Sources Sought Questionnaire BMX.pdf

U.S. Department of Justice

Federal Bureau of Prisons Field Acquisition Office

U.S. Armed Forces Reserve Complex Grand Prairie, Texas 75051

December 18, 2024

Sources Sought Questionnaire Comprehensive Medical Services Federal Correctional Complex (FCC) Beaumont Sources Sought Notice 15BFAO25N00000006

The Federal Bureau of Prisons is conducting market research pursuant to Federal Acquisition Regulation Part 10. A single solicitation is anticipated to be issued for Managed Healthcare Services for adults in custody (AICs) at the Federal Correctional Complex located in Beaumont, TX (hereinafter referred to as the “institution”). Services to be provided will encompass all levels of medical care to the AICs, including the on-site operation of medical facilities at FCC Beaumont and inpatient/outpatient physician services. The institution currently houses male AICs. Additional information about the inmate population at the institution can be found at www.bop.gov.

This Sources Sought Questionnaire is for information purposes only. The described services may or may not be included in the subsequent solicitation.

Presently, this institution is anticipating estimated quantities for the base and four-one year option periods as follows:

Managed Healthcare Services:

Mandays: 1,898,000 per year (approximately)

Pricing Methodologies

Manday Rate. This rate will be the price per inmate, per day based upon the actual count of the Federal Correctional Complex Beaumont at approximately 12:00 a.m., including all inmates located in community hospitals.

Catastrophic Limit and Medicare Reimbursement Rate:

Catastrophic Case. A catastrophic case is defined as one of the following:

1. A single hospitalization

2. Multiple hospitalizations within 24-hours of each preceding hospitalization for the same or directly related treatment.

3. Admission to a Long-Term Care Facility.

4. A recurring medical need, for example, community-based dialysis.

Catastrophic Limits and Catastrophic Limit Pricing for community-based treatment for inmates will be calculated from benchmarks utilizing Medicare reimbursement methodologies. For Catastrophic Limit Pricing, 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 discount or premium to Medicare Part A or B shall only apply for reimbursements above the catastrophic limit within the resulting contract.

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, co-payments, or co-insurance. When appropriate, outlier payments calculated in accordance with Medicare reimbursement methodologies shall be made in recognition of extremely costly stays. Outlier payments shall be calculated based upon the defined benchmark and will consist of the operating portion only. This structuring of the pricing methodology is not intended to be restrictive of any Offeror; Offerors need only to offer 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).

To calculate when the proposed catastrophic limit is reached, the Contractor shall re-price its billings for community-based medical care for an inmate at the applicable Medicare Benchmark rates identified in the following paragraphs with no discounts or premiums applied. When the total of the re-priced billings reaches the catastrophic limitation specified in the contract, the Contractor may begin submitting invoices for services beyond the catastrophic limitation. The Contractor shall provide a detailed analysis of the re-priced claims totaling the catastrophic limitation along with claim forms for each treatment encounter (i.e., properly coded Centers for Medicare and Medicaid Services (CMS) 1500 forms and Universal Billing (UB) 92 forms).

Invoices for services exceeding the catastrophic limitation shall be priced at the catastrophic limit pricing identified in the contact and shall be supported with properly coded claim forms for each treatment encounter (i.e., CMS-1500 and UB-92 forms). All claim forms shall be subject to the Government's review for appropriateness and accuracy.

Medicare Part A. The Medicare benchmark to be utilized for acute services covered by Medicare Part A shall be the most current Basic MS-DRG payment (i.e., Operating Federal Rate) established for CBSA 13140, Beaumont, TX. The Basic MS-DRG calculation shall not include any provider-specific adjustments allowed under actual Medicare participation. (Refer to Attachment 6, Computation of Basic MS-DRG Payments, of this solicitation.

Long-Term Care Facility Services: The Medicare benchmark to be utilized for long-term care hospital services by Medicare Part A shall be the most current LTC MS-DRG payment amount (i.e., Federal Rate) established for CBSA 13140, Beaumont, TX.

Medicare Part B Physician and Non-Physician Services. The Medicare benchmark to be utilized for physician professional services covered by Medicare Part B shall be those rates established in the most current Medicare Part B Fee Schedule for Payment Locality 20, Beaumont, Texas. The benchmark charges shall be those established for participating providers.

Clinical Laboratory Services: The Medicare benchmark to be utilized for clinical laboratory services covered by Medicare Part B shall be those rates established in the most current Medicare Clinical Laboratory Fee Schedule for the State of Texas.

Drugs and Biologicals: The Medicare benchmark to be utilized for drugs and biologicals covered by Medicare Part B shall be those rates established in the most current Medicare Drugs and Biologicals Fee Schedule for the State of Texas.

Equipment: The Medicare benchmark to be utilized for equipment (e.g., orthotics, prosthetics, etc.,) covered by Medicare Part B shall be those rates established in the most current Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule for the State of Texas.

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 13140, Beaumont, Texas.

Please answer the following questions:

1. Can your firm provide Managed Healthcare Services to AICs at the institution(s) specified above?

__________ Yes ___________ No

2. If you answered “No” in Question 1 above, what services can you provide?

3. The North American Industrial Classification System (NAICS) code for General Medical and Surgical Hospitals is 622110, which sets the small business standard at $47 million.

Based on this standard, what is your business size, small or other than small?

__________ Small ___________ Other than Small

4. What level of subcontracting, if any, would be utilized to provide the listed services?

5. Are you eligible for participation in one of the following small business programs? If so, please indicate the program.

__________ “8(a)” Program __________ Women-Owned Small Business concern __________ Economically Disadvantaged Women-Owned Small Business concern __________ HUBZone Small Business concern __________ Veteran-Owned Small Business concern __________ Service-Disabled Veteran-Owned Small Business concern

6. Can your firm provide Manday pricing and Medicare-based prices for catastrophic limits for future contract periods (for example: a contract with a base year and four option years, equaling a total of five years)? If not, how many years can you provide Manday pricing and Medicare-based prices for catastrophic limits?

7. 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 institution’s ability to track medical obligations and expenditures). This system shall, at a minimum, ensure that completed consolidated invoices are submitted to the institution within 90 calendar days after an inmate’s discharge or outpatient encounter. Completed CMS-1500 and UB-04 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) CMS-1500 and/or UB-04 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 but are found to contain errors or require further justifications 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 firm uses.)

9. What is the “community standard” level of medical liability insurance applicable to:

Hospital Services $ _____________per occurrence / $______________aggregate

Physician Services $ ____________per occurrence / $______________aggregate

10. Can your firm prepare a proposal resulting from this solicitation within 30 calendar days?

_____________Yes _____________ No

11. 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 services

________ Calendar days after the award for Managed Healthcare Services and On-Site Physician Services

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

Name:

Address:

Point of Contact:

Telephone Number:

E-mail Address:

Unique Entity ID:

Please e-mail your responses to hmendenhall@bop.gov. Responses must be received no later than 2:00 PM CST, January 17, 2025.

NOTE: The resulting solicitation will be distributed solely through sam.gov. All future information concerning this acquisition, including the pre-solicitation 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 current information about the acquisition. If you have questions about SAM, Government procurements in general, or need assistance in the preparation of your proposal, a local Procurement Technical Assistance Center (PTAC) may be able to help. The Procurement Technical Assistance Program was authorized by Congress in 1985 in an effort to expand the number of businesses capable of participating in the Government marketplace. To locate a PTAC near you, go to http://www.aptac-us.org.

mailto:hmendenhall@bop.gov