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COTIVITI GOV SERVICES, LLC South Jordan UT 84095 USA

UEI: SLED_18B6B42348F9D315

COTIVITI GOV SERVICES, LLC South Jordan UT 84095 USA is a federal contractor, registered under UEI SLED_18B6B42348F9D315. It has been awarded $1 in federal contracts. Primary work spans Collection Agencies. Top awarding agencies include Department Of Health And Human Services.

Contact Information

Registration and classification details

Registration

UEI Code

SLED_18B6B42348F9D315

Federal Contracting Overview

Award totals, agency breakdown, NAICS distribution, and geographic footprint.

Key Performance Metrics

Awards Count

1

All time

Active

0

Currently performing

Completed

0

Past period of performance

Total Awards

All time

Contracts

Prime · all time

Subcontracts

Sub · all time

Grants

Prime · all time

Subgrants

Sub · all time

Award Analytics & Distribution

Awards by Agency

Department Of Health And Human Services$1.0100%

Awards by NAICS

561440 - Collection Agencies$1.0100%

Awards by Agency Over Time

Awards by Place of Performance

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RFI ¿ Tickets & Citations Management Support

Solicitation # WMATA-0000010967

The Washington Metropolitan Area Transit Authority is seeking responses for a solicitation regarding Tickets and Citations Management Support under solicitation number WMATA-0000010967. This request for information is aimed at identifying capable providers to assist with the administration and management of ticketing and citation processes. Interested parties must submit their responses by the deadline of November 11, 2026. Further details and submission guidelines can be accessed through the official WMATA supplier portal.

Washington Metropolitan Area Transit Authority

POSTED

about 8 hours ago

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2026 Debt Collection Services (WS3106576423) RFP

Solicitation # Doc3106576440

Anglian Water Services Limited has issued a solicitation for 2026 Debt Collection Services under solicitation number Doc3106576440. This request for proposal seeks qualified providers to manage debt recovery operations for the organization starting in 2026. The solicitation was officially posted on October 19, 2026, and interested parties must submit their responses by the deadline of November 13, 2026, at 23:00 UTC. Rebecca Longman serves as the primary point of contact for this procurement event.

Anglian Water Services Limited

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Request for Information - CMS' Qualified Independent Contractor (QIC) Program

Solicitation # RFICMSQIC2026

The Centers for Medicare and Medicaid Services (CMS) is conducting market research via a Request for Information (RFI) to identify capable vendors for a potential on-ramp to the existing Qualified Independent Contractor (QIC) Indefinite-Delivery/Indefinite-Quantity (IDIQ) contract. The program requires independent review services to conduct reconsiderations of Medicare coverage and medical necessity determinations. The scope is divided into several lines of business, including Original Medicare Parts A and B (split by East, West, North, and South jurisdictions), Durable Medical Equipment (DME), Part C, Part D, and an Administrative QIC (AdQIC) role responsible for administrative support, appeals training, and coordination between the Medicare Appeals Council and other entities. The contract utilizes a Firm-Fixed-Price (FFP) structure based on a unit cost per claim. Performance periods vary by role, with some operational periods extending through 2029 and the AdQIC role potentially running through July 2031. Contractors must adhere to strict security and compliance mandates, including obtaining an Authority to Operate (ATO) within six months of award, complying with NIST SP 800-53 and 800-171 standards for Controlled Unclassified Information (CUI), and ensuring all deliverables are Section 508 compliant. Additionally, there are rigorous requirements regarding the mitigation of Organizational and Personal Conflicts of Interest (OCI), requiring annual certifications to ensure impartial adjudication.

Ofc Of Acquisition And Grants Management

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Home Health Care Audit and Recovery SpecialistThe Home Health Care Audit and Recovery Specialist subcontract supports the New York State Office of the Medicaid Inspector General by auditing home health providers to detect non-compliance with Medicare demand billing. The primary objective is to execute recovery operations that ensure Medicare-reimbursed funds are returned to the state while enhancing the overall accuracy of the reconciliation process. Qualified candidates must hold CFE or CPC certifications to perform these duties. Key deliverables for the contract include the submission of detailed audit reports, the identification of specific overpayments, and the successful recovery of funds. The solicitation was posted on October 16, 2026, with a response deadline of November 6, 2026.

