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R -- PERFORMANCE DECISION ANNOUNCEMENT OF OMB CIRCULAR A-76 STREAMLINED COMPETITION STUDY ON DHH/PSC/HRS/DCP/MAB, BENEFICIARY MEDICAL PROGRAM

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REFERENCE-NUMBER-A76PSC-HRS-DCP-MAB-BMPFederal

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The contract details a performance decision stemming from a streamlined competition study conducted under the revised OMB Circular A-76, focusing on the Department of Health and Human Services' Program Support Center's Beneficiary Medical Program (BMP). This study involved determining whether government employees or private-sector providers would perform medical and dental claims processing functions previously handled by four incumbent government full-time equivalents located in Rockville, Maryland. After a public notification in October 2003 and a formal certification in December 2003, the decision was made to transfer these functions to low-cost private sector providers to improve efficiency and reduce costs. Specifically, medical claims processing responsibilities were awarded to TRICARE, while dental claims processing was assigned to United Concordia. The Contracting Officer is tasked with awarding the contract to United Concordia in line with Federal Acquisition Regulations (FAR) requirements, including implementing FAR provisions related to the right of first refusal and the administration of Uniformed Services Medical Entitlement. The streamlined competition process prohibits contests of its outcome, reinforcing the finality of the decision. Public access to the streamlined competition form is available upon request, ensuring transparency in the competitive assessment and award process.

General Info

Contract awards medical and dental claims to private providers, replacing government employees for cost-efficiency.

Agency

N/A

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Place of Performance

Not specified

Set-Aside

NONE

Documents

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Full Description

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SUBJECT: PERFORMANCE DECISION OF A STREAMLINED COMPETITION STUDY UNDER THE REVISED OMB CIRCULAR A-76, DEPARTMENT OF HEALTH AND HUMAN SERVICES, PROGRAM SUPPORT CENTER In accordance with the procedures specified in the revised OMB Circular A-76 (Attachment B, B.1), dated May 29, 2003, public notification was made on October 16, 2003, to announce the streamlined competition study of the DHHS/PSC/HRS/DCP/MAB Beneficiary Medical Program (BMP) commercial activity, consisting of four (4) incumbent government FTEs located in Rockville, Maryland. On December 2, 2003, the appropriate agency officials certified the streamlined competition form signifying a performance decision and end date of the competition. Also on this date and consistent with the procurement integrity, ethics, and standards of conduct rules, including the restrictions of 18 U.S.C. 208, the Medical Affairs Branch Chief reviewed the streamlined competition form. Under this formal notification, the responsible Contracting Officer announces the performance decision that the low-cost private sector providers should perform the medical and dental claims processing functions of the BMP. The performance of the medical claims processing functions shall be provided by TRICARE and the dental claims processing functions shall be provided by United Concordia. Based on this decision, the Contracting Officer shall award a contract to United Concordia for the dental claims processing functions in accordance with the FAR and shall implement FAR 7.305(c), the right of first refusal and the administration of the Uniformed Services Medical Entitlement shall be transferred to TRICARE. In accordance with Attachment B, Section F.2, of the revised OMB Circular A-76, dated May 29, 2003, no party may contest any aspect of a streamlined competition. Upon request, the streamlined competition form shall be made available to the public.

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Earlier notices in this NAICS code

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Awarded
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