Q -- TRICARE Claim Audit Review Services

MARKET RESEARCH FOR TRICARE CLAIMS AUDIT REVIEW SERVICES (TCARS) THIS IS NOT A REQUEST FOR PROPOSALS OR A REQUEST FOR QUOTATIONS. IT IS STRICTLY A REQUEST FOR COMMENTS ON A DRAFT STATEMENT OF WORK AS PART OF MARKET RESEARCH IN ACCORDANCE WITH THE FEDERAL ACQUISITION REGULATION, PART 10, FOR A POSSIBLE FUTURE TRICARE CONTRACT AS A FOLLOW-ON TO THE CURRENT CLAIMS AUDIT REVIEW SERVICES CONTRACT. The Department of Defense (DoD), TRICARE Management Activity (TMA) is developing the requirement for providing an independent, impartial audit of reimbursement determinations and claims processing services. As part of its market research, the Government is seeking industry input with regards to its draft Statement of Work (SOW) which is found under TRICARE Claims Audit Review Services (TCARS), Reference Number H94002-08-R-0003 on the TRICARE Website at http://www.tricare.mil/contracting/healthcare/solicitations. DoD does not intend to award a contract on the basis of the survey submitted in response to the market analysis nor pay for costs associated with responses received. Comments are solicited as to whether the language included in the draft SOW is sufficiently descriptive/detailed and broad enough in scope, includes applicable and necessary standard industry/commercial practices, and establishes reasonable objectives and obtainable standards that can be measured and used in conjunction with possible performance incentives. Comments/suggestions on additional aspects of the draft SOW are encouraged and may also be submitted. All comments/suggestions made should be stated in generic/broad and nonproprietary terms. A summary of the Government s needs are basically as follows: The contractor will evaluate the processing procedures, reimbursement methodologies, and payment record coding procedures utilized by the TNEX Managed Care Support (MSC), the T-3 MCS, the TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC), TRICARE Pharmacy (TPHARM), TRICARE Overseas Program (TOP), and TRICARE Active Duty Dental Program (ADDP) contractors, to determine contractor compliance with TRICARE directives. Information received in response to the SOW part of this market survey will not be considered confidential and may be incorporated to applicable portions of the SOW during the formal Request For Proposal (RFP). Comments relative to the SOW must be submitted to TMA through the TMA website using the, Question and Answer, link. Your comments will be considered whenever received; however we request your comments as soon as possible. Interested parties may submit a response by e-mail through the aforementioned TMA Website no later than February 27, 2008. Please note that the SOW will make references to Sections J and F which are not available at this time. Special Notices will be issued through the FBO when these Sections become available and an appropriate extension to the response date will be identified. Questions relative to an interested party s capabilities are in process of being generated and will also be posted to the TMA website. A Special Notice will be posted through the FBO advising of this and providing adequate time for interested parties to respond to the questions. An interested party s responses to these questions will be held in confidence and will be made available only to the Government s reviewers. These responses must be forwarded through the TMA website using the link referenced, E-mail Questions to the Contracting Officer. The government will not be publishing or responding in a public forum to any comments or questions as part of this market research. NO PHONE CALLS WILL BE ACCEPTED. It is anticipated that a solicitation will be issued on or about May 30, 2008. The RFP will be accessible in the solicitation posting, also on the TMA website. The date of receipt of proposals is anticipated to be June 27, 2008. The Government will choose the proposal that is most advantageous with consideration given to technical factors, performance history (inclusive of three references having received similar services) and price data. FOB Destination shall be Aurora, CO, 80011. The contract action will result in a Firm Fixed Price contract. The selected Contractor shall be registered in Central Contractor Registration (www.ccr.gov) before award can be made.