WTCHP Comprehensive Cost Avoidance, Coordination of Benefits, and Recovery Program
Closed Solicitation Posted
- Solicitation number
- 75D301-20-R-67859
- Agency
- CDC Office of Acquisition Services Centers for Disease Control and Prevention, Department of Health and Human Services
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 524298 All Other Insurance Related Activities
- PSC
- R499 Support- Professional: Other
Notice details come from SAM.gov. Updated .
About this opportunity
The Centers for Disease Control and Prevention Office of Acquisition Services seeks to establish a comprehensive cost avoidance, coordination of benefits, and recovery program for the World Trade Center Health Program. Offerors must propose implementing a primary insurance identification system and database, validating coordination of benefits, recovering incorrectly paid claims, participating in New York's workers compensation program, and providing performance reporting and integrity services. Proposals will be evaluated based on implementation plans, experience, technical approach, past performance, and pricing. Proposals are due by February 24, 2020.
There is no set-aside designation. The NAICS code is 524292 and PSC code is R799. The potential value is estimated between $5-10 million annually over a five year period from March 2020 through February 2025. The contractor must perform all work offsite but travel may be required to meetings in Washington D.C., Cincinnati, Atlanta or New York City.
Notice text
2 versions
Update #2 · Latest ·
The World Trade Center (WTC) Health Program intends to improve efficiency and control health care costs. Our purpose is to establish a comprehensive cost avoidance, coordination of benefit, and recovery program by implementing a comprehensive cost avoidance and recovery platform from pre- to post-payment processes.
This requirement includes the deployment of a robust and near real-time primary insurance identification system and database, validation and facilitation of the Coordination of Benefit (COB), recovery of incorrectly or inappropriately paid claims from private insurance, participation in New York State (NYS) Workers’ Compensation Board (WCB)’s Health Insurance Matching Program (HIMP) to identify individuals who are eligible for WC benefits and to seek reimbursement from WC’s insurers, identification of deceased members, andproviding performance metrics, quality assurance and payment integrity services.
See Request for Proposal (RFP) and attachments.
Amended February 17, 2020, to add attachments and amend RFP. For the SOO, Objective 5 is no longer optional.
Update #1 ·
The World Trade Center (WTC) Health Program intends to improve efficiency and control health care costs. Our purpose is to establish a comprehensive cost avoidance, coordination of benefit, and recovery program by implementing a comprehensive cost avoidance and recovery platform from pre- to post-payment processes.
This requirement includes the deployment of a robust and near real-time primary insurance identification system and database, validation and facilitation of the Coordination of Benefit (COB), recovery of incorrectly or inappropriately paid claims from private insurance, participation in New York State (NYS) Workers’ Compensation Board (WCB)’s Health Insurance Matching Program (HIMP) to identify individuals who are eligible for WC benefits and to seek reimbursement from WC’s insurers, identification of deceased members, andproviding performance metrics, quality assurance and payment integrity services.
See Request for Proposal (RFP) and attachments.
Attachments
| File | Type | Posted |
|---|---|---|
| Attachment J.1 SOO.docx | DOCX document | |
| RFQ 75D301-20-R-67859 Amendment One .pdf | ||
| Attachment J.2 Template Performance-Work-Statement.docx | DOCX document | |
| Attachment J.7 Business Template.xlsx | XLSX spreadsheet | |
| Attachment J.1 SOO.docx | DOCX document | |
| Attachment J.5 Past Performance .docx | DOCX document | |
| Attachment J.3 BAA Template.docx | DOCX document | |
| Attachment J.2 Template Performance-Work-Statement.docx | DOCX document | |
| Attachment J.1 SOO.docx | DOCX document | |
| Attachment J.4 HHS SubK Plan Template.pdf | ||
| RFQ 75D301-20-R-67859.pdf | ||
| Attachment J.6 Responses to Pre-Solicitation Questions.xlsx | XLSX spreadsheet |
Show all 12
Notice history
| Notice | Type | Posted |
|---|---|---|
| WTCHP Comprehensive Cost Avoidance, Coordination of Benefits, and Recovery Program | Solicitation | |
| WTCHP Comprehensive Cost Avoidance, Coordination of Benefits, and Recovery Program | Pre-Solicitation |
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