T-5 Draft RFP 3 Section F 3.9.2021 FINAL.pdf
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- Draft RFP 3 TRICARE Managed Care Support (T-5) HT9402-20-R-0005 Federal contract opportunity
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- Defense Health Agency
About this file
This draft request for proposal concerns the fifth-generation TRICARE Managed Care Support contracts. The Defense Health Agency seeks contractors to deliver medical services and associated administrative support services to support the Military Health System's integrated care program across two regions. The East Region includes 18 states and the District of Columbia, while the West Region encompasses 13 states. Contractors will be responsible for TRICARE Prime, Select, and Continued Health Care Benefit Program administration and coordination with military medical treatment facilities. The base period of performance is January 1, 2023 through December 31, 2023, with eight optional one-year periods exercisable through December 31, 2031. The draft RFP outlines updated clinical quality and award fee criteria, transition planning requirements, and innovations to implement. Industry feedback is requested on all aspects.
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Text version
SECTION F – DELIVERIES OR PERFORMANCE
HT940220R0005 Page F1 of F3
FAR 52.242-15 Stop-Work Order. (Aug. 1989) – Alternate I (Apr 1984)
F.1. PERIOD OF PERFORMANCE
F.1.1. Base Period (January 1, 2023 through December 31, 2023): The Contractors shall begin transition-in activities and complete specific activities by the timelines specified in the TRICARE Operations Manual (TOM) Chapter 2. All transition-in activities shall be accounted for and documented as required in the Contractor’s Integrated Master Plan (IMP)/Integrated Master Schedule (IMS).
F.1.2. Option Periods 1 through 8 will be 12 months each if exercised.
Option Period 1: January 1, 2024 through December 31, 2024
Option Period 2: January 1, 2025 through December 31, 2025
Option Period 3: January 1, 2026 through December 31, 2026
Option Period 4: January 1, 2027 through December 31, 2027
Option Period 5: January 1, 2028 through December 31, 2028
Option Period 6: January 1, 2029 through December 31, 2029
Option Period 7: January 1, 2030 through December 31, 2030
Option Period 8: January 1, 2031 through December 31, 2031
F.1.2.1. Transition-Out is an 18 month CLIN with Period of Performance beginning no later than 180 days after the start of any Option Period (1-8).
F.1.3. The option periods identified herein are hereby defined as the period in which healthcare is delivered to TRICARE beneficiaries. The start of healthcare delivery (SCHD) is the first day of Option Period 1. In order to meet the requirements of the contract for healthcare delivered for a given period, the contractor will be performing incidental administrative tasks associated with the given healthcare delivery period beyond that period.
F.1.4. The transition-out period may be exercised during any one of the healthcare delivery periods specified above. The contractor will begin transition-out activities upon transition-out option exercise and complete the timelines as specified in TOM Chapter 2. All transition-out activities shall be completed within the 18 month transition-out period of performance.
HT940220R0005 Page F2 of F3
F.2. GEOGRAPHIC AREA OF COVERAGE
F.2.1. East Region Contract: The contract shall be referred to as the East Region Contract. The East Region contract will require development, implementation and operation of a healthcare delivery and support system for the TRICARE Prime and Select benefits for all TRICARE beneficiaries residing in the following states and District:
Table F.2.1.
Alabama Maryland Pennsylvania Connecticut Massachusetts Rhode Island Delaware Michigan South Carolina District of Columbia Mississippi Tennessee Florida New Hampshire Vermont Georgia New Jersey Virginia Indiana New York West Virginia Kentucky North Carolina Maine Ohio
These geographic areas are, hereinafter, referred to as the East Region contract. The East Region contractor shall be responsible for administering and complying with all Continued Health Care Benefit Program (CHCBP) requirements in the entire United States.
F.2.1.1. West Region Contract: The contract shall be referred to as the West Region contract.
The West Region contract will require development, implementation and operation of a healthcare delivery and support system for the TRICARE Prime and Select benefits for all TRICARE beneficiaries residing in the following states:
Table F.2.1.1.
Alaska Kansas Oklahoma Arizona Louisiana Oregon Arkansas Minnesota South Dakota California Missouri Texas Colorado Montana Utah Hawaii Nebraska Washington Idaho Nevada Wisconsin Illinois New Mexico Wyoming Iowa North Dakota
HT940220R0005 Page F3 of F3
These geographic areas and states are hereinafter referred to as the West Region Contract.
F.2.2. Zip codes within each Region will be defined in the final Request for Proposal.
F.2.3. Attachments J-1 through J-6 identify Large and Small Market MTF and Stand-Alone MTF within the East and West Regions.
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