JA COVID19 TESTING TREATMENT FINAL.pdf

JUSTIFICATION AND APPROVAL

FOR OTHER THAN FULL AND OPEN COMPETITION

Acquisition Title:

Agency:

Acquisition Year:

Author:

2. Description of Action:

Nature: New Requirement

Modification to Existing Purchase Order/Contract Number:

Pricing: Firm-Fixed Price Time & Materials Cost

Other:

Funds: OMA Other Funds:

Name of Proposed Contractor(s):

Street Address:

City, State, Zip:

3. Description of Services or Supplies:

Basis for Approval (FAR 6.303-1(d)): Individual Basis Class Basis

The total estimated value of the proposed action, including all options is $

4. Authority and Rationale: Identify the statutory authority, FAR title and FAR citation permitting other than full and open competition. It may be one of the following most commonly used citations by the operating divisions of the Department of Health and Human Services (HHS), but other exceptions may apply per FAR Subpart 6.3.

FY 21

COVID-19 Claims Reimbursement for Testing and Treatment for Healthcare Providers Serving the Uninsured

HRSA/OPS

United HealthCare Services, Inc.

9900 Bren Rd E

Minnetonka, MN 55343-9664

The purpose of this procurement is to support claims reimbursement and other support for COVID-19 testing, treatment, and vaccination of uninsured individuals. The scope of this activity includes processing and distributing payments, providing customer service outreach, project and program management, compliance and dispute resolution support, provider outreach, and data support.

h b d $ d b $ d b

Actions other than simplified acquisition procedures (select only one and provide an explanation):

FAR 6.302-1: Only one responsible source and no other supplies or services will satisfy agency requirements, 41 U.S.C. 3304(a)(1)

FAR 6.302-2: Unusual and compelling urgency, 41 U.S.C. 3304(a)(2)

FAR 6.302-5: Authorized or Required by Statute, 41 U.S.C. 3304(a)(5)

Other (See FAR Subpart 6.3 for additional authority):

5. Bridge Contracts:

6. Actions to Increase Competition:

7. Market Research:

This follow-on contract action is to continue reimbursing claims from healthcare providers for the testing and treatment of uninsured persons across the nation that have been affected by the Novel Coronavirus (COVID-19). To meet this urgent and compelling national d t t t d t t i d b i i b t l i i kl HRSA h ld li it d titi i 2020 ith

N/A

N/A

N/A

N/A

Even though this is a sole source follow on procurement action, the intent to sole source with United HealthCare Group was posted in the Government Point of Entry (beta.sam.gov). The purpose of the notice was to let interest offerors of the Government's intent and to provide them an opportunity to submit their interest by sending their capabilities or responses before the notice's closing date and time.

Market Research was conducted within the last year to determine if capable sources exist to provide the services. Based on the market research, the Government ran a limited competition.

6. Procurement History:

Purchase order or contract number:

Was action competed? Yes No

If action was not competed, state the cited authority, summarize rationale, and describe the actions that were supposed to be taken to increase competition and the results thereof:

7. Additional Information to support the justification

10. Technical / Requirements Certification: By my signature below, I certify that the supporting data under my review which is included in this J&A is accurate and complete.

Program Manager

Name:

Position Title:

Email address :

Program Manager Supervisor (or one level above Program Manager)

Name:

Position Title:

Email address:

Signature

Date:

The Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136) appropriated $100B to HRSA to distribute to providers for lost revenue and prevent, prepare for, and respond to coronavirus. HRSA subsequently received an additional $78B from the Paycheck Protection Program (PPP) and Health Care Enhancement Act (P.L. 116-139), and the Coronavirus Response and Relief Supplemental Appropriations (CRRSA) Act (P.L. 116-123) in appropriated funds to reimburse eligible healthcare providers for healthcare-related expenses or lost revenues attributable to coronavirus. In FY 2021, HRSA received an additional $8.5B from the American Rescue Plan Act (PL 117-002) in appropriated funds to reimburse eligible rural healthcare providers or suppliers for healthcare related expenses or lost revenues attributable to coronavirus.

These laws provide economic and financial support for individuals and businesses impacted by the coronavirus outbreak. To provide relief, Congress appropriated funding from the Public Health and Social Services Emergency Fund to reimburse eligible health care providers for healthcare-related expenses or lost revenues attributable to coronavirus. All of the claims to date have been process through UHG and OptumBank. Changing the contractor at this current state will make it exceedingly challenging to process claims and return funds. The Nation's health care infrastructure would be seriously injured unless HRSA is permitted to process this sole source follow-on contract.

75R60220C00005

11. Fair and Reasonable Price Determination: As Contracting Officer, by my signature below, I hereby determine that the anticipated cost to the Government for this contract action will be fair and reasonable.

12. Contracting Officer's Approval (Required for proposed contract not to exceed $700,000 (value calculated including all options)): I hereby certify that this justification is accurate and complete to the best of my knowledge. I approve this sole source justification subject to availability of funds, and provided that the services and supplies herein described have otherwise been authorized for acquisition.

Name: Phone:

Signature: Date:

13. Legal Review

14. OPDIV Competition Advocate Approval (Required for proposed contract over $700,000 but not exceeding $13.5 million value calculated including all options):

I have reviewed this justification and find that it adequately supports other than full and open competition.

Name: Phone:

Signature: Date:

15. Office of Small and Disadvantaged Business Utilization I have reviewed this justification and find that it adequately supports other than full and open competition.

Name: Phone:

Signature: Date:

16. OPDIV HCA Approval (Required for proposed contract over $13.5 million but not exceeding $68 million value calculated including all options):

Name: Phone:

Signature: Date:

301-443-0136

3/24/21

Alexandra B. Garcia

The Contracting Officer will compare the proposed prices to historical prices paid for the same services and with the independent Government cost estimates to determine price fair and reasonableness.

Shirley Karver

Shirley Karver - S

Digitally signed by Shirley Karver -S Date: 2021.03.24 09:53:31 -04'00'

Alexandra B. Garcia -S Digitally signed by Alexandra B.

Garcia -S Date: 2021.03.24 12:16:31 -04'00'

HHS Senior Procurement Executive (SPE) Approval

Based on the foregoing justification, I hereby approve the procurement of (state supplies/services being procured) on an other than full and open competition basis pursuant to the authority of (state the full statutory authority and FAR cite and title, consistent with paragraph 4, e.g. 41 U.S.C. 3304), as implemented by FAR 6.301), subject to the availability of funds, and provided that the services herein described have otherwise been authorized for acquisition.

Name: Phone:

Signature: Date:

David Dasher