This Government Contract opportunity from Department Of Defense was posted on June 28, 2017. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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TRICARE Claims Review Services

Awarded

HT9402-17-R-0002Federal

Submission Closed06/28/2017, 12:00:00 AM UTC

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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NAICS: 541611

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AI Contract Overview

Contract HT9402-17-D-0001, awarded by the Defense Health Agency in Aurora, Colorado, provides TRICARE Claims Review Services (TCRS) to ensure the accuracy of claims processing and reimbursement methodologies for purchased-care contractors. The primary objective is to identify improper payments and ensure compliance with TRICARE policies and federal laws, including the Improper Payments Information Act (IPIA) and the Improper Payments Elimination and Recovery Act (IPERA). The scope of work includes conducting quarterly compliance reviews, annual health care cost audits, focused studies, and medical record reviews. The contractor is required to utilize specific tools such as the Automated TED Audit (TA) application and the Purchased Care Detail Information System (PCDIS) to perform these audits. The contract has an estimated total value of $26,823,304, covering a base transition-in period from July 5, 2017, through December 31, 2017, followed by five one-year option periods ending December 31, 2022. Additionally, the agreement includes a one-year phase-out period and a potential six-month extension. Performance is monitored through a Quality Assurance Surveillance Plan (QASP) that establishes acceptable quality levels for compliance and rebuttal reviews. Due to the sensitive nature of the work, the contractor must adhere to strict security and privacy mandates, including HIPAA, the Privacy Act of 1974, and NIST SP 800-53 standards for safeguarding unclassified DoD information.

General Info

Agency

Department Of Defense → Defense Health Agency

Contract Value

$26,823,304

NAICS

541611 - Administrative Management and General Management Consulting Services

Place of Performance

Set-Aside

NONE

Awardee

Concept Plus, LLC 12150 Monument Drive, Suite 615 FAIRFAX VA 22033 USA

Award Issued Date

06/28/2017, 12:00:00 AM UTC

Documents

17_TCRS Section J Attachment J-7 ADDP MDR Data Elements

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High

27_TCRS_Section_K_Representations and Certifications 11-10-16

representations-certifications

High

Amendment 000001 to Solicitation HT9402-17-R-0002

amendment

High

Amendment 000003 to Solicitation HT9402-17-R-0002

amendment

High

Amendment 000004 to Solicitation HT9402-17-R-0002

amendment

High

Amendment 000005 to Solicitation HT9402-17-R-0002

amendment

High

Amendment 000006 to Solicitation HT9402-17-R-0002

amendment

High

Amendment 7 to Solicitation HT9402-17-R-0002

amendment

High

Amendment 8 to Solicitation HT9402-17-R-0002

amendment

High

Amendment to Solicitation HT9402-17-R-0002

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Attachment J-13 Wage Determinations

wage-determination

High

Attachment J-13 Wage Determinations

wage-determination

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Attachment J-15 ADP/IT Requirements and CAC Instructions

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High

Attachment J-15 ADP/IT Requirements and CAC Instructions

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Attachment J-5 DHA Sampling Methodology

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Attachment J-5 DHA Sampling Methodology

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Attachment J-6 TCRS Compliance Review Schedule

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Attachment J-7 ADDP MDR Data Elements

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Attachment J-9 Example of ADDR

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CDRL Exhibit A: NIST Certification of Compliance Report

cdrl

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Contract Data Requirements List – CDRL Checklist

cdrl

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Draft Quality Assurance Surveillance Plan (QASP) Exhibit L-10

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High

Exhibit L-9 TRICARE Overseas Program Data

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High

HT9402-15-R-0003 Section C - TRICARE Claims Review Services (TCRS) PWS

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HT9402-17-R-0002 Exhibit L-10 Draft QASP

qasp

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PEPR Account Activation Request Form (AARF)

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RFP Q&A - Amendment 6 Responses

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Section B CLIN Descriptions

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Section D - Packaging and Marking

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Section D Packaging and Marking

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Section E - Inspection and Acceptance

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Section E - Inspection and Acceptance

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Section F - Deliveries or Performance

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Section F – Deliveries or Performance

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Section G Contract Administration Data

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Section H Special Contract Requirements

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Section I Contract Clauses

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Section J List of Attachments

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Section K Representations and Certifications

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Section L Exhibit L-7 Price Proposal Template

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Section L Instructions to Offerors

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Section M Evaluation Factors for Award

solicitation-section-m

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Section M Evaluation Factors for Award

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Solicitation, Offer and Award – HT9402-17-R-0002

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Solicitation Provisions and General Instructions Section L - 29_TCRS

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TCRS Compliance Review Schedule (Attachment J-6)

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TCRS HT940-15-R-0003 Attachment J-10 Compliance Review Guidelines

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TCRS HT9402-15-0003 Section L Exhibit L-7 Price Proposal Template

price-proposal-template

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TCRS HT9402-17-R-0002 Attachment J-10 Compliance Review Guidelines

specifications

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TCRS HT9402-17-R-0002 Section H - Special Contract Requirements

contract-document

High

AI Contract Breakdown

Uniform Contract Format

Contract not broken down yet

CLEATUS splits the solicitation into Uniform Contract Format (UCF) sections: scope, pricing, deliverables, and evaluation criteria.

Timeline

11 updates

PhaseAwarded

PostedNov 17

Combined Synopsis

Notice updatedNov 17

The notice description changed.

Notice updatedNov 17

Notice details unchanged. Attachments may have changed.

Notice updatedNov 17

The notice description changed.

Notice updatedNov 23

The notice description changed.

Deadline changedDec 5

Response deadline changed from Nov 30, 2016 to Dec 9, 2016.

Deadline changedDec 8

Response deadline changed from Dec 9, 2016 to Jan 4, 2017.

Notice updatedDec 22

Response deadline changed from Jan 4, 2017 to Jan 12, 2017. The notice description changed.

Notice updatedDec 27

The notice description changed.

Notice updatedJan 4

Notice details unchanged. Attachments may have changed.

Notice updatedJan 6

Notice details unchanged. Attachments may have changed.

Notice updatedJan 9

Notice details unchanged. Attachments may have changed.

AwardedJun 28

Contract was awarded

Submission Closed

06/28/2017, 12:00:00 AM UTC

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Organization & Contact Information

AgencyDepartment Of Defense → Defense Health Agency

Contacts2 people available

OfficeAURORA, CO, 80011, USA

Organization / AgencyDepartment Of Defense → Defense Health Agency

Office AddressAURORA, CO, 80011, USA

Contacts

Yvette H. DluhosContract Specialist

contact@example.gov

+1 (555) 000-0000

Duane A. FoleyContract Specialist

contact@example.gov

+1 (555) 000-0000

Full Description

*This contract, HT9402-17-D-0001, was awarded off of solicitation HT9402-17-R-0002. The contract base period of performance (transition-in) is 05 July 2017 through 31 December 2017. There are five - one-year option periods continuing through 31 December 2022, a one year phase-out period which follows the last exercised period of performance and the potential for a six month extension pursuant to FAR 52.217-8 Option to Extend Services. Total estimated value of the contract, including the base, five - one-year option periods, one year phase-out and the potential six month extension is estimated at $26,823,304. Mr. Todd M. Young is the Contracting Officer and the DHA, Aurora, CO 80011, is the contracting activity (HT9402).