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HT940221C0005

Definitive Contract

Overview

Government Description
TRICARE MEDICARE ELIGIBLE PROGRAM (TMEP) SERVICES
Awarding / Funding Agency
Place of Performance
Monona, WI 53713 United States
Pricing
Fixed Price
Set Aside
None
Extent Competed
Full And Open Competition
Est. Average FTE
285
Analysis Notes
Amendment Since initial award the Potential Award value has increased 19% from $347,643,929 to $412,352,907.
Subcontracting Plan This Definitive Contract has an Individual Subcontract Plan. The Department of Defense has an overall small business subcontracting goal of 30%
Wisconsin Physicians Service Insurance was awarded Definitive Contract HT940221C0005 (HT9402-21-C-0005) for Tricare Medicare Eligible Program (TMEP) Services worth up to $412,352,907 by Defense Health Agency in May 2021. The contract has a duration of 7 years and was awarded through solicitation TRICARE Medicare Eligible Program (TMEP) full & open with NAICS 524292 and PSC Q201 via direct negotiation acquisition procedures with 2 bids received. As of today, the Definitive Contract has a total reported backlog of $240,501,942 and funded backlog of $38,390,567.

DOD Announcements

Apr 2021: Wisconsin Physicians Service Insurance Corp., Madison, Wisconsin, has been awarded a firm-fixed-price contract (HT9402-21-C-0005) for TRICARE Medicare Eligible Program (TMEP) services.  Total estimated value of the contract, including the base, six one-year option periods, and the potential six-month extension is $383,248,709. The contract was solicited with no set-asides under HT9402-19-R-0003. The purpose of the TMEP contract is to provide claims processing and associated customer support services for claims submitted by, and on behalf of, the Military Health System (MHS) beneficiaries who are eligible for both Medicare and TRICARE benefits for services received in the U.S., Puerto Rico, Guam, the U.S. Virgin Islands, America Samoa and the Northern Mariana Islands.  . Performance of this contract will be accomplished at the contractor's and its teammate's facilities.  The contract base (transition-in) period of performance is May 1, 2021, through April 30, 2022.  There are six one-year option periods continuing through April 30, 2028, and the potential for a six-month extension pursuant to Federal Acquisition Regulation 52.217-8, Option to Extend Services.  The Defense Health Agency, Aurora, Colorado, is the contracting activity.

Status
(Open)

Last Modified 2/20/25
Period of Performance
5/1/21
Start Date
4/30/25
Current End Date
4/30/28
Potential End Date
58.0% Complete

Obligations and Backlog
$171.9M
Total Obligated
$210.2M
Current Award
$412.4M
Potential Award
42% Funded
$38.4M
Funded Backlog
$240.5M
Total Backlog

Award Hierarchy

Definitive Contract

HT940221C0005

Subcontracts

0

Activity Timeline

Interactive chart of timeline of amendments to HT940221C0005

Opportunity Lifecycle

Procurement history for HT940221C0005

Transaction History

Modifications to HT940221C0005

People

Suggested agency contacts for HT940221C0005

Competition

Number of Bidders
2
Solicitation Procedures
Negotiated Proposal/Quote
Evaluated Preference
None
Performance Based Acquisition
Yes
Commercial Item Acquisition
Commercial Item Procedures Not Used
Simplified Procedures for Commercial Items
No

Other Categorizations

Subcontracting Plan
Individual Subcontract Plan
Cost Accounting Standards
Exempt
Business Size Determination
Large Business
Defense Program
None
DoD Claimant Code
Services
IT Commercial Item Category
Not Applicable
Awardee UEI
HLY2E796N2L3
Awardee CAGE
2R921
Agency Detail
Awarding Office
HT9402 DEFENSE HEALTH AGENCY
Funding Office
HT0059
Created By
justin.ohara@web97dh.dha
Last Modified By
todd.young@web9760.tma
Approved By
todd.young@web9760.tma

Legislative

Legislative Mandates
Labor Standards
Performance District
WI-02
Senators
Tammy Baldwin
Ron Johnson
Representative
Mark Pocan
Modified: 2/20/25