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Medicare Administrative Contractor (MAC) Jurisdiction H (JH) - Synopsis/Draft RFP / Presolicitation

Awarded
75FCMC26R0001Federal

Contract Overview

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

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This contract awards a Medicare Administrative Contractor to deliver essential health insurance administration services for the traditional Medicare fee-for-service program within Jurisdiction H, which encompasses Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas. The contractor will be responsible for processing and paying Medicare claims, ensuring accurate and timely benefit administration in alignment with evolving federal requirements. The contract is not fixed price due to the unpredictable nature of changes mandated by legislation affecting Medicare, making it impossible to forecast cost impacts with certainty across multiple operational areas. Performance remains subject to ongoing regulatory shifts, requiring flexibility in service delivery and financial arrangements. The award stems from a competitive procurement process under solicitation number 75FCMC26R0001, issued by the Office of Acquisition and Grants Management within the Department of Health and Human Services. The North American Industry Classification System code is 524114, and no set-aside provisions apply, meaning all eligible entities may compete. Performance is centered in Baltimore, Maryland, though services will impact beneficiaries across the seven-state jurisdiction. Primary point of contact is Edward Drannbauer, with Amy Duckworth available for secondary inquiries, both reachable through official HHS channels. The contract is part of broader federal efforts to manage Medicare operations with adaptability in response to dynamic legislative and programmatic environments.

General Info

MAC awarded to administer Medicare fee-for-service in seven states with flexible terms due to legislative uncertainty.

Agency

Department Of Health And Human Services → Ofc Of Acquisition And Grants ManagementView Agency

Contract Value

$948,524,659

NAICS

524114 - Direct Health and Medical Insurance CarriersView NAICS

Place of Performance

Baltimore, MD, USA

Set-Aside

NONE

Awardee

NOVITAS SOLUTIONS, INC.View Profile

Award Issued Date

Documents

(4)

JH+RFP+Questions+and+Responses+%28JH+RFP+75FCMC26R0001%29+Final+008082025.xlsx

XLSX

JH+RFP+Final+Backpages+Question+Updates+08082025.docx

DOCX

JH+Final+Attachments.zip

ZIP

Solicitation+-+75FCMC26R0001+Final.pdf

PDF

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Timeline

1 update
PhaseAwarded
Posted

Presolicitation

Amendment 1

Contract was updated

Type Changed

Presolicitation → Solicitation

Type Changed

Solicitation → Presolicitation

Type Changed

Presolicitation → Solicitation

Awarded

Contract was awarded

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Organization & Contact Information

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AgencyDepartment Of Health And Human Services → Ofc Of Acquisition And Grants Management
Contacts2 people available
OfficeBALTIMORE, MD, 21244, USA
Organization / Agency
Department Of Health And Human Services → Ofc Of Acquisition And Grants Management
View Agency Profile
Office AddressBALTIMORE, MD, 21244, USA
Contacts

Full Description

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This award is the result of a competitive procurement. The contract type is not fixed price because of the ongoing changes in the Medicare program requirements directed by mandatory legislation and because resulting performance uncertainties in many functional areas are such that reasonable estimates of their cost impact cannot be made. The purpose of this contract is to obtain a Medicare Administrative Contractor (hereinafter referred to as “the contractor” or “MAC”) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the “traditional” Medicare program (also known as the Medicare fee-for-service or FFS, program) for MAC Jurisdiction H (JH). JH includes the states of Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas.

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