Plan Management Compliance Review (PMCR)

The Plan Management Compliance Review procurement is issued by the Centers for Medicare and Medicaid Services under the Center for Consumer Information and Insurance Oversight. The primary objective is to secure services for conducting compliance reviews of health insurance issuers operating Qualified Health Plans and Stand-Alone Dental Plans within the Federally-Facilitated Exchange. These reviews are mandated by the Patient Protection and Affordable Care Act to ensure issuers adhere to federal requirements, validate self-reported data, and identify operational irregularities. This opportunity is categorized as a forecast and is designated as a total small business set-aside under NAICS code 541611. The initiative serves as a critical mechanism for the government to document issuer compliance and ensure the effective management of health insurance Exchange programs. Administrative inquiries are directed to the program point of contact, Lesa Paige, and the contracting officer, Kelly Housein.