T-5 Draft RFP 3 Response ORGANIZATION NAME.xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- Draft RFP 3 TRICARE Managed Care Support (T-5) HT9402-20-R-0005 Federal contract opportunity
- Solicitation number
- Not on record
- Issued by
- Defense Health Agency
About this file
This document provides a third draft request for proposals for the fifth-generation TRICARE Managed Care Support Contracts. The Defense Health Agency seeks industry feedback on updated requirements and terms, including clinical quality and award fee criteria aligned between direct and private sector care. Metrics and targets are established for quality outcomes incentivizing alternative payment models. Transition plans and a new award are included, alongside controlled unclassified information handling and evaluation changes based on prior feedback. Priority innovations for virtual networks, advanced primary care and collaboration tools are outlined, with others to follow. Updated integration requirements and a focus on readiness link award fees to performance. All comments and questions must be submitted through the provided Excel template by September 18, 2020, with responses used to revise the second RFP draft.
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Instructions
| Instructions for Providing Specific Feedback on T-5 Procurement Draft RFP |
| DHA is releasing this draft RFP for the purpose of obtaining feedback from the industry on DHA's approach to the requirements and attached Manuals reflected in the |
T-5 procurement documents. DHA will consider Industry's comments in revisions made to the second draft T-5 RFP. Use the drop-down menu in the "RFP/Manual Location" column to select the specific section of the RFP/Manual.
DHA will also accept an "overall" assessment of the RFP in narrative form using Adobe Acrobat or Microsoft Word. The Government asks that document be free of logos except for the cover sheet. Please note that no comments or questions will be adjudicated from this document by the Government. All comments and questions should be contained in the Excel document. Your specific comments are required to be submitted through this Excel tool and both files will need to be SUBMITTED to DHA by 18 September 2020. Specific comments contained in the Excel tool will be considered in revisions to the second draft T-5 RFP.
Feedback should be SENT by email to evan.j.zaslow.civ@mail.mil. Please cc nicholas.r.ceciliani.civ@mail.mil and chelsea.m.lavelle.civ@mail.mil.
Please ensure the files are clearly LABELED with your Organization's Name (for example: XYZCompany_Comments on Draft T-5 RFP)
Instructions for completing the Excel Worksheet:
- Select the RFP/Manual Location drop-down menu and select the appropriate RFP section/Manual for your comment.
- Type in the specific RFP subsection citation/Manual reference for your comment.
- Type in your comment.
- Type in any additional information/rationale for your comment.
Comment Form
| Insert Organization's Name: | |||||
| # | RFP/Manual Location - Select from drop-down menu | Subsection/Citation | Subject | Industry Comment/Question | Additional Info/Rationale |
| Ex. 1 | TRICARE Operations Manual (TOM) | Chapter 2, Sec 1, para 1.1.1 | Transition Meetings | The draft RFP states that "The incoming and outgoing contractor shall attend a 5 business day meeting with the Defense Health Agency (DHA) within 15 calendar days following contract award." Will the Government consider revising this requirement to state that the meeting will commence no earlier than 15 calendar days following contract award? | This revision would ensure that both the incoming and outgoing contractors have adequate time to prepare for the meetings and to make necessary travel arrangements for all involved parties. |
| Ex. 2 | C.2.8. Clinical Quality Management | C.2.8.1 | Quality Mgmt | The draft RFP states that a Clinical Quality Management and Patient Safety Program will need to be established. Our organization has concerns with the lack of detail as to when the plan needs to be created and or implemented by. Additional detail is appreciated. | |
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&"-,Bold"&14DHA T-5 Procurement
Sources Sources for Drop Down Menu - [TAB WILL BE HIDDEN]
