T-5 Draft RFP 3 Section B 3.9.2021 FINAL.pdf

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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

Written by GovTribe AI ·

This draft request for proposals is for the fifth-generation TRICARE Managed Care Support Contracts. The Defense Health Agency seeks managed care support services to administer health care delivery to active duty service members, retirees, and their families under TRICARE, the Military Health System's health benefit program. Key services required include network development and management, claims processing, and customer service. The base period of performance is five years from January 2023 through December 2027, with three one-year extension options. The solicitation includes firm-fixed-price, cost-plus-fixed-fee, and cost-reimbursement contract line items for services such as health care management, incentive fees, and data reporting. The draft RFP incorporates industry feedback on quality metrics, award fees, and transition planning. Responses are due within two weeks in the provided template for consideration in the final solicitation planned for later this year.

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Other files for this federal contract opportunity

Other files attached to Draft RFP 3 TRICARE Managed Care Support (T-5) HT9402-20-R-0005, newest first.
File Type Posted
T-5 Draft RFP 3.0 Final Government Responses.pdf PDF
Tracked Changes Comparison From Draft RFP 2.0.-2.1 to Draft RFP3.zip ZIP file
T-5 Draft RFP 3 Section E 3.9.2021 FINAL.pdf PDF
T-5 Draft RFP 3 Section F 3.9.2021 FINAL.pdf PDF
T-5 Draft RFP 3 Section K 3.9.21 FINAL.pdf PDF
T-5 Draft Section L - Attachments.zip ZIP file
T-5 Draft RFP 3 MANUALS.zip ZIP file
T-5 Industry Day Questions Draft RFP 2.0-2.1 Public Release 030921.pdf PDF
T-5 Draft RFP 3 Section A 3.9.2021 FINAL.pdf PDF
T-5 Draft RFP 3 Section H 3.9.2021 FINAL.pdf PDF
T-5 Draft RFP 3 Section I 3.9.21 FINAL.pdf PDF
T-5 Draft RFP 3 Section J 3.9.21 FINAL.pdf PDF
T-5 Draft RFP 3 Section L 3.9.2021 FINAL.pdf PDF
T-5 Draft CDRLs ANNUAL.zip ZIP file
T-5 Draft RFP 3 Section G 3.9.2021 FINAL.pdf PDF
T-5 Draft CDRLs SEMIANNUAL.zip ZIP file
T-5 Draft CDRLs QUARTERLY.zip ZIP file
T-5 Draft CDRLs DAILY.zip ZIP file
T-5 Draft RFP 3 Section C 3.9.2021 FINAL.pdf PDF
T-5 Draft RFP 3 Section D 3.9.2021 FINAL.pdf PDF
T-5 Draft Section J - Attachments.zip ZIP file
T-5 Draft RFP 3 Section M 3.9.2021 FINAL.pdf PDF
T-5 Draft CDRL MASTER LIST 03.04.21.docx DOCX document
T-5 Draft CDRLs MONTHLY.zip ZIP file
T-5 Draft CDRLs WEEKLY.zip ZIP file
T-5 Draft CDRLs AS REQUIRED.zip ZIP file
T-5 Draft CDRLs PLANS.zip ZIP file
T-5 Industry Day Questions Draft RFP 1.0 Public Release 030921.pdf PDF
T-5 Industry Day Questions Draft RFP 1.1 Public Release 030921.pdf PDF
T-5 Draft RFP 3 Response ORGANIZATION NAME.xlsx XLSX spreadsheet
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ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

BASE YEAR; TRANSITION-IN PERIOD 1 Jan 2023 – 31

December 2023

TRANSITION-IN (Firm-Fixed Price) Planning and

Implementation of Transition-In as stated in the

Performance Work Statement (PWS),Section C.2.8.

