SPECIAL NOTICE
R -- Federal Employees Health Benefits Medical Review Services
- Notice Date
- 6/27/2018
- Notice Type
- Special Notice
- NAICS
- 524298
— All Other Insurance Related Activities
- Contracting Office
- Office of Personnel Management, Office of Procurement Operations, Contracting, 1900 E Street, N.W., Room 1342, Washington, District of Columbia, 20415-7710, United States
- ZIP Code
- 20415-7710
- Solicitation Number
- 24322618N0005
- Point of Contact
- Cheryl D Allen, Phone: 202.606.2054
- E-Mail Address
-
Cheryl.Allen@opm.gov
(Cheryl.Allen@opm.gov)
- Small Business Set-Aside
- Total Small Business
- Description
- This is a notice of intent that the United States Office of Personnel Management (OPM) plans to award a non-competitive contract for Federal Employees Health Benefits (FEHB) Medical Review Services to Independent Medical Expert Consulting Services, Inc. (IMEDECS), 2060 Detwiler Road, Suite 100, Harleysville, PA 19438. We will conduct this acquisition in accordance with Federal Acquisition Regulation (FAR) Part 13. We intend to issue a Request for Quotation (RFQ) to IMEDECS for FEHB Medical Review Services and award a bridge contract resulting from the RFQ no later than July 6, 2018. The bridge contract will be indefinite-delivery/indefinite-quantity and include fixed prices for each contract line item number. The bridge contract will provide interim services for 30 to 90 days until the proposed contract resulting from the existing competitive acquisition can be awarded. The period of performance for the bridge contract is expected to be three months: a one-month base period and two one-month options. The purpose of this notice of intent is to satisfy the requirements of FAR Subpart 5.2. This notice of intent is not an RFQ. However, all responsible sources may submit a capability statement or quotation, which we will consider. All responsible sources must submit their capability statements or quotations in writing via e-mail to Cheryl D. Allen, Contracting Officer, at Cheryl.Allen@opm.gov no later than five days, 3:00 P.M. Eastern Time, of the published date of this notice. We will not consider responses received after this date and time. Verification of receipt of electronic transmissions is the sole responsibility of the respondent. The Government will not be responsible for any costs incurred for capability statements, quotations, or any other documents prepared in response to this notice. We will not issue an RFQ. We will consider any requests for an RFQ as non-responsive. A determination not to compete this action based upon responses received is the sole discretion of the Government. All contractors must be registered in System for Award Management prior to execution of a contract award. If we do not receive any viable responses, we intend to award a contract to IMEDECS without further notice. Background: The OPM Federal Employees Insurance Operations (FEIO) group administers the FEHB Program for Federal employees, retirees, temporary wildland firefighters and fire protection personnel, employees of Federally recognized Indian tribes, tribal organizations, and urban Indian organizations (tribal employer), and their eligible family members. FEIO is responsible for resolving disputed health insurance claims between members and their health insurance carrier. Two types of health insurance plans participate in the FEHB Program, Fee-for-Service (FFS) plans and Health Maintenance Organizations (HMO). FEIO is comprised of three Health Insurance Groups. Health Insurance 1 administers the Blue Cross and Blue Shield Service Benefit contract; Health Insurance 2 administers the remaining FFS plan contracts and experience-rated HMO plan contracts; and Health Insurance 3 administers the community-rated HMO plan contracts. Each health plan under the FEHB Program contracts with OPM to provide certain health benefits to all members enrolled in its participating plan. Under the terms of the contract, members are entitled to pursue claims disputes by following a formal dispute resolution process described in the plan's brochure. After giving the plan the opportunity to reconsider its decision, members may request OPM to review the plan's denial of benefits or benefit limitation. OPM is responsible for making the final determination on disputes between the health benefit carrier and insured member per Title 5 U.S.C. Chapter 89, 5 CFR Part 890. In some cases, because of the complexity of the medical issue/condition involved, it is necessary to obtain an external medical review advisory opinion from a medical consultant before OPM makes a final decision on the claim. Health Insurance 1 is responsible for monitoring the medical review services contract. Nurse Consultants determine the medical specialty category and the appropriate medical specialist. The contractor is required to provide an expert opinion by medical specialists appropriate to the particular disputed claim under review.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/OPM/OCAS/CD/24322618N0005/listing.html)
- Record
- SN04970063-W 20180629/180627230704-90118c9bfca4d075a8296d83b35d481b (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
(may not be valid after Archive Date)
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