CMS Market Research Questionnaire CCC.pdf

U. S. Department of Justice

Federal Bureau of Prisons

Administration Division

Field Acquisition Office 346 Marine Forces Drive

Grand Prairie, Texas 75051

MARKET RESEARCH QUESTIONNAIRE

The Federal Bureau of Prisons is conducting market research pursuant to the Federal Acquisition Regulation Part

10. A single solicitation will be issued for comprehensive medical services for inmates at Metropolitan

Correctional Center (MCC) located in Chicago, Illinois. Comprehensive medical services include both inpatient/outpatient hospital/physician services, and outpatient institution services to be performed at the

Metropolitan Correctional Center. The requirements for each service will be as follows:

The MCC is an administrative facility designed to house Federal offenders of all security levels, including both male and female offenders appearing before Federal courts in the Northern District of Illinois. MCC Chicago is located in downtown Chicago at 71 W. Van Buren Street, Chicago, IL. At the present time, the MCC is anticipating estimated quantities for Inpatient and Outpatient Hospital and Physician Services for the base year and four-one year option periods:

Estimated 88 Inpatient Days Estimate 20 Outpatient Visits

Outpatient Institution Service (physician and specialty services which may which may be performed within the confines of the MCC) include estimate quantities at:

Orthopedic Surgeon - visits 12 per contract year OB/Gynecology - visits 12 per contract year

Dermatology - visits 4 per contract year Infectious Disease - visits 12 per contract year

Psychiatry - visits 104 per contract year Optometry - sessions 6 per contract year

Neurology - visits 12 per contract year Oral Surgery - visits 6 per contract year

General Surgery - visits 24 per contract year Cardiology - visits 6 per contract year

Ophthalmology - visits 6 per contract year Physical Therapy - sessions 4 per contract year

Gastroenterology - visits 12 per contract year ENT - visits 12 per contract year

Urology - visits 12 per contract year Dietician - sessions 104 per contract year

Pricing Methodology - will be as follows: Example: Price proposals shall be calculated from benchmarks utilizing Medicare reimbursement methodologies. For each category of service to be provided, offerors will be allowed to propose a variance from the benchmark Medicare rate in the form of a discount from or a premium to

Medicare rates established by the Centers for Medicare and Medicaid services. The rates established in the resulting contract shall not be construed as participation in the Medicare program; contract rates will merely be equated to Medicare rates of reimbursement without reductions for deductibles or copayments. This structuring of the pricing methodology is not intended to be restrictive of any offeror; offerors need only to propose that percentage discount from or premium to the Medicare benchmark rate which will reflect the desired level of payment for the category of services rendered. If during contract performance, it is determined that a necessary contract deliverable is not covered by Medicare reimbursement methodologies, a separate rate shall be negotiated for such deliverable(s).

Medicare Part A. The Medicare benchmark to be utilized for all services covered by Medicare Part A shall be the most current Basic DRG payment (i.e., Operating Federal Rate) established for Core-Base Statistical Area (CBSA)

16974, Chicago-Naperville-Joilet, Illinois. The Basic DRG calculation shall not include any provider-specific adjustments allowed under actual Medicare participation. Offerors may propose a discount from or a premium to

Basic DRG rates.

Medicare Part B Physician Services. The Medicare benchmark to be utilized for all physician services covered by Medicare Part B shall be those rates established in the most current Medicare Part B Fee Schedule for

Payment Locality 16 for Illinois. The benchmark charges shall be those established for participating providers.

Offerors may propose a discount from or a premium to the benchmark charges.

Medicare Part B Facility Services (including hospital outpatient services and ambulatory surgical centers).

The Medicare benchmark to be utilized for all facility services covered by Medicare Part B shall be the most current APC and ASC rates calculated for CBSA 16974, Chicago-Naperville-Joilet, Illinois. Offerors may propose a discount from or a premium to the benchmark charges.

Please answer the following questions:

1. Can your firm provide comprehensive hospital and physician services to inmates at the Metropolitan

Correctional Center located in Chicago, Illinois as specified above?

