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SECTION F
DELIVERIES OR PERFORMANCE
F.1. FAR 52.242-15 STOP-WORK ORDER (AUG 1989).
F.2. PERIOD OF PERFORMANCE. Beginning the date of award, the contractor shall begin transition-in activities and complete the specific transition-in tasks in accordance with the contract requirements and the contractor’s Transition-in Plan (CDRL P110). The Contracting Officer will revise the periods of performance for the option periods based on the actual date of award.
F.2.1. Base Period/Transition-In: September 1, 2020–August 31, 2021
F.2.2. Option Periods 1 through 7 (if exercised) will be:
| • | Option Period 1: September 1, 2021–August 31, 2022 |
| • | Option Period 2: September 1, 2022–August 31, 2023 |
| • | Option Period 3: September 1, 2023–August 31, 2024 |
| • | Option Period 4: September 1, 2024–August 31, 2025 |
| • | Option Period 5: September 1, 2025–August 31, 2026 |
| • | Option Period 6: September 1, 2026–August 31, 2027 |
| • | Option Period 7: September 1, 2027–August 31, 2028 |
F.3. PLACE OF POSTAL DELIVERY AND PROCEDURES.
F.3.1. The contractor will submit the majority of deliverables and correspondence via email or the DHA web-based E-Commerce Performance Assessment Tool (PAT) (see paragraph F.5.). For items the contractor cannot submit by these means, the contractor shall deliver them to the designated DHA point of contact at:
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.
F.4. NOTICE REGARDING LATE DELIVERY. In the event the contractor anticipates difficulty in complying with the delivery schedule, the contractor shall immediately notify the CO and the 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 it shall not be construed as the Government’s waiver of any contract delivery schedule or any rights or remedies provided by law or under this contract.
F.5. REPORTS AND PLANS.
F.5.1. Unless otherwise specified, the contractor shall electronically submit all deliverables in a format approved by the Government including, but not limited to, Microsoft Office Excel, Word, PowerPoint, and portable document format (PDF). Unless otherwise specified, the contractor shall submit all deliverables to DHA via the Ecommerce Extranet (https://dha-extranet.csd.disa.mil/home.cfm). For report submission requirements the contractor shall refer to the TOM, Chapter 14, and Section J, Attachment J-17, Draft TOM Chapter 24, Section 15.
F.5.2. The contractor shall submit reports that 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. The contractor shall support all reports with sufficient documentation and audit trails. The contractor shall title reports as specified below. The contractor shall submit a negative report if there are no data to report.
Daily Reports.
| D010 |
| Pass Through Contractor Payment/Check Issue Data |
Weekly Reports.
| W010 |
| Transition-In Status Report |
| W020 |
| Transition-Out Status Report |
Monthly Reports.
| M010 |
| Case Management Report |
| M030 |
| CQM Quality Intervention Report |
| M040 |
| Global Monthly Summary Report |
| M050 |
| HIPAA Privacy Complaint Report |
| M060 |
| Medical Evacuation Report |
| M070 |
| Preauthorizations/Authorizations and Referral Timeliness/Accuracy Report |
| M090 |
| Active duty Service Member(ADSM) Claims Report - Pended or Denied Claims |
| M100 |
| Network Adequacy/Inadequacy Report |
| M110 |
| Overpayment Cases Against VA Facilities |
| M120 |
| Overseas Currency Report |
| M130 |
| Paid Claims and Current Inventory Report (All Beneficiaries) |
| M140 |
| Non-Financially Underwritten Accounts Receivable Summary Report (Government Medicare Dual Eligible) |
| M150 |
| Non-Financially Underwritten Accounts Receivable Summary Report (Government TRICARE Only Eligible) |
| M160 |
| Non-Financially Underwritten Accounts Receivable Summary Report(Non-Government Medicare Dual Eligible) |
| M170 |
| Non-Financially Underwritten Accounts Receivable Summary Report (Non-Government TRICARE Only Eligible) |
| M180 |
| Non-Financially Underwritten Bank Account Reconciliation Report (Non-Accrual Fund Eligible) |
| M190 |
| Non-Financially Underwritten Bank Account Reconciliation Report (MERHCF/Accrual Fund Eligible) |
| M200 |
| Non-Financially Underwritten Bank Account Statement Report (Medicare Dual Eligible) |
| M210 |
| Non-Financially Underwritten Bank Account Statement Report Account Statement Report (TRICARE Only Eligible) |
| M220 |
| Non-Financially Underwritten Bank Account Statement Report Bank Cleared Payment Data |
| M230 |
| TOP Prime Remote PCM/Enrollment Report |
| M240 |
| TRICARE Premium Activity Report |
| M250 |
| Comprehensive Autism Care Demonstration Report (M) |
| M260 |
| Integrated Disability Evaluation System (IDES) Memorandum of Agreement (MOA) Claims Without Authorization |
| M270 |
| Advanced Rehabilitation Center Referrals |
Quarterly Reports.
