Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Jurisdiction D Synopsis/Draft RFP

This contract, awarded through a competitive procurement process by the Department of Health and Human Services, establishes a Durable Medical Equipment Medicare Administrative Contractor for Jurisdiction D. The selected contractor is responsible for providing health insurance benefit administration services, specifically focusing on Medicare claims processing and payment services for the traditional fee-for-service program. The geographic scope of Jurisdiction D is extensive, covering various Western and Midwestern states including California, Washington, and Arizona, as well as Guam, the Mariana Islands, and American Samoa. Due to frequent legislative changes to Medicare program requirements and associated performance uncertainties, the contract is not structured as a fixed-price agreement. This flexibility allows the government to manage cost impacts that cannot be reasonably estimated in advance. Managed by the Office of Acquisition and Grants Management, the contract is categorized under NAICS code 524114 and involves performance activities centered in Fargo, North Dakota.