AN-98 Home Health Pricing

Combined Synopsis/Solicitation
for
AN-98 Home Health Pricing
1. This is a combined synopsis/solicitation for commercial items and services prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued.
2. Solicitation number 36C25918R0484 is issued as a request for quote (RFQ).
3. This acquisition is unrestricted. The North American Industry Classification System (NAICS) code is 524291 Claims Adjusting.
4. FAR Clauses 52.212-1, 52.212-2, 52.212-4 and 52.212-5 apply to this procurement. For the exact text and wording of clauses and provisions please see http://farsite.hill.af.mil. The Government contemplates an award of an unrestricted Firm Fixed Priced (FFP) Lowest Priced Technically Acceptable (LPTA) contract resulting from this solicitation.
5. Description of services: The Contractor shall price PSHC claims that contain CMS Health Insurance Prospective Payment System (HIPPS) codes; complying with applicable CMS guidelines for the HIPPS methodology and have the ability to process between five to eight-thousand eligible HH Hospice outpatient fee claims each month for 152 Veterans Integrated Service Networks (VISN s) within 21 regions of the United States (U.S.) and its U.S. territories. Claims related to services provided in foreign countries and certain services provided in the state of Alaska have been deemed third party contracts between VA Medical Centers, various providers, and 3rd party administrators under the Choice/Community Care Network and are not subject to the requirements of this contract.
The Contractor shall work with the Program Office (PO) and Contracting Officer Representative (COR)
to provide HH Hospice and PSCH claims pricing. At no time shall the Contractor direct, change, or
engage in the formulation of VA policy. The VA is solely responsible to review the Contractor s
recommendations and to make decisions concerning the formulation of policy.
6. Period of Performance (POP): The POP shall be from the date of award for a 1 (one) 12 (twelve) month base-year period and two (2) twelve (12) month option year periods.
7. See Addendum to 52.212-1 Instructions to Offerors on the attached RFQ document for information on what to submit with your offer.
7. Offers are due October 19, 2018 @ 4:00 PM EST. All questions/inquiries must be submitted to the contract officer via electronic mail (e-mail) not later than October 12, 2018 @ 4:00 PM EST. Inquiries submitted via telephone calls will be re-directed to an e-mail submission.
8. Submit offers or any questions to the attention of Erica A. Blake via email to: erica.blake@va.gov..