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 Northern Mariana Isla
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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 Northern Mariana Islands.
Scope of work: Health care claims processing, customer support, and associated administrative services such as submitting TRICARE encounter data and provider certification.
Contract type: Firm Fixed-Price contract.
Competition method: Full and open competition, awarded by best value trade-off under RFO FAR 15.2, DFARS, and the DoD Source Selection Procedures (August 2022).
Period of performance: One 12-month transition-in, seven 1-year healthcare delivery periods, one 12-month transition-out, and a possible 6-month extension under FAR 52.217-8, for up to 8.5 years total.
Governing regulations: Benefit structure and administrative functions follow USC Title 10 Chapter 55, USC Title 32, and 32 CFR Part 199.
Solicitation documents: Signed basic RFP and Amendment 0001 are posted; the amendment updates sensitivity labels on Section J Attachment J-5b and Exhibits L-7, L-8, L-9.
We read the solicitation documents for this bid (12 documents, 224 pages). Each item shows the file and page it came from. Check the original documents and any addenda before you bid.
Set-aside and participation goals
The set-aside block lists Women-Owned Small Business (EDWOSB) and SDVOSB for the Defense Health Agency. The set-aside percent is blank. (Attachment 3, p. 2)
The proposal must address any contract monetary targets for the Small Disadvantaged Business Participation Program. (Attachment 1, p. 4)
Contract term
The contract has a 12-month Transition-In base period, and services must be ready at the start of option period 1. (Attachment 1, p. 6)
Pricing format
Offerors shall propose a fixed price for the 12-month Transition-In base period CLIN, covering all Transition-In costs. (Attachment 1, p. 6)
Total Evaluated Price is the sum of all fixed unit prices and extended amounts for the 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
Return Exhibit L-8: Small Business Participation Commitment Plan. (Attachment 3, p. 71)
Return Exhibit L-7: Pricing Template, Price Proposal Narrative and Wage information. The template is not considered in the overall TEP. (Attachment 3, p. 85)
Past Performance Questionnaires (Exhibit 4) must be completed and signed by the referenced client. Missing or incomplete PPQs may not be assessed. (Attachment 5, p. 1)
Submit a Client Authorization Letter (Exhibit L-5) and a Subcontractor Consent Letter (Exhibit L-6) for each non-federal contract or subcontractor submitted. (Attachment 1, p. 5)
Scope highlights
Provide a Transition-In plan, with an Integrated Master Plan and Integrated Master Schedule, so services and systems are fully operational at the start of option period 1. (Attachment 1, p. 3)
The Transition-In approach covers hiring of staff, security clearances, setting up a call center, and end-to-end testing and validation of claims systems. (Attachment 1, p. 3)
Provide a Transition-Out plan that maintains resources, services and systems, and keeps staffing in place through the Transition-Out period. (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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