SOLICITATION NOTICE
R -- Tricare Health Benefits Advisor
- Notice Date
- 5/1/2006
- Notice Type
- Solicitation Notice
- NAICS
- 923120
— Administration of Public Health Programs
- Contracting Office
- Department of the Air Force, United States Air Force Europe, 700 CONS, Ramstein AB UNIT 3115, APO, AE, 09094-3115
- ZIP Code
- 09094-3115
- Solicitation Number
- Reference-Number-F2P4MD6079A150
- Response Due
- 5/5/2006
- Archive Date
- 5/15/2006
- Description
- REQUEST FOR QUOTATION F2P4MD6079A150 The Department of the Air Force, USAFE, 38 CSW / 700th Contracting Squadron / LGCB has a requirement for a non-personal as described in paragraph 2. In order to be considered for a contract award, all quotes must be received No Later Than (NLT) Close of Business (COB), 1630 hours, Friday 5th May 2006. 1. Please provide a Firm Fixed Price quote with FOB Destination pricing. Responses and questions shall be directed in writing, using the English language, to the address below via email, fax or postal service. Email or fax is preferred. Jennifer Didgeon, Amn, USAF jennifer.didgeon@ramstein.af.mil 700th Contracting Squadron / LGCB AM OPELKREISEL, ROB, GEB #164 67663 KAISERSLAUTERN Phone 0631-536-6822 Fax 0631-536-8412 2. REQUIREMENT DESCRIPTION: Non-Personal Services to: Furnish all labor, tools, parts, matierial, knowledge, supplies, and transportation necessary to perform as a patient liaison between TRICARE/United Concordia/International SOS, local medical providers in the Preferred Provider Network and approximately 200-250 US Department of Defense (DoD) beneficiaries specified in the attatched PWS (Peformance Work Statement) Performance Period: 10 May 2006 ? 30 Sep 2006 3. Please complete page 2 as applicable and return both pages with your qoute. 4. This information may be used for market research on future requirements and is not in any form, a guarantee of receiving a contact award. 5. All quotes must be submitted in the English language to be considered for contract award. 6. All vendors must have a DUNS number, a CAGE code, and be registered with the Central Contract Registration (CCR) system, to be considered for contract award. Registation and other information may be obtained by going to the following websites: DUNES # http://www.dnb.com/us/ CAGE code / CCR http://www.ccr.gov DESCRIPTION: TRICARE HEALTH BENEFITS ADVISOR Company Name:_______________________________________________________ Point of Contact:_______________________________________________________ Signature:____________________________________________________________ Phone:______________________________________________________________ Fax:________________________________________________________________ Email Address:________________________________________________________ Mailing Address:_______________________________________________________ ________________________________________________________ Cage Code:___________________________________________________________ DUNS Number:_______________________________________________________ TAX ID (if applicable):__________________________________________________ SIC Code:___________________________________________________________ FSC Code:___________________________________________________________ GSA Schedule (if applicable):_____________________________________________ Payment Discount Terms:___________________________________________________ Unit of Issue: Unit Price: ________ Total (US DOLLARS or EURO) Quote: _____________________________________ Additional Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ PERFORMANCE WORK STATEMENT (PWS) TRICARE HEALTH BENEFITS ADVISOR AT THE 426 AIR BASE SQUADRON STAVANGER, NORWAY 27 April 2006 1. DESCRIPTION OF SERVICES This Performance Work Statement (PWS) details the requirements for the TRICARE Patient Liaison/Health Benefits Advisor non-personal service contract. The place of performance is the 426 Medical Aid Station (MAS) at the NATO Joint Warfare Center in J?tt?, N-4032 Stavanger, Norway. Contractor shall provide all labor, tools, parts, matierial, knowledge, supplies, and transportation necessary to perform non-personal services as a patient liaison between TRICARE/United Concordia/International SOS, local medical providers in the Preferred Provider Network and approximately 200-250 US Department of Defense (DoD) beneficiaries unless specified in section 2 of this PWS. 1.1 CONTRACTOR REQUIREMENTS AND QUALIFICATIONS: 1.1.1. LANGUAGE REQUIREMENT. Personnel shall read, understand, speak, and write both Norwegian and English to the level indicated below in the Personnel Language Requirement. The contractor shall provide a significant service as a translator between Norwegian health care providers and