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Combined synopsisFederal buyer

TRICARE Medicare Eligible Program Second Generation (TMEP2)

DEPT OF DEFENSE, Colorado · DEFENSE HEALTH AGENCY (DHA) · DEFENSE HEALTH AGENCY
Verified 1 h agoAmended Sep 23
Responses dueThu, Nov 55:00 PM MT · Colorado time29 days left
PostedFri, Jan 234 amendments, last Oct 7
Solicitation no.HT9402-26-R-0001SAM.gov
Set-asideNoneOpen to all firms

What the agency is buying

by RFPFinder from the notice and attachments; the solicitation governs

The Department of Defense is seeking a contractor to provide healthcare claims processing, customer support, and administrative services for dual-eligible Medicare and TRICARE beneficiaries. This will be a Firm-Fixed-Price contract, and offers will be evaluated using best value trade-off procedures.

Scope

  • Healthcare claims processing and customer support for TRICARE/Medicare beneficiaries.
  • Administrative services including encounter data submission and provider certification.
Best valueOption years: 7Days to respond: 29
CompetitionCompetition unknownNo award history or sole-source language found for this buyer and code.

From USAspending awards and the notice text, recomputed nightly (Oct 7). A signal, not a verdict.

How to get the bid documents

  1. Download the 21 stored documents below; 2 more open at the source
  2. Check the submission requirements in the compliance checklist
  3. Submit by unknown before 5:00 PM MT on Nov 5
Documents · 22 items, 23 filesDownload all (zip)
Start here
  • Solicitation · TMEP2 Draft RFP Response.xlsxView
  • Pricing · Exhibit L-9 - TMEP CY24_25_26 Manual Changes Modification Log.xlsxView
  • SOW / PWS · TMEP2 Section C Draft Performance Work Statement.pdfView
  • PDF
    HT940226R0001-20260923.pdf696 KBat source
  • 1 earlier version
    • PDF
      HT940226R0001-20260923.pdf715 KB · 101 pages
  • PDF
    HT940226R0001 Amd 0001 20260924.pdf188 KB · 2 pages
  • PDF
    Attachment J-1 DMDC Eligibility File Layout TMEP.pdf107 KB · 1 page
  • PDF
    Attachment J-2 Beneficiary Satisfaction Survey.pdf126 KB · 1 page
  • PDF
    Attachment J-3 CDRLs.pdf11.1 MB · 200 pages
  • PDF
    Attachment J-4 TMEP 2 Chapter 20 Clean Draft Copy 20260730.pdf1.1 MB · 51 pages
  • PDF
    Attachment J-5a QASP TMEP2 DRAFT.pdf238 KB · 9 pages
  • XLSX
    Attachment J-5b QASP Matrix TMEP2 DRAFT.xlsx29 KB
  • PDF
    Exhibit L-1 - Beneficiary Data.pdf33 KB · 1 page
  • PDF
    Exhibit L-2 - Historical Data.pdf179 KB · 6 pages
  • XLSX
    Exhibit L-3 - RFP-Cross-reference Matrix.xlsx55 KB
  • PDF
    Exhibit L-4 - Past Performance Questionnaire.pdf194 KB · 8 pages
  • PDF
    Exhibit L-5 - Sample Client Authorization Letter.pdf145 KB · 1 page
  • PDF
    Exhibit L-6 - Subcontractor Consent Letter.pdf138 KB · 1 page
  • XLSX
    Exhibit L-7 - TMEP2 Pricing Template.xlsx31 KB
  • DOCX
    Exhibit L-8 - Small Business Participation Commitment.docx36 KB
  • XLSX
    Exhibit L-9 - TMEP CY24_25_26 Manual Changes Modification Log.xlsx47 KB
  • DOC
    TRICARE Manualsexternal link
  • PDF
    TMEP Draft RFP Government Responses.pdf815 KB · 9 pages
  • PDF
    TMEP2 Section C Draft Performance Work Statement.pdf175 KB · 10 pages
  • PDF
    TMEP2 Section H Draft Special Contract Requirements.pdf331 KB · 19 pages
  • XLSX
    TMEP2 Draft RFP Response.xlsx10 KB
Open the original listing on SAM.gov

Details

Place of performance
AURORA, Colorado
Buyer type
Federal
Notice type
Combined Synopsis/Solicitation
Solicitation no.
HT9402-26-R-0001
NAICS
NAICS 524292 (Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds): 2 open RFPs
Size standard
$45.5M revenue SBA table, NAICS 524292
PSC
PSC Q201 (MEDICAL- MANAGED HEALTHCARE): 7 open RFPs
Delivery location
United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands from notice
FOB
Destination from attachment p.2
Period of performance
12-month base + 7 one-year options + 12-month transition-out + 6-month extension from notice
Contract type
Firm-fixed-price from notice
Evaluation
Best value tradeoff (FAR 15) from notice
NSN
7540-01-152-8067 from attachment p.4
Local presence
Not required
Amendments
4, last Oct 7
Contact
David Smith
Office
DEFENSE HEALTH AGENCY (DHA) · DEFENSE HEALTH AGENCY
Email
david.c.smith139.civ@health.mil

Not stated in the notice: estimated value, quantity. Check the bid documents.

