T-5 Draft RFP Attachment J-4 Small Market MTF - West.pdf

PDF 64 KB Posted

Attached to
Draft RFP - TRICARE Managed Care Support (T-5) Federal contract opportunity
Solicitation number
HT940220R0005
Issued by
Defense Health Agency

About this file

This draft request for proposal outlines requirements for the fifth-generation TRICARE Managed Care Support Contracts. The Defense Health Agency seeks administrative and medical support services to manage health care delivery through the Military Health System for active duty service members, their families, and military retirees. Responses are due by September 18, 2020 and should be submitted electronically using the provided template, including the organization name in the subject line and file name. The response may include a narrative assessment in addition to the template. The contract will support an integrated care program that optimizes medical readiness for service members and the armed forces.

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Other files for this federal contract opportunity

Other files attached to Draft RFP - TRICARE Managed Care Support (T-5), newest first.
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T-5 Draft RFP Section M v1.1.pdf PDF
ENROLLMENT ENCOUNTER DATA FOR T5.xlsx XLSX spreadsheet
T-5 Draft RFP Section A-B HT940220R0005.pdf PDF
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T-5 Draft RFP Attachment J-XX T-5 MHS Genesis Interface Control Document (ICD) Draft RFP.pdf PDF
T-5TOM Appendix A.pdf PDF
T5 CDRLs QUARTERLY.zip ZIP file
T-5 Draft RFP Section L.pdf PDF
T-5 Draft RFP Attachment J-6 Stand-Alone MTF - West.pdf PDF
T-5 Draft RFP Section G.pdf PDF
T-5 Draft TRM.pdf PDF
T-5 Draft RFP Response ORGANZATION NAME.xlsx XLSX spreadsheet
T-5 Draft RFP Section D.pdf PDF
T5 CDRLs PLANS.zip ZIP file
T-5 Draft RFP Attachment J-3 Small Market MTF - East.pdf PDF
T5 CDRLs DAILY.zip ZIP file
T-5 Draft RFP Section F.pdf PDF
T-5 Draft RFP Attachment J-XX T-5 MHS Genesis Performance Work Statement (PWS) - Draft RFP.pdf PDF
T5 CDRLs AS REQUIRED.zip ZIP file
T-5 Draft RFP Section M.pdf PDF
T-5 Draft RFP Attachment J-2 Large Market MTF - West.pdf PDF
T-5 Draft RFP Section C.pdf PDF
T-5 Draft RFP Section E.pdf PDF
T-5 Draft RFP Section J.pdf PDF
T5 CDRLs ANNUAL.zip ZIP file
T-5 Draft TSM.pdf PDF
T-5 Draft RFP Section H.pdf PDF
T5 CDRLs MONTHLY.zip ZIP file
T-5 GDA Table.pdf PDF
T-5 Draft RFP Section I.pdf PDF
T5 CDRLs SEMIANNUAL.zip ZIP file
T5 CDRLs WEEKLY.zip ZIP file
T-5 Draft RFP Section K.pdf PDF
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T-5 Draft TPM.pdf PDF
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Text version

Section J Attachment J-2

SMALL MARKET MTF

HT940220R0005 Page J1 of J4

Central Oklahoma

AHC REYNOLDS-

SILL

Reynolds Army Health Clinic 4301 Wilson Street Fort Sill, Oklahoma 73503

DMIS ID: 0098

Clinic

EBH TEAM A-SILL Embedded Behavioral Health Clinic Team A (75th BDE) 3445 Koehler Loop Fort Sill, OK 73503-6008

DMIS ID: 6167

EBH

EBH TEAM B-IOP-

SILL

Embedded Behavioral Health Clinic Team B (31st BDE) 3161 Hoskins Rd Fort Sill, OK 73503-4462

DMIS ID: 6168

EBH

TMC SGT BLEAK-

SILL

SGT David B. Bleak Troop Medical Clinic 4301 Mow Way Road Fort Sill, OK 73503

DMIS ID: 1625

Clinic

AF-C-82nd MEDGRP-

SHEPPARD

82nd Medical Group - Sheppard Air Force Base Clinic 149 Hart Street Sheppard AFB, Texas 76311-3478

DMIS ID: 0113

Clinic

AF-C-97th MEDGRP-

ALTUS

97th Medical Group - Altus Air Force Base Clinic 301 N. 1st Street Altus AFB, Oklahoma 73523-5005

DMIS ID: 0097

Clinic

Ozarks

ACH LEONARD

WOOD

General Leonard Wood Army Community Hospital 4430 Missouri Avenue Ft. Leonard Wood, Missouri 65473-8952

DMIS ID: 0075

Hospital

CBMH OZARK-

LEONARD WOOD

Ozark Family-Centered Medical Home 194 Eastlawn Ave Suite D Saint Robert, MO 65584-3701

DMIS ID: 6115

Clinic

CTMC RICHARD G

WILSON-L WOOD

Richard G. Wilson CTMC General Leonard Wood Army Community Hospital Alabama Avenue Bldg 885 Fort Leonard Wood, MO 65473-8952

DMIS ID: 1511

Clinic

EBH FORSCOM-

LEONARD WOOD

EBH FORSCOM-Leonard Wood General Leonard Wood Army Community Hospital 7621 Big Piney Rd Fort Leonard Wood, MO 65473-1572

DMIS ID: 6166

EBH

California Desert

ACH WEED-IRWIN Weed Army Community Hospital 390 North Loop Rd.

