Tricare claims review service (tcrs) synopsis

In accordance with Federal Acquisition Regulation (FAR) 5.2, Synopses of Proposed Contract Actions, this synopsis provides notice to potential offerors that the DHA Managed Care Contracting Division in Aurora, Colorado, is preparing to issue the TRICARE Claims Review Service (TCRS) solicitation.

Date:  2 May 2022

Year: 2022

Contracting Office Zip: 80011-9066

Product Service Code: Q201 Medical General Healthcare

Contracting Office Address:  16401 E. Centretech Parkway, Aurora, Colorado

Subject: TRICARE Claims Review Services (TCRS) effort assists the Improper Payment Program in validating that the TRICARE contractors are performing healthcare reimbursement determinations and healthcare claims processing services in accordance with TRICARE policies, procedures, and  specific contract requirements. The TCRS contractor will be responsible for conducting compliance reviews to determine whether claim payments were appropriately adjudicated.

Solicitation Number: HT940221R0002

Closing Response Date: 16 June 2022

Point of Contact:

Primary: Nicholas Ceciliani

Secondary: Kristin Moore

Email: dha.buckley.acquis-procure.mbx.tcrs@mail.mil

Response Date: 16 June 2022

NAICS: 541611 – Administrative Management and General Management Consulting Services

Place of Contract Performance: TBD based on Contractor location (nationwide)

Set-aside Status: Small Business Set Aside

Anticipated Award Date: 1 September 2022

Description: This Request for Proposal (RFP) is a follow-on acquisition to the current TCRS contract. This is a small business set aside, using best value trade-off procedures in accordance with Federal Acquisition Regulation (FAR) 15.3, Source Selection, as supplemented by the Defense FAR Supplement and the DoD Source Selection Procedures (2016).  The contract awarded will be Firm-Fixed-Priced.  The contract will have a 6-month base period for transition-in, six 1-year ordering periods and a potential 6-month extension of services permitted per FAR Clause 52.217-8, Option to Extend Services, for a potential total period of performance of 7 years.

Previous draft documents associated with HT940221R0002 are superseded. The Contracting Officer will post any revisions or amendments to this solicitation on www.SAM.gov.

This posting includes the anticipated solicitation and associated attachments, exhibits and CDRLs. This notice does not constitute the final solicitation. The final solicitation will be posted under a separate SAM.gov posting.