TRICARE Dual-Eligible Fiscal Intermediary Contract (TDEFIC)
Award Notice Posted
- Solicitation number
- HT9402-12-R-0005
- Agency
-
Defense Health Agency
Department of Defense
- Awarded
- to Wisconsin Physicians Service Insurance Corp.
- Set-aside
- No set-aside
Opportunity facts
- Contract number
- HT9402-14-D-0003 Federal IDV award
- NAICS code
- 524292 Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
- PSC
- Not on record
- Place of performance
- To be determined, United States
Notice details come from SAM.gov. Updated .
Notice text
10 versions
Update #10 · Latest ·
The DHA is awarding Wisconsin Physicians Service Insurance Corporation (WPS), Madison, WI, a services requirements contract with fixed unit prices, for the continuation of comprehensive health care claims processing, customer support and other associated administrative services on behalf of dual-eligible Medicare/TRICARE beneficiaries for healthcare services received in the United States, Puerto Rico, Guam, the US Virgin Islands, American Samoa and the Northern Mariana Islands. The total cumulative face value of the contract is estimated to be $484,085,493, including six 1-year option periods and the 6-month option to extend services if exercised.
Update #9 ·
The purpose of this notice is to issue Amendment 0003 to Solicitation HT9402-12-R-0005. The Section C, DESCRIPTION/SPECIFICATIONS/WORK STATEMENT, was revised as indicated (Shown as "tracked changes" in the document).
There is no change to the proposal due date as a result of the amendment.
Update #8 ·
The purpose of this notice is to inform potential offerors that TMA will issue an amendment to Solicitation HT9402-12-R-0005 to add the requirement for Enterprise-wide Contractor Manpower Reporting to Section C, Description/Specifications/Work Statement, as follows:
7.3.7. CONTRACTOR MANPOWER REPORTING - Enterprise-wide Contractor Manpower Reporting Application (eCMRA). The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the TRICARE Management Activity via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address: http://www.ecmra.mil/. Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year, beginning with 2013. Contractors may direct questions to the help desk at help desk at: http://www.ecmra.mil.
Paragraph 2.0. DOCUMENTS was revised to read: TRICARE Reimbursement Manual (TRM) 6010.58-M, February 1, 2008; through Change No. 80.
TMA does not anticipate changing the proposal due date based on the amendment.
Update #7 ·
The purpose of this notice is to issue Amendment 0002 to Solicitation HT9402-12-R-0005, incorporating minor changes to the TDEFIC Solicitation. The following documents were revised as indicated (Shown as "tracked changes" in the specific documents referenced below):
a. Section C, DESCRIPTION/SPECIFICATIONS/WORK STATEMENT,
b. Section E, INSPECTION AND ACCEPTANCE,
c. Section L, INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS,
d. Attachment J-1, Draft TRICARE Operations Manual, Chapter 20;
e. Replace CDRL M050, Monthly Workload Report, and CDRL M130
Productivity Report.
There is no change to the proposal due date as a result of the amendment.
Update #6 ·
As of May 8, 2013, TMA has posted the Government's Responses to the 12 Solicitation Questions which were previously identified as "pending."
Update #5 ·
The Government hosted the TDEFIC pre-proposal conference for potential TDEFIC offerors at 9:00 a.m. (Mountain) on Friday, April 26, 2013, at 16401 E. Centretech Parkway, Aurora CO 80011. The purpose of the pre-proposal conference was for the Government to provide a high-level overview of both the TDEFIC program and the proposal preparation requirements.
The Goverment strongly encourages offerors to read the Government's Responses to Solicitation Questions. Where any response indicates a change to a solicitation document or section, those changes will be incorporated into a future amendment to the soliciation. Offerors shall proceed with their proposal preparation based on the information in the solicitaiton, as supplemented by the Government's responses to solicitaiton questions.
TMA has posted the following documents pertaining to the Pre-Proposal Conference to fbo.gov:
a. The TDEFIC Pre-Proposal Slides
b. The Points of Contact for the Companies Attending
c. Government's Responses to Solicitation Questions
Update #4 ·
The Government will host the TDEFIC pre-proposal conference for potential TDEFIC offerors at 9:00 a.m. (Mountain) on Friday, April 26, 2013, at 16401 E. Centretech Parkway, Aurora CO 80011. The purpose of the pre-proposal conference is for the Government to provide a high-level overview of both the TDEFIC program and the proposal preparation requirements.
To attend the event, please RSVP to Ms. Margaret Zancanella (Margaret.Zancanella@tma.osd.mil) by 11:00 a.m. on April 19, 2013. Please coordinate responses by a single point-of-contact per company. In the RSVP, please provide the following information:
• Company name and contact information
• Full name, phone number(s), and email address for each person attending
• Special requirements, if any, for the on-site conference attendees
• Whether your company will attend in person or via teleconference. If attending via the teleconference, please provide the email address where the PowerPoint slides and the dial-in instructions should be emailed.
