2.0 Integrated Master Plan (Imp)
And Integrated Master Schedule (IMS)
2.1 The contractor shall submit
an IMP and IMS as identified by DD Form 1423, Contract
Data Requirements List (CDRL), located in Section
J of the applicable contract, to allow Government oversight
of transition progress. The contractor’s IMP shall demonstrate that
the contract transition is structured to provide a balanced technical
approach, to minimize and control risk, to accomplish up-front summary
planning and commitment, and to provide a basis for subsequent detailed
planning. The IMP shall include milestones and measurable indicators
that can be used to evaluate the contractor’s satisfactory progress
toward being fully capable of delivering health care services at
the start of health care delivery (SHCD).
2.2 The
IMP/IMS shall address all processes and interdependencies associated
with the provision of services to TRICARE beneficiaries. Interdependencies
may include data such as exchanges, interfaces, and documents from
the outgoing contractor and other entities, e.g., Defense Manpower
Data Center (DMDC) and Military Treatment Facilities (MTFs)/Enhanced
Multi-Service Markets (eMSMs).
2.3 The
contractor shall identify an individual responsible for transition
management who will serve as the single point of contact for the
Government for all transition activities. This individual will be the
overall coordination point for the management of the IMP and IMS
and coordinate and integrate interdependencies with the outgoing
contractor and other entities associated with the transition of
the contract.
2.4 The
IMP shall include the contractor’s in-process verification approaches.
The IMP shall provide the Government the ability to validate progress
in order to make informed decisions. If multiple tasks are combined
and identified in the IMP as a single event, sufficient detail shall
be provided to clearly identify all subtasks related to the single
action.
2.5 The
contractor’s IMP/IMS shall address the contractor’s plan to mitigate
identified risks. The IMP shall be supported by a Risk Management
Plan (RMP) that identifies risks to the successful execution of the
contractor’s IMP, to include risks resulting from interdependencies
on activities by other parties associated with the transition. The
IMP shall include a Risk Management Strategy that clearly demonstrates
how the contractor plans to mitigate risks identified in the RMP.
2.6 The IMP/IMS shall include a
subsection specific to Information Systems (IS). The IS subsection shall
identify the management process and schedule to be used to develop
and implement all IS, technical interfaces and security protocols.
At a minimum, the subsection shall include contractor developed
systems/applications, contractor and Government security, connectivity
with all Government interfaces and applications and testing. The
IS subsection shall be maintained and updated as appropriate to
reflect changes to development and implementation of IS.
2.7 The contractor shall coordinate
data conversion and testing activities with the Government and submit
required documents within the timeframes established during integration/testing
meetings, i.e. Test Plan, and Test Scenarios as indicated in the
IMP/IMS, but no later than 30 days following the Systems Integration
Interface Meeting.
2.8 The
IMP/IMS shall include a subsection that provides a staffing plan
that delineates the hiring and training schedule of employees relevant
to the stand-up of the contractor’s responsibilities. The Plan and
Schedule should be incorporated into the contractor’s IMP/IMS. The
training schedule shall be developed in order to ensure staff is
trained with the requisite knowledge to perform the responsibilities
of their position.
2.9 The
contractor shall develop processing guidelines, desk instructions/user’s
manuals and reference materials for internal use, at least 10 calendar
days prior to the SHCD. Desk instructions shall be available to
each employee in the immediate work area. Reference materials such
as procedure codes, diagnostic codes, and special processing guidelines,
shall be available to each work station with a need for frequent
referral. Other reference materials shall be provided in each unit
with a reasonable need and in such quantity as to ensure the ease
of availability needed to facilitate work flow. Electronic versions
may be used.
2.10 Contractor Weekly Status Reporting
The
contractor shall provide a weekly status report of IMP/IMS providing
transition schedule progress, identifying schedule modifications
and impacts, as identified in DD Form 1423, CDRL,
located in Section J of the applicable contract.
The contractor shall document meetings with formal minutes and submit
them as identified in DD Form 1423, the
CDRL, located in Section J of the applicable contract.
2.11 Outgoing Contractor Weekly
Status Reporting
Until
all claims inventories have been processed, the outgoing contractor
shall submit a weekly status report of inventories and phase-out
activities to DHA beginning the 20th calendar day following the
Specifications Meeting until otherwise notified by the Procuring
Contracting Officer (PCO) to discontinue. This shall be done in
accordance with specifications of the official transition schedule.
3.0 Performance Readiness Validation
(PRV) And Performance Readiness Assessment And Verification (PRAV)
3.1 During
contract transition, the contractor shall conduct validation reviews
to assess their performance readiness in seven critical performance
areas. This self-assessment process is called PRV. The seven critical
performance areas that are subject to PRV reviews are:
• Provider
networks;
• Enrollment;
• Customer service;
• Management;
• Referral management;
• Claims processing; and
• Medical management.
PRV
activities and milestones shall be identified in the IMP/IMS and
shall be reported to the Government via the Weekly Status Report.
3.2 Following the completion of
PRV activities, the contractor shall provide the Government transition
team(s) with a comprehensive briefing on the processes, results,
and findings of all PRV reviews. The briefing shall include a description
of specific performance issues and/or risks identified by the contractor,
lessons learned, and a comprehensive discussion of the steps contemplated
or taken by the contractor to ensure full performance readiness
at the SHCD. A revised IMP/IMS will be submitted if the contractor
anticipates any significant deviation from any stated activities
and milestones.
3.3 Following
the completion of the PRV briefing, the Government will conduct
PRAV activities to assess and verify the contractor’s readiness
to perform in the seven critical performance areas identified in
paragraph 3.1.
PRAV activities will be conducted by one or more Government transition
teams utilizing a variety of methods, including, but not limited
to: on-site testing/inspection at one or more contractor and/or
subcontractor locations; remote assessment via telephone or other
method; random sampling of contractor’s work products; direct observation
of contractor performance and systems operability; and evaluation
of transition deliverables and data as required by the contract.
Projected PRAV dates, location(s), transition team structure, and
specific assessment/verification methods will be identified by the
Government during the transition specification meeting.
3.4 Following the completion of
all PRAV activities, the Government shall provide a summary out brief
to the contractor on the processes, results, and findings of all
PRAV activities. Results will be briefed as assessed or verified
performance against PRAV acceptable quality levels in each critical performance
area.