This Government Contract opportunity from Department Of Health And Human Services was posted on September 26, 2023. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Medical Review Accuracy Contractor (MRAC)

Awarded

75FCMC23R0015Federal

Submission Closed09/26/2023, 12:00:00 AM UTC

Contract Overview

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

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NAICS: 541611

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W6QK Acc-Apg Director

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W6QK Acc-Apg Director

POSTED

about 9 hours ago

DEADLINE

in 9 days

AI Contract Overview

The Medical Review Accuracy Contractor (MRAC) contract, solicitation number 75FCMC23R0015, is an 8a competed award issued by the Department of Health and Human Services for the Centers for Medicare & Medicaid Services (CMS). The primary objective of this contract is to support CMS by monitoring the accuracy of medical review decision-making performed by various Medicare and Medicaid Medical Review Contractors, including MACs, SMRCs, UPICs, and the RRB SMAC. The scope of work involves evaluating the implementation of coverage, coding, payment, and billing policies, as well as identifying patterns and trends related to potential fraud, waste, or abuse. The procurement process involves a multi-phase evaluation. Recent amendments have updated the submission timeline, removing the original July 14, 2023, deadline for Phase 2 proposals and designating it as to be determined pending the completion of Phase 1 evaluations. Offerors are notified of the revised Phase 2 dates via email and subsequent SAM.gov postings. Other critical updates include the incorporation of the June 2023 FAR clause prohibiting ByteDance covered applications and the provision of specific medical record exhibits required for the Phase 1 evaluation. The contract structure includes a base year and four option years, with pricing based on a detailed CLIN/SLIN schedule.

General Info

Agency

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

Contract Value

$17,624,213.31

NAICS

541611 - Administrative Management and General Management Consulting Services

Place of Performance

MD, USA

Set-Aside

Awardee

FEDPATH SOLUTIONS LLC

Award Issued Date

09/26/2023, 12:00:00 AM UTC

Documents

75FCMC23R0015 Amendment 0001

amendment

High

75FCMC23R0015 Amendment 0003

amendment

High

75FCMC23R0015 Amendment 0004

amendment

High

75FCMC23R0015 - Solicitation SF 1449 RFP

rfp

High

Attachment D.2 Contractor/Offeror Conflict of Interest Template (Oct 2020)

sow

High

E.1 Price Proposal Spreadsheet

price-proposal-spreadsheet

High

Medical Review Accuracy Contractor (MRAC) SOW, May 2023

sow

High

MRAC Questions and Responses – 75FCMC23R0015 Amendment 0001

q-and-a

High

75FCMC23R0015 Responsibility Questionnaire

questionnaire

Low

E.4 Prime Proposal Checklist

proposal-checklist

Low

E.7 Medical Records Factor 1

medical-records

Low

Medical Review Decision Worksheet

other

Low

MRAC Questions and Responses Template 75FCMC23R0015

q-and-a

Low

Prime Proposal Checklist

proposal-checklist

Low

RFP-75FCMC23R0015 Past Performance Questionnaire

past-performance

Low

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

4 updates

PhaseAwarded

PostedApr 13

Presolicitation

Type ChangedMay 24

Presolicitation → Combined Synopsis

Notice updatedJun 6

The notice description changed.

Notice updatedJun 14

The notice description changed.

Notice updatedJun 14

The notice description changed.

Notice updatedJul 10

The notice description changed.

AwardedSep 26

Contract was awarded

Submission Closed

09/26/2023, 12:00:00 AM UTC

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Organization & Contact Information

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

Contacts2 people available

OfficeBALTIMORE, MD, 21244, USA

Organization / AgencyDepartment Of Health And Human Services → Ofc Of Acquisition And Grants Management

Office AddressBALTIMORE, MD, 21244, USA

Contacts

Jennifer Kuhn

Dorota Horton

Full Description

** Amendment 0004 ** This Amendment makes updates to Solicitation Section E.6 and E.9 to remove reference to the Phase 2 proposal submission date being July 14, 2023 and now references the submission date as to be determined (TBD) (These changes are highlighted in red text within the amended Solicitation). The Government is still performing their Phase 1 evaluation and has not yet released Advisory Notifications as reference in Solicitation Sections E.11. Upon completion of the Phase 1 evaluation, Offerors will receive an Advisory Notification via e-mail from the Contracting Officer, which will include the submission date for the Phase 2 proposals. In addition, an amendment to the Solicitation will be posted on SAM.gov with the revised submission date for the Phase 2 proposals, which will be due approximately two-weeks following the Advisory Notification. ** Amendment 0003 ** - This Amendment updates Solicitation Clause C.2, FAR 52.212-5 CONTRACTTERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS - COMMERCIAL PRODUCTS AND COMMERICAL SERVICES, to the JUNE 2023 version, which incorporates FAR 52.204-27, Prohibition on a ByteDance Covered Application (Jun 2023). ** Amendment 0002 ** - Provide Offeror's with Exhibit E.7, Medical Records Factor 1, which is required to complete Phase 1, Evaluation Factor 1, Medical Record Review. ** Amendment 0001 ** - Provides updates/ revisions to the Solicitation as described within the attached Solicitation Amendment 0001 and revised Exhibits E.2 and E.4. The purpose of this contract is to support the Centers for Medicare & Medicaid Services (CMS) by monitoring the accuracy of CMS Medicare and Medicaid Medical Review Contractors (MRCs) medical review (MR) decision making, their ability to implement Medicare and Medicaid coverage, coding, payment, and billing policies, and the identification of potential fraud, waste, or abuse (FWA) patterns and/or trends. MRCs are defined as the Medicare Administrative Contractors (MACs), Supplemental Medical Review Contractor (SMRC), with workstreams in Program Integrity (SMRC PI) and Healthcare Fraud Prevention Partnership (SMRC HFPP), Unified Program Integrity Contractors (UPICs), and the Railroad Retirement Board Specialty MAC (RRB SMAC).