Offeror Questions HT9402-26-RFI-0255.xlsx

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PILOT PROGRAM TO ASSIST CERTAIN MEMBERS OF THE ARMED FORCES AND DEPENDENTS WITH ADDITIONAL SUPPLEMENTAL COVERAGE RELATING TO CANCER HT9402-26-RFI-0255
Solicitation number
HT9402-26-RFI-0255
Issued by

About this file

This is a Request for Information (RFI) questions and responses template document for a Defense Health Agency pilot program related to supplemental cancer insurance coverage for TRICARE beneficiaries.

The RFI, designated HT9402-26-RFI-0255, is issued by the Defense Health Agency (DHA) to conduct market research for establishing a pilot program under Section 734 of the National Defense Authorization Act (NDAA) for Fiscal Year 2026. The pilot program must be established no later than September 30, 2027, and will enable members of the regular component of the Army, Navy, Marine Corps, Air Force, or Space Force and their dependents enrolled in TRICARE to obtain fixed indemnity supplemental cancer insurance covering noncovered expenses related to cancer screening, diagnosis, and treatment. Responses to the RFI questions must be submitted to james.goddard22.ctr@health.mil by close of business on September 18, 2026, and should not exceed 20 pages. The RFI template provided contains a structured format for industry organizations to submit questions and responses, with sections covering plan types and coverage scope, coverage details, and other relevant topics. The file itself is primarily a blank template with instructions and a dropdown menu of potential RFP locations and procurement sources related to TRICARE operational manuals, contract administration requirements, evaluation factors, and financial considerations.

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RFI QA Responses HT940226RFI0255 Supplemental Pilot.pdf PDF
NDAA Reference.docx DOCX document

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Instructions

HT9402-26-RFI-0255 Instructions
All comments and questions shall be submitted in this Excel document template.

All responses/questions shall be sent by email to james.goddard22.ctr@health.mil by Close of Business, 18 September 2026 Please ensure files are clearly labeled with your Organization's Name

The second tab is to be used to submit questions to the Government directly related to the RFI content.

General Questions from Industry

Organization Name:RFI Questions HT9402-26-RFI-0255
#QuestionGovernment ResponseSupporting Information
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&"-,Bold"&14DHA T-5 Procurement

Sources Sources for Drop Down Menu - [TAB WILL BE HIDDEN]

RFP LOCATIONS
TRICARE Operations Manual (TOM)
TRICARE Policy Manual (TPM)
TRICARE Reimbursement Manual (TRM)
TRICARE Systems Manual (TSM)
A. Solicitation/Contract Form
B. Supplies or Services and Prices/Costs
C. Description/Specifications/Work Statement
C.1. General
C.1.2. Contract Objectives
C.1.3. Definitions
C.1.4. Documents
C.2. Performance Requirements
C.2.1. Provider Networks
C.2.2. Enrollment
C.2.3. Medical Management
C.2.4. Case Management
C.2.5. Population Health
C.2.6. Utilization Management
C.2.7. Referral Management
C.2.8. Clinical Quality Management
C.2.9. Communications and Customer Service
C.2.10. Claims Processing
C.2.11. Management
D. Packaging and Marking
D.1. Packaging
D.2. Marking
E. Inspection and Acceptance
E.1. Inspection Locations
E.2. Acceptance
F. Deliveries or Performance
F.1. Period of Performance
F.2. Geographic Area of Coverage
G. Contract Administration Data
G.1. Contract Administration
G.2. PMPM Military Health System (MHS) Eligible Beneficiaries
G.3. Standards Rounding Language
G.4. Invoicing
G.5. Underwritten Health Care (Cost Reimbursement) - TEDS
G.6. Other Invoicing Methods
G.7. Non-Underwritten Health Care - TEDS
G.8. ASAP Draws on the Federal Reserve
G.9. Fiscal Year Start-Up of Non-Underwritten ASAP Accounts
G.10. Invoice and Payment Non-Underwritten - Non-TEDS
G.11. TRICARE Reserve Select, TRICARE Retired Service, TRICARE Young Adult, CHCBP (East Region), TRICARE Prime, and TRICARE Select Fees/Premiums
G.12. Transition Out at End of Contract
G.13. Reporting
H. Special Contract Requirements
H.1. Contractor Financial Underwriting of Healthcare Costs
H.2. Award Fee
H.3. Healthcare Underwriting Incentives
H.4. Performance Incentives
H.5. Performance Guarantees (PGs)
H.6. Evolving Practices, Devices, Medicines, Treatments and Procedures
H.7. Post-Award Organization Conflicts of Interest/Impaired Objectivity
H.8. Third Party Information
H.9. Performance Readiness Validation (PRV)/Performance Readiness Assessment and Verification (PRAV)
H.10. Claims Processing, TEDS Occurrence Errors and Payment Accuracy Reviews
H.11. Integrated Process Teams
H.12. Cost-Plus-Fixed-Fee Change Order Implementation Costs and Firm-Fixed-Price Recurring Costs
H.13. Expressly Unallowable Healthcare Costs
H.14. Insurance Liability Coverages
H.15. Service Contract Act Wage Determinations
H.16. Future Potential Demonstrations
H.17. Competitive Demonstrations
I. Contract Clauses
J. List of Attachments and Exhibits
J.1. Large Market MTF-East Region
J.2. Large Market MTF-West Region
J.3. Small Market MTF-East Region
J.4. Small Market MTF-West Region
J.5. Stand-Alone MTF-East Region
J.6. Stand-Alone MTF-West Region
J-XX. MHS Genesis Supplement-Interface Control Document
J-XX. MHS Genesis Supplement-Performance Work Statement
Exhibit A. Contract Data Requirements List
K. Representations, Certifications, and other Statements of Bidders
L. Instructions, Conditions and Notices to Offerors
L.1. Solicitation Provisions
L.2. General Instructions
L.3. Information
L.4. Proposal Preparation
L.5. Volume I, Executed Proposal
L.6. Volume II, Technical Proposal
L.7. Volume III, Past Performance Information
L.8. Volume IV, Price/Cost Organization/Instructions
L.9. Volume V, Financial
L.10. Offeror's Financial Systems
M. Evaluation Factors for Award
M.1. Solicitation Provisions
M.2. Basis of Evaluation
M.3. Evaluation Factors
M.4. Evaluation Factor Relative Importance
M.5. Evaluation of Factor 1, Technical/Management Functions
M.6. Technical/Management Risk Rating
M.7. Evaluation of Technical/Management SubFactors
M.8. Evaluation of Factor 2, Past Performance
M.9. Evaluation of Factor 3, Price/Cost
M.10. Evaluation of Factor 4, Small Business Participation
M.11. Financial Viability
OTHER

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