| Q010 |
| Appeals Quality Assessment Report |
| Q020 |
| Internal Quality Management/Quality Improvement Report |
| Q040 |
| Fraud and Abuse Summary Report |
| Q050 |
| Remote ADSM Dental Report |
| Q060 |
| Mental Health Counselor Status Report |
| Q070 |
| Comprehensive Autism Care Demonstration Report (Q) |
| Q080 |
| Retrospective Review Validation Report |
Semiannual Reports.
| SA010 |
| Agency for Healthcare Research and Quality(AHRQ) Patient Safety Indicators(PSIs) Report |
| SA020 |
| Comprehensive Autism Care Demonstration Report (SA) |
Annual Reports.
| A010 |
| Risk Assessment Letter of Assurance |
| A020 |
| Service Organization Control Report (SOC1) - Statement on Standards for |
Attestation Engagements, SSAE No. 18 (Prime with Subservice Organization)
| A030 |
| Bridge Letter in Support of Service Organization Control Report (SOC1) - |
Statement on Standards for Attestation Engagements, SSAE No. 18 (Prime with Subservice Organization)
| A040 |
| Service Organization Control Report (SOC1) - Statement on Standards |
for Attestation Engagements, SSAE No. 18 (Subservice Organization)
| A050 |
| Bridge Letter in Support of Service Organization Control Report (SOC1) - |
Statement on Standards for Attestation Engagements, SSAE No. 18 (Subservice Organization)
| A060 |
| Third Party Recoveries for Fiscal Year Report |
| A070 |
| NIST Certification of Compliance Report |
| A080 |
| Disaster Recovery Test Results Report |
| A090 |
| MOU with East Region Contractor |
| A100 |
| MOU with West Region Contractor |
| A110 |
| Clinical Quality Management Program (CQMP) Report |
| A120 |
| IDME Ratios for Children's Hospitals Report |
| A130 |
| Contract Releasable under FOIA |
| A140 |
| MOU with Uniformed Services Family Health Plan (USFHP) Designated Providers |
| A150 |
| Fraud Detection and Prevention Strategy and Internal Procedures |
| A160 |
| MOU with TRICARE Claims Review Contractor (TCRS) |
| A170 |
| MOU with Global Nurse Advice Line Contractor (GNAL) |
Plans.
| P010 |
| Clinical Quality Management Program/Clinical Quality Oversight Plan |
| P020 |
| Medical Management(MM)/Utilization Management(UM) Plan |
| P030 |
| Network Implementation Plan |
| P040 |
| Continuity of Operations Plan (COOP) |
| P050 |
| Case Management Plan |
| P060 |
| COCOM Contingency Support Pan |
| P070 |
| Contingency Program Plan |
| P080 |
| Contractor Owned Facilities Mitigation Plan |
| P100 |
| Internal Quality Management/Quality Improvement Program Plan |
As Required Plans/Reports.
| R020 |
| Appeals Processing Guidelines, Desk Instructions and Reference Materials |
| R030 |
| Responsibilities Assignment Matrix (RAM) |
| R040 |
| Inpatient Admission/Notification of Case Report |
| R050 |
| Malpractice Insurance and Licensure/Certification Requirements |
| R060 |
| Serious Reportable Events |
| R070 |
| Program Integrity Standard Operating Procedures (Desk Procedures) |
| R090 |
| DSMO Meeting Summary Report |
| R110 |
| MTF Notification of Active Duty Service Member (ADSM) Pended or Denied Claims |
| R120 |
| Declaration of Transfer and Destruction of Records |
| R130 |
| Fraud/Abuse Patient Harm-Initial Notification Checklist |
| R140 |
| Program Integrity Random Sample Audit Worksheet |
| R150 |
| DHA/MTF Fraud & Abuse Referral Cover Sheet |
| R160 |
| SOR with TAO Eurasia-Africa Director |
| R170 |
| SOR with TAO Latin America & Canada Director |
| R180 |
| SOR with TAO Pacific Director |
| R190 |
| SOR with Military Treatment Facility (MTF) |
| R200 |
| B2B Gateway Questionnaire |
| R210 |
| System Integration Test Plans |
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