TRICARE Medicare Eligible Program (TMEP)

The Defense Health Agency (DHA) awarded a Firm Fixed Price (FFP) Contract (HT9402-15-C-0005) for TRICARE Medicare Eligible Program (TMEP) services to Wisconsin Physicians Service Insurance Corporation (WPS), Madison, WI on April 30, 2021. This contract was solicited with no set-asides under HT9402-19-R-0003; proposals were due on September 5, 2019 and two (2) offers were received. The purpose of the TMEP Contract is to provide claims processing and associated customer support services for claims submitted by and on behalf of Military Health System (MHS) beneficiaries who are eligible for both Medicare and TRICARE benefits for services received in the United States (U.S.), Puerto Rico, Guam, the U.S. Virgin Islands, America Samoa and the Northern Mariana Islands. The contractor shall provide the expertise of health care claims processing and its support services by incorporating the best practices of the private sector in support of TRICARE. The contractor shall fulfill the objectives of the Contract while complying with the scope and requirements as identified in the Contract. The contractor shall deliver all services in a manner that supports the TRICARE fully integrated health care delivery and financing system for all MHS beneficiaries. Performance of this contract will be accomplished at the contractor's and its teammate's facilities. The contract base period (transition-in) of performance is May 1, 2021 through April 30, 2022. There are six one-year option periods continuing through April 30, 2028 and the potential for a six-month extension pursuant to FAR 52.217-8 Option to Extend Services. Total estimated value of the contract, including the base, six one-year option periods and the potential six month extension is $383,248,709. The Defense Health Agency, Aurora, CO 80011, is the contracting activity (HT9402).