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This Sources Sought opportunity from Department Of Health And Human Services was posted on February 18, 2021. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Sources Sought Notice for Medicare Administrative Contractor (MAC) Parts A & B Jurisdiction N and A/B and Home Health + Hospice Jurisdiction M

Closed
SSN-AB-MACs(JN-JM)Federal

Contract Overview

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

Active Opportunities Like This One

NAICS: 524114
New
Federal
PILOT PROGRAM TO ASSIST CERTAIN MEMBERS OF THE ARMED FORCES AND DEPENDENTS WITH ADDITIONAL SUPPLEMENTAL COVERAGE RELATING TO CANCER HT9402-26-RFI-0255
Solicitation # HT9402-26-RFI-0255
The Defense Health Agency is conducting market research via Request for Information HT9402-26-RFI-0255 to establish a pilot program for supplemental cancer insurance. In accordance with Section 734 of the National Defense Authorization Act for Fiscal Year 2026, the program aims to provide members of the Army, Navy, Marine Corps, Air Force, and Space Force, along with their dependents enrolled in TRICARE, with fixed indemnity supplemental benefits for non-covered cancer screening, diagnosis, and treatment expenses. The pilot program must be established by September 30, 2027, and any resulting agreements will be limited to a maximum duration of three years without the possibility of renewal. A critical requirement of this initiative is that the Government will not subsidize the cost of the insurance plans; therefore, the program must be financially viable as a 100 percent beneficiary-paid group plan. The DHA is seeking detailed information from potential carriers regarding plan types, coverage scopes, eligibility verification, premium structures, and claims processing. Evaluation factors for future awards will include technical and management functions, past performance, price, financial viability, and small business participation. Interested vendors are requested to submit written responses and may request one-on-one virtual meetings with the Government to provide further market intelligence.
Defense Health Agency

POSTED

about 12 hours ago

DEADLINE

in about 1 month
NAICS: 524114
New
SLED
yearly service contract for international travel insurance last day for questions 11/3/2026
Solicitation # 50013-btb3014
The University of New Orleans is soliciting bids for a yearly service contract to provide international travel insurance for students, faculty, staff, and other participants in study abroad and international educational travel programs. The contract covers an estimated 350 to 450 participants annually with stays ranging from two weeks to one year. Required coverage includes medical benefits up to 500,000 dollars with no deductible, emergency medical evacuation, repatriation, disrupted travel arrangements, and remote mental health and telemedicine services. The selected provider must maintain a financial rating of at least A- and an A.M. Best Financial Size Category of at least VI, and must ensure a communication response time of no more than 24 hours. The award will be made on an all-or-none basis to the lowest responsible and responsive bidder. The initial contract may be extended for four additional twelve-month periods, with a maximum total duration of 60 months. Bids must be submitted in a sealed envelope to the Purchasing Office by November 12, 2026, at 2:00 PM, with the deadline for questions set for November 3, 2026. The agreement is governed by Louisiana law and includes provisions for termination for convenience with 60 days notice or for non-performance with 30 days notice. Additionally, other Louisiana governmental agencies may piggyback on the contract terms if the awarded bidder agrees.
University of New Orleans

POSTED

2 days ago

DEADLINE

in 22 days
NAICS: 524114
New
SLED
RIteSmiles 4-ALL Medicaid Managed Care Dental Services
Solicitation # QLV27007063
The Rhode Island Executive Office of Health and Human Services is soliciting proposals from qualified Managed Care Organizations to administer the RIteSmiles 4-ALL Medicaid Managed Care Dental Program. The contract establishes a three-year base period from July 1, 2027, through June 30, 2030, with the possibility of three additional one-year renewals. The selected contractor will be responsible for comprehensive dental program functions, including the implementation of Initial Health Assessments for new members within 90 days of enrollment, integrated care coordination, case management, and the maintenance of a Quality Management/QI Committee. Performance is governed by NCQA standards, the RI Medicaid Dental Services Coverage Manual, and federal regulations including 42 CFR § 438.208(c)(3). The award process involves a multi-phase evaluation starting with a pass/fail screening of mandatory qualifications. Technical proposals are scored on a 1-4 scale across 185 items, requiring a minimum score of 85% to advance to the Impact Small Business Enterprise evaluation phase, where bidders can earn up to six additional points. Compliance requirements are extensive, encompassing HIPAA privacy and security rules, the Anti-Kickback Act of 1986, and various non-discrimination statutes such as Title VI of the Civil Rights Act and the Americans with Disabilities Act. Proposals must be submitted in four separate PDF files, with a combined page limit of 250 pages for the business and technical volumes.
State of Rhode Island

