TRICARE Medicare Eligible Program Second Generation (TMEP2)

Notice ID:HT940226R0001

DHA seeks continuing TMEP2 services for dual-eligible Medicare/TRICARE beneficiaries, including health care claims processing, customer support, TRICARE encounter data submission, provider certification, and related administrative services across the United States, Puerto Rico, Guam, U.S. Virgin Islands, American Samoa, and Northern Mariana Islands. The acquisition is full and open competition using best value trade-off procedures under RFO FAR 15.2 and will result in a firm fixed-price contract. The period of performance includes a 12-month transition-in, seven 1-year healthcare delivery periods, a 12-month transition-out, and a potential 6-month extension under RFO FAR 52.217-8, for up to 8.5 years total. DHA anticipates posting responses to questions in the coming weeks, followed by an RFP amendment addressing those questions.

Department/Ind.Agency Subtier Office
DEPT OF DEFENSE DEFENSE HEALTH AGENCY (DHA) DEFENSE HEALTH AGENCY
  PSC   Q201 MEDICAL- MANAGED HEALTHCARE
LOCATION: Not Given
Primary Contact
David Smith
Not Given
Alt Contact
Addison Sexton
Not Given


Data sourced from SAM.gov. View Official Posting »

TRICARE Medicare Eligible Program Second Generation (TMEP2)

Notice ID:HT940226R0001

This full and open competitive acquisition is for continuing health care claims processing, customer support, and related administrative services—such as TRICARE encounter data submission and provider certification—for dual-eligible Medicare and TRICARE beneficiaries receiving medical services in the United States, Puerto Rico, Guam, the US Virgin Islands, American Samoa, and the Northern Mariana Islands. Award will be a Firm Fixed-Price contract using best value trade-off procedures under RFO FAR 15.2, supplemented by DFARS and the DoD Source Selection Procedures (August 2022). The period of performance includes a 12-month transition-in base period, seven 1-year healthcare delivery periods, a 12-month transition-out period, and a potential 6-month extension under RFO FAR 52.217-8, for up to 8.5 years total. On 25 Sep 2026, a signed RFP and an amendment were uploaded, updating sensitivity labels for Section J, Attachment J-5b, and Exhibits L-7, L-8, and L-9.

Department/Ind.Agency Subtier Office
DEPT OF DEFENSE DEFENSE HEALTH AGENCY (DHA) DEFENSE HEALTH AGENCY
  PSC   Q201 MEDICAL- MANAGED HEALTHCARE
LOCATION: Not Given
Primary Contact
David Smith
Not Given
Alt Contact
Addison Sexton
Not Given


Data sourced from SAM.gov. View Official Posting »

TRICARE Medicare Eligible Program Second Generation (TMEP2)

Notice ID:HT940226R0001

This full-and-open competitive acquisition uses best value trade-off procedures under RFO FAR 15.2, as supplemented by DFARS and the DoD Source Selection Procedures (August 2022), for continuing health care claims processing, customer support, and related administrative services (e.g., TRICARE encounter data submission and provider certification) for dual-eligible Medicare and TRICARE beneficiaries. Performance locations include the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands, supporting programs such as TMEP2 under Title 10/32 and CFR Part 199. The awarded contract will be Firm Fixed-Price with a 12-month transition-in base period, seven 1-year healthcare delivery periods, a 12-month transition-out period, and a potential 6-month extension, for a total period of performance of up to 8.5 years. On 25 Sep 2026, a signed version of the basic RFP and Amendment 0001 were uploaded, updating sensitivity labels for Section J, Attachment J-5b, and Exhibits L-7, L-8, and L-9.