NYS Office of Medicaid Inspector General

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RFP# OMIG 26-23- Home Health Care Medicare Maximization Services (HHC MMX)

Solicitation # 2140006

The New York State Office of the Medicaid Inspector General (OMIG) is soliciting proposals for the Home Health Care Medicare Maximization Services (HHC MMX) program. The primary objective of this initiative is to ensure Medicaid remains the payer of last resort by maximizing Medicare coverage for dual-eligible recipients receiving home health services. The selected contractor will be responsible for a comprehensive range of activities, including data analysis for case selection, performing medical and legal reviews, filing and tracking appeals through the Medicare Administrative Appeals Process, and coordinating with providers to recover overpayments. Additionally, the contractor will provide provider education to improve demand billing compliance and maintain rigorous reporting and audit documentation. The resulting contract is intended to be effective July 1, 2027, for an initial term of three years with two optional one-year extensions. Compensation is structured as a contingency fee percentage of gross Medicare recoveries. To ensure high-quality performance, the contractor must employ a qualified team including a Program Director, a full-time Program Manager, registered nurses, and at least one attorney licensed in New York State. Strict compliance requirements are in place, including a mandate that all work be performed and data stored exclusively within the United States, as well as significant insurance requirements, most notably a 10 million dollar cyber liability limit. Award decisions will be based on best value, evaluating organizational experience, technical expertise in Medicare appeals, and the proposed operational innovations.

NYS Office of Medicaid Inspector General

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Specialized Document Imaging and Mailroom ServicesThe Specialized Document Imaging and Mailroom Services subcontract, managed by the Department of Health and Human Services Office of Acquisition and Grants Management, focuses on document intake and digitization for prime contractors supporting CMS Medicare Appeals projects. The scope of work involves managing mailroom activities and executing high-volume scanning to create second-level electronic case files for the Medicare Appeals System. A critical requirement of this contract is strict adherence to HIPAA compliance to ensure the secure handling of Protected Health Information. The successful provider will be responsible for delivering digitized and indexed case files uploaded directly to the MAS. This opportunity falls under NAICS code 561613, with a response deadline set for November 5, 2026.

Ofc Of Acquisition And Grants Management

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Statistical Sampling and Data AnalysisThis subcontract opportunity, titled Statistical Sampling and Data Analysis, is issued by the Department of Health and Human Services through the Office of Acquisition and Grants Management. The project focuses on providing specialized statistical analysis and extrapolation services for prime contractors working on CMS Medicare Appeals projects. The primary objective is to evaluate compliance with Medicare regulations according to CMS Ruling 86-1 by conducting independent error rate surveys and extrapolating appeals claims. The selected provider will be required to utilize statistical analysis software to process data and deliver comprehensive reports on their findings and error rate surveys. This opportunity falls under NAICS code 541690. Interested parties should note that the posting date is October 15, 2026, with a response deadline set for November 5, 2026.

Ofc Of Acquisition And Grants Management

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Cybersecurity Compliance and ATO SupportThis subcontract for Cybersecurity Compliance and ATO Support focuses on establishing and maintaining the security posture and Authority to Operate for prime contractors working on CMS Medicare Appeals projects. The selected provider will be responsible for developing System Security Plans, conducting Assessment and Authorization activities, and implementing security controls in accordance with NIST SP 800-53 and 800-171 standards. Additionally, the contractor must manage Controlled Unclassified Information as mandated by Executive Order 13556 to ensure a valid ATO and a completed A&A Package. Managed by the Department of Health and Human Services under the Office of Acquisition and Grants Management, this opportunity falls under NAICS code 541512. The solicitation was posted on October 15, 2026, with a response deadline of November 5, 2026.

