J.2 _Zone 1 RFP - ABDMEHHH TO 0001 Amendment 4.doc

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RFP-CMS-2008-0014 Attachment J.2 Zone 1 Task Order 0001, Parts A, B, DME & HHH RFP

ZONE 1

TASK ORDER 0001

MEDICARE PARTS A, B, DURABLE MEDICAL EQUIPMENT PROSTHETICS, ORTHOTICS AND SUPPLIES (DME) AND HOME HEALTH AND HOSPICE (HH+H) Attachment J.2

Zone 1 Medicare Parts A, B, DME and HH+H - Task Order 0001 NOTE: Only those contract sections, which differ from the IDIQ contract terms and conditions, or provide more detailed information specific to this particular Task Order, are provided below. For those contract sections not identified below, all terms and conditions of the IDIQ contract remain in effect.

Signature of the Contractor below represents acceptance of this task order award.

Signature of Contractor Representative

Title

Date

SECTION B - SUPPLIES OR SERVICES PRICES/COSTS

B.1

DESCRIPTION OF SERVICES

The Contractor shall support the Centers for Medicare and Medicaid Services’ (CMS) audit, oversight and anti-fraud, waste and abuse efforts associated with Part A, Part B, Durable Medical Equipment, Prosthetics, and Orthotics Supplier (DMEPOS), and Home Health and Hospice (HH+H) for Zone 1: California, Nevada, Hawaii, Mariana Islands, American Samoa and Guam. CMS has designated the Los Angeles, Kern, Orange, Riverside, San Bernardino and San Diego areas/counties in the State of California as high risk areas.

B.3

DETERMINATION OF ORDER TYPE/PRICES/COSTS

This is a Cost Plus Award Fee (CPAF) task order. The total estimated cost of this task order is ___TBD___. The total base fee is __TBD_______. The total award fee is __TBD____. The total estimated CPAF is ___TBD____.

Transition

Fully Operational

Option Year 1

Option Year 2

Option Year 3

Option Year 4

TOTAL

SECTION F - DELIVERIES OR PERFORMANCE

F.2 PERIOD OF PERFORMANCE

The Transition period of performance for this task order is November 1, 2008 through February 28, 2009 (estimated). The fully operational period of performance is March 1, 2009 through February 28, 2010, plus four (4) one (1) year options. The task order may be renewed thereafter in accordance with contract section H.1, Contract Renewal.

SECTION G - CONTRACT ADMINISTRATION DATA

G.5

PROJECT OFFICER/GOVERNMENT TASK LEADER

b.

GOVERNMENT TASK LEADER (GTL)

The Government Task Leader (GTL) for this effort is ____TBD__ The Associate Government Task Leader for this effort is ___TBD___ G.9

HHSAR 352.270-5 KEY PERSONNEL

The key personnel required for this task order are:

Fee-For-Service (FFS) Task Order Manager Benefit Integrity (BI) Manager Chief Legal Counsel Medical Review (MR) for BI Manager

Medical Director Chief Statistician

Additional requirements are provided in the Task Order Statement of Work.

G.13

SUBCONTRACTING PROGRAM FOR SMALL AND DISADVANTAGED BUSINESSES

c.

Consent to Subcontract is hereby granted for the following entities:

(To Be Determined at Time of Award, if applicable)

SECTION H - SPECIAL CONTRACT REQUIREMENTS

H.2

CONFLICT OF INTEREST

The Conflict of Interest Certificate submitted for the IDIQ award dated __________ is hereby incorporated by reference.

H.19

WAGE DETERMINATION

Wage Determination will be incorporated at time of task order award.

See Section L and Section M of RFP-CMS-2008-0014 for further instructions.