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This Government Contract opportunity from Department Of Defense was posted on July 26, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

TRICARE Overseas Program (TOP) 2028 Questions for Industry

Closed
HT9402-24-RFI-0218Federal

Contract Overview

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

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NAICS: 524114
New
SLED
RIteSmiles 4-ALL Medicaid Managed Care Dental Services
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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.
State of Rhode Island

POSTED

5 days ago

DEADLINE

in 23 days
NAICS: 524114
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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.
US Embassy Kuala Lumpur

POSTED

5 days ago

DEADLINE

in 30 days
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.
Fairfax County Public Schools

POSTED

9 days ago

DEADLINE

in 16 days

General Info

NAICS

524114 - Direct Health and Medical Insurance Carriers

Place of Performance

Aurora, CO, 80011, USA

Set-Aside

NONE

Documents

1

TOP 2028 Questions For Industry

DOCX, Low prioritysources-sought
Low

AI Contract Breakdown

Uniform Contract Format

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Timeline

PhaseClosed
Posted

special-notice

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyDepartment Of Defense → Defense Health Agency (dha)
Contacts2 people available
OfficeN/A

Full Description

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The DoD, through the Defense Health Agency (DHA), has a mission to provide TRICARE services to eligible beneficiaries in locations outside the fifty United States and the District of Columbia. To accomplish this mission, the TRICARE Overseas Program (TOP) contract will supplement the services the direct care system provides in designated Military Medical Treatment Facility (MTF) locations to Active Duty Service Members (ADSMs) and certain Active Duty Family Members (ADFMs). The TOP contract will provide comprehensive health care support services to ADSMs and certain ADFMs in designated remote overseas locations. Health care support services include the development of purchased-care sector provider (PCSP) networks, referral management activities, TRICARE eligibility verification and enrollment, medically necessary evacuations (medevacs), medical documentation, translation services, medical management services, customer service/call center activities, beneficiary and provider education and marketing, and claims processing and coding. The purpose of this notice is to obtain industry input to assist in defining the requirements for the next generation TOP 2028 contract. The DHA is interested in taking advantage of the expertise of the healthcare industry and incorporating commercial best practices with respect to providing overseas healthcare. Any information received will be deemed "Source Selection Information" (See FAR 2.101 & 3.104). Information provided to the Government in response to this posting is strictly voluntary and given with no expectation of compensation and shall be provided at no cost to the Government. Information on the current TRICARE Overseas Program may be found in the TRICARE Operations Manual, Chapter 24, 2015 edition (http://manuals.tricare.osd.mil/) and the TRICARE website (https://tricare.mil/overseas). The DHA invites interested firms to provide a written response to the questions in Attachment 1, TRICARE Overseas Program Questions for Industry. The combined response to all questions is not to exceed 40 pages in length. Interested parties shall email with their responses attached as either a Microsoft Word or Adobe PDF file. Please email responses to these questions to Mr. Shannon Lynch at shannon.d.lynch.civ@health.mil, with a courtesy copy to Mr. Matthew Anderson, Contracting Officer, at matthew.l.anderson18.civ@health.mil, no later than 5:00 PM MT on September 06, 2024. Please state "Response to TOP 2028 Questions" in the email subject line.

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