6_TCRS_SECTION_F_11-10-16.pdf

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TRICARE Claims Review Services
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HT9402-17-R-0002
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Section F

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SECTION F, DELIVERIES OR PERFORMANCE

TCRS HT9402-17-R-0002, Section F Page F1 of F3

1.0 CONTRACT CLAUSES:

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

(Reference FAR 42.1305(b))

52.242-17 Government Delay of Work (APR 1984)

2.0 PERIOD OF PERFORMANCE:

From the date of award to the beginning of Option Period (OP) 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 periods based on the actual date of award. If exercised, the periods of performance for OPs 1-5 will be (Dates subject to changes based on award):

Base Period: Contract Award through July 31, 2017

OP 1: August 1, 2017, through July 31, 2018 OP 2: August 1, 2018, through July 31, 2019 OP 3: August 1, 2019, through July 31, 2020 OP 4: August 1, 2020, through July 31, 2021 OP 5: August 1, 2021, through July 31, 2022

3.0 PLACE OF DELIVERY AND PROCEDURES:

3.1 All certified and overnight mail for Contract Technical Reporting is to be delivered to: Defense Health Agency, Improper Payment Evaluation & Transition Section, COR for TCRS, 16401 E Centretech Parkway, Aurora, CO 80011-9066.

3.2 All certified and overnight mail for contractual terms and conditions are to be delivered to:

Defense Health Agency, Contract Operations Division–Aurora (TCRS), 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.

4.0 NOTICE REGARDING LATE DELIVERY:

In the event the contractor is unable to comply with the task order schedule, the contractor shall notify the CO or 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 the Government’s receipt of such notification shall not be construed as the Government’s waiver of any contract delivery schedule, or any rights or remedies provided by law under this contract.

5.0 EXTENSIONS:

If the contractor requests an extension for a deliverable due date, the contractor shall submit the request in writing to the COR not later than the 5th working day prior to the due date. The contractor 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.

TCRS HT9402-17-R-0002, Section F Page F2 of F3

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://ecommerceprod.csd.disa.mil/home.cfm). If the contractor has any questions concerning the PAT, the contractor shall contact PAT Support at https://tma-extranet.csd.disa.mil/logon/privacystatement.cfm or (303) 676-3667. See the TOM Chapter 14, and Section 2 for report submission requirements.

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

6.2.1 Weekly Reports:

W010 Transition-In Plan - Status Report W020 Transition-Out Plan - Status Report W030 Audit Status Report W040 Audit Workload Report

6.2.2 Monthly Reports:

M010 Employee Access to DoD IS/Network Report M020 HIPAA Privacy Complaint Report

6.2.3 Quarterly Reports:

Q010 Internal Quality Management Program Report

6.2.4 Annual Reports:

A010 National Institute of Standards and Technology (NIST) Certification of Compliance Report A020 Memorandum of Understanding (Submission Claims Documentation) North Region A030 Memorandum of Understanding (Submission Claims Documentation) South Region A040 Memorandum of Understanding (Submission Claims Documentation) West Region A050 Memorandum of Understanding (Submission Claims Documentation) TOP A060 Memorandum of Understanding (Submission Claims Documentation) TDEFIC A070 Memorandum of Understanding (Submission Claims Documentation) TPharm A080 Memorandum of Understanding (Submission Claims Documentation) ADDP A090 Disaster Recovery Test Report A100 Risk Assessment Letter of Assurance A110 Freedom of Information Act (FOIA) Releasable Contract

6.2.5 Annual Plans:

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

6.2.6 As Required Reports and Plans:

R010 Transition In-Plan https://tma-extranet.csd.disa.mil/logon/privacystatement.cfm

TCRS HT9402-17-R-0002, Section F Page F3 of F3

R011 DRG/OPPS Pricing Worksheets, North Region R012 DRG/OPPS Pricing Worksheets, South Region R013 DRG/OPPS Pricing Worksheets, West Region R014 DRG/OPPS Pricing Worksheets, TOP R015 DRG/OPPS Pricing Worksheets, TDEFIC R020 Analysis of Errors Report – North Region R030 Analysis of Errors Report – South Region R040 Analysis of Errors Report – West Region R050 Analysis of Errors Report – TOP R060 Analysis of Errors Report – TDEFIC R070 Analysis of Errors Report – TPharm R080 Analysis of Errors Report – ADDP R090 Internal Quality Assurance Review Report – North Region R100 Internal Quality Assurance Review Report – South Region R110 Internal Quality Assurance Review Report – West Region R120 Internal Quality Assurance Review Report – TOP R130 Internal Quality Assurance Review Report – TDEFIC R140 Internal Quality Assurance Review Report – TPharm R150 Internal Quality Assurance Review Report – ADDP R160 Compliance Reviews – First Rebuttal Response – North Region R170 Compliance Reviews – First Rebuttal Response – South Region R180 Compliance Reviews – First Rebuttal Response – West Region R190 Compliance Reviews – First Rebuttal Response – TOP R200 Compliance Reviews – First Rebuttal Response – TDEFIC R210 Compliance Reviews – First Rebuttal Response – TPharm R220 Compliance Reviews – First Rebuttal Response – ADDP R230 Compliance Reviews – Second Rebuttal Response – North Region R240 Compliance Reviews – Second Rebuttal Response – South Region R250 Compliance Reviews – Second Rebuttal Response – West Region R260 Compliance Reviews – Second Rebuttal Response – TOP R270 Compliance Reviews – Second Rebuttal Response – TDEFIC R280 Compliance Reviews – Second Rebuttal Response – TPharm R290 Compliance Reviews – Second Rebuttal Response – ADDP R300 Breach Report R310 Compliance Review Procedural Guidelines, Desk Instructions and Reference Materials R320 Contractor Non-Disclosure Agreements R330 Focus Study Analysis Report R340 Medical Record Review Analysis Report R350 Declaration of Transfer and Destruction of Records

6.2.7 One Time Plans:

OT010 Transition Out-Plan OT020 Memorandum of Understanding - (Patient Claims History) - North Region OT030 Memorandum of Understanding - (Patient Claims History) - South Region OT040 Memorandum of Understanding - (Patient Claims History) - West Region OT050 Memorandum of Understanding - (Patient Claims History) TOP OT060 Memorandum of Understanding - (Patient Claims History) TPharm OT070 Memorandum of Understanding - (Patient Claims History) TDEFIC

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