DoD health care beneficiaries. Both languages should be spoken with sufficient structural accuracy and vocabulary pronunciation to be effective in most formal and informal conversations on practical and professional topics. An understanding of medical vocabulary is strongly desired. All written translations will be transcribed verbatim based on written documentation received. Personnel Language Requirements: The contractor shall provide personnel who meet the language proficiency level. Demonstrations of ability to meet personnel language requirements may be requested and may be by any method determined reasonable by the contracting officer. Contractor employees who fail to demonstrate the required proficiency may request one repeat demonstration of language capability within 30 calendar days. Failure to satisfy language proficiency requirements shall have the effect of the position being considered vacant and the contractor will be required to have a replacement within three days of the repeat demonstration failure. Contractor employees must meet the English and Norwegian language proficiency levels indicated below: Reading Ability - Ability level 4: Able to read all styles and forms of the language pertinent to professional needs. With occasional use of a dictionary, can read all material in his/her special field, including official and professional documents and correspondence. Can read reasonably legible handwriting without difficulty. Speaking Ability - Ability level 4: Able to use the language fluently and accurately on all levels normally pertinent to professional needs. Can understand and participate in any conversation within the range of his/her experience with a high degree of fluency and precision of vocabulary. Would rarely be taken for a native speaker but can respond appropriately even in unfamiliar situations. Errors of pronunciation and grammar are quite rare. Can handle formal interpreting from and into the language. Writing Ability - Ability level 4: Can draft all levels of written documents related to professional needs. Control of structure, vocabulary and spelling is broad and precise. Sense of style is nearly native. Errors are rare and do not interfere with understanding. Nevertheless, drafts of official correspondence and documents need to be edited by an educated native. 1.1.2. Contractor personnel shall be proficient in administrative tasks using computers and working with Microsoft Office including Word, Excel and PowerPoint, and other similar software products. The Contractor personnel are required to operate standard office machines, such as typewriters, fax machines, copiers, and adding machines/calculators. 1.2. TRAINING: Contractor personnel (unless previously trained) are required to attend one week of training and orientation with the 48th Medical Group at RAF Lakenheath, England within the first 60 days of contract start date. Training for one contractor employee per year will be fully funded by the US Government, including transportation, lodging and per diem. Training for additional Contractor personnel will be at the Contractor?s expense. Contractor personnel may be required to attend Government funded training as deemed necessary to ensure the original intent of the contract is fulfilled. The Government will pay for travel and per diem expenses. The Government will notify the Contractor as soon as practical of any training requirements; however, the lack of advanced notification of training, specifically in the event of a short notice required training, i.e., within 72 hours prior to the training start date, does not alleviate the Contractor?s responsibility to attend the training. Refusal to attend training shall be considered a deficiency which may lead to termination. Examples of training include TRICARE or United Concordia conferences or seminars. 1.3. DAYS AND HOURS OF OPERATION: 1.3.1. Hours: The Contractor will provide services at the MAS for 7? hours per day, between 0800 and 1600, from Monday through Friday. Contract work not requiring interaction with Government personnel or beneficiaries may be done at the Contractor?s convenience. The contractor will give the Contracting Officer 5 days advance notice of the intended hours of service at the MAS. 1.3.2. Days. The contractor will provide services at the MAS on weekdays except for U.S. and NATO holidays observed by the 426th Air Base Squadron and Norwegian holidays observed in the local area. The total number of weekday holidays shall not exceed 4 days. In addition to weekday holidays, the contractor does not have to provide service for 5 non-holiday weekdays. But the Contractor must provide 30 days advance notice of any non-holiday weekday(s) on which they will not provide service. 