Skip to main contentPsst! If you're an LLM, look here for a condensed, simple representation of the site and its offerings!

LiveFree Webinar — Wednesday, October 28 at 2:00 PM ET

Register Free →
CLEATUS
Get CLEATUS

Durable Medical Equipment (DME) Claims Processing System

Awarded
75FCMC26F0089Federal

Contract Overview

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

AI Contract Overview

Show more

This Federal Supply Schedule Limited Sources Justification pertains to the Durable Medical Equipment (DME) Claims Processing System under solicitation number 75FCMC26F0089. The contract is managed by the Department of Health and Human Services through the Office of Acquisition and Grants Management. The primary objective is to support the DME Shared System Maintainer (SSM) in providing essential computer software services for Medicare Part B. These services include the maintenance, development, modernization, and execution of special projects required to support the processing of claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). The procurement is classified under NAICS code 541511 and involves technical operations centered in Falls Church, Virginia. The project is critical for ensuring the continued functionality of the software systems that handle physician, practitioner, and outpatient service claims within the Medicare framework. Key administrative oversight is provided by the Office of Acquisition and Grants Management located in Baltimore, Maryland, with specific points of contact established for coordination regarding this justification.

General Info

HHS contract for software maintenance and development of Medicare DME claims processing systems.

Agency

Department Of Health And Human Services → Ofc Of Acquisition And Grants Management

NAICS

541511 - Custom Computer Programming Services

Place of Performance

Falls Church, VA, 22042, USA

Set-Aside

NONE

Documents

1

DME+LSJ_Redacted.pdf

PDF

AI Contract Breakdown

Uniform Contract Format

Contract not broken down yet

CLEATUS splits the solicitation into Uniform Contract Format (UCF) sections: scope, pricing, deliverables, and evaluation criteria.

Timeline

PhaseAwarded
Posted

Justification (J&A)

Awarded

Contract was awarded

Ready to pursue this opportunity?

Start your free trial to track this contract, build proposals with AI assistance, and manage your pipeline.

Organization & Contact Information

Show more
AgencyDepartment Of Health And Human Services → Ofc Of Acquisition And Grants Management
Contacts1 person available
OfficeBALTIMORE, MD, 21244, USA
Organization / AgencyDepartment Of Health And Human Services → Ofc Of Acquisition And Grants Management
Office AddressBALTIMORE, MD, 21244, USA
Contacts
Meghan Critzman
contact@example.gov

Full Description

Show more

FEDERAL SUPPLY SCHEDULE LIMITED SOURCES JUSTIFICATION


Durable Medical Equipment (DME) Claims Processing Sytem


Medicare Part B covers physician and practioner services, outpatient services, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), including the processing of DME Claims.  The DME Shared System Maintainer (SSM) provides the computer software services that support the DMEPOS claims processing system, including maintenance, development, modernization, and special projects.


Similar Contracts

Same NAICS industry code

NAICS: 541511
New
International
Web Accessibility Compliance Audit for ReportsThis subcontract involves providing web accessibility compliance audits and formatting services for economic reports commissioned by prime contractors for the Office of Rail and Road. The primary objective is to ensure all delivered reports adhere to UK public body web accessibility regulations and specific agency guidelines. Responsibilities include auditing documents for compliance and performing necessary remediation to ensure full compatibility with screen readers. The opportunity was posted on October 21, 2026, with a response deadline of November 4, 2026. Classified under NAICS code 541511, the contract focuses on the delivery of finalized, accessibility-compliant reports to meet the regulatory standards of the Office of Rail and Road.
Office of Rail and Road

POSTED

about 6 hours ago

DEADLINE

in 14 days
View Details
NAICS: 541511
New
SLED
Traffic Data API and System Configuration ServicesThe Traffic Data API and System Configuration Services subcontract involves providing specialized software configuration and API development for prime contractors working on traffic projects in Montgomery County, Texas. The scope of work focuses on the creation of secure REST APIs featuring API key access, the configuration of JSON and CSV data outputs, and the implementation of single sign-on support and identity management. Additionally, the contractor is responsible for technical field tasks including camera aiming and the configuration of detection zones. To qualify for this engagement, the provider must hold an ISO 27001 security certification. Key deliverables for the project include a fully operational data API, properly configured detection zones, and comprehensive training documentation. This opportunity is categorized under NAICS code 541511, with a response deadline set for November 12, 2026.
MONTGOMERY COUNTY

POSTED

about 8 hours ago

DEADLINE

in 22 days
View Details
NAICS: 541511
New
SLED
Healthcare Interface Development (HL7/SOAP)This subcontract for the South Dakota State Government focuses on healthcare interface development to establish and maintain technical connections between SDIIS and various state and federal health systems. The scope of work involves developing operational interfaces using HL7 2.5.1 RSPAK11 QBP^Q11 standards, creating SOAP wrapped XML packages, and implementing two-directional SSL certificates. These efforts will ensure seamless integration with critical systems including SD Health Link, Birth Registry, VTRCS, and Maven. The project falls under NAICS code 541511 and is designed to support prime contractors on South Dakota Department of Health projects. Interested parties should note that the response deadline is November 26, 2026, with the solicitation having been posted on October 21, 2026.
South Dakota State Government

