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This Solicitation opportunity from Department Of Defense was posted on August 14, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

TRICARE Competitive Plans Demonstration (CPD) RFP HT9402-23-R-0001

Closed
HT9402-23-R-0001Federal

Contract Overview

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

Active Opportunities Like This One

NAICS: 524114
New
SLED
RIteSmiles 4-ALL Medicaid Managed Care Dental Services
Solicitation # QLV27007063
The Rhode Island Executive Office of Health and Human Services is soliciting proposals from qualified Managed Care Organizations to administer the RIteSmiles 4-ALL Medicaid Managed Care Dental Program. The contract establishes a three-year base period from July 1, 2027, through June 30, 2030, with the possibility of three additional one-year renewals. The selected contractor will be responsible for comprehensive dental program functions, including the implementation of Initial Health Assessments for new members within 90 days of enrollment, integrated care coordination, case management, and the maintenance of a Quality Management/QI Committee. Performance is governed by NCQA standards, the RI Medicaid Dental Services Coverage Manual, and federal regulations including 42 CFR § 438.208(c)(3). The award process involves a multi-phase evaluation starting with a pass/fail screening of mandatory qualifications. Technical proposals are scored on a 1-4 scale across 185 items, requiring a minimum score of 85% to advance to the Impact Small Business Enterprise evaluation phase, where bidders can earn up to six additional points. Compliance requirements are extensive, encompassing HIPAA privacy and security rules, the Anti-Kickback Act of 1986, and various non-discrimination statutes such as Title VI of the Civil Rights Act and the Americans with Disabilities Act. Proposals must be submitted in four separate PDF files, with a combined page limit of 250 pages for the business and technical volumes.
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POSTED

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DEADLINE

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NAICS: 524114
New
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Health Insurance for Locally Employed Staff
Solicitation # 19MY3027R0001
The U.S. Embassy Kuala Lumpur is soliciting proposals for health insurance coverage for its locally employed staff, including non-temporary direct hires, Personal Services Agreements, and Personal Services Contracts within Malaysia. The contract consists of a one-year base period beginning April 1, 2027, with four one-year renewal options. The government seeks off-the-shelf plans that meet specific minimum benefit levels, including 100 percent coverage for hospitalization and emergency services, and 80 percent for ambulance and outpatient services. Official Residence Expense staff are covered via a separate rider. Award will be granted to the responsible offeror providing the lowest priced, technically acceptable proposal, with a tie-breaker based on the most generous profit-sharing credit plan. Technical acceptability requires a valid management plan, relevant past performance, and licensing or accreditation by the Government of Malaysia or another government with the capacity to provide benefits in-country. Proposals must be submitted electronically by November 20, 2026, and must include a completed SF-1449, pricing schedules, and proof of SAM registration. The use of subcontractors is prohibited, and the prime contractor must maintain a permanent business address in Malaysia. Payments will be made monthly in Malaysian Ringgit, except for eligible American citizens who may receive U.S. dollars.
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NAICS: 524114
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Group Medicare Advantage Plan
Solicitation # 2000004432
Fairfax County Public Schools is soliciting sealed proposals under solicitation 2000004432 to establish a contract for a fully insured Medicare Advantage plan providing medical and vision benefits for eligible retirees and their dependents. Effective January 1, 2028, the plan will operate alongside a self-insured Employer Group Waiver Plan with a Wrap prescription drug program administered by SilverScript. The contract will be awarded to the offeror providing the best proposal based on a combined evaluation by a Selection Advisory Committee and an IT Committee. Qualified offerors must manage at least 100,000 covered lives within their Medicare Advantage book of business and comply with all Centers for Medicare and Medicaid Services requirements. The pricing structure is based on a per-member-per-month basis, requiring guaranteed premium quotes for 2028 through 2030, as well as allowances for implementation, renewal support, audits, and communications. A gain-sharing agreement based on a defined Loss Ratio will also be implemented. Key administrative requirements include the assignment of a dedicated account executive, adherence to strict cybersecurity and data privacy standards, and compliance with accessibility mandates such as the ADA and Section 508. Proposals must be submitted electronically via the Euna Procurement portal by November 6, 2026, and must include a separate cost proposal and a signed non-disclosure agreement to access specific attachments.
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POSTED

