T-5 Draft RFP Section F.pdf
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- 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 and related federal contract opportunity document outline requirements for the fifth generation of TRICARE Managed Care Support contracts. Interested offerors are invited to provide feedback on the draft RFP requirements, terms, and conditions using the provided response template in Microsoft Excel by September 18, 2020. The T-5 contracts will provide medical services and associated administrative support for the Military Health System from January 1, 2023 through December 31, 2031 across two regions. The East Region includes 18 states and the District of Columbia. The West Region includes 13 states. The contracts will have a one-year base period and eight one-year option periods to deliver TRICARE Prime and Select benefits. Transition planning will be required at the start and end of each period.
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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.1.1. 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 Transition-Out Option (if applicable) Option Period 2: January 1, 2025 through December 31, 2025 Transition-Out Option (if applicable) Option Period 3: January 1, 2026 through December 31, 2026 Transition-Out Option (if applicable) Option Period 4: January 1, 2027 through December 31, 2027 Transition-Out Option (if applicable) Option Period 5: January 1, 2028 through December 31, 2028 Transition-Out Option (if applicable) Option Period 6: January 1, 2029 through December 31, 2029 Transition-Out Option (if applicable) Option Period 7: January 1, 2030 through December 31, 2030 Transition-Out Option (if applicable)
Option Period 8: January 1, 2031 through December 31, 2031 Transition-Out Option (if applicable)
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
HT940220R0005 Page F2 of F3 option exercise and complete the timelines as specified in TOM Chapter 2. All transition-out activities shall be completed no later than 180 days after the start of healthcare delivery for the incoming contractor(s).
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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