POSTED

about 8 hours ago

DEADLINE

in about 1 month
View Details
NAICS: 541511
New
SLED
Legacy Data Migration & Conversion ServicesThis subcontract for Legacy Data Migration and Conversion Services supports prime contractors on South Dakota Department of Health immunization system projects. The scope of work involves the extraction, mapping, and conversion of legacy SDIS data into a new architecture. Key technical responsibilities include performing trial conversions, resolving duplicate patient records, and utilizing specialized data mapping and reconciliation software to guarantee zero data loss. The project deliverables consist of a fully migrated database and comprehensive reconciliation reports. This opportunity is categorized under NAICS code 541511 and is associated with the South Dakota State Government. Interested parties should note the response deadline of November 26, 2026.
South Dakota State Government

POSTED

about 8 hours ago

DEADLINE

in about 1 month
View Details
NAICS: 541511
New
Federal
Professional Services & Platform ImplementationThis subcontract for Professional Services and Platform Implementation supports prime contractors on Navy Recruiting Command projects. The scope of work involves configuring a specialized platform to enhance targeted recruiting outreach and establishing capabilities to assess the effectiveness of these efforts. A primary objective is the implementation of add-on deliverables designed to bridge the gap between college talent and Navy career opportunities. The project requires a deep understanding of NRC objectives and the specific workflows associated with recruiting within higher education. Based in Millington, the successful provider will deliver a fully configured recruiting environment. This effort is managed under the Department of Defense through the Navsup Flt Logistics Ctr Norfolk, falling under NAICS code 541511.
Navsup Flt Logistics Ctr Norfolk

POSTED

about 10 hours ago

DEADLINE

in 2 days
View Details
NAICS: 541511
New
Federal
Knowledge Management (KM) & Power Platform DevelopmentThis subcontract opportunity with the Department of Defense involves the development of Knowledge Management solutions and enterprise task management tools for prime contractors supporting USAWHC G-6 projects. The selected provider will be responsible for creating functional KM dashboards and automated staff process workflows utilizing Microsoft 365, SharePoint Online, and the Power Platform, specifically Power Apps, Power Automate, and Power BI. The work will be performed in Fort Bragg, North Carolina, under NAICS code 541511. Due to the nature of the projects, personnel are required to maintain a Secret security clearance. Interested parties must submit their responses by November 2, 2026.
It Contracting Division - PL83

POSTED

about 10 hours ago

DEADLINE

in 12 days
View Details
NAICS: 541511
New
Federal
Embedded Software & Firmware EngineeringThis subcontract for the Department of Defense and NSWC Dahlgren focuses on providing embedded software development and firmware engineering for naval weapon systems projects. The scope of work includes writing low-level code, implementing Open Architecture standards, and executing comprehensive regression, automated build, deployment, and unit testing. Key deliverables for this effort consist of embedded software modules, firmware, and verification and validation reports. Qualified personnel must maintain a Secret or Top Secret security clearance and ensure full compliance with DOD 8570.01-M standards. The project is categorized under NAICS code 541511 and is performed in the 22448 zip code area. Interested parties should note the response deadline of October 28, 2026.
Nswc Dahlgren

POSTED

about 10 hours ago

DEADLINE

in 7 days
View Details
NAICS: 541511
New
Federal
Secure Supply Chain Tool & Database DeveloperThis subcontract opportunity, titled Secure Supply Chain Tool and Database Developer, involves customizing supply chain tools and developing operational databases for prime contractors on USAF/AMIC projects supporting the Joint Warfare Analysis Center. The scope of work focuses on implementing visualization and analytics features for software operating on air-gapped TS/SCI/SAP networks, specifically JWICS, while ensuring strict adherence to DFARS 252.204-7012 cybersecurity standards. The project is based in Dahlgren and is managed under the Department of Defense. Due to the sensitive nature of the work, all personnel must possess TS/SCI/SAP clearances, and the performing entity must hold a Top Secret Facility Clearance. Interested parties should note the response deadline of November 3, 2026, for this NAICS 541511 classified effort.
FA4890 Hq Acc Amic

POSTED

about 10 hours ago

DEADLINE

in 13 days
View Details
NAICS: 541511
New
International
SAP Ariba SupportThis subcontract for SAP Ariba Support involves providing second and third line support and system enhancements for prime contractors working on projects for the Passenger Rail Agency of South Africa. The scope of work focuses on configuring procurement and supply chain cloud workflows and managing the critical integration between SAP Ariba and the SAP core. To ensure successful delivery, the project requires SAP Certified Resources who are proficient in the SAP Activate methodology. Key deliverables include the configuration of Ariba modules, the resolution of procurement-related support tickets, and the implementation of integration updates. The contract is based in South Africa and is categorized under NAICS code 541511. Interested parties must adhere to the response deadline of October 27, 2026.
PRASA - Passenger Rail Agency of SA PRASA House

