T-5 Draft RFP Attachment J-6 Stand-Alone MTF - West.pdf

PDF 36 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 proposals (RFP) seeks administrative and support services for the fifth-generation TRICARE Managed Care Support Contracts (T-5). Interested parties are invited to provide feedback on the draft requirements, terms and conditions using the provided Microsoft Excel response template by 18 September 2020. The Defense Health Agency (DHA) will use responses as market research to inform future managed care support requirements under the TRICARE program, which provides health care to active duty service members, their families, and military retirees through a combination of military medical treatment facilities and private sector care. The current scope of work includes receipt and integration of private sector health care with the direct care system. DHA intends to host a virtual industry forum with further details available at https://beta.sam.gov/.

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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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ACTION MEMO Section L Update Data File Sets 11272020.pdf PDF
Question Feedback Spreadsheet.xlsx XLSX spreadsheet
T-5 DRAFT RFP Section L v1.1.pdf PDF
T-5 Draft RFP Section M v1.1.pdf PDF
Cover letter for Draft RFP 1.1 110620.pdf PDF
T-5 Draft RFP Section H v1.1.pdf PDF
ENROLLMENT ENCOUNTER DATA FOR T5.xlsx XLSX spreadsheet
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 A-B HT940220R0005.pdf PDF
T-5 Draft RFP Attachment J-1 Large Market MTF - East.pdf PDF
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
T-5 Draft RFP Attachment J-4 Small Market MTF - West.pdf PDF
T5 CDRLs QUARTERLY.zip ZIP file
T-5 Draft RFP Section L.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 Section I.pdf PDF
T5 CDRLs SEMIANNUAL.zip ZIP file
T5 CDRLs WEEKLY.zip ZIP file
T-5 Draft RFP Section K.pdf PDF
T-5TOM Acronyms.pdf PDF
T-5 Draft TOM.pdf PDF
T-5 Draft RFP Attachment J-5 Stand-Alone MTF - East.pdf PDF
T-5 Draft TPM.pdf PDF
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Text version

HT940220R0005 Page J1 of J3

Section J

ATTACHMENT J-6

STAND-ALONE MTF-WEST

AF-C-28th MEDGRP-

ELLSWORTH

Ellsworth Air Force Base 28th Medical Group 2900 Doolittle Drive Ellsworth AFB, South Dakota 57706-4821

DMIS ID: 0106

Clinic

AF-C-319th MEDGRP-GRAND

FORKS

319th Medical Group - Grand Forks AFB Medical Facility 1599 J. Street Grand Forks AFB, ND 58205-6332

DMIS ID: 0093

Clinic

AF-C-509th MEDGRP-

WHITEMAN

509th Medical Group 331 Sijan Avenue Whiteman AFB, Missouri 65305-5001

DMIS ID: 0076

Clinic

AF-C-55th MEDGRP-OFFUTT 55th Medical Group - Ehrling Bergquist Clinic 2501 Capehart Road Offutt AFB, Nebraska 68113-2160

DMIS ID: 0078

Clinic

AF-C-5th MEDGRP-MINOT 5th Medical Group - Minot AFB Medical Facility 194 Missile Avenue Minot AFB, North Dakota 58705-5024

DMIS ID: 0094

Clinic

AF-C-30th MEDGRP-

VANDENBERG

30th Medical Group 338 South Dakota Bldg 13850 Vandenberg AFB, California 93437-5300

DMIS ID: 0018

Clinic

AF-C-27th SPCLOPS MDGRP-

CANNON

27th Special Operations Medical Group - Cannon Air Force Base Medical Facility 208 West D.L. Ingram Ave Cannon AFB, New Mexico 88103-5014

DMIS ID: 0085

Clinic

AF-C-355th MEDGRP-DM 355th Medical Group 4175 South Alamo Avenue Davis-Monthan AFB, Arizona 85707-4405

DMIS ID: 0010

Clinic

AF-C-377th MEDGRP-

KIRTLAND

377th Medical Group - Kirtland Air Force Base Medical Facility 1501 San Pedro SE Bldg 47 Albuquerque, New Mexico 87108

DMIS ID: 0083

Clinic

AF-C-412th MEDGRP-

EDWARDS

412th Medical Group Bldg. 5525 30 Nightingale Road Edwards AFB, California 93524-1730

DMIS ID: 0019

Clinic

AF-C-2nd MEDGRP-

BARKSDALE

2nd Medical Group 243 Curtiss Road Suite 100 Barksdale AFB, Louisiana 71110-2425

DMIS ID: 0062

Clinic

AF-C-375th MEDGRP-SCOTT 375th Medical Group - Scott Air Force Base Clinic 375th Medical Group Bldg 1530 Scott AFB, Illinois 62225-5252

DMIS ID: 0055

Clinic

AF-C-341st MEDGRP-

MALMSTROM

341st Medical Group 7300 N. Perimeter Rd.

