SOLICITATION NOTICE
R -- Point-of-Sale Facilitated Enrollment
- Notice Date
- 7/21/2008
- Notice Type
- Presolicitation
- NAICS
- 524292
— Third Party Administration of Insurance and Pension Funds
- Contracting Office
- Department of Health and Human Services, Centers for Medicare & Medicaid Services, Office of Acquisition and Grants Management, 7500 Security Blvd., C2-21-15, Baltimore, Maryland, 21244-1850
- ZIP Code
- 21244-1850
- Solicitation Number
- RFP-CMS-2008-0028
- Archive Date
- 9/30/2008
- Point of Contact
- Chip Farmer,, Phone: 410-786-1997
- E-Mail Address
-
edward.farmer@cms.hhs.gov
- Small Business Set-Aside
- N/A
- Description
- Pre-solicitation for Contractor to Administer the 2009 Point-of-Sale Facilitated Enrollment (POS FE) Process for the Medicare Part D Prescription Drug Program The Centers for Medicare & Medicaid Services (CMS) is seeking to award a contract, after full and open competition, to a national Prescription Drug Plan (PDP) Sponsor to administer the Point-of-Sale Facilitated Enrollment (POS FE) process. The POS FE process provides immediate Part D prescription drug coverage for Medicare beneficiaries who are also Medicaid eligible or LIS eligible, but not yet enrolled in a Part D plan. The Contractor must: 1.Be a PDP Sponsor under contract with CMS in both 2008 and 2009; 2.Have in each PDP region (excluding U.S. Territories) a plan benefit package (PBP) with a basic benefit and a premium at or below the 2009 LIS benchmark; 3.Have the capacity to adjudicate claims at the point-of-sale; 4.Have the capacity to contract with the CMS TrOOP Facilitator contractor to perform front-end edits on claims submitted by pharmacy providers; 5.Have the capacity to partner with a CMS Eligibility Verification contractor who will query State Medicaid eligibility verification systems on those beneficiaries whose dual or LIS eligible status is unknown; 6.Have the ability to rapidly establish connectivity with CMS and its designated contractors; 7.Have the ability to rapidly enroll eligible beneficiaries into its Part D plan; and 8.Have the ability to notify beneficiaries whose eligibility for POS FE cannot be confirmed and collect claims costs from them if they cannot show proof of dual or LIS eligibility. Period of performance will be one eighteen-month base period (three months for systems’ building and fifteen months of performance) beginning September 30, 2008 through March 31, 2010. CMS intends to issue the RFP in early August, 2008, with award anticipated by September 28, 2008. All responsible sources who anticipate meeting criterion #2 above and who meet all other listed criteria, may submit a proposal for consideration by the Agency. (Actual ability to meet criterion #2 will not be known for certain until mid-late August when the low-income premium subsidy amount is announced.) Points of Contact: Chip Farmer, Contract Specialist, 410-786-1997, Edward.farmer@cms.hhs.gov, or Debra Hoffman, Contracting Officer, 410-786-0517, debra.hoffman@cms.hhs.gov
- Web Link
-
FedBizOpps Complete View
(https://www.fbo.gov/?s=opportunity&mode=form&id=92f3ce86966113a3bf32b280b7326995&tab=core&_cview=1)
- Record
- SN01619352-W 20080723/080721223733-92f3ce86966113a3bf32b280b7326995 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
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