Ofc Of Acquisition And Grants Management

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Clinical Medical Review ServicesThis subcontract for Clinical Medical Review Services, managed by the Department of Health and Human Services Office of Acquisition and Grants Management, seeks licensed medical professionals to support CMS Medicare Appeals projects. The selected providers will perform clinical reviews of medical records to support adjudicative determinations regarding coverage and payment orders, utilizing CMS manuals and Local Coverage Determinations to deliver medical necessity justifications. Qualified candidates must hold valid US Medical Licenses to perform these specialized reviews for prime contractors. The opportunity was posted on October 15, 2026, with a response deadline of November 5, 2026. The project falls under NAICS code 621391.

Ofc Of Acquisition And Grants Management

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Medicare Claims Adjudication and Case ManagementThe Medicare Claims Adjudication and Case Management subcontract, issued by the Department of Health and Human Services Office of Acquisition and Grants Management, focuses on the adjudication of Medicare reconsiderations for prime contractors. The scope of work involves processing reconsiderations of initial determinations, adjudicating claims, and managing cases specifically within the Medicare Appeals System. Key operational requirements include performing electronic case management and document imaging to establish second-level electronic case files. The successful provider is responsible for delivering final adjudication decisions and ensuring all electronic case files are complete within the designated system. This opportunity falls under NAICS code 541990, with a response deadline of November 5, 2026.

Ofc Of Acquisition And Grants Management

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Request for Information - Fraud Defense Contracts

Solicitation # 270536

The Centers for Medicare & Medicaid Services (CMS) has issued a Request for Information (RFI) under solicitation number 270536 to gather industry feedback and innovative solutions for its future Fraud Defense Contracts. The primary objective is to enhance Program Integrity (PI) efforts to combat fraud and abuse within federal health care programs, specifically Medicare and Medicaid. CMS is proposing a new operating model that increases its own role in lead development, prioritization, and the direction of investigations. The agency is seeking input on the use of advanced analytics, artificial intelligence, SQL, and open-source intelligence (OSINT) to identify problematic actors and develop defensible law enforcement referral packages and administrative actions, such as payment suspensions and revocations. Interested vendors must submit their responses using the designated Interested Vendor Response form by 11 AM EST on November 4, 2026. The scope of work involves collaborating with various entities, including the Department of Justice, FBI, and the HHS Office of Inspector General, while maintaining strict security, privacy, and evidentiary safeguards. CMS is particularly interested in feedback regarding fixed-price contracting structures and strategies to mitigate organizational conflicts of interest for firms with existing health plan or provider business. This RFI is for informational and planning purposes only, and no contract will be awarded based solely on the responses provided.

Ofc Of Acquisition And Grants Management

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Customer Support & Call Center OperationsThis subcontract opportunity, titled Customer Support and Call Center Operations, is issued by the Department of Health and Human Services under the Office of Acquisition and Grants Management. The project focuses on providing essential customer service and technical support for prime contractors working on CMS Medicare Administrative Contractor projects. The selected provider will be responsible for managing both inbound and outbound communications to resolve billing inquiries and offer expert guidance on Medicare benefit administration for both providers and beneficiaries. To successfully execute the contract, the provider must utilize call center management software and ensure all staff are thoroughly trained on Medicare policy. Key deliverables include the resolution of support tickets and the regular reporting of performance metrics. Interested parties should note that the response deadline is November 2, 2026, and the work falls under NAICS code 561110.

Ofc Of Acquisition And Grants Management

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Provider Enrollment & Credentialing ServicesThis subcontract opportunity, titled Provider Enrollment and Credentialing Services, involves supporting prime contractors on CMS Medicare Administrative Contractor projects within Jurisdiction 8. The selected provider will be responsible for the verification and enrollment of healthcare providers, which includes validating provider licenses, auditing National Provider Identifier data, and processing enrollment applications in strict accordance with CMS guidelines and established credentialing standards. The primary deliverable is the provision of fully verified and enrolled provider records. Managed by the Department of Health and Human Services under the Office of Acquisition and Grants Management, the project falls under NAICS code 541611. The solicitation was posted on October 6, 2026, with a response deadline set for November 2, 2026.

