TOP_21_Section_J.docx

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TRICARE Overseas Program (TOP) 2021 Solicitation - HT940219R0001
Solicitation number
HT9402-19-R-0001
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About this file

This document contains a request for proposal for the TRICARE Overseas Program 2021 contract. The Defense Health Agency is soliciting proposals to provide a range of administrative healthcare support services for TRICARE-eligible beneficiaries residing outside the United States and District of Columbia. Required services include developing provider networks, referral management, eligibility verification, medical evacuations, records translation, customer service, beneficiary education, claims processing, and coding. The contract will be a single-award indefinite-delivery/indefinite-quantity agreement with fixed unit prices and a potential period of performance of eight years and six months. Proposals are due by October 31, 2019. Interested parties should monitor the federal business opportunities website for solicitation updates and responses to questions.

Section J, List of Attachments

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File Type Posted
13_TOP_21_Section_K_Amd_1_10-1-19.docx DOCX document
12_Section_J_Attachment_J-17_Draft_TOM_Chp_24__Amd_1_10-1-19.pdf PDF
7_Attachment_J-1_TOP_Prime_Locations_Amd_1_10-1-19.docx DOCX document
1_TOP_21_Amd_1_SF30_10-01-19_ma.pdf PDF
15_Attachment_L-5,_Price_Proposal_Template.xlsx XLSX spreadsheet
11_TOP_21,_Amendment_1,_CDRLs.zipx ZIPX file
4_TOP_21_Section_H_Amd_1_10-1-19.docx DOCX document
TOP_2021_Solicitation_Questions_10-1-19.pdf PDF
6_TOP_21_Section_J_Amd_1_10-1-19.docx DOCX document
9_Attachment_J-3_Non-network_designated_remote_locations__Amd_1_10-1-19_....docx DOCX document
14_TOP_21_Section_L_Amd_1_10-1-19.docx DOCX document
3_TOP_21_Section_G_amd_1_10-1-19.docx DOCX document
16_TOP_21_Attachment_L-6,_TRICARE_Select_Call_Volume_9-26.pdf PDF
2_TOP_21_Section_C_Amd_1_10-1-19.docx DOCX document
11_Attachment_J-12_Negotiated_Rates_Locations__Amd_1_10-1-19.docx DOCX document
8_Attachment_J-2,_TOP_Prime_Remote_Locations_Amd_10-1-19.docx DOCX document
10_Attachment_J-4_Government_Furnished_Equipment_Amd_1_10-1-19.docx DOCX document
5_TOP_21_Section_I_Amd_1_10-1-19.docx DOCX document
R020_Appeals_Processing_Guidelines,_Desk_Instructions_and_Reference_Materials.pdf PDF
R200_B2B_Gateway_Questionnaire.pdf PDF
R210_Systems_Integration_Test_Plans.pdf PDF
A030_Bridge_Letter_in_Support_of_Service_Organization_Control_Report.pdf PDF
Attachment_J-19,_Quality_Assurance_Surveillance_Plan.docx DOCX document
Attachment_L-4_Client_Authorization.docx DOCX document
Attachment_J-5,_Aeromedical_Evac_Patient_Movement_Flowchart.docx DOCX document
TOP_21_Section_M.docx DOCX document
Attachment_L-1a,_List_of_Data_Files.docx DOCX document
TOP_21_Section_H.docx DOCX document
Attachment_J-6_Network_Adequacy_Calculations.pdf PDF
TOP_21_SF33_Section_B.pdf PDF
CDRLs.zipx ZIPX file
Attachment_J-9,_Locations_Authorized_Private_Room.docx DOCX document
Attachment_L-3_Teaming_Subcontractor_Consent_Ltr.docx DOCX document
TOP_21_Section_B_CLIN_Descriptions.doc DOC document
Attachment_L-5,_Price_Proposal_Template.xlsx XLSX spreadsheet
TOP_21_Section_C.docx DOCX document
TOP_21_DHA_Responses_to_Draft_RFP_Questions_.docx DOCX document
Attachment_J-1,_TOP_Prime_Locations.docx DOCX document
TOP_21_Section_I.docx DOCX document
TOP_2021_Solicitation_Questions.docx DOCX document
TOP_21_Section_D.docx DOCX document
Attachment_J-8,_Special_Payment_Conditions.docx DOCX document
TOP_21_Section_F.docx DOCX document
Attachment_L-1b,_Detail_Level_Claims_Data_Fields.doc DOC document
Attachment_L-2_Past_Performance_Questionnaire.doc DOC document
TOP_21_Section_K.docx DOCX document
TOP_21_Section_E.docx DOCX document
TOP_21_Section_L.docx DOCX document
Attachment_J-4,_Government_Furnished_Space_and_Equipment.docx DOCX document
Attachment_L-1d,_Business_Associate_Agreement.docx DOCX document
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Text version

Section J List of Attachments

The following attachments and documents form an integral part of this contract. Contractors are required to comply with the direction provided by this section. Documentation incorporated in this contract by reference has the same force and effect as if set forth in full.

J-1
TOP Prime Locations
J-2
TOP Prime Remote Locations
J-3
Non-network Designated Remote Locations
J-4
Government Furnished Space and Equipment by Location
J-5
Aeromedical Evacuations Patient Movement Flowcharts
J-6
Network Adequacy Calculations/Exclusions
J-7
Special Healthcare Payment Conditions - Japan
J-8
Special Payment Conditions - Administrative Charges that are Attendant to the Delivery of Healthcare
J-9
Locations Authorized Private Rooms for Active Duty Service Members
J-10
Medical Capability Reporting
J-11
Block Overflight Permit Locations
J-12
Negotiated Rate Locations
J-13
Host Nation Facility Support
J-14
Guaranty Agreement for Corporate Guarantor
J-15
Small Business Subcontracting Plan
J-16
Service Contract Act or Collective Bargaining Agreement Wage Determination(s) (if applicable)
J-17
Draft TOM Chapter 24
J-18
Draft TPM Chapter 12
J-19
Draft Quality Assurance Surveillance Plan (QASP)

EXHIBITS

Exhibit A: DD Forms 1423-1, Contract Data Requirements List (CDRL)

(End of Section)

HT940219R0001 Page J1 of J1

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