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FBO DAILY ISSUE OF OCTOBER 16, 2010 FBO #3248
SOURCES SOUGHT

R -- Medicaid Claim Adjudication Services

Notice Date
10/14/2010
 
Notice Type
Sources Sought
 
NAICS
524292 — Third Party Administration of Insurance and Pension Funds
 
Contracting Office
Department of Health and Human Services, Office of the Secretary, Acquisitions Management, Contracts, & Grants (AMCG), Office of the Assistant Secretary for Preparedness & Response (ASPR), Department of Health and Human Services, 395 E Street, SW, Rm 1075.45, Washington, District of Columbia, 20024, United States
 
ZIP Code
20024
 
Solicitation Number
ASPR-SUPP-2011
 
Archive Date
11/4/2010
 
Point of Contact
Brendan Miller, Phone: 2022600962
 
E-Mail Address
brendan.miller@hhs.gov
(brendan.miller@hhs.gov)
 
Small Business Set-Aside
N/A
 
Description
This is a Small Business Sources Sought notice. This is NOT a solicitation for proposals, proposal abstracts, or quotations. The purpose of this notice is to obtain information regarding the availability and capability of qualified small business sources, whether they are: small businesses; HUBZone small businesses; service-disabled, veteran-owned small businesses; 8(a) small businesses; veteran-owned small businesses; woman-owned small businesses; or small disadvantaged businesses. Your responses to the information requested will assist the Government in determining the appropriate acquisition method, including whether a set-aside is possible. An organization that is not considered a small business under the applicable NAICS code should not submit a response to this notice. The U.S. Dept of Health and Human Service, Office of the Secretary, Office of the Assistant Secretary for Preparedness and Response is seeking sources which are capable of providing the services described below. The purpose of any potential contract related to this sources sought will be to provide a mechanism for reimbursing providers of medical care provided to patients who were evacuated from Haiti to the U.S. after the January 12, 2010 earthquake. The current policy projection is to process claims for care delivered to qualifying patients between January 12, 2010 and November 1, 2010. The current claims submission cutoff date is expected to be March 31, 2011 for eligible dates of service through November 1, 2010. This cutoff date could be moved to an earlier date as a result of policy change. The contractor shall independently, and not as an agent of the government, furnish all the necessary services, qualified personnel, material, equipment, and facilities, not otherwise provided by the government, to develop and administer a claim-based reimbursement program for medical care provided by qualified providers, in accordance with applicable laws and regulations and the Medicaid program guidelines in the state that medical care was provided in. Currently, we know of patients in five states (NY, GA, FL, TX, NC?), with the majority of patients in FL and GA. It is expected that more patients will turn up in other states, so any interested vendors should demonstrate a capability to adjudicate claims in not only GA and FL, but also have the ability to determine the Medicaid rates in other CONUS states. In addition to adjudicating the provider claims, the government is contemplating charging the contractor with the task of reimbursing the providers. Due to FAR regulations, the expectation will be that the vendor will first pay the provider after getting approval from a government official to do so, and then the government will reimburse the vendor for payments made to the provider through monthly invoices. Any firms responding to this sources sought should provide information on whether or not they are capable of making such payments (likely to be several millions of dollars). While it is difficult to project with absolute certainty the volume of claims expected to be filed for reimbursement, the contractor should assume a maximum volume of 10,000 claims. Interested small businesses are encouraged to respond to this notice. However, be advised that generic capability statements are not sufficient for effective evaluation of respondents' capacity and capability to perform the specific work as required. Interested vendors must submit information regarding the respondents': (a) staff expertise, including their availability, experience, and formal and other training, specifically related to the requirement; (b) current in-house capability and capacity to perform the work; (c) prior completed projects of similar nature; (d) corporate experience and management capability; and (e) examples of prior completed Government and private contracts and references, and other related information that provides evidence of the respondent's capability and experience. Responses must directly demonstrate the company's capability, experience, and/or ability to marshal resources to effectively and efficiently perform each of the tasks described above and provide evidence that the vendor can satisfy the minimum requirements listed above while in compliance with FAR 52.219-14 ("Limitations on Subcontracting"). Failure to definitively address each of these factors will result in a finding that respondent lacks capability to perform the work. Responses to this notice shall be limited to 20 pages, and must include, in addition to the firms capabilities: (1) Company name, mailing address, e-mail address, telephone and FAX numbers, website address (if available), and the name, telephone number, and e-mail address of a point of contact having the authority and knowledge to clarify responses with Government representatives. (2) Name, title, telephone number, and e-mail addresses of individuals who can verify the demonstrated capabilities identified in the responses. (3) Business size for NAICS 524292 (size standard $7 million) and status, if qualified, as a small business. Businesses claming 8(a) or HUBZone qualifications must be certified by SBA. Service-Disabled Veteran-Owned Small Business must be listed in the VetBiz Vendor Information Pages. (4) DUNS number, CAGE Code, Tax Identification Number, and company structure (Corporation, LLC, partnership, joint venture, etc.). Companies also must be registered in the Central Contractor Registry (CCR, at www.ccr.gov) to be considered as potential source. (5) Identification of any potential GSA Schedule contract(s) by Schedule number and contract number and SINs that are applicable to this potential requirement are requested as well. Please submit copies of any documentation such as letters or certificates to indicate the firm's status (see item #3, above). Teaming arrangements are acceptable, and the information required above on the company responding to this announcement, should be provided for each entity expected to be teammates of the respondent for performance of this work. To the maximum extent possible, please submit non-proprietary information. Any proprietary information submitted should be identified as such and will be properly protected from disclosure. This notice is for planning purposes only, and does not constitute an Invitation for Bids, Request for Proposals, Solicitation, Request for Quotes, or an indication that the Government will contract for the items contained in this announcement. This request is not to be construed as a commitment on the part of the Government to award a contract, nor does the Government intend to pay for any information submitted because of this request. The Government will not reimburse respondents for any cost associated with submission of the information being requested or reimburse expenses incurred to interested parties for responses to this announcement. Responses to this notice must be received by the Contract Specialist named below, by 3:00 PM Eastern Standard time on October 20, 2010, for consideration. Responses to this notice must be submitted via electronic mail (e-mail) to the Contract Specialist, with the "ASPR-SUPP-2011" in the subject of the email. Responses to this announcement will not be returned, nor will there be any ensuing discussions or debriefings of any responses. However, information obtained as a result of this announcement may be reflected in the subsequent solicitation, and ASPR may contact one or more respondents for clarifications and to enhance the Government's understanding. This announcement is Government market research, and may result in revisions in both its requirements and its acquisition strategy based on industry responses.
 
Web Link
FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/OOS/OASPHEP/ASPR-SUPP-2011/listing.html)
 
Place of Performance
Address: Washington, District of Columbia, 20224, United States
Zip Code: 20224
 
Record
SN02310829-W 20101016/101014233730-a78fdfaab62c2b86ece1858ec7809fcb (fbodaily.com)
 
Source
FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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