WTCHP Nationwide Provider Network

Closed Solicitation Posted

This opportunity was awarded. See the award notice from .

Solicitation number
75D301-21-R-71962
Agency
National Institute for Occupational Safety and Health Centers for Disease Control and Prevention, Department of Health and Human Services
Responses due
Set-aside
No set-aside

Opportunity facts

NAICS code
524114 Direct Health and Medical Insurance Carriers
PSC
Q999 Medical- Other
Place of performance
United States

Notice details come from SAM.gov. Updated .

About this opportunity

The Centers for Disease Control and Prevention seeks to award a five-year time and materials contract to establish and operate the World Trade Center Health Program Nationwide Provider Network. Services required include contract management, member services, program communications, establishing and maintaining a nationwide provider network, administering monitoring and treatment, conducting physician determinations and certifications, administering medical benefits claims and billing, coordinating benefits with private insurance for survivors, and quality assurance controls. Proposals are due by August 4, 2021 and award will be made using a best value tradeoff evaluation approach.

There is no set-aside designation. The main NAICS code is 524292 and PSC code R499. The current incumbent is unknown and the contract value is undetermined. The contract will provide services to over 100,000 responders and survivors of the 9/11 attacks living outside the New York metropolitan area through September 2026. Place of performance will be within the United States.

Notice text

3 versions

Update #3 · Latest ·

August 17th: RFP and PWS have been revised based on questions submitted. We have also added attachments. Completed Questions & Answers spreadsheet attached.

The National Institute for Occupational Safety and Health (NIOSH) has a requirement procure services for the establishment and operation of the World Trade Center Health Program (WTCHP) Nationwide Provider Network (NPN) to provide services to the Responders/Survivors of the 9/11 attacks living outside of the New York metropolitan area (NYMA) in a manner consistent with the requirements of the Zadroga Act. A five-year Time & Material contract is anticipated. Award will be made using a Best-Value, Trade-Off approach.

The requirement is to provide limited health care delivery services that include:

  • Contract management
  • Member services
  • Program Communications
  • Establish and maintain nationwide provider network
  • Administer monitoring and treatment
  • Conduct physician determinations and request certifications
  • Administer end-to-end medical benefits claim and billing program
  • Coordination of benefits with private health insurance for survivors
  • Quality Assurance Controls to prevent unauthorized services
  • Case management and care coordination

Please see attachments for more information. Questions are due by email to kpy2@cdc.gov by 1:00pm EDT on August 4, 2021. All question submissions must use "Attachment G.8 Question and Answer Template" or they will not be accepted. Questions will not be accepted by phone. Note, RFP number was changed between Synopsis posting, and this posting from 75D301-21-R-71961 to 75D301-21-R-71962.

Update #2 ·

August 17th: RFP and PWS have been revised based on questions submitted. We have also added attachments.

The National Institute for Occupational Safety and Health (NIOSH) has a requirement procure services for the establishment and operation of the World Trade Center Health Program (WTCHP) Nationwide Provider Network (NPN) to provide services to the Responders/Survivors of the 9/11 attacks living outside of the New York metropolitan area (NYMA) in a manner consistent with the requirements of the Zadroga Act. A five-year Time & Material contract is anticipated. Award will be made using a Best-Value, Trade-Off approach.

The requirement is to provide limited health care delivery services that include:

  • Contract management
  • Member services
  • Program Communications
  • Establish and maintain nationwide provider network
  • Administer monitoring and treatment
  • Conduct physician determinations and request certifications
  • Administer end-to-end medical benefits claim and billing program
  • Coordination of benefits with private health insurance for survivors
  • Quality Assurance Controls to prevent unauthorized services
  • Case management and care coordination

Please see attachments for more information. Questions are due by email to kpy2@cdc.gov by 1:00pm EDT on August 4, 2021. All question submissions must use "Attachment G.8 Question and Answer Template" or they will not be accepted. Questions will not be accepted by phone. Note, RFP number was changed between Synopsis posting, and this posting from 75D301-21-R-71961 to 75D301-21-R-71962.

Update #1 ·

The National Institute for Occupational Safety and Health (NIOSH) has a requirement procure services for the establishment and operation of the World Trade Center Health Program (WTCHP) Nationwide Provider Network (NPN) to provide services to the Responders/Survivors of the 9/11 attacks living outside of the New York metropolitan area (NYMA) in a manner consistent with the requirements of the Zadroga Act. A five-year Time & Material contract is anticipated. Award will be made using a Best-Value, Trade-Off approach.

The requirement is to provide limited health care delivery services that include:

  • Contract management
  • Member services
  • Program Communications
  • Establish and maintain nationwide provider network
  • Administer monitoring and treatment
  • Conduct physician determinations and request certifications
  • Administer end-to-end medical benefits claim and billing program
  • Coordination of benefits with private health insurance for survivors
  • Quality Assurance Controls to prevent unauthorized services
  • Case management and care coordination

Please see attachments for more information. Questions are due by email to kpy2@cdc.gov by 1:00pm EDT on August 4, 2021. All question submissions must use "Attachment G.8 Question and Answer Template" or they will not be accepted. Questions will not be accepted by phone. Note, RFP number was changed between Synopsis posting, and this posting from 75D301-21-R-71961 to 75D301-21-R-71962.

Attachments

Files attached to this notice, newest first
File Type Posted
Questions and Answers 75D301-21-R-71962 complete.xlsx XLSX spreadsheet
Attachment G.1 - WTCHP NPN PWS 75D301-21-R-71962 08-17-2021.docx DOCX document
Attachment G.17 - MAP_NPN_Member_Geographic_Distribution_2021-08-13.pdf PDF
Attachment G.12 - 003_TGD_QA_and_Internal_Audits_DRAFT.pdf PDF
Attachment G.13 - ReportingDataDefinitions_TPA_NPN_CCE_DC.xlsx XLSX spreadsheet
Attachment G.11 - DRAFT_QASP_2021_08_13.pdf PDF
75D301-21-R-71962 08-17-2021.doc DOC document
Attachment G.14 - 016_TGD_RetrospectiveAuthorizations_TGD_Final.pdf PDF
Attachment G.16 - New_NPN_Stats_2021_8_16.pptx PPTX presentation
Attachment G.15 - TGD-009_Essential_Elements_Monthly_Report.pdf PDF
Attachment G.9 - BEAST_For_Responder_Members.pdf PDF
Attachment G.10 - DRAFT_BEAST_For_Survivor_Members_2021_08_13.pdf PDF
Attachment G.8 - Question and Answer Template.xlsx XLSX spreadsheet
Attachment G.7 - Definitions.xlsx XLSX spreadsheet
Attachment G.3 - HHS Subcontracting Plan Template.doc DOC document
Attachment G.2 - CUI-SSP System Security Plan.docx DOCX document
Attachment G.4 - Past Present Performance Questionnaire.docx DOCX document
75D301-21-R-71962.doc DOC document
Attachment G.5 - Business Associate Agreement.docx DOCX document
Attachment G.6 - Acronyms.pdf PDF
Attachment G.1 - WTCHP NPN PWS 75D301-21-R-71962.docx DOCX document
Show all 21

Notice history

Notices posted for this opportunity, newest first
Notice Type Posted
WTCHP Nationwide Provider Network Award Award Notice
WTCHP Nationwide Provider Network This notice · Latest solicitation Solicitation
WTCHP Nationwide Provider Network Original Pre-Solicitation

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