Yes No (If No, please answer question #2)

2. If No on question #1 - What services can you provide? ________________________________________

3. Please mark the services your firm can provide and indicate if you would the provide services as a prime contractor, provide service through use of a subcontractor, or are unable to provide services. Please, also indicate which services are reimbursable using a medicare-base pricing structure:

Service Required Provide as Prime

Provide a

Subcontractor

Unable to

Provide

M = Medicare-

Base Pricing

Inpatient/Outpatient Hospital Services Yes or No

Inpatient/Outpatient Physician Services Yes or No

Orthopedic Surgeon Yes or No

Dermatology Yes or No

Psychiatry Yes or No

Neurology Yes or No

Ophthalmology Yes or No

Gastroenterology Yes or No

Service Required (continued) Provide as Prime

Provide a

Subcontractor

Unable to

Provide

M = Medicare-

Base Pricing

Urology Yes or No

OB/Gynecology Yes or No

Infectious Disease Yes or No

ENT Yes or No

Oral Surgery Yes or No

Cardiology Yes or No

Physical Therapy Yes or No

Optometry Yes or No

Dietician Yes or No

4. W hat is your business size, small or large? The North American Industrial Classification System (NAICS) code is based on NAICS 622110, $29 million? _______Small _______Large

5. If you are a small business, what level of subcontracting, if any, would be available for the service(s) you are interested in providing? %

6. Is your firm eligible for participation in one of the following small business programs? If so, please indicate the program.

“8(a)” program

W omen-owned small business concern

Veteran-owned small business concern

Service-disabled veteran-owned small business concern

Use of a price evaluation adjustment for a small disadvantaged business concern

7. Can your firm provide Medicare-based prices for future contract periods (example: contract with a base year and four option years - - - total five years)? If not, how many years can you provide Medicare-based prices? (Please indicate how many years you can provide firm-fixed unit prices and Medicare-based prices)

5 years 4 years 3 years 2 years 1 year only

8. Can your firm provide centralized billing for all services rendered under the resulting contract?

(Definition of centralized billing - The Contractor shall provide and operate a system of centralized billing which will enhance the MCC’s ability to track medical obligations and expenditures. This system shall, at a minimum, ensure that complete consolidated invoices are submitted to the FCC within 90 calendar days after an inmate’s discharge or outpatient encounter. Completed HCFA-1500 and UB-92 forms shall accompany the contractor’s centralized billing invoice for all treatment encounters. The centralized billing invoice shall be limited to no more than fifty (50) HCFA-1500 and/or UB-92 forms per invoice. Invoices which are submitted beyond the 90-day requirement shall constitute a performance deficiency under this output and shall be documented in the contractor’s performance evaluations. Invoices which are submitted within the acceptable time period, but are found to contain errors or require further justification, will be returned to the contractor. The contractor shall submit revised/corrected invoices within 30 calendar days from the date of rejection.)

Yes No (If No, please explain why and what type of billing procedures your firms uses)

9. W hat is the “community standard” level of medical liability insurance applicable to hospital services? physician services?

10. W hat is your proximity of your primary inpatient facility to MCC Chicago, Illinois?

___________________________Mileage.

11. Does your firm have access to the internet to download solicitation materials?

Yes No

12. How many calendar days does your firm need to prepare a proposal resulting from this solicitation?

15 days 30 days 45 days 60 days

13. W ould your firm be interested in attending a pre-proposal conference at the MCC, or via teleconference prior to submitting a proposal in response to the solicitation?

Pre-proposal conference Yes No

Teleconference Yes No

14. If awarded a contract, how many calendar days after the award could you begin providing services?

Please note that all individuals providing services at the institutions must undergo a security clearance investigation. This investigation may take 30 calendar days or longer to complete.

calendar days after the award for Inpatient and Outpatient Hospital calendar days after the award for On-site Physician Services (Outpatient Institution Services)

15. Please furnish the following information in reference to your firm:

Name:

Address:

Point of Contact:

Telephone Number:

E-mail Address:

Also, attached is a copy of the Performance W ork Statement for the comprehensive medical service requirement.

Please note that the Statement of W ork may be revised at a later date to reflect current medical procurement trends. W e are extremely appreciative of the time you have taken to complete this questionnaire. Please fax your response to (972) 352-4545 (Attention: Freelon Payton, III) no later than Thursday, January 7, 2010. If there are any questions, please do not hesitate to contact me at (972) 352-4514.

Sincerely, //S//

Freelon Payton, III, Contract Officer

Federal Bureau of Prisons

U.S. Armed Forces Reserve Complex

Field Acquisition Office

346 Marine Forces Drive

Grand Prairie, TX 75051

NOTE: The resulting solicitation will be distributed solely through the General Services Administration

Federal Business Opportunities website at www.fedbizopps.gov. Hard copies of the solicitation will not be available. The website provides downloading instructions to obtain all documents relating to the solicitation. All future information concerning this acquisition, including the presolicitation notices, solicitation, and any subsequent amendments, will be distributed solely through the website. Interested parties are responsible for monitoring the website to ensure they have the most up-to-date information about the acquisition.

http://www.fedbizopps.gov