Ofc Of Acquisition And Grants Management

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Cybersecurity & Data Privacy ComplianceThis subcontract opportunity, titled Cybersecurity and Data Privacy Compliance, is issued by the Department of Health and Human Services Office of Acquisition and Grants Management. The project focuses on providing continuous monitoring, security auditing, and threat detection for prime contractors working on CMS Medicare Administrative Contractor projects. The primary objective is to protect Protected Health Information and Personally Identifiable Information through vulnerability scanning, encryption management, and strict adherence to NIST and CMS security frameworks. Qualified providers must possess CISSP certifications and demonstrated experience with HHS and CMS security protocols to deliver required security audit reports and compliance certifications. Interested parties should note the response deadline of November 2, 2026, and the associated NAICS code 541519.

Ofc Of Acquisition And Grants Management

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Healthcare IT Infrastructure & Cloud HostingThis subcontract opportunity, titled Healthcare IT Infrastructure and Cloud Hosting, is issued by the Department of Health and Human Services under the Office of Acquisition and Grants Management. The project focuses on providing and managing secure IT environments, database hosting, and cloud infrastructure to support prime contractors working on CMS Medicare Administrative Contractor projects. Key responsibilities include maintaining server uptime, managing data backups, and ensuring the scalability of systems used to handle sensitive beneficiary and provider data. To qualify, providers must maintain FedRAMP certification and ensure full HIPAA compliance. The scope of work requires the delivery of operational hosting environments and the regular submission of system availability reports. Interested parties should note the response deadline of November 2, 2026, and the associated NAICS code 541513.

Ofc Of Acquisition And Grants Management

POSTED

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Healthcare Claims Processing & Adjudication ServicesThe Healthcare Claims Processing and Adjudication Services subcontract, issued by the Department of Health and Human Services Office of Acquisition and Grants Management, focuses on the technical processing, adjudication, and payment of Medicare Part A and Part B claims. Supporting prime contractors on Medicare Administrative Contractor projects, the scope of work includes validating provider data, verifying claim eligibility, and applying specific Medicare payment rules to manage the payment cycle for fee-for-service providers. Successful execution of this contract requires specialized expertise in Medicare regulations and CMS claims processing systems to ensure the accurate delivery of adjudicated claims and processed payments. The opportunity is categorized under NAICS code 541611, with a response deadline set for November 2, 2026.

Ofc Of Acquisition And Grants Management

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Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Final Solicitation

Solicitation # 75FCMC27R0001FinalSolicitation

The Department of Health and Human Services, through the Centers for Medicare & Medicaid Services, is soliciting proposals under solicitation number 75FCMC27R0001 for a Part A/Part B Medicare Administrative Contractor for Jurisdiction 8. This contractor will be responsible for providing health insurance benefit administration services, specifically Medicare claims processing and payment services, to support the traditional Medicare fee-for-service program within the states of Indiana and Michigan. The solicitation was posted on October 6, 2026, with a response deadline of November 2, 2026. The contract includes specific small business subcontracting requirements that offerors are expected to meet. These include a goal where at least 5 percent of the total contract value is awarded to small businesses, and a separate goal requiring that 25 percent of all subcontracting dollars go to small businesses, which includes a 3 percent component goal for HUBZone small businesses. Offerors must utilize the Health and Human Services Small Business Customer Experience portal for entering these goals. Primary points of contact for this procurement are Contracting Officer Mark Smolenski and Contract Specialist Alyssa Jones.

Ofc Of Acquisition And Grants Management

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Administrative & Law Enforcement Referral SupportThis subcontract opportunity, titled Administrative and Law Enforcement Referral Support, is issued by the Department of Health and Human Services Office of Acquisition and Grants Management. The project focuses on supporting CMS Program Integrity initiatives by developing legal and administrative referral packages for prime contractors. Key responsibilities include recommending administrative actions such as payment suspensions and revocations, as well as coordinating with the DOJ and FBI to facilitate criminal and civil proceedings through the use of legal case management systems. The role requires specialized expertise in federal healthcare law and the ability to obtain high-level security clearances to deliver actionable law enforcement referral packages. Interested parties should note that the response deadline is November 4, 2026, and the work falls under NAICS code 541110.

Ofc Of Acquisition And Grants Management

POSTED

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