Attachment L-18 CDRL Supplemental Bid Schedule.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- HT940220R0002
- Issued by
-
Defense Health Agency
About this file
This document provides a draft request for proposal for the TRICARE Pharmacy Services, 5th Generation contract. The Defense Health Agency is seeking pharmacy services through a new stand-alone contract with fixed unit prices and an 18-month base period for transition-in followed by seven 1-year option periods for health care delivery and a potential 6-month extension. Services will include retail pharmacy networks, mail order pharmacy, specialty pharmacy, pharmacy benefits management, and care coordination. The agency requests that interested vendors review specified sections and provide any questions or comments on the draft RFP by January 17th, 2020. An information session on the draft RFP was held on December 11th, 2019. The agency estimates a formal solicitation may be issued in mid-2020.
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Text version
Sheet1
| CDRL Number | CDRL Title | Development | |
| (Transition) | Submission | ||
| (OP1) | Submission | ||
| (OP2) | Submission | ||
| (OP3) | Submission | ||
| (OP4) | Submission | ||
| (OP5) | Submission | ||
| (OP6) | Submission |
(OP7)
| A010 | FOIA Releasable Contract |
| A020 | MOU with DHA Communications |
| A021 | MOU with DHA Information Operations (Pharmacy Data Warehouse) |
| A022 | MOU with MHS Genesis Contractor |
| A023 | MOU with MCSC - East Region |
| A024 | MOU with MCSC - West Region |
| A025 | MOU with DHA Third Party Claims Review Contractor |
| A030 | Continuity of Operation Plan |
| A031 | Disaster Recovery Test Results |
| A040 | NIST Certification of Compliance Report updated 10.5.18 |
| A050 | Quality Control Annual Report |
| A060 | Statement on Standards for Attestation Engagement (SSAE) No. 16 |
| A061 | Bridge Letter Statement on Standards for Attestation Engagement No. 16 |
| A070 | Risk Assessment Letter of Assurance |
| A080 | Fraud Detection and Prevention Strategy and Internal Procedures |
| A090 | DEERS Query Volume Forecast |
| A100 | Education Plan |
| D010 | Mail Order Daily NDC Change Requests Report |
| D011 | Mail Order Daily Backorder Report |
| D020 | MTF Rejection Detail Report |
| D030 | Contractor Payment Check Issue Data |
| D040 | Retail Pharmacy Claims (RPC) Data Requirements |
| M010 | TPharm Contract Performance Summary |
| M020 | Call Center Top Issues Report |
| M030 | Priority Correspondence Report |
| M040 | Network Pharmacy Report |
| M041 | Network Access Report |
| M050 | TPharm Metric Summary Report |
| M060 | Pharmacy Claims Processing System Availability Report |
| M070 | MTF Rejection Summary Report |
| M071 | MTF Data Integrity Summary Report |
| M072 | MTF High Cost Claim Summary Report |
| M080 | HIPAA Privacy Disclosure Report |
| M090 | Supervisory Review Report |
| M100 | Deployment Prescription Program Report |
| M110 | MOP Replenishment Reconciliation Report - Claims |
| M111 | MOP Replenishment Reconciliation Report - NDC Level |
| M120 | Expanded Mail Order and MTF Report |
| M130 | Auto Refill Dashboard |
| M140 | Market Pricing Report |
| M150 | TMDS Claims Volume Report |
| M160 | Bank Reconciliation Format |
| M170 | Accounts Receivable Reports |
| M180 | Bank Cleared Payment Report |
| M190 | Bank Account Statement Report |
| M200 | Benefit Design and Formulary Search Tool Changes |
| M210 | Compound Prescription Report |
| M220 | PDMP Overview Report |
| M230 | Prescription Monitoring Program Report - MTF |
| M231 | Prescription Monitoring Program Report - MCSC |
| M240 | Retail Refund Dispute Report |
| M250 | Pharmacy Claims Audit Report |
| Q010 | Clinical and Admin Review Report |
| Q020 | Beneficiary Services Report |
| Q030 | Pharmacy Help Desk Report |
| Q040 | Mail Order Pharmacy Prescription Report |
| Q041 | Mail Order Pharmacy Reship Report |
| Q042 | Mail Order Quality Control Report |
| Q050 | Paper Claims Processing Report |
| Q060 | Prescription Monitoring Program Utilizer Report |
| Q061 | Prescription Monitoring Program Overview Report |
| Q070 | Benefit Design Edit Safety Report |
| Q080 | EOB Report |
| Q090 | TED Summary Report |
| Q100 | Fraud and Abuse Summary Report |
| Q110 | OHI Development Report |
| Q111 | OHI Cost Avoidance Report |
| Q120 | CHCBP Monitoring Report |
| Q130 | Eligibility Recoupment Status Report |
| Q140 | Quarterly Review Program Report |
| Q150 | Specialty Pharmacy Services Report |
| Q150 | Specialty Dispensing and Services Report |
| Q160 | Educational Update Report |
| Q170 | Mail Order Pharmacy Utilizers Data File |
| R010 | Operations Issues Log |
| R020 | Pharmacy Change Monitoring Report |
| R030 | Ad Hoc Management Reports |
| R040 | Appeals Processing Guidelines, Desk Instructions and Reference Material |
| R050 | Breach Report |
| R060 | Standard Operating Procedures (Desk Procedures) |
| R070 | Threats Report |
| R080 | Random Sampling Audit Worksheet |
| R090 | Fraud Abuse Patient Harm-Initial Notification Checklist |
| R100 | DHA-MTF Fraud and Abuse Cover Sheet |
| R110 | Declaration of Transfer and Destruction of Records |
| R120 | MOU with Outgoing Contractor |
| R130 | State of Emergency Report |
| T010 | Transition-In Plan |
| T020 | Transition-In Status Report |
| T030 | Transition-Out Plan |
| T040 | Transition-Out Status Report |
| W010 | Mail Order Rebaseline and Continuous Monitoring Approval Report |
| W020 | MTF Data Integrity Report |
| W021 | MTF High Cost Claim Report |
| W030 | MHS GENESIS Drug Reject Report |
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