(PWS),Section C.2.8. of the solicitation/contract

0002 Contract Data Requirements List (DD Form 1423)

(Not Separately Priced)

0002AA Contract Data Requirements List (DD Form 1423) 1 EA (Not Separately Priced)

OPTION PERIOD 1 - 1 Jan 2024 – 31 December 2024

1001 Underwritten Health Care Cost for Contractor 1 LO Network Prime Enrollees and for Non-Prime

Underwritten Beneficiaries and MTF Enrollees

(Cost plus fixed fee) (Estimated Cost)

(Option Line Item)

1002 Fixed Fee for CLIN 1001 12 MO (Option Line Item)

1003 Per Member Per Month (PMPM)

(Option Line Item)

1003AA PMPM in accordance with Performance Requirements EA Section C (Fixed Price)(Estimated Quantity)

(Option Line Item)

1003AB PMPM in accordance with Performance Requirements EA

Section C (Fixed Price) (Estimated Quantity)

(Option Line Item)

Continued ...

1 LO0001

DRAFT

Elarson Typewritten Text

3 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

1004 Earned Performance Incentive for Section H.3. and 1 LO

H.4.

(Option Line Item)

1005 Award Fee H.2 1 LO

(Option Line Item)

1006 Contract Data Requirements List (DD Form 1423)

(Option Line Item)

1006AA

1007 1 LO

1008 1 LO

1009 1 LO

2001 1 LO

2002 12 MO

Contract Data Requirements List (DD Form 1423)

(Option Line Item)

Service Assist Teams

(Cost Reimbursable) (Option Line Item)

MTF/Guard/Reserve/MSO/VSO Briefings

(Cost Reimbursable)

(Option Line Item)

Planned Competitive Demonstrations (Option Line Item)

OPTION PERIOD 2 - 1 Jan 2025 – 31 December 2025

Underwritten Health Care Cost for Contractor Network Prime Enrollees and for Non-Prime Underwritten Beneficiaries and MTF Enrollees

(Cost plus fixed fee) (Estimated Cost)

(Option Line Item)

Fixed Fee for CLIN 2001

(Option Line Item)

Continued ...

$20,000,000

$15,000,000

$20,000,000

$100,000

$100,000

$15,000,000

NSP

TBD TBD

__NSP______ ____NSP_______

NSP

$100,000

$100,000

DRAFT

Elarson Typewritten Text

4 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

2003AA EA

2003AB EA

2004 1 LO

2005 1 LO

2006AA

2007 1 LO

2008 1 LO

2009 1 LO

Per Member Per Month (PMPM)

(Option Line Item)

PMPM in accordance with Performance Requirements Section C (Fixed Price)(Estimated Quantity)

(Option Line Item)

PMPM in accordance with Performance Requirements Section C (Fixed Price) (Estimated Quantity)

(Option Line Item)

Earned Performance Incentive for Section H.3. and H.4.

(Option Line Item)

Award Fee H.2

(Option Line Item)

Contract Data Requirements List (DD Form 1423)

(Option Line Item)

Contract Data Requirements List (DD Form 1423)

(Option Line Item)

Service Assist Teams

(Cost Reimbursable) (Option Line Item)

MTF/Guard/Reserve/MSO/VSO Briefings

(Cost Reimbursable)

(Option Line Item)

Planned Competitive Demonstrations Continued ...

$20,000,000

$15,000,000

$20,000,000

$100,000

$100,000

$15,000,000

____TBD_______

__NSP______

_______NSP____

_________$100,000__

NSP

$100,000

TBD

NSP

DRAFT

5 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

(Option Line Item)

OPTION PERIOD 3 - 1 Jan 2026 – 31 December 2026

3001 Underwritten Health Care Cost for Contractor 1 LO

Network Prime Enrollees and for Non-Prime

Underwritten Beneficiaries and MTF Enrollees

(Cost plus fixed fee) (Estimated Cost)

(Option Line Item)

3002 Fixed Fee for CLIN 3001 12 MO

(Option Line Item)

3003 Per Member Per Month (PMPM)

(Option Line Item)

3003AA PMPM in accordance with Performance Requirements EA

Section C (Fixed Price)(Estimated Quantity)

(Option Line Item)

3003AB PMPM in accordance with Performance Requirements EA

Section C (Fixed Price) (Estimated Quantity)

(Option Line Item)

3004 Earned Performance Incentive for Section H.3. and 1 LO

H.4.

(Option Line Item)

3005 Award Fee H.2 1 LO

(Option Line Item)

3006 Contract Data Requirements List (DD Form 1423)

(Option Line Item)

Continued ...

