Modern Claim Adjudication Development Services (MCADS)

The Modern Claim Adjudication Development Services (MCADS) contract is a sole-source extension authorized under Federal Supply Schedule authority and justified under FAR 8.4 and GSAM/R 538.7104 to ensure continuity of critical Medicare claims processing modernization efforts. Originally awarded under Solicitation Number 75FCMC23F0049, this modification extends performance from May 1, 2026, through April 30, 2027, with an optional transition period extending through July 31, 2027, during which service levels will gradually decrease. The work supports the Centers for Medicare & Medicaid Services in researching, designing, developing, and sustaining the Medicare Payment System Modernization platform, which handles over one billion annual claims. The justification emphasizes preserving institutional knowledge, avoiding duplication of effort, and maintaining program stability, all critical to uninterrupted progress toward the broader ClaimsCore modernization initiative, with a full and open competition planned for FY2027. The contract is structured as a firm-fixed-price order under the Federal Supply Schedule, with performance centered in Maryland, specifically supporting CMS operations in Baltimore. Although no detailed pricing, line-item costs, or technical specifications are provided in the justification, the award is determined to represent the best value for the government through a trade-off approach that prioritizes operational continuity and mission success over minimizing cost alone. The contracting office is located in Baltimore, MD, with primary point of contact Meghan Critzman, and no specific clauses, attachments, evaluation factors, or offeror certifications are detailed in the available documentation beyond the overarching legal framework and performance timeline.