Combined Synopsis/Solicitation
TRICARE Medicare Eligible Program Second Generation (TMEP2)
Dept of Defense · Defense Health Agency (DHA) · Sol. HT940226R0001
Due in 32 days
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The Defense Health Agency is competing a follow-on contract for TRICARE Medicare Eligible Program Second Generation (TMEP2): processing health care claims and providing customer support and related administrative services for people covered by both Medicare and TRICARE. It covers the U.S., Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa and the Northern Mariana Islands. It is a full and open, firm-fixed-price award with a potential total of 8.5 years.
Watch out for
- Very large, long contract. A potential 8.5-year health claims contract needs substantial systems, staff and past experience that most small businesses would not have on their own.
for a potential total period of performance of 8.5 years
- Formal source selection. Best value trade-off under DoD source selection procedures means a detailed, costly proposal effort.
best value trade-off procedures
- Transition periods. The contract includes a year of transition-in and a year of transition-out work, so you must be ready to take over and hand off a large claims operation.
Read from the notice text only.
Full brief
What they want
- Process health care claims for dual-eligible Medicare and TRICARE beneficiaries
- Provide customer support
- Provide other administrative services, such as submitting TRICARE encounter data and provider certification
- Run transition-in activities (12-month base period) and transition-out activities (12 months)
- Deliver healthcare services administration over seven 1-year periods
- Contract type
- Firm-fixed-price
- Period of performance
- One 12-month base period of transition-in, seven 1-year periods for healthcare delivery, one 12-month transition-out period, and a possible 6-month extension; potential total of 8.5 years
- Place of performance
- United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands (beneficiaries served)
- How they'll choose
- Best value trade-off
- Offers due
- 2026-11-05T17:00:00-07:00
What to include when you submit
- Submission instructions are in the RFP documents, not in this notice text
You must have
- Open to all (full and open competition, no set-aside)
This is a full and open competitive source selection
Current contractor
Described as a continuing requirement and a 'Second Generation' program, so there is likely a current TMEP contractor, but none is named
Not in the notice text
- Evaluation factors and their order are in the RFP attachments, not this text
- How and where to submit offers, and any page limits
- Estimated value or claims volume
- Security, certification or past-performance requirements (Section J attachments and exhibits are not included)
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Key facts
- Response due
- Nov 6, 2026, 12:00 AM UTC
- Posted
- Sep 28, 2026
- Notice type
- Combined Synopsis/Solicitation
- Solicitation
- HT940226R0001
- Agency
- Dept of Defense · Defense Health Agency (DHA)
- Office
- Defense Health Agency
- Set-aside
- No Set aside used
- NAICS
- 524292
- Product/service code
- Q201
- Business type
- Consulting & professional services
- Contracting contact
- David Smithdavid.c.smith139.civ@health.mil
- Versions
- 3 (amended since first posted)
Full notice text from SAM.gov
25 Sep 2026: Uploaded signed version of the basic RFP and Amendment 0001 that updates the sensitivity labels of Section J, Attachment J-5b and Exhibits L-7, L-8, L-9. This acquisition is for the continuing requirement for health care claims processing, customer support and other associated administrative services (e.g. submission of TRICARE encounter data and provider certification) of dual-eligible Medicare and TRICARE beneficiaries who receive medical services within the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands. USC Title 10, Chapter 55, and USC Title 32, National Defense, Code of Federal Regulations (CFR) Part 199, outline the benefit structure, administrative functions and the various health care programs, including TMEP2. This is a full and open competitive source selection, using best value trade-off procedures in accordance with RFO Federal Acquisition Regulation (RFO FAR) 15.2, Evaluation and Award, as supplemented with Defense FAR Supplement and the DoD Source Selection Procedures (August 2022). The contract awarded will be a Firm Fixed-Price contract. The contract will have a one 12-month base period of transiotion-in activiteis, seven 1-year periods for healthcare delivery, a one 12-month contract period for transition-out activities, and a potential 6-month extension of services permitted per RFO FAR Clause 52.217-8, Option to Extend Services, for a potential total period of performance of 8.5 years.
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