A.01.02_Exhibit_G_–_MTF_Specialty_Referral_Notification_Letter.docx

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Puget Sound eMSM PAS, Referral Management, and CLR
Solicitation number
W81K04-18-R-0002
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This pre-solicitation notice seeks comments and questions regarding a draft solicitation for patient appointing, referral management, and clear and legible report accountability services to be provided to TRICARE beneficiaries within the Puget Sound Enhanced Multi-Service Market and selective Veterans Administration eligible beneficiaries. The incumbent contractors provide these services at Madigan Army Medical Center, Joint Base Lewis McChord and its clinics, 62nd Medical Squadron, Naval Hospital Bremerton and its clinics, and Navy Health Clinic Oak Harbor. The solicitation will be issued as a request for proposal on or about September 28, 2018 via the Federal Business Opportunities website. Interested parties should review the site frequently for any updates or amendments. The awarded contract will include a four-month base period and four one-year options plus an eight-month option period from the date of award.

Exhibit G

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Text version

Department of the Army

PUGET SOUND MILITARY HEALTH SYSTEM

2006 LIGGETT AVENUE

JOINT BASE LEWIS-MCCHORD WA 98433-9500

MCWR-MSM

MEMORANDUM FOR

SUBJECT: Specialty Referral Notification

1. You have a medical referral for Specialty Care entered by a provider at your Military Treatment Facility (MTF) that is ready for appointing.

2. We have attempted to contact you by phone three times to schedule your appointment, but have been unable to reach you or you have not returned our calls after 14 days.

3. We have since returned your referral to our Referral Coordination Center for further action. Please contact us by __________or your referral will be cancelled. You may call the Puget Sound Military Appointing Center at 800-404-4506 to check the status of your referral, or submit a telephone consult to your Primary Care Manager (PCM), or referring provider, for a new referral request in case your referral was cancelled.

4. The Puget Sound Military Appointing Center is open 6:00 AM to 8:00 PM, Monday thru Friday and 7:00 AM to 5:00 PM, Saturday and Sunday. Please call as soon as possible to allow us adequate time to assist you in accommodating your needs.

Sincerely, Patient Appointing Services A Division of the Puget Sound Military Healthcare System image1.png image10.png

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