Part B South Qualified Independent Contractor

The Centers for Medicare and Medicaid Services is forecasting the upcoming solicitation for a Qualified Independent Contractor to handle reconsiderations of redeterminations for Medicare Part B claims in the South region. This contract will support the appeals process by providing an independent review of decisions made by Medicare Administrative Contractors, ensuring accurate and equitable resolution of beneficiary disputes. The NAICS code 541611 indicates the work falls under Administrative Management and General Management Consulting Services, suggesting the contractor will deliver specialized administrative and analytical support rather than direct healthcare services. The contract opportunity is posted with no set-aside designation and no solicitation number yet assigned, with the forecast date indicating a projected posting in May 2026. Performance location and office address details are not specified, but the work is expected to serve the South region of Medicare operations. Mark Smolenski serves as the Contracting Officer and can be contacted regarding procurement inquiries, while Lekeisha Johnson is listed as the Program Point of Contact for operational matters. This opportunity is intended to strengthen the integrity of Medicare Part B claim resolution through impartial review and adherence to federal Medicare policies and procedures.