9 days ago

DEADLINE

in 16 days

General Info

NAICS

524114 - Direct Health and Medical Insurance Carriers

Place of Performance

CO, USA

Set-Aside

NONE

Documents

16

A170 Financial Incentive for Quality of Care - NCQA Audited Results (CPD) Amendment 0001

PDF, High priority: read this firstamendment
High

HT9402-23-R-0001 Amendment 0001

PDF, High priority: read this first130 pages · amendment
High

HT9402-23-R-0001 Amendment 0002

PDF, High priority: read this first129 pages · amendment
High

HT9402-23-R-0001 Amendment 0005

PDF, High priority: read this first128 pages · amendment
High

HT9402-23-R-0001 Conformed Amendment 0003

PDF, High priority: read this first129 pages · amendment
High

HT9402-23-R-0001 Conformed Amendment 0004

PDF, High priority: read this first129 pages · amendment
High

HT9402-23-R0001 CPD Final RFP Questions and Answers

PDF, High priority: read this first2 pages · q-and-a
High

HT9402-23-R0001 CPD Final RFP Questions and Responses

PDF, High priority: read this first1 page · q-and-a
High

Solicitation HT9402-23-R-0001 Request for Proposal

PDF, High priority: read this first128 pages · rfp
High

TOM Chapter 18 CPD Revision 1

PDF, High priority: read this first37 pages · specifications
High

HT9402-23-R-0001 Government Responses to CPD Draft RFP 1

PDF, Low priority35 pages · q-and-a
Low

HT9402-23-R-0001 Government Responses to CPD Draft RFP 2

PDF, Low priority13 pages · q-and-a
Low

HT9402-23-R-0001+CDRL+Library+Amendment+0004+12272023.zip

ZIP

HT9402-23-R-0001+CPD+-+CDRL+Files.zip

ZIP

HT9402-23-R-0001+CPD+-+Section+J+Attachments.zip

ZIP

HT9402-23-R-0001+-+Section+L+Attachments.zip

ZIP

AI Contract Breakdown

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Timeline

15 updates
PhaseClosed
Posted

Presolicitation

Notice updated

Notice type changed from Presolicitation to Event. Response deadline changed from Dec 19, 2022 to Mar 9, 2023. The notice title changed. The notice description changed.

Notice updated

Notice details unchanged. Attachments may have changed.

Notice updated

Notice type changed from Event to Solicitation. Response deadline changed from Mar 9, 2023 to Dec 11, 2023. The notice title changed. The notice description changed.

Notice updated

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Notice updated

Response deadline changed from Dec 11, 2023 to Feb 12, 2024. The notice description changed.

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Notice updated

The notice description changed.

Deadline changed

Response deadline changed from Feb 12, 2024 to Aug 29, 2024.

Notice updated

Notice details unchanged. Attachments may have changed.

Notice updated

Notice details unchanged. Attachments may have changed.

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Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyDepartment Of Defense → Defense Health Agency
Contacts2 people available
OfficeAURORA, CO, 80011, USA
Office AddressAURORA, CO, 80011, USA

