TRICARE Medicare Eligible Program Second Generation (TMEP2) Draft RFP

Solicitation description

Update as of January 23, 2026 Please see government responses to industry questions regarding the TMEP2 draft RFP in the Attachments section below. Disclaimer: This announcement does not constitute a commitment, implied or otherwise that a solicitation or contract will be issued. Issuance of the draft request for proposal (RFP) sections (Section C and Section H) is for planning purposes only and does not commit the Government to any contractual agreements or arrangements. The Government is not soliciting proposals with this request. Please note that the collection of the requested information does not obligate the U.S. Government to incorporate solicited comments or procure any services. Responses to this announcement will not be returned. The Government is not liable to pay any costs associated with companies responding to this announcement. Issuance of the draft RFP sections is intended to provide interested parties with information on the anticipated procurement and provide an opportunity for industry feedback into the preliminary design/structure. All information received resulting from these draft RFP sections will be used by the Defense Health Agency (DHA) as market research for future Managed Care Support requirements. However, responses may be releasable to the public under the Freedom of Information Act (FOIA) unless appropriately marked. The DHA, at its discretion, may request respondents to elaborate on information in their written response in writing or through other means. Respondents will not be notified of any results derived from a review of the information provided. Any responses from the Government are subject to change, as the requirements themselves remain in draft form. Interested parties will have opportunity to seek clarification from the Government for any remaining questions, particularly those pertaining to evaluation criteria, incentives, or contract requirements, at the final RFP stage. Background: The Department of War, through the DHA, is required to offer coverage to active duty family members, retired members, their spouses and children, and their surviving family members of the Uniformed Services, who have Medicare and TRICARE dual eligibility for services rendered in the United States and the U.S. Territories, subject to the provisions in Chapter 55, Medical and Dental Care, Title 10, United States Code (USC). The purpose of the TRICARE Medicare Eligible Program (TMEP2) contract is to provide claims processing and associated customer support services for claims submitted by and on behalf of MHS beneficiaries eligible for both Medicare and TRICARE benefits. The contractor provides the expertise of health care claims processing and its support services by incorporating and delivering the best practices of the private sector in support of TRICARE. Historically, the number of total claims processed per year ranges from 58,000,000 – 59,000,000, and the number of paper claims averages about 3% of that total....

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Data this profile does NOT cover

• No likely incumbent surfaced; the solicitation number did not prefix-match any award in the FPDSAward window.
• No FPDSAward rows for NAICS 524292 in the trailing 12 months; vendor concentration unavailable.