1.3.2.1. Exception to 30-days advance notice requirement. The contractor does not need to provide advance notice for 2 of the 5 non-holiday weekdays. 1.4. PROFESSIONAL APPEARANCE: Contractor personnel shall present a neat appearance and be easily recognized as Contractor employees. Professional casual attire is required. The Government will supply the Patient Liaison an identification badge. 1.5. CONFIDENTIALITY: Contractor shall maintain patient confidentiality on all medical matters, and comply with all requirements of the Privacy Act of 1974 (5 U.S.C. 552a), the Health Insurance Portability and Accountability Act (HIPAA), and Air Force regulations, manuals, and instructions concerning patient confidentiality. 1.6. COMPLIANCE: Contractor shall comply with all U.S. Air Force requirements for access to and use of Government equipment, such as, but not limited to: computers, fax machines, telephones and copier machines used in performing the requirements of this PWS. 1.7. BACKGROUND CHECK REQUIREMENT: Employees may be subjected to a background investigation prior to gaining access to the 426th Air Base Squadron. Employees may be required to provide detailed personal information to the base security manager prior to commencing employment. 1.8. The Contractor shall provide written proof that Contractor personnel meet contract requirements as required in this PWS. The Contracting Officer will be given 15 days notice of new Contractor personnel and the Independent Duty Medical Technician (IDMT) will be provided the opportunity to interview them. 1.9 SPECIFIC TASKS: 1.9.1. SCHEDULING APPOINTMENTS: The contractor personnel shall serve as the TRICARE/United Concordia liaison to the Norwegian health care community for U. S. Military Department of Defense (DoD) beneficiaries. Consults with the IDMT, then schedules medical and dental appointments with the appropriate provider, to include the Primary Care Managers (PCMs), local hospitals, etc. Ensures all medical and dental paperwork is readily available to the external medical and dental providers for continuity and quality of care, and instructs individuals on what to expect in the civilian setting. Responsible for scheduling numerous types of appointments for local medical services, averaging 5-10 per day. Informs International SOS (ISOS), London, of all appointments made through the MAS. Requests Guarantees of Payment (GOPs) for these appointments through ISOS. Maintains a file of all GOPs issued. 1.9.2 PROCESSING MEDICAL BILLS AND CLAIMS: All bills and claims for providers within the ISOS network will be handled by ISOS. The Tricare Liaison?s involvement will be to educate both providers and beneficiaries about the procedures required for initiating a GOP and for filing claims through ISOS. Some claims will be filed through Wisconsin Physician Services (WPS). In these instances, the Tricare Liaison will be responsible for ensuring that local medical bills are processed within four workdays of receipt of bill for medical services rendered and files the claim for the bill to the fiscal intermediary, WPS. Files all medical correspondence in the appropriate medical record. Develops and maintains computerized tracking systems to facilitate tracking of both GOP and claim status on a daily basis. 1.9.3. BENEFICIARY REPRESENTATIVE: Acts as the beneficiary representative for TRICARE Prime, TRICARE Standard, and United Concordia. Advises patients on the local rules for healthcare under each program. Processes enrollment and disenrollment forms for TRICARE Prime members. Processes claims for reimbursable expenses for DoD beneficiaries and payment of civilian health care providers. Aids in correcting billing discrepancies and educates members on procedures for filing for reimbursement using applicable forms. 1.9.4. HOSPITAL VISITS: When determined by the IDMT, the Contractor will visit DoD beneficiaries hospitalized in host nation medical facilities in order to provide oral and written translations between patient?s and administrative and medical staff with regard to information, payment for services, diagnosis and discharge instructions. Contractor will make visits during normal contract performance hours and need not provide an additional Contractor employee at the MAS during the time of such visits. Contractor will be reimbursed for personal vehicle travel at the prevailing rate for business mileage established by the Government of Norway. 