Industry_Day_Medical_Review-Office_of_Audit_Services.pdf

Health and Human Services, Office of Inspector General Office of Audit Services

Medical Review of Claims, and Consultative Services & Follow up Medical Review of Claims

IDUSTRY DAY ANNOUNCEMENT (IDA)

Department of Health and Human Services, Office of Inspector General, Acquisitions Division, Washington, DC is seeking sources to provide Medical Review of Claims, and Consultative Services & Follow up Medical Review of Claims.

CONTRACTING OFFICE ADDRESS:

Department of Health and Human Services (DHHS) Office of Inspector General (OIG), Office of Audit Services (OAS) Acquisitions Division (AD) 330 Independence Ave. SW 5th Floor, Suite 5550 Washington DC 20201

INTRODUCTION:

This notice is to conduct market research and determine the availability and technical capability of all sources to provide the required products.

The OIG is seeking information for potential sources to provide Medical Review of Claims, and Consultative Services & Follow up Medical Review of Claims

DISCLAIMER:

THIS NOTICEIS FOR INFORMATIONAL PURPOSES ONLY. THIS IS NOT A

REQUEST FOR PROPOSAL. IT DOES NOT CONSTITUTE A SOLICITATION AND

SHALL NOT BE CONSTRUED AS A COMMITMENT BY THE GOVERNMENT.

RESPONSES IN ANY FORM ARE NOT OFFERS AND THE GOVERNMENT IS

UNDER NO OBLIGATION TO AWARD A CONTRACT AS A RESULT OF THIS

ANNOUNCEMENT. NO FUNDS ARE AVAILABLE TO PAY FOR PREPARATION

OF RESPONSES TO THIS ANNOUNCEMENT. ANY INFORMATION SUBMITTED

BY RESPONDENTS TO THIS TECHNICAL DESCRIPTION IS STRICTLY

VOLUNTARY.

CONTRACT/PROGRAM BACKGROUND:

Contract Number: HHSP233101500023B Contract Type: FFP Incumbent and their size: Maximus Federal Services Inc. Large Business Method of previous acquisition: Full and Open competition via GSA.

Brief description of the current program/effort:

OIG has current requirement to procure Medical Review of Claims, and Consultative Services & Follow up Medical Review of Claims

Anticipated Timeframe: September 2020 to September 2025 (Base Year and 4 Option Years)

Place of Performance: TBD

REQUIRED CAPABILITIES:

The core mission of the Department of Health and Human Services (DHHS) Office of Inspector General (OIG) is to improve HHS programs and operations and protect them against fraud, waste and abuse. By conducting independent and objective audits, evaluations, and investigations, provide timely, useful, and reliable information and advice to Department officials, the Administration, Congress, and the public.

HHS-OIG consists of 5 components – Office of Audit Services (OAS), Office of Evaluation and Inspections (OEI), Office of Counsel to the Inspector General (OCIG), Office of Management and Policy (OMP), and Office of Investigations (OI) as well as the Immediate Office (IO). Service Desk activities are managed within OMP through the Office of Information Technology (OIT) Operations Management Division (OMD).

Legacy modernization and cloud migration is managed through the OIT Digital Services Division (DSD).

See Attachment 1.

SPECIAL REQUIREMENTS

N/A

INDUSTRY DAY:

The anticipated North American Industry Classification System Code (NAICS) for this requirement is 541611 Administrative Management and General Management Consulting Services –, with the corresponding size standard of $15. This Industry Day Synopsis is requesting responses to the following criteria ONLY from all sources that can provide the required services under the NAICS Code.

SUBMISSION DETAILS:

Responses must include:

1) Business name and address;

2) Name of company representative and their business title;

3) Type of Business;

4) Cage Code

5) DUNS Number

6) Contract vehicles that would be available to the Government for the procurement of the product and service, to include General Service Administration (GSA), NIH, NASA SEWP, Federal Supply Schedules (FSS), or any other Government Agency contract vehicle. (This information is for market research only and does not preclude your company from responding to this notice.)

Vendors who wish to respond to this Industry Day Notice should respond as follows:

1. Submit short presentation at a high level regarding the questions In Attachment 1.

2. 30 minutes will be reserved for Q&A after the presentation

3. Attend an in person or video conference in Baltimore, MD;

(The OIG anticipates scheduling these presentations on 7/10 and 7/11)

4. Audience members will only include OIG staff members;

Send responses via email NLT 2:30 PM Eastern Standard Time (EST), July 2, 2019 to Nicola L. Carmichael at Nicola.Carmichael@oig.hhs.gov.

Interested vendors should follow the instructions in Attachment 1.

Proprietary information and trade secrets, if any, must be clearly marked on all materials.

All information received that is marked Proprietary will be handled accordingly. Please be advised that all submissions become Government property and will not be returned.

All government and contractor personal reviewing the IDA responses will have signed non-disclosure agreements and understand their responsibility for proper use and protection from unauthorized disclosure of proprietary information as described 41 USC

423. The Government shall not be held liable for any damages incurred if proprietary information is not properly identified.

mailto:Chersharon.king@oig.hhs.gov