TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC)

This is the PRESOLICITATION NOTICE (Synopsis) for the TRICARE Dual-Eligible Fiscal Intermediary Contract (TDEFIC).  The Contracting Officer anticipates issuing the Request for Proposal (RFP) on Federal Business Opportunities (www.fbo.gov) on or about March 29, 2013.

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 health care services received in the United States, Puerto Rico, Guam, the US Virgin Islands, American Samoa, and the Northern Mariana Islands.  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 Contracting Officer anticipates the TDEFIC solicitation will use full and open competition and the tradeoff best-value source selection procedures to award 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. 

A Draft RFP was posted on www.fbo.gov on June 29, 2012.  The Contracting Officer plans to issue the solicitation on or about March 29, 2013.  The due date for proposal submission is anticipated to be on or about June 3, 2013.  Paper copies of the solicitation will not be available.  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.  Any future information on this acquisition will be posted on www.fbo.gov.  It is the responsibility of the prospective offeror to review this site regularly for updates and/or changes. 

Interested firms shall not send proposals in response to this Notice, nor shall they contact any other individuals about this Notice or the TDEFIC requirement. Any information provided to TRICARE Management Activity (TMA) is strictly voluntary and given with no expectation of compensation and is clearly provided at no cost to the Government.

The Department of Defense, TRICARE Management Activity (TMA) has a requirement for a fiscal intermediary to provide claims processing, medical case management, and related customer support services for claims submitted by and on behalf of Military Health System (MHS) for TRICARE Dual Eligible beneficiaries who are eligible for both Medicare and TRICARE benefits for services received in the United States, Puerto Rico, Guam, the US Virgin Islands, American Samoa and the Northern Mariana Islands. The contractor shall provide medical and mental health care claims processing and support services by incorporating and operating the best practices of the private sector in support of TRICARE.

The Government is contemplating a fixed-price, indefinitely delivery/indefinite quantity (IDIQ) contract with a 12-month transition basic period, and five 1-year option periods. The purpose of this Notice is to provide potential offerors with the DRAFT request for proposal (RFP) for the TDEFIC solicitation. It is intended for information purposes only. Offerors are invited to review the attached DRAFT solicitation documents and submit questions or comments about the DRAFT RFP via email to Mr. Steve Conn, Contract Analyst, not later than 4:00 pm MT, June 29 2012. Please include the following in the subject line: DRAFT TDEFIC HT9402-12-R-0005.

Any questions about the DRAFT RFP shall be submitted using the attached Excel TDEFIC Draft RFP Question matrix via email to Mr. Conn. Interested firms shall not send proposals in response to this Notice, nor shall they contact any other individuals about this Notice or the TDEFIC requirement. Any information provided to TRICARE Management Activity (TMA) is strictly voluntary and given with no expectation of compensation and is clearly provided at no cost to the Government.

A solicitation will not be issued at this time, and this Notice shall not be construed as a commitment by the Government to issue a solicitation nor does it restrict the Government to a particular acquisition approach. The Government may issue a formal solicitation on the Federal Business Opportunities (fbo.gov) website at a future date. If the Government issues a solicitation, the Government will conduct any source selection in accordance with the Federal Acquisition Regulation (FAR), as supplemented, at the TMA Contract Operations Division-Aurora (TMA COD-A), in Aurora, Colorado.

Any future information on this acquisition (statement of work, specifications, solicitation, etc.) will be posted on www.fbo.gov. It is the responsibility of the prospective offeror to review this site regularly for updates and/or changes.

For information on Small Business Administration programs, please contact the Small Business Administration.

In accordance with DFARS Part 252.204-7004, contractors must be registered in the Central Contractor Registration (CCR) prior to award. Register at http://www.ccr.gov, or call 1.888.CCR.2423.