POSTED

about 11 hours ago

DEADLINE

in 5 days
View Details
NAICS: 541511
New
International
SAP Real Estate (RE) & Landuse Management (LUM) SupportThis subcontract focuses on providing second and third line functional support for prime contractors working on projects for the Passenger Rail Agency of South Africa. The primary objective is to deliver specialized expertise in SAP Real Estate and Landuse Management to configure module settings and ensure seamless integration with FICO. The project requires the delivery of resolved support tickets and the implementation of functional enhancements. To qualify, resources must be SAP Certified in RE/LUM and strictly adhere to the SAP Activate methodology. The work will be performed in South Africa under NAICS code 541511. Interested parties should note the response deadline of October 27, 2026.
PRASA - Passenger Rail Agency of SA PRASA House

POSTED

about 11 hours ago

DEADLINE

in 5 days
View Details
NAICS: 541511
New
International
SAP Enterprise Asset Management (EAM) & Asset Manager SupportThis subcontract focuses on providing second and third line support for prime contractors working on projects for the Passenger Rail Agency of South Africa. The scope of work involves delivering specialized expertise in Plant Maintenance and Linear Asset Management, specifically supporting mobile asset management solutions through SAP EAM and SAP Service and Asset Manager. The primary objectives are to resolve technical tickets and deliver optimized asset management workflows. To qualify, resources must be SAP Certified in EAM or PM and strictly adhere to the SAP Activate methodology. The project is based in South Africa and falls under NAICS code 541511. Interested parties must respond by October 27, 2026.
PRASA - Passenger Rail Agency of SA PRASA House

POSTED

about 11 hours ago

DEADLINE

in 5 days
View Details
NAICS: 541511
New
International
SAP Human Capital Management (HCM) & SuccessFactors SupportThis subcontract focuses on providing second and third line support for prime contractors working on projects for the Passenger Rail Agency of South Africa. The selected provider will deliver functional expertise in HR processes, specifically managing Employee Self-Service and Manager Self-Service systems while configuring cloud-based HR solutions. Key technical requirements include the use of SAP HCM and SAP SuccessFactors, with a strict mandate for resources to be SAP Certified and to follow the SAP Activate methodology. The primary deliverables include the resolution of HR module tickets, the configuration of SuccessFactors workflows, and the implementation of necessary system updates. This engagement is centered in South Africa and falls under NAICS code 541511. Interested parties must adhere to the response deadline of October 27, 2026.
PRASA - Passenger Rail Agency of SA PRASA House

POSTED

about 11 hours ago

DEADLINE

in 5 days
View Details

More opportunities from Department Of Health And Human Services → Ofc Of Acquisition And Grants Management

Same awarding agency

NAICS: 541611
New
Federal
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.
Administrative Management and General Management Consulting Services

POSTED

2 days ago

DEADLINE

in 15 days
View Details
NAICS: 561613
New
Federal
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.
Armored Car Services

POSTED

6 days ago

DEADLINE

in 15 days
View Details
NAICS: 541690
New
Federal
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.
Other Scientific and Technical Consulting Services

POSTED

6 days ago

DEADLINE

in 15 days
View Details
NAICS: 541512
New
Federal
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.
Computer Systems Design Services

POSTED

6 days ago

DEADLINE

in 15 days
View Details
NAICS: 621391
New
Federal
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.
Offices of Podiatrists

POSTED

6 days ago

DEADLINE

in 15 days
View Details
NAICS: 541990
New
Federal
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.
All Other Professional, Scientific, and Technical Services

POSTED

6 days ago

DEADLINE

in 15 days
View Details
NAICS: 561611
Federal
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.
Investigation and Personal Background Check Services

POSTED

8 days ago

DEADLINE

in 14 days
View Details
NAICS: 561110
Federal
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.
Office Administrative Services

POSTED

15 days ago

DEADLINE

in 12 days
View Details
NAICS: 541611
Federal
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.
Administrative Management and General Management Consulting Services

POSTED

15 days ago

DEADLINE

in 12 days
View Details
NAICS: 541519
Federal
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.
Other Computer Related Services

POSTED

15 days ago

DEADLINE

in 12 days
View Details
NAICS: 541513
Federal
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.
Computer Facilities Management Services

POSTED

15 days ago

DEADLINE

in 12 days
View Details
NAICS: 541611
Federal
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.
Administrative Management and General Management Consulting Services

POSTED

15 days ago

DEADLINE

in 12 days
View Details

Ready to Pursue This Opportunity?

Get AI-powered intelligence on this solicitation and the ones like it

Every page of the solicitation package shredded into a compliance breakdown

AI-powered matching based on your capabilities and past performance

Competitor and incumbent history on the requirement

Automated alerts on amendments, Q&A deadlines, and award

Miguel
Hillary
Keith Deutsch
Christine

Join 750+ contractors already using CLEATUS