TRICARE Medicare Eligible Program Second Generation (TMEP2)
Price due November 5, 202617 days left
The government needs health care claims processing, customer support, and related administrative services for dual-eligible Medicare and TRICARE beneficiaries in the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and the Northern Mariana
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We are seeking quotes for health care claims processing, customer support, and related administrative services for dual-eligible Medicare and TRICARE beneficiaries in the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and the Northern Mariana Islands.
Scope of work: Claims processing, customer support, TRICARE encounter data submission, and provider certification.
Beneficiary population: Dual-eligible Medicare and TRICARE beneficiaries receiving medical services in the US and listed territories.
Contract type: Firm Fixed-Price contract awarded through full and open competition using best value trade-off.
Period of performance: 12-month transition-in, seven 1-year healthcare delivery periods, and 12-month transition-out.
Extension option: Potential 6-month extension under FAR 52.217-8, for a total of up to 8.5 years.
Governing rules: Benefit structure and administration follow 10 USC Chapter 55 and 32 CFR Part 199; source selection follows RFO FAR 15.2, DFARS, and DoD Source Selection Procedures (August 2022).
We read the solicitation documents for this bid (9 documents, 85 pages). Each item shows the file and page it came from. Check the original documents and any addenda before you bid.
Contract term
Contract has a 12-month Transition-In base period, with option period 1 following. A base year and 2 option years appears only as a PPQ example. (Attachment 1, p. 3)
Pricing format
Offerors shall propose a fixed price for the 12-month Transition-In base period CLIN, covering all costs of the Transition-In requirements. (Attachment 1, p. 6)
Total Evaluated Price is the sum of all fixed unit prices and extended amounts for Government-provided priced CLINs in Section B, at estimated quantities. (Attachment 1, p. 5)
For all CLINs, the unit price must be given to two (2) decimal places. (Attachment 1, p. 5)
Forms to return
Exhibit 4: Past Performance Questionnaire, to be completed by the reference and emailed as a PDF attachment, not an HTML link. (Attachment 4, p. 1)
Client Authorization Letter (Exhibit L-5) and Subcontractor Consent Letter (Exhibit L-6) for each non-federal contract or subcontractor submitted. (Attachment 1, p. 5)
Signed subcontractor commitment, executed by both offeror and subcontractor, if subcontractor experience is submitted. (Attachment 1, p. 5)
Documentation of any contract terminated for default or cause in the last 3 years, limited to 2 pages per event. (Attachment 1, p. 5)
Scope highlights
Provide an Integrated Master Plan (IMP) and Integrated Master Schedule (IMS) for transition-in, limited to a Level 3 work breakdown structure. (Attachment 1, p. 3)
Transition-in approach must include timelines, resource allocation, staff hiring, security clearances, a call center, and end-to-end testing and validation of claims systems. (Attachment 1, p. 3)
Offeror must describe its plan to comply with Transition-Out requirements, including maintaining resources, services, and systems. (Attachment 1, p. 3)
Department of Transportation — $10,100 — December 1, 2026
Department of Veterans Affairs — $25,000 — November 1, 2026
Department of Veterans Affairs — $4,800 — October 1, 2026
Department of Veterans Affairs — $42,000 — October 1, 2026
Department of Veterans Affairs — $40,000 — October 1, 2026
Recent comparable awards for similar work — not necessarily this exact solicitation's history.
Want to bid it yourself?
You can, and it is free. Go to SAM.gov, search for solicitation HT940226R0001, and submit before November 5, 2026. You will need your own account on that site and an active SAM.gov registration.
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