TRICARE Claims Review Services (TCRS)
Overview
Buyer
Place of Performance
NAICS
PSC
Set Aside
Original Source
Timeline
Qualification Details
Fit reasons
- NAICS alignment with historical contract wins in similar service areas.
- Scope strongly matches core technical capabilities and delivery model.
Risks
- Past performance thresholds may require one additional teaming partner.
- Potential clarification needed on staffing minimums before bid/no-bid.
Next steps
Validate eligibility requirements, assign capture owner, and schedule partner outreach to confirm teaming strategy before submission planning.
Quick Summary
The Defense Health Agency (DHA) has awarded Concept Plus a Firm Fixed-Price (FFP) contract bridge extension for TRICARE Claims Review Services (TCRS), valued at $5,230,151. This sole-source extension ensures continuity of critical services from March 1, 2026, to February 28, 2027, while a competitive follow-on contract is being processed.
Scope of Work
The TCRS contract assists the DHA's Improper Payment Evaluation Branch (IPEB) in identifying and reporting improper payments and discrepancies within the Military Health System (MHS). Services include independent, impartial review of claims processing procedures and reimbursement methodologies used by purchased-care contractors. This involves assessing compliance with TRICARE policies and evaluating the accuracy of claims payment and coding for various contracts (MCSC, TMEP, TPharm, TOP, ADDP). The services are critical for assessing improper payment risk and fulfilling reporting requirements to the Office of Management and Budget (OMB) under the Payment Integrity Act of 2019.
Contract & Timeline
- Type: Firm Fixed-Price (FFP) Contract Bridge Extension
- Awardee: Concept Plus
- Contract Number: HT9402-17-D-0001 (extension)
- Value: $5,230,151
- Period of Performance: March 1, 2026 – February 28, 2027 (12 months)
- Award Date: February 27, 2026
- Published Date: March 10, 2026
- Contracting Activity: Defense Health Agency, Aurora, CO 80011
Evaluation
This award was issued as a sole-source extension in accordance with Federal Acquisition Regulation (FAR) 6.103-1(b), citing "only one responsible source and no other supplies or services will satisfy agency requirements." This action was necessary to prevent a gap in mission-critical support until a competitive follow-on contract is awarded and the new awardee completes transition-in.
Additional Notes
The Justification and Approval (J&A) document confirms this bridge action is in place while the competitive follow-on TCRS contract (RFP # HT9402-24-R-0002) is currently undergoing source selection. Performance of this contract will be accomplished at the contractor's facilities. The Contracting Officer is Mr. Gregory Stephens (gregory.r.stephens3.civ@health.mil).