$20,000,000

$20,000,000

TBD TBD

NSP NSPDRAFT

6 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

3006AA

3007 1 LO

3008 1 LO

3009 1 LO

4001 1 LO

4002 12 MO

4003AA EA

4003AB EA

Contract Data Requirements List (DD Form 1423)

(Option Line Item)

Service Assist Teams (Cost Reimbursable) (Option Line Item)

MTF/Guard/Reserve/MSO/VSO Briefings

(Cost Reimbursable)

(Option Line Item)

Planned Competitive Demonstrations (Option Line Item)

OPTION PERIOD 4 - 1 Jan 2027 – 31 December 2027

Underwritten Health Care Cost for Contractor Network Prime Enrollees and for Non-Prime Underwritten Beneficiaries and MTF Enrollees

(Cost plus fixed fee) (Estimated Cost)

(Option Line Item)

Fixed Fee for CLIN 4001

(Option Line Item)

Per Member Per Month (PMPM)

(Option Line Item)

PMPM in accordance with Performance Requirements Section C (Fixed Price)(Estimated Quantity)

(Option Line Item)

PMPM in accordance with Performance Requirements Section C (Fixed Price) (Estimated Quantity)

(Option Line Item)

Continued ...

$15,000,000

$100,000

$100,000

$15,000,000

___________$100,000

__NSP______

$100,000

7 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

4004 Earned Performance Incentive for Section H.3. and 1 LO

H.4.

(Option Line Item)

4005 Award Fee H.2 1 LO

(Option Line Item)

4006AA

4007 1 LO

4008 1 LO

4009 1 LO

5001 1 LO

5002 12 MO

Contract Data Requirements List (DD Form 1423)

(Option Line Item)

Contract Data Requirements List (DD Form 1423)

(Option Line Item)

Service Assist Teams (Cost Reimbursable) (Option Line Item)

MTF/Guard/Reserve/MSO/VSO Briefings

(Cost Reimbursable)

(Option Line Item)

Planned Competitive Demonstrations, Transition Out

(Option Line Item)

OPTION PERIOD 5 - 1 Jan 2028 – 31 December 2028

Underwritten Health Care Cost for Contractor Network Prime Enrollees and for Non-Prime Underwritten Beneficiaries and MTF Enrollees

(Cost plus fixed fee) (Estimated Cost)

(Option Line Item)

Fixed Fee for CLIN 5001

(Option Line Item)

Continued ...

$20,000,000

$3,000,000

$20,000,000

$100,000

$100,000

$3,000,000

____TBD_______

__________$100,000 _

________NSP

$100,000

TBD

NSP NSP

8 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

5003AA EA

5003AB EA

5004 1 LO

5005 1 LO

5006AA

5007 1 LO

5008 1 LO

Per Member Per Month (PMPM)

(Option Line Item)

PMPM in accordance with Performance Requirements

Section C (Fixed Price)(Estimated Quantity)

(Option Line Item)

PMPM in accordance with Performance Requirements

Section C (Fixed Price) (Estimated Quantity)

(Option Line Item)

Earned Performance Incentive for Section H.3. and

H.4.

(Option Line Item)

Award Fee H.2

(Option Line Item)

Contract Data Requirements List (DD Form 1423)

(Option Line Item)

Contract Data Requirements List (DD Form 1423)

(Option Line Item)

Service Assist Teams

(Cost Reimbursable) (Option Line Item)

MTF/Guard/Reserve/MSO/VSO Briefings

(Cost Reimbursable)

(Option Line Item)

Continued ...

$20,000,000

$20,000,000

$100,000

$100,000

_________S100,000__

________ ___________TBD TBD

NSP NSP

$100,000

NSP NSP

9 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

OPTION PERIOD 6 - 1 Jan 2029 – 31 December 2029

6001 Underwritten Health Care Cost for Contractor 1 LO

Network Prime Enrollees and for Non-Prime

Underwritten Beneficiaries and MTF Enrollees

(Cost plus fixed fee) (Estimated Cost)

(Option Line Item)

6002 Fixed Fee for CLIN 6001 12 MO

(Option Line Item)

6003 Per Member Per Month (PMPM)

(Option Line Item)

6003AA PMPM in accordance with Performance Requirements EA

Section C (Fixed Price)(Estimated Quantity)

(Option Line Item)

6003AB PMPM in accordance with Performance Requirements EA

Section C (Fixed Price) (Estimated Quantity)

(Option Line Item)

6004 Earned Performance Incentive for Section H.3. and 1 LO

H.4.

