Opportunities / DEPT OF DEFENSE

National Guard Bureau (NGB) Centralized Clinical Quality Management (CQM) and Credentialing & Privileging (C&P) Services for the Air National Guard (ANG)

Description (excerpt)

1. DISCLAIMER THIS IS A SOURCES SOUGHT NOTICE ONLY. This notice is issued solely for planning and market research purposes in accordance with FAR Part 10; it does not constitute a Request for Proposal (RFP), Request for Quote (RFQ), or an Invitation For Bid (IFB), nor does it guarantee the issuance of a future solicitation. The Government will not pay for any information submitted in response to this notice, nor will it reimburse any costs incurred by respondents. All information received in response to this notice marked "Proprietary" will be handled accordingly. Responses will not be returned, and no feedback or evaluations will be provided to respondents. 2. REQUIREMENT BACKGROUND & SCOPE The National Guard Bureau’s Operational Contracting Division (NGB-AQ-C), on behalf of the Air National Guard Surgeon General’s Office (NGB/SGOK), is conducting market research to identify sources capable of performing non-personal Centralized Clinical Quality Management (CQM) and Credentialing and Privileging (C&P) Program Management Services. This effort is a follow-on requirement to Contract No. W9133L22C1003. In accordance with DoD Instruction (DoDI) 6025.13, Defense Health Agency Procedures Manual (DHA-PM) 6025.13, Air Force Instruction (AFI) 44-119, and DAFMAN 10-211, the scope has modernized to incorporate full clinical quality management and line-side embedded healthcare support. Key requirement objectives include: • Credentialing and Privileging (C&P) Administration: Centralized management and maintenance of electronic Provider Credential Files (ePCFs) within the Joint Centralized Credentials Quality Assurance System (CCQAS) for approximately 2,500 military and non-military Health Care Providers (HCPs) across 90+ ANG Wings and Joint Force State HQs. • Board Operations: Full administrative, scheduling, technical, and data management support for quarterly Centralized Credentialing and Privileging Boards (CCPB) and out-of-cycle fast-track privileging actions. • Primary Source Verification (PSV): Timely initiation and execution of paid and non-paid PSVs directly from issuing bodies for all provider accessions, re-privileging, and medical special pay verifications. • Health Risk Management & Adverse Actions: Maintenance of adverse action files, tracking mandatory timelines, hearing board facilitation, and administration of National Practitioner Data Bank (NPDB) Continuous Query (CQ) monitoring and fee management. • Clinical Quality Management Support: Providing adva …

View the official notice on SAM.gov →