J-11 Dental Plan Codes v1.docx

DOCX document 19 KB Posted

Attached to
Active Duty Dental Program 3 (ADDP3) Federal contract opportunity
Solicitation number
HT9402-20-R-0001
Issued by
Defense Health Agency

About this file

This notice provides information regarding a potential new single award indefinite delivery/indefinite quantity contract for Active Duty Dental Program 3 (ADDP3) services. The Defense Health Agency (DHA) anticipates the contract will have a 1-year base period for transition, seven 1-year option periods for health care delivery, a 1-year phase out period, and a potential 6-month extension. The contract is expected to consolidate ADDP requirements with dental services for the TRICARE Overseas Program. DHA seeks industry feedback on the draft RFP documents attached through responses to questions in the "ADDP3 RFI 1" and comments in the "Additional Questions and Comments" spreadsheet. Interested parties should submit any questions or comments to the contracting officer by email, with the subject line "DRAFT ADDP3 HT9402-20-R-0001". DHA may issue a formal solicitation early next year on Beta.SAM.gov.

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J-19c Sample Client Authorization Letter v1.docx DOCX document
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J-3a Program Ops v2.docx DOCX document
J-8 DSPOC Review Codes v2.docx DOCX document
ADDP3 Additional Questions and Comments.xlsx XLSX spreadsheet
Exhibit A CDT Codes.v3.xlsx XLSX spreadsheet
J-10 Uniformed Services DTFs DMIS ID v1.docx DOCX document
J-1 Definitions v1.docx DOCX document
ADDP3 DRAFT Sec B-M.pdf PDF
J-3b Program Ops OCONUS v2.docx DOCX document
J-9 DSPOC Materials Checklist v2.docx DOCX document
J-7b DoD Oral Health Readiness Classification v1.docx DOCX document
J-5a Instructions for Remote ADSM Dental Care v2.docx DOCX document
J-7a DD2813 Exam Screen v1.pdf PDF
J-5b Sample Command Memo v1.docx DOCX document
J-19a Past Performance Questionnaire v1.docx DOCX document
J-3c Program Ops Data v2.docx DOCX document
J-2 Benefits Exclusions and Limitations v2.docx DOCX document
J-12 MDR Data Elements Layout v2.docx DOCX document
J-18 Draft ADDP QASP.docx DOCX document
ADDP3 RFI 1.docx DOCX document
J-17 Guarantee Agreement for Corporate Guarantor v1.pdf PDF
J-20 Ordering Instructions for Data Files v1.docx DOCX document
J-6 Similar or Alternate Dental Procedure Codes Accepted Ref & Auths v2.docx DOCX document
J-4 Procedures for Remote ADSM Categories v2.docx DOCX document
J-13 Transition-In v2.docx DOCX document
J-14 Transition-Out and Residual Services v2.docx DOCX document
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Text version

Attachment J-11 Dental Plan Codes

ADDP Dental Plan codes as shown in the Defense Enrollment Eligibility Reporting System (DEERS) for Active Duty Service Members and Guard/Reserve members that are on Active Duty.

025 – Direct Care Dental for ADSMs 026 – Direct Care Dental for Active Duty Foreign Military 232 – Remote Dental – ADSMs enrolled in TRICARE Prime Remote 233 – Remote Dental – ADSMs not enrolled in TRICARE Prime Remote 234 – Remote Dental – ADSM auto enrollment in TRICARE Prime Remote as deemed by Dental Program Office

ADDP3Attachment J-11
HT9402-20-R-0001Page 1 of 1

File details come from the government source that posted it. Updated .