# TRICARE CLAIMS REVIEW SERVICE (TCRS)

Canonical: https://abierto.us/opportunities/ht940224r0002

- Solicitation number: HT940224R0002
- Notice type: Combined synopsis and solicitation
- Status: Closed. Deadline was August 26, 2024 at 12:00 PM EDT
- Department: Department of Defense
- Agency: Defense Health Agency (Dha)
- Contracting office: Defense Health Agency (HT9402)
- NAICS: 541611 Administrative Management and General Management Consulting Services
- Product or service code: R702 Data Collection Services
- First posted: June 21, 2024
- Last posted: August 9, 2024
- SAM.gov: https://sam.gov/workspace/contract/opp/39abcb6518a14be3a8571ce23153a705/view

## Description

**August 9, 2024:** The purpose of this notice is to release the Government's responses to Industry's Questions and to officially close the questions and answer period. This notice also releases Amendment 0001, please replace Attachment 6 and Exhbit 8 with the amended versions.

The proposal due date is hereby extended to August 26, 2024. July 26, 2024: The purpose of this notice is to extend the TCRS proposal due date to Monday, August 19, 2024, while the Government contiues to repond to Industry's RFP Questions and make revisions to the RFP. An amendment is forthcoming that will include DHA's reponses to Industry's questions as well.

The proposal due date may be reevaluated during that time but it will not be earlier than Monday, August 19, 2024. DHA’s mission is to achieve greater integration of the direct and purchased health care delivery systems with contract performance objectives developed that support the accomplishment of the overarching Military Health System's Quadruple Aim: Achieve medical readiness, improve the health of our people, enhance the experience of care, and lower healthcare costs.

The Improper Payment Evaluation Branch (IPEB), which is under the DHA Budget & Resource Management Division, Contract Resource Management, oversees DHA 's implementation, enforcement, and compliance with key provisions of the Payment Integrity Information Act of 2019 (PIIA).

The PIIA requires agencies to examine the risk of improper payments in all programs and activities by identifying and reporting improper payment findings to the Office of Management and Budget (OMB) for publication in the annual DoD Agency Financial Report (AFR).

In support of the DHA IPEB, the TCRS contractor will audit compliance and assess the accuracy of the claims processing for the following TRICARE purchased care contracts: the Managed Care Support Contracts (MCSCs), TRICARE Medicare Eligible Program (TMEP), TRICARE Pharmacy (TPHARM) Program, TRICARE Overseas Program (TOP) and the Active Duty Dental Program (ADDP).

## Publications

- June 21, 2024: Combined synopsis and solicitation, due August 5, 2024 at 12:00 PM EDT. Notice 19301b8b4bf640a3948623676ebe24f2. https://sam.gov/workspace/contract/opp/19301b8b4bf640a3948623676ebe24f2/view
- July 26, 2024: Combined synopsis and solicitation, due August 19, 2024 at 12:00 PM EDT. Notice a6d55b056ae648888b27c95a32edb629. https://sam.gov/workspace/contract/opp/a6d55b056ae648888b27c95a32edb629/view
- August 9, 2024: Combined synopsis and solicitation, due August 26, 2024 at 12:00 PM EDT. Notice 39abcb6518a14be3a8571ce23153a705. https://sam.gov/workspace/contract/opp/39abcb6518a14be3a8571ce23153a705/view

## Points of contact

- Gregory R. Stephens, gregory.r.stephens3.civ@health.mil
- Alexander Hardie, alexander.p.hardie.civ@health.mil

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Source: SAM.gov Contract Opportunities bulk extract. Confirm deadlines on SAM.gov before responding. Cite https://abierto.us/opportunities/ht940224r0002.