Malmstrom AFB, Montana 59402-6780

DMIS ID: 0077

Clinic

HT940220R0005 Page J2 of J3

AF-C-366th MEDGRP-MT HOME 366th Medical Group - Mt. Home AFB Medical Facility 90 Hope Drive Building 6000 Mountain Home AFB, Idaho 83648-1000

DMIS ID: 0053

Clinic

AF-C-75th MEDGRP-HILL 75th Medical Group - Hill AFB Medical Facility 7321 Balmer Street, Bldg. 570 Hill AFB, Utah 84056-5012

DMIS ID: 0119

Clinic

AF-C-90th MEDGRP-FE

WARREN

90th Medical Group 6900 Alden Drive F.E. Warren AFB, Wyoming 82005-3913

DMIS ID: 0129

Clinic

AF-C-92nd MEDGRP-

FAIRCHILD

92nd Medical Group Fairchild AFB 701 Hospital Loop, Bldg 9000 Fairchild AFB, Washington 99011-8704

DMIS ID: 0128

Clinic

AF-C-9th MEDGRP-BEALE 9th Medical Group 15301 Warren Shingle Road Beale AFB, California 95903-1907

DMIS ID: 0015

Clinic

AF-C-56th MEDGRP-LUKE 56th Medical Group 7219 North Litchfield Road Building 1130 Luke AFB, Arizona 85309-1526

DMIS ID: 0009

Clinic

AF-C-72nd MEDGRP-TINKER & AF-EC-552nd OPS GRP CLN-

TINKER

72nd Medical Group - Tinker Air Force Base Clinic 7050 S Air Depot Blvd Bldg 1094 Tinker AFB, Oklahoma 73145-8102

DMIS ID: 0096

Clinic

DMIS ID: 5584

EC-CLN

AF-C-71st MEDGRP-VANCE 71st Medical Group - Vance Air Force Base Clinic 527 Gott Road Bldg 810 Vance AFB, Oklahoma 73705-5105

DMIS ID: 0338

Clinic

AF-C-7th MEDGRP-DYESS 7th Medical Group - Dyess Air Force Base Clinic 697 Lousianna Dr Dyess AFB, Texas 79607-1367

DMIS ID: 0112

Clinic

AF-C-17th MEDGRP-

GOODFELLOW

17th Medical Group - Goodfellow Air Force Base Clinic 271 Fort Richardson Avenue Goodfellow AFB, Texas 76908-4902

DMIS ID: 0364

Clinic

AF-C-47th MEDGRP-LAUGHLIN 47th Medical Group - Laughlin Air Force Base Clinic 590 Mitchell Blvd., Bldg. 375 Laughlin AFB, Texas 78843-5242

DMIS ID: 0114

Clinic

NBHC EL CENTRO Branch Medical Clinic El Centro Branch Health Clinic Naval Air Facility El Centro Bldg. 523 8th St El Centro, California 92243-5015

DMIS ID: 0239

Clinic

NHC LEMOORE Naval Health Clinic Lemoore 937 Franklin Ave.

Lemoore, California 93246-5004

DMIS ID: 0028 Clinic

NBHC FALLON Naval Branch Health Clinic Fallon 4755 Pasture Road Bldg 299 Naval Air Station Fallon Fallon, Nevada 89496-5000

DMIS ID: 0319 Clinic

HT940220R0005 Page J3 of J3

NBHC FORT WORTH Naval Branch Health Clinic Fort Worth 1711 Doolittle Ave Fort Worth, Texas 76127

DMIS ID: 0370 Clinic

NBHC PORT HUENEME Naval Branch Health Clinic Port Hueneme 162 First Street, Building 1402 Naval Base Ventura County Port Hueneme, California 93043-4316

DMIS ID: 0026 Clinic

NH TWENTYNINE PALMS Naval Hospital Twentynine Palms Bldg. 1145 Sturgis Street

MCAGCC

Twentynine Palms, California 92278-8250

DMIS ID: 0030

Hospital

BMC BRIDGEPORT Branch Medical Clinic, Bridgeport Branch Health Clinic Bridgeport, Bldg. 3005 Bridgeport, California 93517

DMIS ID: 0415

Clinic

NBHC NAS BELLE CHASE Naval Branch Health Clinic Belle Chasse 400 Russell Avenue, Bldg 41 Belle Chasse, Louisiana 70037

DMIS ID: 0436

Clinic

NBHC NAVWPNCEN CHINA

LAKE

Branch Health Clinic China Lake 1 Administration Circle Bldg 1403 China Lake, California 93555

DMIS ID: 0212

Clinic

BMC YUMA Branch Medical Clinic MCAS Yuma Building 1175 PO Box 99116 Yuma, AZ 85369-9116

DMIS ID: 0269

Clinic

AHC YUMA PROVING

GROUND

US Army Health Clinic, Yuma Proving Ground 301 C Street Bldg 990 Yuma, AZ 85365

DMIS ID: 0206

Clinic

AHC MONTEREY U.S. Army Health Clinic Presidio of Monterey 473 Cabrillo Street Bldg. 422 Presidio - Monterey, CA 93944-5006

DMIS ID: 0247

Clinic

AHC-VA MG GOURLEY CL-

MONTEREY

US Army Health – VA Outpatient Clinic 201 Ninth Street Marina, CA 93933

DMIS ID: 6071

VA-DOD

AHC R W BLISS-HUACHUCA Raymond W. Bliss Army Health Center 2240 E. Winrow Avenue, Bldg. 45001 Fort Huachuca, Arizona 85613-7079

DMIS ID: 0008

Clinic

AHC ROCK ISLAND ARSENAL U.S. Army Health Clinic Rock Island Arsenal 1 Rock Island Arsenal, basement Bldg 110 Rock Island, Illinois 61299-7240

DMIS ID: 0290

Clinic

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