Managed Health Care Services

1 Performance Work Statement (PWS) National Managed Care Contract (NMCC) United States Marshals Service Office of Medical Operations July 2026 1.0 INTRODUCTION The mission of the United States Marshals Service (USMS), Prisoner Operations Division (POD) is to preserve the integrity of the Federal Judicial process by administering the federal detention management system, establishing national detention policy, and implementing national strategies and programs for the housing, transportation, and care of programs for the housing, transportation, and care of federal prisoners in a safe, secure, and cost-effective manner. The mission of the Office of Medical Operations (OMO) is to ensure that USMS prisoners receive medically necessary healthcare while working to contain the prisoner medical costs incurred by the Federal Prisoner Detention Account; to provide prisoner medical case management, assists with medical prisoner placement, medical designations, and medical transport, responds to medical inquires; and develops medical cost containment initiatives and maintains medical policies, prisoner healthcare standards, and clinical guidelines. This acquisition seeks to acquire contractor support services to provide a nationwide healthcare delivery system for USMS prisoners. 2.0 OBJECTIVES The contractor will provide a nationwide healthcare delivery system. The contractor will: • Establish a medical provider network (PPN) that covers the detention facilities used by the USMS. • Establish a dental network that covers the detention facilities used by the USMS. • Establish a nationwide discounted pharmacy delivery and payment program. • Ensure that all medical, dental, and non-network pharmacy claims are received from providers and validated, processed, re-priced, and paid consistent with the provisions of 18 U.S.C. 4006, as amended. • Ensure customer service is provided to the USMS, as well as medical and dental providers serving the USMS prisoner population. • Ensure that USMS data is securely maintained. • Ensure that the USMS receives accurate and complete reporting data. -- 1 of 41 -- 2 3.0 SCOPE of WORK In accordance with the provisions 18 U.S.C. § 4013, the USMS is required to provide medical care to the prisoners in its custody. Pursuant to 18 U.S.C. § 4006, the USMS is precluded from paying rates more than Medicare rates for prisoner medical services. USMS prisoners are housed in state, local and contract detention facilities, in or near 285 federal court cities throughout the 50 states, Puerto Rico, the U.S. Virgin Islands and Guam. The USMS requires a preferred PPN to provide health care services to USMS prisoners when they are transported outside of the detention facility for medical reasons. 4.0 BACKGROUND The current contract was awarded competitively to the Heritage Health Solutions, Inc., a service- disabled veteran-owned small business, on August 4, 2017. The period of performance for the contract started on October 1, 2017 and will end on September 30, 2027. The core tasks of this requirement remains unchanged with minor updates to PWS for the future requirement. 5.0 TYPE of CONTRACT CONTEMPLATED An Indefinite Delivery, Indefinite Quantity contract with fix-price task orders is contemplated. 6.0 PERIOD of PERFORMANCE The period of performance for this contract is seven (7) years from the date of award. 7.0 PLACE of PERFORMANCE The place of performance will be the contractor’s facilities. No facilities will be provided for contractor work. 8.0 APPLICABLE DOCUMENTS Attachment A – List of Detention Facilities Attachment B – Data Elements Attachment C – Definitions Attachment D – Acronyms 9.0 SPECIFIC REQUIREMENTS/TASKS The USMS requires the services outlined in this PWS to meet its basic mission of providing health care to USMS prisoners. The contractor’s technical proposal is incorporated as part of the contract. -- 2 of 41 -- 3 Task 1: Project Management Outcome: The highest quality project management results in efficient and effective support for USMS and its prisoners. 1.1 The contractor shall provide project management services in accordance with best practices and shall be responsible for: a. Meeting PWS performance standards including all deadlines established and agreed to between the Contractor and the Contracting Officer (CO) or the Contracting Officer Representative (COR). b. Managing personnel. c. Completing requests for background checks and ensuring personnel are properly cleared to perform services under this effort. d. Ensuring contractor staff and replacement personnel are promptly acquired, trained and technically competent. e. Submitting documentation, when requested, to support the staff under this contract (e.g., company information, staffing expertise, prior experience in work like that required by this contract, past experience, etc.). 1.2 Facilitating a kickoff meeting/call with USMS personnel upon award to initiate the effort and submitting a Transition Plan. 1.3 Maintaining a day-to-day collaborative working relationship with the COR/designee and submitting deliverables. Reporting 1.4 The contractor shall provide a quarterly status report that identifies, at minimum: • The number of healthcare providers in the contractor’s PPN network. • The number of dentists in the dental network. • The percentage of claims generated by PPN providers as a percentage of claims generated by all providers within the last two years. • The percentage of providers who are in the PPN network status as a percentage of all providers with USMS claims activity in the last two years. • The providers that the contractor is proposing to add to the PPN and outcomes of efforts. • Inaccuracies found on claims and claims re-pricing entries. • Customer service inquiries require more than one business day for a response. Meeting participation and support -The contractor shall facilitate: 1.5 Quarterly Contract Management Review meetings. -- 3 of 41 -- 4 1.6 Quar…