Contact details from the source notice. Contact the buyer only about this solicitation.

Line items

from attachment p.4
CLINItemQtyUnitOption qty
10081 LOTransition-Out: Option Period 1 (Fixed Price)---
10092 Q1Incentive - Beneficiary Satisfaction Option---
20081 LOTransition-Out: Option Period 2 (Fixed price)---
20094 Q1Incentive - Beneficiary Satisfaction Option---
30081 LOTransition-Out: Option Period 1 (Fixed price)---
30094 Q1Incentive - Beneficiary Satisfaction Option---
40081 LOTransition-Out: Option Period 4 (Fixed price)---
40094 Q1Incentive - Beneficiary Satisfaction Option---
50081 LOTransition-Out: Option Period 5 (Fixed price)---
50094 Q1Incentive - Beneficiary Satisfaction Option---
60081 LOTransition-Out: Option Period 6 (Fixed price)---
60094 Q1Incentive - Beneficiary Satisfaction Option---
70081 LOTransition-Out: Option Period 7 (Fixed price)---
70094 Q1Incentive - Beneficiary Satisfaction Option---

Key dates

Fri, Jan 23Posted
Not statedQuestions due
Thu, Nov 5 · 5:00 PM MTResponses due · 29 days left
Amendment 1
Fri, Sep 25
Amendment 2
Mon, Sep 28
Amendment 3
Tue, Oct 6 · The government procurement notice has been updated to provide additional details about the acquisition, including the contract type, duration, and evaluation procedures.
Amendment 4
Wed, Oct 7 · description text changed

Change log

verified Wed, Oct 7 · 10:30 PM MT
  1. Posted · Combined Synopsis/SolicitationFri, Jan 23 · 9:18 AM MT
  2. Amendment · New version of the notice posted at the sourceFri, Sep 25 · 4:48 AM MT
  3. Amendment · New version of the notice posted at the sourceMon, Sep 28 · 7:57 AM MT
  4. Amendment · The government procurement notice has been updated to provide additional details about the acquisition, including the contract type, duration, and evaluation procedures.Tue, Oct 6 · 10:31 PM MT
  5. Amendment · description text changedWed, Oct 7 · 10:31 PM MT
  6. Updated · description text changedWed, Oct 7 · 10:31 PM MT
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Notice as published

TRICARE Medicare Eligible Program Second Generation (TMEP2)

This acquisition is for the continuing requirement for health care claims processing, customer support and other associated administrative services (e.g. submission of TRICARE encounter data and provider certification) of dual-eligible Medicare and TRICARE beneficiaries who receive medical services within the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands. USC Title 10, Chapter 55, and USC Title 32, National Defense, Code of Federal Regulations (CFR) Part 199, outline the benefit structure, administrative functions and the various health care programs, including TMEP2. This is a full and open competitive source selection, using best value trade-off procedures in accordance with RFO Federal Acquisition Regulation (RFO FAR) 15.2, Evaluation and Award, as supplemented with Defense FAR Supplement and the DoD Source Selection Procedures (August 2022).

The contract awarded will be a Firm Fixed-Price contract. The contract will have a one 12-month base period of transiotion-in activiteis, seven 1-year periods for healthcare delivery, a one 12-month contract period for transition-out activities, and a potential 6-month extension of services permitted per RFO FAR Clause 52.217-8, Option to Extend Services, for a potential total period of performance of 8.5 years.

Similar federal awards · PSC Q201

USAspending.gov, last 36 months

No USAspending award found for NSN 7540-01-152-8067 in 36 months.

25 awards matched · tier 3: PSC Q201 at any agency; nothing from this office or agency. Most recent:

  • Sep 30ANSIBLE GOVERNMENT SOLUTIONS LLCPHLEBOTOMY SUPPORT SERVICES 10/01/2026 - 09/30/202736C26127N0054 · DELIVERY ORDER · Department of Veterans Affairs · ends Sep 29, 2027$494K
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Awards updated Wed, Oct 7, 2026 · 9:34 AM MT.

This contracting office

28 other open notices from this office · buys mostly Other, Equipment Maintenance & Repair, IT & Software

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same PSC Q201

Listing collected from SAM.gov. Always confirm requirements in the original solicitation before you bid.

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