Due to the limited amount of space, the number of attendees to the on-site conference is limited to 3 per company. Visitor-designated parking is available. Participants should arrive 15 minutes prior to the start time to clear security check-in and be seated prior to the start of the event. Participants must show a government-issued photo identification (i.e. driver's license) at the main entrance security desk.
REMINDER: The Government is accepting potential offerors' questions until 11:00 a.m. (Mountain) on April 19, 2013. The Government anticipates providing its written responses to the questions received at the pre-proposal conference on April 26, 2013. The Government will also post its responses to fbo.gov.
TMA is not offering one-on-one meetings with potential offerors.
Update #3 ·
The purpose of this notice is to issue Amendment 0001 to Solicitation HT9402-12-R-0005.
There is no change to the proposal due date due to the amendment.
Update #2 ·
The purpose of this notice is to inform potential offerors that TMA will issue an amendment to Solicitation HT9402-12-R-0005 to delete the requirement for benchmark testing (revised Attachment J-1, Draft TRICARE Operations Manual, Chapter 20, Section 5, Paragraph 2.0, Start-up Requirements) and correct the estimated quantities for Paper Claims Processing as follows:
CLIN 0101 the estimated quantity is increased from 185,000 to 6,519,394.
CLIN 0201 the estimated quantity is increased from 185,000 to 6,714,976.
CLIN 0301 the estimated quantity is increased from 180,000 to 6,916,425.
CLIN 0401 the estimated quantity is increased from 180,000 to 7,123,918.
CLIN 0501 the estimated quantity is increased from 180,000 to 7,337,635.
CLIN 0601 the estimated quantity is increased from 180,000 to 7,557,764.
The amendment will also correct other minor typographical and grammatical errors. TMA does not anticipate changing the proposal due date based on the amendment.
Update #1 ·
This is the REQUEST FOR PROPOSAL for the TRICARE Dual- Eligible Fiscal Intermediary Contract (TDEFIC).
This TDEFIC acquisition is for a new contract for the continuation of comprehensive health care claims processing, customer support and other associated administrative services (e.g. submission of TRICARE encounter data and provider certification) on behalf of dual-eligible Medicare/TRICARE beneficiaries for healthcare services received in the United States, Puerto Rico, Guam, the US Virgin Islands, American Samoa and the Northern Mariana Islands. The total eligible population for TDEFIC is approximately 2.1 million beneficiaries with approximately 48 million claims processed annually. Chapter 55, Title 10, USC; and Title 32, National Defense, Code of Federal Regulations (CFR) Part 199, outline the benefit structure, administrative functions and the various health care programs, including TDEFIC.
The TDEFIC solicitation will use full and open competition and tradeoff best-value source selection procedures which will result in the award of a single requirements contract with fixed unit prices. The period of performance will include a 10-month transition-in period, plus six 1-year option periods. Transition-out will occur concurrently with the last option period exercised.
Proposals are due not later than noon (MT) on June 3, 2013. In order to receive emails concerning the status of this solicitation, interested parties are strongly encouraged to register as vendors on www.fbo.gov and then sign up as interested vendors for the TDEFIC Solicitation HT9402-12-R-0005. It is the responsibility of the prospective offeror to review this site regularly for updates and/or changes. Offerors should only use the files posted today because they supersede any information previously provided as draft documents. The Government will post any subsequent revisions, if any, as amendments to the solicitation on fbo.gov.
Please read and comply with all requirements for submitting a proposal. Failure to comply with the instructions contained within this RFP could result in the proposal being ineligible for award. It is the offeror's responsibility to ensure its proposal meets all the requirements identified in this solicitation. No hard copy of this solicitation will be issued. Offerors shall submit any questions concerning this solicitation via email not later than 11:00 am (MT), on April 19, 2013, to Margaret.Zancanella@tma.osd.mil. TMA will post responses to questions on fbo.gov at a later date.
Pre-Proposal Conference: If a potential offeror feels a pre-proposal conference would assist its proposal preparation, the potential offeror shall send an email indicating whether it would attend in person or via telephone conference not later than 11:00 am (MT), on April 12, 2013, to Margaret.Zancanella@tma.osd.mil. TMA is not offering one-on-one meetings with potential offerors. If the need for a pre-proposal conference is identified, TMA will host such conference on Friday, April 26, 2013, at 16401 E. Centretech Parkway, Aurora CO 80011. The conference will include teleconferencing capabilities. Based on the responses, TMA will update fbo.gov on April 15 to indicate if there will be a pre-proposal conference, the specific time and instructions to RSVP to attend.
For information on Small Business Administration programs, please contact the Small Business Administration.
Files
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Notice history
| Notice | Type | Posted |
|---|---|---|
| This notice | Award Notice | |
| TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC) | Award Notice |
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