OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS)

The Centers for Medicare and Medicaid Services is forecasting a future contracting opportunity under the Outpatient Prospective Payment System (OPPS), which governs reimbursement for hospital outpatient services. This system establishes standardized payment rates for covered outpatient services based on predetermined classifications, ensuring consistent and predictable funding for healthcare providers delivering care in non-inpatient settings. The opportunity is tied to NAICS code 541611, indicating a focus on management consulting services that support the administration, analysis, or optimization of the OPPS framework. The forecasted contract is intended to support the operational and strategic needs of CMS in maintaining and improving the OPPS structure, potentially involving data analysis, policy evaluation, payment model development, and regulatory compliance support. Ausha Washington is listed as the Program Point of Contact for technical inquiries, while Dawn Wilkins serves as the Contracting Officer responsible for procurement processes. Although the solicitation number and specific details such as place of performance or set-aside status are not yet available, the posting date of May 25, 2026, suggests this is a forward-looking notice that will precede a formal solicitation. Interested parties should monitor the official HHS OSDBU portal for updates on the upcoming request for proposals.