TRICARE Medicare Eligible Program (TMEP2) Industry Forum

The document addresses follow-up questions regarding the TRICARE Medicare-Eligible Program (TMEP2) contract, focusing on transition requirements, data handling, and operational expectations. Key points include the Defense Health Agency's (DHA) adoption of a date-of-receipt cutover model for claims, the provision of historical claims data for operational use, and a one-time transition payment instead of milestone payments. Offerors are expected to propose their own transition models. Performance guarantees will apply from the start of Option Period 1, with incentives beginning six months later. The DHA will publish historical frequency and volume of change orders and is open to incorporating an innovation CLIN. Information on beneficiary identification, provider validation, and teaming arrangements is also clarified, with further details to be provided in the final solicitation and draft TRICARE Operations Manual Chapter 20.

The TRICARE Medicare Eligible Program 2nd Generation (TMEP-2) Industry Forum, held by the Defense Health Agency, served as a market research event to refine requirements for claims processing and customer support services for dual-eligible Military Health System beneficiaries. The forum outlined the scope, high-level requirements, and solicitation process for the TMEP-2 contract, which involves managing claims for a population of 2.7 million beneficiaries. Key objectives include accurate and cost-effective claims processing, high-quality customer service, effective management and quality oversight, and smooth transition planning. The solicitation is anticipated for Q2 CY26 on sam.gov, with a contract award projected for Q2 CY27. The DHA also emphasized its commitment to small business subcontracting goals.

The document lists attendees for the TRICARE Medicare Eligible Program Second Generation (TMEP2) Industry Day. It includes organization names, contact names, and email addresses for various entities such as Autoworklet, Broadway Ventures, Byrd Strategies, CareSource Military & Veterans, Consumer Capital Group Corp., Leidos, Inc., Leslie M. Newson, LLC (LMN, LLC), Noridian Healthcare Solutions, LLC, PGBA, LLC, Signature Performance, Wellpoint Federal, and Wisconsin Physicians Service Insurance Corporation (WPS). This compilation serves as a record of interested parties or potential bidders for a federal government program, likely an RFP or grant, related to TRICARE's second-generation Medicare-eligible program.