Department/Ind.Agency Subtier Office
DEPT OF DEFENSE DEFENSE HEALTH AGENCY (DHA) DEFENSE HEALTH AGENCY
  PSC   Q201 MEDICAL- MANAGED HEALTHCARE
LOCATION: Not Given
Primary Contact
David Smith
Not Given
Alt Contact
Addison Sexton
Not Given

Links (1)

Attachments (22)

Document
Size
Access
Updated
HT940226R0001 Amd 0001 20260924.pdf
187.58 KB
Public
Sep 25, 2026
HT940226R0001-20260923.pdf
696.06 KB
Public
Sep 25, 2026
HT940226R0001-20260923.pdf (deleted on Sep 25, 2026)
578.42 KB
Public
Sep 23, 2026
Attachment J-1 DMDC Eligibility File Layout TMEP.pdf
107 KB
Public
Sep 23, 2026
Attachment J-2 Beneficiary Satisfaction Survey.pdf
125.84 KB
Public
Sep 23, 2026
Attachment J-3 CDRLs.pdf
11.11 MB
Public
Sep 23, 2026
Attachment J-4 TMEP 2 Chapter 20 Clean Draft Copy 20260730.pdf
1.13 MB
Public
Sep 23, 2026
Attachment J-5a QASP TMEP2 DRAFT.pdf
238.2 KB
Public
Sep 23, 2026
Attachment J-5b QASP Matrix TMEP2 DRAFT.xlsx (deleted on Sep 25, 2026)
55.51 KB
Public
Sep 23, 2026
Attachment J-5b QASP Matrix TMEP2 DRAFT.xlsx
29.4 KB
Public
Sep 25, 2026
Exhibit L-1 - Beneficiary Data.pdf
32.53 KB
Public
Sep 23, 2026
Exhibit L-2 - Historical Data.pdf
178.71 KB
Public
Sep 23, 2026
Exhibit L-3 - RFP-Cross-reference Matrix.xlsx
54.63 KB
Public
Sep 23, 2026
Exhibit L-4 - Past Performance Questionnaire.pdf
193.83 KB
Public
Sep 23, 2026
Exhibit L-5 - Sample Client Authorization Letter.pdf
144.99 KB
Public
Sep 23, 2026
Exhibit L-6 - Subcontractor Consent Letter.pdf
138.32 KB
Public
Sep 23, 2026
Exhibit L-7 - TMEP2 Pricing Template.xlsx (deleted on Sep 25, 2026)
56 KB
Public
Sep 23, 2026
Exhibit L-8 - Small Business Participation Comittment.docx (deleted on Sep 25, 2026)
33.44 KB
Public
Sep 23, 2026
Exhibit L-9 - TMEP CY24_25_26 Manual Changes Modification Log.xlsx (deleted on Sep 25, 2026)
47.04 KB
Public
Sep 23, 2026
Exhibit L-7 - TMEP2 Pricing Template.xlsx
31.48 KB
Public
Sep 25, 2026
Exhibit L-8 - Small Business Participation Commitment.docx
36.15 KB
Public
Sep 25, 2026
Exhibit L-9 - TMEP CY24_25_26 Manual Changes Modification Log.xlsx
47.19 KB
Public
Sep 25, 2026


Data sourced from SAM.gov. View Official Posting »

TRICARE Medicare Eligible Program Second Generation (TMEP2)

Notice ID:HT940226R0001

This is a continuing requirement for health care claims processing, customer support, and associated administrative services—such as TRICARE encounter data submission and provider certification—for dual-eligible Medicare and TRICARE beneficiaries receiving medical services in the United States, Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa, and the Northern Mariana Islands. The acquisition will be a full and open competition using best-value trade-off procedures under FAR 15.2 and DoD source selection procedures, with a Firm Fixed-Price contract awarded. The period of performance includes a 12-month transition-in base period, seven 1-year healthcare delivery periods, a 12-month transition-out period, and a potential 6-month extension under FAR 52.217-8, for up to 8.5 years total. Legal authorities include USC Title 10, Chapter 55; USC Title 32; and CFR Part 199, covering the benefit structure and programs such as TMEP2.

Department/Ind.Agency Subtier Office
DEPT OF DEFENSE DEFENSE HEALTH AGENCY (DHA) DEFENSE HEALTH AGENCY
  PSC   Q201 MEDICAL- MANAGED HEALTHCARE


Data sourced from SAM.gov. View Official Posting »