TRICARE Medicare Eligible Program Second Generation (TMEP2)
Open Solicitation Posted
- Solicitation number
- HT940226R0001
- Agency
-
Defense Health Agency
Department of Defense
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 524292 Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
- PSC
- Q201 Medical- Managed Healthcare
- Place of performance
- United States
Notice details come from SAM.gov. Updated .
About this opportunity
The Defense Health Agency seeks health care claims processing, customer support, and associated administrative services for dual-eligible Medicare and TRICARE beneficiaries under TMEP2 (solicitation HT940226R0001), with proposals due December 3, 2026 at 5 p.m. MST, a date set by the October 28, 2026 update. The acquisition has no set-aside and proceeds as a full and open competition using best-value trade-off procedures under RFO FAR 15.2, with a Firm Fixed-Price award.
Performance covers the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands for beneficiaries who receive medical services in those locations. The period consists of a 12-month transition-in, seven 1-year healthcare delivery periods, a 12-month transition-out, and a potential 6-month extension under FAR 52.217-8, for up to 8.5 years.
The contractor processes electronic and paper claims, submits TRICARE Encounter Data, and coordinates Medicare crossover claims with the Medicare Benefits Coordination and Recovery Center. It maintains two designated bank accounts for benefit payments, provides live customer service agents from 6:00 AM to 11:00 PM ET, must achieve CMMC Level 2 compliance, and must enter a Data Sharing Agreement with DoD. The contract is a Firm Fixed-Price award with a NAICS code of 524292, Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds, and a PSC of Q201, Medical- Managed Healthcare.
Estimated volumes are approximately 63.9 million electronic claims rising to 71.5 million across option periods, and approximately 904,000 to 1.4 million paper claims. The pricing template shows an evaluated total price of $8,853,552 across the base and option periods, with quarterly beneficiary-satisfaction incentives ranging from $285,249 to $340,603.
Offerors must submit a Small Business Participation Commitment plan, which the solicitation treats as a material evaluation requirement. Past performance is a significant evaluation factor, and offerors must include client authorization letters and subcontractor and teaming partner consent letters in Volume III.
Amendment 0001 updated sensitivity labels only. DHA anticipates posting responses to questions on SAM.gov within weeks, followed by an RFP amendment addressing those questions.
Notice text
3 versions
Update #3 · Latest ·
28 Oct 2026: The TRICARE Medicare Eligible Program Second Generation SAM.gov posting is being updated to reflect a change in proposal due date.
The new due date for TMEP2 RFP Proposals is December 03, 2026, at 5.p.m. MST.The DHA anticipates to have responses to questions before receipt of proposals out within the next few weeks. An RFP amendment will follow the Q&A posting to SAM.gov to address questions raised on the Q&A.
25 Sep 2026: Uploaded signed version of the basic RFP and Amendment 0001 that updates the sensitivity labels of Section J, Attachment J-5b and Exhibits L-7, L-8, L-9.
This acquisition is for the continuing requirement for health care claims processing, customer support and other associated administrative services (e.g. submission of TRICARE encounter data and provider certification) of dual-eligible Medicare and TRICARE beneficiaries who receive medical services within the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands. USC Title 10, Chapter 55, and USC Title 32, National Defense, Code of Federal Regulations (CFR) Part 199, outline the benefit structure, administrative functions and the various health care programs, including TMEP2.
This is a full and open competitive source selection, using best value trade-off procedures in accordance with RFO Federal Acquisition Regulation (RFO FAR) 15.2, Evaluation and Award, as supplemented with Defense FAR Supplement and the DoD Source Selection Procedures (August 2022). The contract awarded will be a Firm Fixed-Price contract. The contract will have a one 12-month base period of transiotion-in activiteis, seven 1-year periods for healthcare delivery, a one 12-month contract period for transition-out activities, and a potential 6-month extension of services permitted per RFO FAR Clause 52.217-8, Option to Extend Services, for a potential total period of performance of 8.5 years.
Update #2 ·
25 Sep 2026: Uploaded signed version of the basic RFP and Amendment 0001 that updates the sensitivity labels of Section J, Attachment J-5b and Exhibits L-7, L-8, L-9.
This acquisition is for the continuing requirement for health care claims processing, customer support and other associated administrative services (e.g. submission of TRICARE encounter data and provider certification) of dual-eligible Medicare and TRICARE beneficiaries who receive medical services within the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands. USC Title 10, Chapter 55, and USC Title 32, National Defense, Code of Federal Regulations (CFR) Part 199, outline the benefit structure, administrative functions and the various health care programs, including TMEP2.
This is a full and open competitive source selection, using best value trade-off procedures in accordance with RFO Federal Acquisition Regulation (RFO FAR) 15.2, Evaluation and Award, as supplemented with Defense FAR Supplement and the DoD Source Selection Procedures (August 2022). The contract awarded will be a Firm Fixed-Price contract. The contract will have a one 12-month base period of transiotion-in activiteis, seven 1-year periods for healthcare delivery, a one 12-month contract period for transition-out activities, and a potential 6-month extension of services permitted per RFO FAR Clause 52.217-8, Option to Extend Services, for a potential total period of performance of 8.5 years.
Update #1 ·
This acquisition is for the continuing requirement for health care claims processing, customer support and other associated administrative services (e.g. submission of TRICARE encounter data and provider certification) of dual-eligible Medicare and TRICARE beneficiaries who receive medical services within the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands. USC Title 10, Chapter 55, and USC Title 32, National Defense, Code of Federal Regulations (CFR) Part 199, outline the benefit structure, administrative functions and the various health care programs, including TMEP2.
This is a full and open competitive source selection, using best value trade-off procedures in accordance with RFO Federal Acquisition Regulation (RFO FAR) 15.2, Evaluation and Award, as supplemented with Defense FAR Supplement and the DoD Source Selection Procedures (August 2022). The contract awarded will be a Firm Fixed-Price contract. The contract will have a one 12-month base period of transiotion-in activiteis, seven 1-year periods for healthcare delivery, a one 12-month contract period for transition-out activities, and a potential 6-month extension of services permitted per RFO FAR Clause 52.217-8, Option to Extend Services, for a potential total period of performance of 8.5 years.
Files
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Notice history
| Notice | Type | Posted |
|---|---|---|
| This notice | Solicitation | |
| TRICARE Medicare Eligible Program (TMEP2) Industry Forum | Special Notice | |
| TRICARE Medicare Eligible Program Second Generation (TMEP2) Draft RFP | Special Notice | |
| TRICARE Medicare Eligible Program Second Generation (TMEP2) | Pre-Solicitation |
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