Full Description

Show more
December 27, 2023 Update: The Government has issued Amendment 0004 to the Request For Proposal (RFP). This Amendment makes updates to Section F of the RFP and the Contract Data Requirements List (CDRL) library contents as described in the Amendment 0004 SF 30. The proposal submission date remains Monday, February 12, 2024, 12 PM MST. __________________________________________________________________________ November 21, 2023 (UPDATE) Update: The Government has received additional Final Request for Proposal (RFP) questions as a result of the Final Request for Proposal (RFP) released on 12 July 2023. The responses to these questions are posted within the attachments below. There are no changes to the RFP. The proposal submission date remains Monday, February 12, 2024, 12 PM MST. __________________________________________________________________________ November 7, 2023 Update: The Government has issued Amendment 0003 to the RFP. This Amendment makes a change to the Proposal Due Date from Monday, December 11, 2023, 12 PM MST to Monday, February 12, 2024, 12 PM MST. __________________________________________________________________________ October 27, 2023 Update: The Government has issued Amendment 0002 to the RFP. This Amendment makes changes to RFP Section L as described in the Amendment 0002 SF-30. __________________________________________________________________________ October 9, 2023 Update: The Government has issued Amendment 0001 to the RFP. This Amendment makes changes to RFP Section H, Section J Attachments, the DRAFT TRICARE Operations Manuals, Chapter 18 and CDRLs as described in the Amendment 0001 SF-30. Additionally, the Government has added new and revised responses to Industry submitted RFP questions with document dated 10/09/2023. __________________________________________________________________________ Publish Date: 12 July 2023 Response Due Date: 11 December 2023, 12:00pm, Mountain Standard Time (MST) FY Year: 2025 Contracting Office ZIP Code: 80011-9066 Produce Service Code: Q201 - MEDICAL- GENERAL HEALTH CARE NAICS: 524114 - Direct Health and Medical Insurance Carriers Contracting Office Address: 16401 East Centretech Parkway, Aurora, CO 80011 Subject: TRICARE Competitive Plans Demonstration (CPD) Program Proposed Solicitation Number: HT9402-23-R-0001 Place of Contract Performance: Atlanta, Georgia & Tampa, Florida Set aside status: None Additional information: None Competitive Plans Demonstration (CPD) Announcement: 7/12/2023 Description: The Competitive Plans Demonstration (CPD) program is a TRICARE health care concept that supports the delivery of the Department of Defense (DoD) healthcare benefit, which is codified in 10 U.S.C. Chapter 55 and 32 CFR Chapter 199. The CPD prospective offeror shall provide comprehensive healthcare services to select market/s within CONUS to eligible TRICARE beneficiaries. This is a full and open competitive source selection after exclusion of sources, using best value trade-off procedures in accordance with Federal Acquisition Regulation (FAR) 15.3, Source Selection, as supplemented by the Defense FAR Supplement and the DoD Source Selection Procedures (August 2022). The contract awarded will be a hybrid consisting of Fixed-Priced and Firm Fixed Price line items. The contract will have a one 12-month base period for transition-in activities, three 1-year options periods for healthcare delivery, a one 12-month contract period for transition-out activities, and a potential 6-month extension of services permitted per FAR Clause 52.217-8, Option to Extend Services, for a potential total period of performance of 5.5 years. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HT9402-23-R-0001 Request for Proposal (RFP) for the Competitive Plans Demonstration ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Background The 5th Generation of TRICARE Contracts (T-5) RFP, HT9402-20-R-0005, Section H-17, notified prospective bidders that DHA may conduct a competitive demonstration during the term of the Managed Care Support Contracts. The CPD initiative grew out of, and tracks with, the requirement of NDAA 2017 Section 705(c)(3) to ensure local, regional, and national health plans have an opportunity to participate in the competition for managed care support contracts under the TRICARE program. This 705(c)(3) requirement is further amplified by NDAA 2022, Section 703, which authorizes DHA to implement - multiple provider networks in the same geographical area (i.e., overlapping) delivering TRICARE Prime and TRICARE Select. DHA is concurrently implementing the Eligibility, Enrollment, and Encounter (EEE) Pilot, the CPD's precursor enabler capability. The prerequisite EEE requirements and contract vehicle are an optional Contract Line Item Number (CLIN) on the Uniformed Services Family Health Program (USFHP) Data Integrator contract. The scope of the CPD project is to award contracts to one or more local, regional, or national health plans in designated Atlanta, Georgia and Tampa, Florida areas as depicted in Attachment J-4. These contractors will then function as managed care support contractors (MCSCs) in those areas, providing beneficiaries with an alternative to the T-5 MCSCs, or USFHP Designated Providers (DP), enabled by the EEE Pilot. RFP Questions Due Date: 3 August 2023 at 12:00 PM MDT Questions received after this deadline but before proposal due date may only be answered at the discretion of the Contracting Officer. Proposal Due Date: 12 February 2024 at 12:00 PM MDT Proposals received after this time will be considered late and may be rejected by the Contracting Officer.

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