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.