Posted: Aug. 14, 2024, 1:43 p.m. EDT
August 14, 2024
Update: The Government has issued Amendment 0005 to the Request For Proposal (RFP). This Amendment makes requests for Final Proposal Revisions to those interested parties currently in the Competitive Range and updates to RFP Sections I and K as described in the Amendment 0005 SF 30. The proposal submission date is Thursday, August 29, 2024, 12 PM MST.
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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.
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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.
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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.
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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.
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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.
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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.
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HT9402-23-R-0001 Request for Proposal (RFP) for the Competitive Plans Demonstration
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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.
Posted: Aug. 14, 2024, 11:07 a.m. EDT
Posted: Dec. 27, 2023, 2:29 p.m. EST
Posted: Nov. 21, 2023, 2:10 p.m. EST
Posted: Nov. 21, 2023, 10:45 a.m. EST
Posted: Nov. 7, 2023, 11:09 a.m. EST
Posted: Oct. 27, 2023, 12:58 p.m. EDT
Posted: Oct. 9, 2023, 11:29 a.m. EDT
Posted: July 12, 2023, 7:19 p.m. EDT
Background
The Competitive Plans Demonstration (CPD) program is a TRICARE health care initiative that supports the delivery of the Department of Defense (DoD) healthcare benefit, as codified in 10 U.S.C. Chapter 55 and 32 CFR Chapter 199.
The CPD aims to provide comprehensive healthcare services to select markets within CONUS for eligible TRICARE beneficiaries. This initiative stems from the requirement of NDAA 2017 Section 705(c)(3), which ensures local, regional, and national health plans can participate in managed care support contracts under the TRICARE program.
The Defense Health Agency (DHA) is concurrently implementing the Eligibility, Enrollment, and Encounter (EEE) Pilot as a precursor to this demonstration.
Work Details
The CPD contractor will be responsible for providing comprehensive healthcare services to eligible TRICARE beneficiaries in designated areas of Atlanta, Georgia, and Tampa, Florida. Key tasks include:
1. Reporting on the use of Alternative Payment Models (APMs) to support government objectives outlined in the TRICARE Reimbursement Manual (TRM).
2. Ensuring compliance with NIST SP 800-171 for information security at contract award.
3. Managing beneficiary enrollment and ensuring that providers do not bill beneficiaries for non-covered services or activities that improve healthcare quality.
4. Establishing a network of providers and ensuring quality metrics are displayed on their website.
5. Conducting outreach and communication consistent with services offered to commercial customers.
6. Coordinating customer service calls with EEE contractors for matters outside the CPD contractor’s area of responsibility.
Period of Performance
The contract will have a one 12-month base period for transition-in activities, followed by three 1-year option periods for healthcare delivery, a one 12-month transition-out period, and a potential total performance period of up to 5.5 years.
Place of Performance
The contract will be performed in Atlanta, Georgia, and Tampa, Florida.
