Amendment_2_Questions_and_Answers.pdf

Questions for SOLICITATION 15-100-SOL-00011 Questions Answers

1. What is the total annual budget for the EPAP? The Government will not disclose budgetary numbers.

2. What is the estimated funding available to maintain baseline operations/staff during non-emergency situations? The Government will not disclose budgetary numbers.

3. What is the expected level of funding for this effort? (similar to annual budget question, should we eliminate one of the 2)? Of that number, what portion is allocable to Other Direct Costs (ODCs) or reimbursements ?

The Government will not disclose budgetary numbers.

4. How many times has the EPAP been activated? Please provide active program dates and locations.

Since EPAP program has been established, it has been activated 3 times during the following Hurricane Ike 2008, Gustav 2008, Sandy 2012

5. How many claims have been submitted for each activation?

The number of claims depends on the area of coverage (areas declared disaster area) and the number of uninsured individual that participate in EPAP program

6. What is the frequency and quantity of the activation of co-payment coverage through specific designation by ASPR? It is a new requirements. No data is available

7. What is the annual claims paid amount? It's all depends on number of claims submitted during a single EPAP activation

8. Please provide clarify if the Solicitation language (pages 1-6) is the Statement of Work or should there be an Attachment (1), referenced on Page 23, that constitutes the 9 page Statement of Work for the RFP.

See included SOW

9. Would a new program provider be responsible for re-enrolling the existing participants?

It is the responsibility of the new program to solicit and enroll pharmacies in the United States and its territories (Puerto Rico and the US Virgin Islands) to participate in EPAP. In addition the new program is expected to validate the legitimacy of all enrolled pharmacies before processing claims from enrolled pharmacies

10. What formulary management requirements does the contractor need to fill?

EPAP uses Medicare Part D formulary. The new program shall load and administer a Formulary that follows Medicare Part D guidelines. ASPR may further restrict covered drugs, specific medical supplies, and DME, eligibility, data required in the payer sheet and other program limitations in the Task Order activating the EPAP provided those further restrictions reflect the sub task issued by HHS

11. In Task Order #1 (2a.i.), it is referenced that it is the government's understanding that the contractor will use one of the existing standard clearinghouses to establish electronic claims processing software. Who are these clearinghouses?

Yes the government’s understanding that the contractor will use existing electronic pharmacy systems as an infrastructure to efficiently process prescriptions.

12. Does HHS wish to replicate a similar service that the current vendor is providing? Or do they want new, creative ways to carry out the service?

Please submit any new creative ways to carry out the service. It will be evaluated accordingly

13. How is the reimbursement amount (i.e. dispensing fee) to the pharmacy determined when a donated product is used? What is the Dispensing fee for donated products? Dispensing Fee remains the same

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