Eligibility Appeals Operations Support

PRESOLICITATION NOTICE Solicitation Number: HHSM-500-2012-RFP-0020 Notice Type: Presolicitation Synopsis: This synopsis is a presolicitation notice and is not a Request for Proposal (RFP). The Centers for Medicare & Medicaid Services will be issuing an RFP to support the federally-facilitated Exchange (FFE) and state-based Exchanges (SBE) for the Eligibility Appeals Operations Support tasks under the Patient Protection and Affordable Care Act of 2010. These tasks include the review of eligibility appeal requests and supporting documentation, coordinating data collection with appellants, general case management for both FFE and SBE appeals, making official eligibility appeal determinations of non-hearing cases based on the informal resolution process in accordance with the strict application of well-defined government procedures, writing summaries and providing recommendations to Federal appeals officers for the cases requiring discretion, and implementing training to ensure staff remain current on relevant laws, policies, and guidelines. The scope of this effort includes: individual market eligibility appeals, mandate exemption appeals, employer eligibility appeals from the individual market, Small Business Health Options Program (SHOP) employer eligibility appeals and SHOP employee eligibility appeals and appeals of enrollment periods, including special enrollment periods. CMS anticipates award of one contract with a 12-month base period and four (4) 12-month option periods. CMS intends to solicit for this requirement under full and open competition. This announcement is not a RFP. CMS anticipates release of a RFP on or about December 19, 2012. The solicitation will be available on the Federal Business Opportunities (FedBiz Opps) website. Contracting Office Address: 7500 Security Blvd. B3-30-03 Baltimore, Maryland 21244-1850 Primary Point of Contact: Cathryn Kim, Contract Specialist CCIIO_EAOS@cms.hhs.gov Phone: 410-786-0359