Description
The Defense Health Agency (DHA) is seeking feedback and refinement on the next generation TRICARE Pharmacy Program (TPharm6) contract. The program involves the management of pharmacy services for TRICARE beneficiaries, including claims processing, clinical reviews, and beneficiary support. The contractor will be responsible for ensuring the accuracy and timeliness of claims processing, as well as providing support to beneficiaries and providers. The contract will include performance guarantees and incentives for meeting certain standards, such as system availability, reimbursement claims, and beneficiary support. The contractor will also be required to participate in pilots, demonstrations, and integrated product teams (IPTs) to test and improve the TRICARE Pharmacy Program.
Some key aspects of the contract include:
* Claims processing and reimbursement
* Clinical reviews and notification
* Beneficiary support and communication
* System availability and maintenance
* Performance guarantees and incentives
* Pilots, demonstrations, and IPTs
The DHA is seeking feedback from qualified vendors on the draft documents, including Section C (Statement of Work) and Section H (Special Contract Requirements). The feedback will be used to refine the contract and ensure that it meets the needs of the TRICARE beneficiaries and the DHA.