World Trade Center Health Program Third-Party Administrator (TPA)

Closed Pre-Solicitation Posted

This opportunity was awarded. See the award notice from , or the latest solicitation from .

Solicitation number
Pre-75D301-25-R-73216
Agency
Responses due
Set-aside
No set-aside

Opportunity facts

Place of performance
United States
Points of contact

Notice details come from SAM.gov. Updated .

About this opportunity

The National Institute for Occupational Safety and Health (NIOSH), part of the Centers for Disease Control and Prevention (CDC), is seeking a third-party administrator (TPA) for the World Trade Center Health Program. The TPA will be responsible for processing enrollment applications, maintaining member demographics, managing a call center, maintaining provider networks, administering program benefits, and processing medical claims for this federal health care program that supports individuals affected by the September 11th attacks. The solicitation will be a full and open competition conducted under FAR Part 15 procedures, with proposals due on April 11, 2025. A pre-proposal conference is scheduled for January 22, 2025, from 1:00pm to 2:30pm Eastern time. Proposals will consist of written volumes and a required two-hour virtual session with the government, with the virtual component to be conducted between April 21 and May 2, 2025.

The procurement has no specific set-aside designation and is categorized under NAICS code 524292 for pharmacy benefit management and third-party administration services. The government anticipates making a single award on or about August 29, 2025, with the contract period of performance beginning September 15, 2025. Potential offerors can find additional details in a draft performance work statement previously released on September 25, 2024, under SAM.gov notice ID 75D301-24-RFI-WTCHP-TPA. Interested parties with questions are directed to contact Joshua Houston, Contract Specialist, at jhouston@cdc.gov. The solicitation and attachments will be posted to SAM.gov under notice ID 75D301-25-R-73216, providing comprehensive information for potential contractors interested in supporting this critical health program.

Notice text

3 versions

Update #3 · Latest ·

This is a presolicitation notice being made in accordance with Federal Acquisition Regulation (FAR) sections 5.201, 5.203, and 5.204. This notice does not constitute a request for proposals.

The National Institute for Occupational Safety and Health (NIOSH), part of the Centers for Disease Control and Prevention (CDC), has a requirement for a third-party administrator (TPA) for the World Trade Center (WTC) Health Program.

The WTC Health Program is a limited benefit federal health care program that provides high-quality, compassionate medical monitoring and treatment for WTC-related conditions to those directly affected by the September 11th attacks in New York, at the Pentagon, and in Shanksville, Pennsylvania. The Program is administered by NIOSH.

The WTC Health Program TPA receives and processes enrollment applications and certification requests for NIOSH decision-making; maintains member demographic information; manages a call center; manages and maintains provider networks on behalf of the WTC Health Program; administers WTC Health Program benefits; and processes medical claims, among other tasks.

A draft copy of the performance work statement (PWS) for this requirement was previously provided on September 25, 2024, under SAM.gov notice ID 75D301-24-RFI-WTCHP-TPA, located here: https://sam.gov/opp/a361f1a5fd464c9c91e64050282a9d0a/view.

The Government anticipates releasing this solicitation on January 16, 2025. The solicitation and attachments will be posted to SAM.gov under notice ID 75D301-25-R-73216. This will be a full and open competition conducted under the procedures of FAR Part 15.

The Government will conduct a virtual pre-proposal conference on January 22, 2025, between 1:00pm – 2:30pm Eastern time (ET). More information about this conference, including the registration link, will be provided with the solicitation. The meeting will be conducted through Microsoft Teams.

Proposals will include written volumes and a required two-hour virtual session. The written proposal will be due April 11, 2025. The virtual session will be conducted between each offeror and the Government on or between April 21, 2025, and May 2, 2025. The virtual session is a component of proposals; more information about this session and the proposal process will be provided in the solicitation.

The Government intends to make a single award resulting from this solicitation on or about August 29, 2025. The period of performance for the contract will start on September 15, 2025.

Please direct any questions about this requirement to Joshua Houston, Contract Specialist, at jhouston@cdc.gov.

Update #2 ·

This is a presolicitation notice being made in accordance with Federal Acquisition Regulation (FAR) sections 5.201, 5.203, and 5.204. This notice does not constitute a request for proposals.

The National Institute for Occupational Safety and Health (NIOSH), part of the Centers for Disease Control and Prevention (CDC), has a requirement for a third-party administrator (TPA) for the World Trade Center (WTC) Health Program.

