TRICARE Medicare Eligible Program Second Generation (TMEP2)
Updated
Solicitation from the Defense Health Agency (DHA). Due Dec 3, 2026, 5:00 PM (UTC-7), 35 days left.
| Solicitation number | HT940226R0001 |
|---|---|
| Agency | Defense Health Agency (DHA) |
| Office | Defense Health Agency |
| Notice type | Solicitation |
| Set-aside | None |
| Trade (NAICS) | Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292) |
| Product or service code | Q201 |
| Posted | Oct 28, 2026 |
| Response deadline | Dec 3, 2026, 5:00 PM (UTC-7) (35 days left) |
| Add the deadline to | Google Calendar · Apple / Outlook (.ics) |
Bid documents (18)
- Attachment J-1 DMDC Eligibility File Layout TMEP 107 KB
- Attachment J-2 Beneficiary Satisfaction Survey 126 KB
- Attachment J-3 Contract Data Requirements List 11.1 MB
- Attachment J-4 TMEP 2 Chapter 20 Clean Draft Copy 1.1 MB
- Attachment J-5a Quality Assurance Surveillance Plan TMEP2 Draft 238 KB
- Exhibit L-1 - Beneficiary Data 33 KB
- Exhibit L-2 - Historical Data 179 KB
- Exhibit L-3 - Request for Proposals-Cross-reference Matrix 55 KB
- Exhibit L-4 - Past Performance Questionnaire 194 KB
- Exhibit L-5 - Sample Client Authorization Letter 145 KB
- Exhibit L-6 - Subcontractor Consent Letter 138 KB
- TRICARE Manuals
- Attachment J-5b Quality Assurance Surveillance Plan Matrix TMEP2 Draft 29 KB
- Exhibit L-7 - TMEP2 Pricing Template 31 KB
- Exhibit L-8 - Small Business Participation Commitment 36 KB
- Exhibit L-9 - TMEP CY24 25 26 Manual Changes Modification Log 47 KB
- Amendment 0001 188 KB
- Bid document 715 KB
Paid members download every document from this page, or buy this bid alone.
Description
28 Oct 2026: The TRICARE Medicare Eligible Program Second Generation SAM.gov posting is being updated to reflect a change in proposal due date. The new due date for TMEP2 RFP Proposals is December 03, 2026, at 5.p.m. MST.The DHA anticipates to have responses to questions before receipt of proposals out within the next few weeks.
An RFP amendment will follow the Q&A posting to SAM.gov to address questions raised on the Q&A. 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.
Contracting contact
- David Smith · [email protected]
- Addison Sexton · [email protected]
As published on the official notice. Ask questions in writing and before any questions deadline the notice sets.
Is your business small enough?
For NAICS 524292, a business counts as small if it has no more than $45.5 million in average annual receipts (SBA size standard). This notice is set aside, so only businesses under that size, or in the named program, can bid. SBA table, current as of Oct 15, 2026.
Notice history
- Sep 28, 2026: Solicitation Due Nov 5, 2026, 5:00 PM (UTC-7)
- Sep 25, 2026: Solicitation Due Nov 5, 2026, 5:00 PM (UTC-7)
- Sep 23, 2026: Special Notice Due Nov 5, 2026, 5:00 PM (UTC-7)
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds contracts right now
There are 3 open government contract opportunities in this trade (NAICS 524292), 1 posted in the last 7 days; 67% are set aside for small businesses. The agencies buying the most are Department of Veterans Affairs and Defense Health Agency (DHA). Most of the work with a stated place is in Kansas and Florida.
Coming up in this trade
Planned contracts from the agencies' procurement forecasts, often months before a solicitation. Plans can change.
Recent awards in this trade
- Bliss Pharmacy Services LLC $870,000 · Department of Veterans Affairs · Oct 1, 2026
From the award notices agencies publish.