TRICARE Overseas Program (TOP) 2028 Questions for Industry

The DoD, through the Defense Health Agency (DHA), has a mission to provide TRICARE services to eligible beneficiaries in locations outside the fifty United States and the District of Columbia. To accomplish this mission, the TRICARE Overseas Program (TOP) contract will supplement the services the direct care system provides in designated Military Medical Treatment Facility (MTF) locations to Active Duty Service Members (ADSMs) and certain Active Duty Family Members (ADFMs).

The TOP contract will provide comprehensive health care support services to ADSMs and certain ADFMs in designated remote overseas locations.

Health care support services include the development of purchased-care sector provider (PCSP) networks, referral management activities, TRICARE eligibility verification and enrollment, medically necessary evacuations (medevacs), medical documentation, translation services, medical management services, customer service/call center activities, beneficiary and provider education and marketing, and claims processing and coding.

The purpose of this notice is to obtain industry input to assist in defining the requirements for the next generation TOP 2028 contract. The DHA is interested in taking advantage of the expertise of the healthcare industry and incorporating commercial best practices with respect to providing overseas healthcare. Any information received will be deemed "Source Selection Information" (See FAR 2.101 & 3.104).

Information provided to the Government in response to this posting is strictly voluntary and given with no expectation of compensation and shall be provided at no cost to the Government. Information on the current TRICARE Overseas Program may be found in the TRICARE Operations Manual, Chapter 24, 2015 edition (http://manuals.tricare.osd.mil/) and the TRICARE website (https://tricare.mil/overseas).

The DHA invites interested firms to provide a written response to the questions in Attachment 1, TRICARE Overseas Program Questions for Industry. The combined response to all questions is not to exceed 40 pages in length. Interested parties shall email with their responses attached as either a Microsoft Word or Adobe PDF file.

Please email responses to these questions to Mr. Shannon Lynch at shannon.d.lynch.civ@health.mil, with a courtesy copy to Mr. Matthew Anderson, Contracting Officer, at matthew.l.anderson18.civ@health.mil, no later than 5:00 PM MT on September 06, 2024. Please state "Response to TOP 2028 Questions" in the email subject line.