be delivered to: Defense Health Agency, Clinical Support Division, Health Systems Performance Branch, COR for CQSS, 7700 Arlington Boulevard, Suite 5101, Falls Church, VA 22042-5101.

4.2. All certified and overnight mail for: Contractual Terms and Conditions related transmissions are to be delivered to: Defense Health Agency, 16401 E. Centretech Parkway, Aurora, CO 80011 - 9066. DHA Normal Delivery Hours are 7:30 a .m. to 4:00 p.m. (local time), Monday through Friday, excluding Federal holidays.

5.0 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 in writing, giving pertinent details, including the date by which it expects to make delivery. This notification shall be informational only in character and the receipt thereof 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.

7.0 EXTENSIONS

Requests for extensions initiated by the contractor of due dates for deliverables under this contract shall be submitted to the Contracting Officer such that the request is received by the Contracting Officer prior to the due date in question. Requests may be transmitted via electronic methods or telefax. 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 of Due Date, the Contracting Officer shall consider whether there were circumstances beyond the foreseeable control of the contractor and peer reviewer that prevented timely delivery. Failure to adequately manage workload shall not be an acceptable basis for an extension. The contractor cannot assume an extension will automatically be granted. This section does not apply to the TMA Selected Cases.

8.0 REPORTS AND PLANS

8.1. Unless otherwise specified, contractors shall electronically submit all deliverables in a format approved by the Government to include Microsoft Office Excel, Word, PDF, or other specified format. Unless otherwise specified, all deliverables shall be submitted to DHA via the Ecommerce Extranet (https://tma-extranet.csd.disa.mil/logon/privacystatement.cfm). See the TOM, Chapter 14, and Section 2 for report submission requirements.

8.2. The contractor is accountable for assuring that reports contain accurate and complete data. The contractor shall prepare written procedures describing the source of information as well as the specific steps followed in the collection and preparation of data for each report. All reports must be supported with sufficient documentation and audit trails. The reports shall be titled as listed. The contractor shall submit a negative report if there is no data to report.

8.3. The contractor shall provide all the following reports and plans that are specified in Section J, Exhibit A, CDRLs.

8.4. WEEKLY REPORTS:

W010 Transition-in Weekly Report

W020 Transition-out Weekly Report

8.5. MONTHLY REPORTS:

M010 Secure Web Portal

M020 GTT MTF Report M030 GTT Service/DHA/System Report M040 GTT FAQ Report

M050 Behavioral Health Facilities Certification Listing

M060 Progress Report

M070 Knowledge Development

8.6. 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 Measure Reports

Q070 Purchased Care Contractor Performance Report

Q080 Internal Quality Management Report

8.7. ANNUAL REPORTS:

A010 HEDIS Compliance Audit

A020 NIST Certification Report A030 Autism Care Demonstration Report

8.8. ANNUAL PLANS:

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

8.9. AS REQUIRED REPORTS AND PLANS

R010 Standard 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 RESERVED

R080 Non-Disclosure Agreements

R090 Internal and External Reviews

R100 Quality of Care Reviews

8.10. ONE TIME PLANS

OT010 Transition-In Plan OT020 Transition-Out Plan

PAGE

TQMC HT9402-15-R-0005, Section F,

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