The WTC Health Program is a limited benefit federal health care program that provides high-quality, compassionate medical monitoring and treatment for WTC-related conditions to those directly affected by the September 11th attacks in New York, at the Pentagon, and in Shanksville, Pennsylvania. The Program is administered by NIOSH.

The WTC Health Program TPA receives and processes enrollment applications and certification requests for NIOSH decision-making; maintains member demographic information; manages a call center; manages and maintains provider networks on behalf of the WTC Health Program; administers WTC Health Program benefits; and processes medical claims, among other tasks.

A draft copy of the performance work statement (PWS) for this requirement was previously provided on September 25, 2024, under SAM.gov notice ID 75D301-24-RFI-WTCHP-TPA, located here: https://sam.gov/opp/a361f1a5fd464c9c91e64050282a9d0a/view.

The Government anticipates releasing this solicitation on January 15, 2025. The solicitation and attachments will be posted to SAM.gov under notice ID 75D301-25-R-73216. This will be a full and open competition conducted under the procedures of FAR Part 15.

The Government will conduct a virtual pre-proposal conference on January 22, 2025, between 1:00pm – 2:30pm Eastern time (ET). More information about this conference, including the registration link, will be provided with the solicitation. The meeting will be conducted through Microsoft Teams.

Proposals will include written volumes and a required two-hour virtual session. The written proposal will be due April 11, 2025. The virtual session will be conducted between each offeror and the Government on or between April 21, 2025, and May 2, 2025. The virtual session is a component of proposals; more information about this session and the proposal process will be provided in the solicitation.

The Government intends to make a single award resulting from this solicitation on or about August 29, 2025. The period of performance for the contract will start on September 15, 2025.

Please direct any questions about this requirement to Joshua Houston, Contract Specialist, at jhouston@cdc.gov.

Update #1 ·

This is a presolicitation notice being made in accordance with Federal Acquisition Regulation (FAR) sections 5.201, 5.203, and 5.204. This notice does not constitute a request for proposals.

The National Institute for Occupational Safety and Health (NIOSH), part of the Centers for Disease Control and Prevention (CDC), has a requirement for a third-party administrator (TPA) for the World Trade Center (WTC) Health Program.

The WTC Health Program is a limited benefit federal health care program that provides high-quality, compassionate medical monitoring and treatment for WTC-related conditions to those directly affected by the September 11th attacks in New York, at the Pentagon, and in Shanksville, Pennsylvania. The Program is administered by NIOSH.

The WTC Health Program TPA receives and processes enrollment applications and certification requests for NIOSH decision-making; maintains member demographic information; manages a call center; manages and maintains provider networks on behalf of the WTC Health Program; administers WTC Health Program benefits; and processes medical claims, among other tasks.

A draft copy of the performance work statement (PWS) for this requirement was previously provided on September 25, 2024, under SAM.gov notice ID 75D301-24-RFI-WTCHP-TPA, located here: https://sam.gov/opp/a361f1a5fd464c9c91e64050282a9d0a/view.

The Government anticipates releasing this solicitation on January 15, 2025. The solicitation and attachments will be posted to SAM.gov under notice ID 75D301-25-R-73216. This will be a full and open competition conducted under the procedures of FAR Part 15.

The Government will conduct a pre-proposal conference on January 22, 2025, between  1:00pm – 2:30pm Eastern time (ET). More information about this conference, including the registration link, will be provided with the solicitation.

Proposals will include written volumes and a required two-hour virtual session. The written proposal will be due April 11, 2025. The virtual session will be conducted between each offeror and the Government on or between April 21, 2025, and May 2, 2025. The virtual session is a component of proposals; more information about this session and the proposal process will be provided in the solicitation.

The Government intends to make a single award resulting from this solicitation on or about August 29, 2025. The period of performance for the contract will start on September 15, 2025.

Please direct any questions about this requirement to Joshua Houston, Contract Specialist, at jhouston@cdc.gov.

Notice history

Notice Type Posted
World Trade Center Health Program Third-Party Administrator (TPA) Award Award Notice
World Trade Center Health Program Third-Party Administrator (TPA) Latest solicitation Solicitation
This notice Pre-Solicitation
RFI and draft PWS - World Trade Center Health Program Third-Party Administrator Original Special Notice

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