SOLICITATION NOTICE
R -- Fiscal Intermediary Services for the Indian Health Services
- Notice Date
- 5/5/2004
- Notice Type
- Solicitation Notice
- NAICS
- 621999
— All Other Miscellaneous Ambulatory Health Care Services
- Contracting Office
- Department of Health and Human Services, Program Support Center, Division of Acquisition Management, Parklawn Building Room 5-101 5600 Fishers Lane, Rockville, MD, 20857
- ZIP Code
- 20857
- Solicitation Number
- Reference-Number-05I053998
- Response Due
- 6/20/2004
- Archive Date
- 7/5/2004
- Point of Contact
- Allison Ford, Contract Specialist, Phone 301-443-0101, Fax 301-443-3849, - Janet Miller, Contracting Officer, Phone 301-443-2478, Fax 301-443-3849,
- E-Mail Address
-
aford@psc.gov, jmiller@psc.gov
- Description
- The Department of Health and Human Services, Program Support Center, Strategic Acquisition Service, Division of Acquisition Management on behalf of the Indian Health Services (IHS), Office of Preventive and Clinical Service intends to negotiate with Blue Cross and Blue Shield of New Mexico, a Division of Health Care Service Corporation located at 12800 Indian School Road NE, Albuquerque, New Mexico 87112 under the authority of FAR 6.302. On April 17, 1986, Congress enacted P.L. 99-272, the Consolidate Omnibus Reconciliation Act of 1985, which amended Title XXI of the Public Health Service Act. As amended, Section 2116(a) of Title XXI gives IHS the authority to enter into contracts with fiscal agents, so long as the fiscal agents are used ?to determine the amounts payable to persons who, on behalf of the Indian Health Service, furnish health services to eligible Indians.? Blue Cross and Blue Shield of New Mexico as required by Section 2116(a) of Title XXI is classified as a Fiscal Intermediary. The purpose of this contract is to provide for a fiscal intermediary (FI) to operate a centralized medical and dental claims processing and payment system. This system collects, compiles and organizes workload, financial data and statistical data and provides management and utilization reports. The Contractor verifies that billed services are consistent with the patient?s condition and authorized treatment plan, categorizes these services under the appropriate Diagnosis-Related Group (DRG) or procedure code, calculates payments based on Medicare methodologies, identifies unnecessary costs and inappropriate patterns of care, and pays claims accordingly. The Contractor must also have the capability to apply the new Medicare Ambulatory Patient Group payment methodology. A Cost-Reimbursement Contract will be awarded to Blue Cross and Blue Shied with a base year and four 12-month option years. Interested persons may identify their interest and capability to respond to the requirement through submission of capability statements. This notice of intent is not a request for competitive proposals. However, the Government will consider all capability statements received within forty-five days from date of publication of this synopsis. A determination by the Government not to compete with this proposed contract based upon responses to this notice is solely within the discretion of the Government.
- Record
- SN00580309-W 20040507/040505211843 (fbodaily.com)
- Source
-
FedBizOpps.gov Link to This Notice
(may not be valid after Archive Date)
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