MODIFICATION
R -- Solicitation RRB11R001 - RRB Specialty MAC - Solicitation 1
- Notice Date
- 2/11/2011
- Notice Type
- Modification/Amendment
- NAICS
- 524114
— Direct Health and Medical Insurance Carriers
- Contracting Office
- Railroad Retirement Board, Acquisition Management Division, OA, Procurement Section, 844 North Rush Street, 9th Floor NE, Chicago, Illinois, 60611-2092
- ZIP Code
- 60611-2092
- Solicitation Number
- RRB11R001
- Point of Contact
- Karen J. Haskins-Brewer, Phone: (312) 751-4615, Paul T. Ahern, Phone: (312) 751-7130
- E-Mail Address
-
karen.haskins-brewer@rrb.gov, paul.ahern@rrb.gov
(karen.haskins-brewer@rrb.gov, paul.ahern@rrb.gov)
- Small Business Set-Aside
- N/A
- Description
- Solicitation RRB11R001, Attachment J25, Compliance Attestation Solicitation RRB11R001, Attachment J24, Proposal Assumption Template Solicitation RRB11R001, Attachment J23, Contractor Furnished Property Solicitation RRB11R001, Attachment J21, Corporate Experience Attestation Solicitation RRB11R001, Attachment J20, Information Security Attestation Solicitation RRB11R001, Attachment J19C, Outgoing AB MAC Implementation Handbook Solicitation RRB11R001, Attachment J19A, Workload Implementation Handbook Legacy to MAC Solicitation RRB11R001, Attachment J19, Workload Implementation Handbook Solicitation RRB11R001, Attachment J18, Non-disclosure Statement Solicitation RRB11R001, Attachment J17, Proposal Checklist Solicitation RRB11R001, Attachment J16, Close Out Period Cost Proposal Template Solicitation RRB11R001, Attachment J15, Option Year Four Cost Proposal Template Solicitation RRB11R001, Attachment J14, Option Year Three Cost Proposal Template Solicitation RRB11R001, Attachment J13, Option Year Two Cost Proposal Template Solicitation RRB11R001, Attachment J12, Option Year One Cost Proposal Template Solicitation RRB11R001, Attachment J11, Base Year Cost Proposal Template Solicitation RRB11R001, Attachment J10B, Implementation Cost Proposal Template Solicitation RRB11R001, Attachment J10A, Cost Template Summary Sheet Solicitation RRB11R001, Attachment J09, Cost Proposal Instructions Solicitation RRB11R001, Attachment J08, Past Performance Questionnaire Solicitation RRB11R001, Attachment J07, Basis of Estimate Solicitation RRB11R001, Attachment J06A, Award Fee Self-Assessment Template Solicitation RRB11R001, Attachment J06, Award Fee Plan Sample Solicitation RRB11R001, Attachment J05, Government Furnished Property Solicitation RRB11R001, Attachment J04, Billing Instructions Solicitation RRB11R001, Attachment J03, Small Business SubContracting Plan Solicitation RRB11R001, Attachment JO2, Deliverables Solicitation RRB11R001, Attachment JO1B, SOW Appendices Solicitation RRB11R001, Attachment JO1AA Solicitation RRB11R001, Attachment J01A Solicitation RRB11R001, Statement of Work Attachment J01 Solicitation RRB11R001 Cover Page, SF 33 (Offerors must send a signed copy of this form with their proposal submission) Solicitation RRB11R001, Sections B through M RRB Specialty MAC (Part B) Pre-solicitation Notice: As required by section 911 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA), RRB, as authorized under paragraph 1842(b)(1) of the Social Security Act, must solicit and compete its Part B Medicare Administrative Contractor (Specialty MAC) contracts every five (5) years. The purpose of this contract is to obtain a Specialty MAC (hereinafter, referred to as "the Contractor") to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the Medicare FFS program. The Contractor shall perform its responsibilities under the direction of RRB in concert with Medicare Program direction from CMS. The Contractor will perform numerous functions to support health care services for Medicare beneficiaries, which include performing claims-related activities and establishing relationships with professional providers of health care services, for a nationwide "jurisdiction." The Contractor will perform the requirements of this contract in accordance with applicable laws, regulations, Medicare manuals, and CMS requirements to ensure the financial integrity of the Medicare program. The Medicare program's legal, policy, and operating environment is complex, and the Contractor will utilize or interact with certain CMS-required payment schedules, systems, equipment, and operational capabilities in the performance of its functions. Further, the Contractor will coordinate its activities not only with RRB and CMS, but also with a broad range of agencies (at the federal, state, and local levels of government), other CMS partners and Contractors, and a diverse range of stakeholders within the health care system of the United States. In accordance with RRB's technical specifications, the Contractor shall receive and control Medicare claims from professional providers, suppliers, and beneficiaries within its jurisdiction and will perform standard or required editing on these claims to determine whether the claims are complete and should be paid. An edit is defined as "logic within the Standard Claims Processing System that selects certain claims, evaluates or compares information on the selected claims or other accessible source, and, depending on the evaluation, takes action on the claims, such as pay in full, pay in part, or suspend for manual review." In addition, the Contractor calculates Medicare payment amounts and remits these payments to the appropriate party. The Contractor may also conduct redeterminations on appeals of claims; operate a Beneficiary and Provider Customer Service Program (BPCSP) that educates providers and beneficiaries about the Medicare program and responds to provider and beneficiary telephone and written inquiries and make compability of payment decisions nationwide. The Contractor also will conduct a variety of different provider services, such as answering written and telephone inquiries, and educating providers on Medicare's rules, regulations, and billing procedures. Questions are due February 18, 2011. Notice of Intent to Make an Offer is due February 22, 2011. Offers are due March 25, 2011 at 11:00 a.m. (CST). Anticipated award date of August 1, 2011. This solicitation is expected to be issued as pending availability of funds.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/RRB/BSS/PD/RRB11R001/listing.html)
- Place of Performance
- Address: To Be Determined on Award, Chicago, Illinois, 60030-2092, United States
- Zip Code: 60030-2092
- Zip Code: 60030-2092
- Record
- SN02378586-W 20110213/110211234409-ad0f932942a8460b8ceb2ad6f8f4320c (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
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