Fort Irwin, California 92310-5109

DMIS ID: 0131

Hospital

HT940220R0005 Page J2 of J4

EBH CLINIC-IRWIN EBH Clinic-Irwin Weed Army Community Hospital Ave B Bldg R190 Warrior Care Center Fort Irwin, CA 92310

DMIS ID: 6177

EBH

TMC-1-IRWIN Javier Villanueva Troop Medical Clinic (JVTMC) B Avenue and 8th Street, Bldg 295 Fort Irwin, CA, 92310

DMIS ID: 1644

Clinic

BMC BARSTOW Base Medical Clinic Barstow Naval Hospital Camp Pendleton Marine Corps Logistics Base Bldg 17 Barstow, CA 92311-5008

DMIS ID: 0209

Clinic

Central Louisiana

ACH BAYNE-

JONES-POLK

Bayne Jones Army Community Hospital 1585 3rd Street Building 285 Fort Polk, Louisiana 71459-5110

DMIS ID: 0064

Hospital

SCMH PATRIOT

BRIGADE-POLK

TBD DMIS ID: 6081

Clinic

SCMH-POLK Bayne-Jones Soldier-Centered Medical Home

DMIS ID:7199

Clinic

TBI CLINIC-BJACH TBI Clinic-BJACH Bayne-Jones Army Community Hospital 8097 Georgia Ave Bldg 3507 Fort Polk, LA 71459

DMIS ID: 1486

Clinic

Corpus Christi

NHC CORPUS

CHRISTI

Naval Health Clinic Corpus Christi 10651 E Street, Bldg. H100 Corpus Christi, Texas 78419-5130

DMIS ID: 0118

Clinic

NBHC KINGSVILLE Naval Branch Health Clinic Kingsville 730 Forrestal Street Bldg 3775 Kingsville, Texas 78363-5116

DMIS ID: 0369

Clinic

Los Angeles

HT940220R0005 Page J3 of J4

AF-C-61st MED SQ-

LOS ANGELES

61st Medical Squadron Building 210 483 North Aviation Boulevard El Segundo, California 90245-4661

DMIS ID: 0248

Clinic

AF-CB-FT

MACARTHUR

CLINIC-LA

Fort MacArthur Clinic 2400 S Pacific Ave San Pedro, CA 90731

DMIS ID: 7232

CB-CLN

NBHC NAS POINT

MUGU

Point Mugu Medical 1 Dispensary Road NAS Point Mugu, CA 93042

DMIS ID: 0217

Clinic

Great Lakes

JAMES A LOVELL

FHCC

Captain James A. Lovell Federal Health Care Center 3001 Green Bay Rd North Chicago, Illinois 60064

DMIS ID: 0056

VA-DOD

NBHC NCTC GREAT

LAKES

NBHC NCTC Great Lakes 3001 6th St Ste A Great Lakes, IL 60088-2833

DMIS ID: 0518

Clinic

NBHC NCTC INPR

GREAT LAKES

NBHC NCTC INPR Great Lakes 3001 6th St Ste A Great Lakes, IL 60088-2833

DMIS ID: 1660

Clinic

NBHC NTC GREAT

LAKES

NBHC NTC Great Lakes 3001 6th St Ste A Great Lakes, IL 60088-2833

DMIS ID: 1959

Las Vegas

AF-MC-99th

MEDGRP-NELLIS

99th Medical Group - Mike O'Callaghan Military Medical Center 4700 North Las Vegas Blvd Nellis AFB, Nevada 89191-6601

DMIS ID: 0079

Hospital

AF-EC-CREECH AID

STATN-NELLIS

Creech Air Force Base Medical Aid Station Viper Road Building #1033 Creech AFB, NV, United States

DMIS ID: 1271

EC-CLN

Little Rock

AF-C-19th MEDGRP-

LITTLE ROCK

19th Medical Group 1090 Arnold Drive Little Rock AFB, Arkansas 72099-4933

DMIS ID: 0013

HT940220R0005 Page J4 of J4

TMC-CAMP

ROBINSON

Troop Medical Clinic Camp Robinson 6500 Camp Robinson Rd North Little Rock, AR 72119

DMIS ID: 1333

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