1.9.5. PREFERRED PROVIDER NETWORK: Develops and maintains the local Preferred Provider Network (PPN) for medical, dental, and specialty care in the local area. Educates the local providers about the ISOS network and submits their names to ISOS if they are willing to join the ISOS network. Responsible for monitoring customer satisfaction. There are tools for this designed by Tricare Europe that can be used effectively at this site. Coordinates with the IDMT and 426 ABS Commander in developing an effective customer satisfaction program. 1.9.6. TRANSLATIONS: Performs written translation from Norwegian to English for all medical results, consultation, and evaluations. Translations will be accomplished verbatim based on the original Norwegian correspondence. After review by the IDMT, enters both the original and translated copy into the patient?s medical record within four workdays after receipt of the information. Some medical correspondence may require immediate translation based on the needs of the patient, these will be determined by the IDMT on an as-needed basis. 1.9.7. COMMUNICATION: Contractor will answer telephone calls and greet patients during contract performance hours, directing telephone calls and patients to MAS personnel as appropriate. The Contractor shall ensure contractor personnel maintain open and professional communication with all customers. 1.9.8. BRIEFINGS: The Contractor shall brief newly arrived beneficiaries on TRICARE/United Concordia and International SOS information using the appropriate marketing materials and will brief changes to all beneficiaries when applicable. 1.10. PATIENT LISTS. Patient lists shall be treated as confidential information. Lists and/or names of patients shall not be disclosed to or revealed in any way, for any use outside the MAS. 1.11. PATIENT SENSITIVITY. Contractor personnel shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships. Contractor must exercise a high level of patient sensitivity, courtesy and discretion. 1.12. RELEASE OF MEDICAL INFORMATION. Contractor personnel shall only release medical information obtained during the course of this contract with written permission of the IDMT. 1.13. CHAPERONE DUTIES. Contractor personnel will observe the IDMT performing medical examinations when requested by the IDMT. 1.14. HEALTH INSURANCE PORTABILITY ACCOUNTABILITY ACT (HIPAA). Contractor personnel shall be briefed and trained by the IDMT on HIPAA requirements for protecting patient information and confidentiality and the release of protected information. The Contractor shall ensure all network providers or local providers comply with HIPAA to the maximum possible extent. The contractor shall ensure all local network providers have on file a signed acknowledgement of all HIPAA requirements. The contractor shall assist in resolving disputes in the healthcare arena for the MAS. 1.15. AIR FORCE REGULATIONS/MANUALS/INSTRUCTIONS A copy of below referenced instructions will be provided to the contractor upon request either in an electronic or hard copy format. AFI 44-102, Community Health Management 17 Nov 99 AFI 44-119, Clinical Performance Improvement 4 Jun 01 AFI 41-117, Medical Officer Education 23 Apr 01 AFI 44-103, Air Force Independent Duty Medical 1 May 05 Technician Program AFI 44-103, Air Force Independent Duty Medical 1 Jan 99 Technician Program USAFE Supplement 1 2. SERVICES SUMMARY. The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. SDS Performance Objective SOW Para Inspection Type Performance Threshold SDS-1 Duty Hours 1.3.1. Periodic No more than 1 defect/month SDS-2 Professional Appearance 1.4 Periodic No more than 1 defect/month SDS-3 Processing Medical Bills 1.9.2 Periodic No more than 2 defects/month SDS-4 Beneficiary Representative 1.9.3 Customer Complaint No more than 1 defect/month SDS-5 Patient Sensitivity 1.11 Customer Complaint No more than 1 defect/month 2.1. QUALITY ASSURANCE: The IDMT will evaluate contractor performance. 3. GOVERNMENT FURNISHED PROPERTY AND SERVICES 3.0. GENERAL: The Government shall provide the facilities, equipment, materials, and services listed. All government provided equipment shall be used for official use only. 3.1. FACILITIES: The Government will provide a designated desk area within the 426th ABS MAS. 3.2. EQUIPMENT: The Government will provide a networked personal computer, telephone, fax machine, printer, digital sender and copier. 3.3. FORMS: Required forms used in the performance of this contract will be provided. Government medical and medical billing records shall not be removed from the MAS. 3.4. UTILITIES: The Government will provide all necessary utilities for performance of this contract.
- Place of Performance
- Address: P.O Box 54 Sola N-4097
- Country: N-4097
- Country: N-4097
- Record
- SN01038454-W 20060503/060501220610 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
(may not be valid after Archive Date)
| FSG Index | This Issue's Index | Today's FBO Daily Index Page |