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Part A/B Medicare Administrative Contractor (MAC) Jurisdiction N (JN) Synopsis

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75FCMC21R0002SYNFederal

Contract Overview

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

AI Contract Overview

The Centers for Medicare & Medicaid Services (CMS) plans to issue a Request for Proposal to select a Medicare Administrative Contractor (MAC) to provide health insurance benefit administration services for Medicare Fee-For-Service (FFS) in Jurisdiction N, which includes Florida, Puerto Rico, and the U.S. Virgin Islands. The contractor will be responsible for processing and paying Medicare claims, handling both institutional and professional providers for inpatient (Part A) and outpatient (Part B) services, while ensuring compliance with all pertinent laws, regulations, and CMS guidelines to maintain the financial integrity of the Medicare FFS Program. The procurement will follow the rules under FAR Part 15, allowing CMS to award the contract based on the best overall value, considering both cost and technical factors, rather than solely the lowest price or highest technical rating. This contract is expected to have one base year plus six one-year options. The solicitation, bearing the number 75FCMC21R0002, was anticipated to be released around May 2021 with proposal submissions due by July 2021 and award expected in May 2022, contingent on funding availability. The NAICS code applicable to this opportunity is 524114, with a small business size standard of $41.5 million. Key contacts for this procurement include Courtney Garnes and Contracting Officer Christopher Hagepanos. Offerors are advised to monitor the posting site regularly for any updates or amendments to the solicitation.

General Info

CMS seeks Medicare Administrative Contractor for Jurisdiction N, processing claims under FAR Part 15.

Agency

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

NAICS

524114 - Direct Health and Medical Insurance Carriers

Place of Performance

MD, USA

Set-Aside

NONE

Documents

No documents available

Documents will appear here when they are available.

AI Contract Breakdown

Uniform Contract Format

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Timeline

PhasePresolicitation

PostedApr 15

Presolicitation

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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

Courtney Garnes

contact@example.gov

+1 (555) 000-0000

Christopher Hagepanos

contact@example.gov

+1 (555) 000-0000

Full Description

The Centers for Medicare & Medicaid Services (CMS) intends to issue a Request for Proposal to obtain a Medicare Administrative Contractor (hereinafter referred to as - the contractor) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the Medicare Program (also known as the Medicare Fee-For-Service or FFS) for Jurisdiction N. Jurisdiction N encompasses the state of Florida and the U.S. territories of Puerto Rico and the U.S. Virgin Islands. The contractor shall perform numerous functions to support healthcare services for Medicare beneficiaries, which include performing claims-related activities and establishing relationships with providers of Medicare services, both institutional and professional, both in-patient (Part A) and out-patient (Part B). The contractor will perform the requirements of this contract in accordance with applicable laws, regulations, Medicare manuals, as well as CMS requirements to ensure the financial integrity of the Medicare FFS Program. Pursuant to the authority of FAR Part 15, Contracting by Negotiation, CMS intends to conduct a full and open procurement to fulfill this need. Accordingly, the Contracting Officer will seek to award to the vendor whose proposal represents the best solution to CMS requirements at a fair and reasonable price. Award will be made to the Offeror whose proposal offers the best overall value to the Government using FAR 15.101-1 trade-off processes, which, allows the Government to consider award to other than the lowest cost Offeror or other than the highest technically rated Offeror; affording the Government the most advantageous balance of cost and technical factors as defined in the upcoming solicitation. The resulting contract is anticipated to include a base year plus six (6) one-year options. The NAICS code applicable to this procurement is 524114, Direct Health and Medical Insurance Carriers, with a small business size standard of $41.5 million. CMS anticipates releasing a solicitation for Jurisdiction N on or about May 2021 with proposals due approximately July 2021. The proposed solicitation number is 75FCMC21R0002. The Contracting Officer will be Christopher Hagepanos. Award is anticipated to be approximately May 2022. It will be the offeror's responsibility to check the same site where the solicitation is posted for any amendments and/or changes to the RFP issue and closing date. This solicitation is pending availability of funds.