(Option Line Item)

6005 Award Fee H.2 1 LO

(Option Line Item)

6006 Contract Data Requirements List (DD Form 1423)

(Option Line Item)

6006AA Contract Data Requirements List (DD Form 1423)

(Option Line Item)

Continued ...

$20,000,000

$20,000,000

TBD TBD

NSP NSPDRAFT

10 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

6007 1 LOService Assist Teams (Cost Reimbursable) (Option Line Item)

6008 MTF/Guard/Reserve/MSO/VSO Briefings 1 LO

(Cost Reimbursable)

(Option Line Item)

OPTION PERIOD 7 - 1 Jan 2030 – 31 December 2030

7001 Underwritten Health Care Cost for Contractor 1 LO

Network Prime Enrollees and for Non-Prime

Underwritten Beneficiaries and MTF Enrollees

(Cost plus fixed fee) (Estimated Cost)

(Option Line Item)

7002 Fixed Fee for CLIN 7001 12 MO

(Option Line Item)

7003 Per Member Per Month (PMPM)

(Option Line Item)

7003AA PMPM in accordance with Performance Requirements EA

Section C (Fixed Price)(Estimated Quantity)

(Option Line Item)

7003AB PMPM in accordance with Performance Requirements EA

Section C (Fixed Price) (Estimated Quantity)

(Option Line Item)

7004 Earned Performance Incentive for Section H.3. and 1 LO

H.4.

(Option Line Item)

7005 Award Fee H.2 1 LO

Continued ...

$20,000,000

$100,000

$100,000

$20,000,000

$100,000

TBD TBD

$100,000

11 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

(Option Line Item)

7006 Contract Data Requirements List (DD Form 1423)

(Option Line Item)

7006AA Contract Data Requirements List (DD Form 1423)

(Option Line Item)

7007 1 LOService Assist Teams (Cost Reimbursable) (Option Line Item)

7008 MTF/Guard/Reserve/MSO/VSO Briefings 1 LO

(Cost Reimbursable)

(Option Line Item)

OPTION PERIOD 8 - 1 Jan 2031 – 31 December 2031

8001 Underwritten Health Care Cost for Contractor 1 LO

Network Prime Enrollees and for Non-Prime

Underwritten Beneficiaries and MTF Enrollees

(Cost plus fixed fee) (Estimated Cost)

(Option Line Item)

8002 Fixed Fee for CLIN 8001 12 MO

(Option Line Item)

8003 Per Member Per Month (PMPM)

(Option Line Item)

8003AA PMPM in accordance with Performance Requirements EA

Section C (Fixed Price)(Estimated Quantity)

(Option Line Item)

8003AB PMPM in accordance with Performance Requirements EA

Continued ...

$100,000

$100,000

_____NSP___ ____NSP_______

_________$100,000__

NSP NSP

$100,000

12 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

Section C (Fixed Price) (Estimated Quantity)

(Option Line Item)

8004 Earned Performance Incentive for Section H.3. and 1 LO

H.4.

(Option Line Item)

8005 Award Fee H.2 1 LO

(Option Line Item)

8006 Contract Data Requirements List (DD Form 1423)

(Option Line Item)

8006AA Contract Data Requirements List (DD Form 1423)

(Option Line Item)

8007 1 LOService Assist Teams (Cost Reimbursable) (Option Line Item)

8008 MTF/Guard/Reserve/MSO/VSO Briefings 1 LO

(Cost Reimbursable)

(Option Line Item)

9001 1 LOTransition-Out (Firm-Fixed-Price)

(Option Line Item)

9002 1 LOAward Fee, Transition-Out (Option Line Item)

EXTENSION PERIOD 1 JAN 2032 - 30 JUN 2032

Continued ...

$20,000,000

$1,000,000

$20,000,000

$100,000

$100,000

$1,000,000

___TBD_____

________ ___________NSP NSP

$100,000

TBD

$100,000

13 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

HT940220R0005

(A) (B) (C) (D) (E) (F)

9003 6-MONTH OPTION PERIOD EXTENSION, IF REQUIRED 1 LO

(Option Line Item)

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