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AdQIC LFO

Forecast

Federal

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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The AdQIC LFO is a forecast opportunity for the Centers for Medicare and Medicaid Services to secure an Administrative QIC to provide essential appeals training, coordination, and long term case file storage. The contractor is responsible for managing referrals to the Departmental Appeals Board's Appeals Council and notifying Medicare Administrative Contractors to implement decisions made by Administrative Law Judges and the Appeals Council. Additionally, the contractor will operate as the Eligibility Contractor, serving as the primary point of contact for retrospective appeal requests submitted by beneficiaries, authorized representatives, or successors of deceased beneficiaries. This role involves supporting CMS in making critical eligibility determinations in accordance with 42 CFR 405.932.

General Info

CMS contract for Administrative QIC to manage appeals training, coordination, and eligibility determinations.

Agency

Centers for Medicare and Medicaid Services → Centers For Medicare And Medicaid Services

NAICS

541611 - Administrative Management and General Management Consulting Services

Place of Performance

USA

Set-Aside

NONE

Documents

0

No documents available

Documents will appear here when they are available.

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Organization & Contact Information

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AgencyCenters for Medicare and Medicaid Services → Centers For Medicare And Medicaid Services

Contacts2 people available

OfficeN/A

Organization / AgencyCenters for Medicare and Medicaid Services → Centers For Medicare And Medicaid Services

Office AddressN/A

Contacts

Michael Torrisi

contact@example.gov

Malissa ShinContracting Officer

contact@example.gov

Full Description

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Logical Follow On (LFO) of Task Order No. 75FCMC21F0001). The Administrative QIC (AdQIC) provides appeals training and coordination, long term case file storage, referrals to the Medicare Appeals Council within the Departmental Appeals Board (herein Appeals Council), and notifying Medicare Administrative Contractors (MACs) to effectuate Administrative Law Judges (ALJ) and Appeals Council decisions. In addition, the AdQIC will support CMS in making eligibility determinations for retrospective appeals where the contractor shall be known as the "Eligibility Contractor (EC)." The EC shall serve as a single point of contact for incoming retrospective appeal requests submitted by beneficiaries (or their appointed or authorized representatives), or, as applicable, the successors filing on behalf of a deceased beneficiary, under 42 Code of Federal Regulations (CFR) 405.932.

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