| RFP LOCATIONS |
| TRICARE Operations Manual (TOM) |
| TRICARE Policy Manual (TPM) |
| TRICARE Reimbursement Manual (TRM) |
| TRICARE Systems Manual (TSM) |
| A. Solicitation/Contract Form |
| B. Supplies or Services and Prices/Costs |
| C. Description/Specifications/Work Statement |
| C.1. General |
| C.1.2. Contract Objectives |
| C.1.3. Definitions |
| C.1.4. Documents |
| C.2. Performance Requirements |
| C.2.1. Provider Networks |
| C.2.2. Enrollment |
| C.2.3. Medical Management |
| C.2.4. Case Management |
| C.2.5. Population Health |
| C.2.6. Utilization Management |
| C.2.7. Referral Management |
| C.2.8. Clinical Quality Management |
| C.2.9. Communications and Customer Service |
| C.2.10. Claims Processing |
| C.2.11. Management |
| D. Packaging and Marking |
| D.1. Packaging |
| D.2. Marking |
| E. Inspection and Acceptance |
| E.1. Inspection Locations |
| E.2. Acceptance |
| F. Deliveries or Performance |
| F.1. Period of Performance |
| F.2. Geographic Area of Coverage |
| G. Contract Administration Data |
| G.1. Contract Administration |
| G.2. PMPM Military Health System (MHS) Eligible Beneficiaries |
| G.3. Standards Rounding Language |
| G.4. Invoicing |
| G.5. Underwritten Health Care (Cost Reimbursement) - TEDS |
| G.6. Other Invoicing Methods |
| G.7. Non-Underwritten Health Care - TEDS |
| G.8. ASAP Draws on the Federal Reserve |
| G.9. Fiscal Year Start-Up of Non-Underwritten ASAP Accounts |
| G.10. Invoice and Payment Non-Underwritten - Non-TEDS |
| G.11. TRICARE Reserve Select, TRICARE Retired Service, TRICARE Young Adult, CHCBP (East Region), TRICARE Prime, and TRICARE Select Fees/Premiums |
| G.12. Transition Out at End of Contract |
| G.13. Reporting |
| H. Special Contract Requirements |
| H.1. Contractor Financial Underwriting of Healthcare Costs |
| H.2. Award Fee |
| H.3. Healthcare Underwriting Incentives |
| H.4. Performance Incentives |
| H.5. Performance Guarantees (PGs) |
| H.6. Evolving Practices, Devices, Medicines, Treatments and Procedures |
| H.7. Post-Award Organization Conflicts of Interest/Impaired Objectivity |
| H.8. Third Party Information |
| H.9. Performance Readiness Validation (PRV)/Performance Readiness Assessment and Verification (PRAV) |
| H.10. Claims Processing, TEDS Occurrence Errors and Payment Accuracy Reviews |
| H.11. Integrated Process Teams |
| H.12. Cost-Plus-Fixed-Fee Change Order Implementation Costs and Firm-Fixed-Price Recurring Costs |
| H.13. Expressly Unallowable Healthcare Costs |
| H.14. Insurance Liability Coverages |
| H.15. Service Contract Act Wage Determinations |
| H.16. Future Potential Demonstrations |
| H.17. Competitive Demonstrations |
| I. Contract Clauses |
| J. List of Attachments and Exhibits |
| J.1. Large Market MTF-East Region |
| J.2. Large Market MTF-West Region |
| J.3. Small Market MTF-East Region |
| J.4. Small Market MTF-West Region |
| J.5. Stand-Alone MTF-East Region |
| J.6. Stand-Alone MTF-West Region |
| J-XX. MHS Genesis Supplement-Interface Control Document |
| J-XX. MHS Genesis Supplement-Performance Work Statement |
| Exhibit A. Contract Data Requirements List |
| K. Representations, Certifications, and other Statements of Bidders |
| L. Instructions, Conditions and Notices to Offerors |
| L.1. Solicitation Provisions |
| L.2. General Instructions |
| L.3. Information |
| L.4. Proposal Preparation |
| L.5. Volume I, Executed Proposal |
| L.6. Volume II, Technical Proposal |
| L.7. Volume III, Past Performance Information |
| L.8. Volume IV, Price/Cost Organization/Instructions |
| L.9. Volume V, Financial |
| L.10. Offeror's Financial Systems |
| M. Evaluation Factors for Award |
| M.1. Solicitation Provisions |
| M.2. Basis of Evaluation |
| M.3. Evaluation Factors |
| M.4. Evaluation Factor Relative Importance |
| M.5. Evaluation of Factor 1, Technical/Management Functions |
| M.6. Technical/Management Risk Rating |
| M.7. Evaluation of Technical/Management SubFactors |
| M.8. Evaluation of Factor 2, Past Performance |
| M.9. Evaluation of Factor 3, Price/Cost |
| M.10. Evaluation of Factor 4, Small Business Participation |
| M.11. Financial Viability |
| OTHER |
File details come from the government source that posted it. Updated .