POSTED

5 days ago

DEADLINE

in 23 days
NAICS: 524114
New
Federal
Health Insurance for Locally Employed Staff
Solicitation # 19MY3027R0001
The U.S. Embassy Kuala Lumpur is soliciting proposals for health insurance coverage for its locally employed staff, including non-temporary direct hires, Personal Services Agreements, and Personal Services Contracts within Malaysia. The contract consists of a one-year base period beginning April 1, 2027, with four one-year renewal options. The government seeks off-the-shelf plans that meet specific minimum benefit levels, including 100 percent coverage for hospitalization and emergency services, and 80 percent for ambulance and outpatient services. Official Residence Expense staff are covered via a separate rider. Award will be granted to the responsible offeror providing the lowest priced, technically acceptable proposal, with a tie-breaker based on the most generous profit-sharing credit plan. Technical acceptability requires a valid management plan, relevant past performance, and licensing or accreditation by the Government of Malaysia or another government with the capacity to provide benefits in-country. Proposals must be submitted electronically by November 20, 2026, and must include a completed SF-1449, pricing schedules, and proof of SAM registration. The use of subcontractors is prohibited, and the prime contractor must maintain a permanent business address in Malaysia. Payments will be made monthly in Malaysian Ringgit, except for eligible American citizens who may receive U.S. dollars.
US Embassy Kuala Lumpur

POSTED

5 days ago

DEADLINE

in 29 days

General Info

NAICS

524114 - Direct Health and Medical Insurance Carriers

Place of Performance

MD

Set-Aside

NONE

Documents

3

Jurisdiction+M+Statement+of+Work+%28JM+SOW%29.pdf

PDF

Jurisdiction+N+Statement+of+Work+%28JN+SOW%29.pdf

PDF

Sources-Sought-Notice+JN+JM.pdf

PDF

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Timeline

PhaseClosed
Posted

Sources Sought

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyDepartment Of Health And Human Services → Ofc Of Acquisition And Grants Management
Contacts1 person available
OfficeBALTIMORE, MD, 21244, USA
Office AddressBALTIMORE, MD, 21244, USA

Full Description

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The purpose of this SOURCES SOUGHT NOTICE is to determine the availability and capability of potential small businesses (e.g., 8(a), service-disabled veteran-owned small business, HUBZone small business, small disadvantaged business, veteran-owned small business, and women-owned small business) that can provide specific fee-for-service (FFS) health insurance benefit administration services, including Medicare claims processing and payment services, in support of the "traditional" Medicare program (also known as the Medicare Fee-for-Service, or FFS program) in accordance with the Statements of Work (SOWs) provided with this notice as attachments. The information obtained through this market research will assist the Centers for Medicare & Medicaid Services (CMS) in determining the appropriate acquisition procedures for obtaining the Medicare health insurance benefit services described in the attached SOWs. This market research will aid CMS in its determination as to whether a full and open competitive acquisition is appropriate, or if the acquisition should be set aside for small businesses or a specific socio-economic category of small businesses such as 8(a), service-disabled veteran-owned small business, HUBZone small business, or women-owned small business. Please note that CMS will rely on the results of this market research when conducting acquisitions for Medicare Administrative Contractor (MAC) services in multiple geographical jurisdictions over multiple years, including Jurisdictions N and M.

More opportunities from Department Of Health And Human Services → Ofc Of Acquisition And Grants Management

Same awarding agency

NAICS: 541611
New
Federal
Request for Information - CMS' Qualified Independent Contractor (QIC) Program
Solicitation # RFICMSQIC2026
The Centers for Medicare and Medicaid Services (CMS) is conducting market research via a Request for Information (RFI) to identify capable vendors for a potential on-ramp to the existing Qualified Independent Contractor (QIC) Indefinite-Delivery/Indefinite-Quantity (IDIQ) contract. The program requires independent review services to conduct reconsiderations of Medicare coverage and medical necessity determinations. The scope is divided into several lines of business, including Original Medicare Parts A and B (split by East, West, North, and South jurisdictions), Durable Medical Equipment (DME), Part C, Part D, and an Administrative QIC (AdQIC) role responsible for administrative support, appeals training, and coordination between the Medicare Appeals Council and other entities. The contract utilizes a Firm-Fixed-Price (FFP) structure based on a unit cost per claim. Performance periods vary by role, with some operational periods extending through 2029 and the AdQIC role potentially running through July 2031. Contractors must adhere to strict security and compliance mandates, including obtaining an Authority to Operate (ATO) within six months of award, complying with NIST SP 800-53 and 800-171 standards for Controlled Unclassified Information (CUI), and ensuring all deliverables are Section 508 compliant. Additionally, there are rigorous requirements regarding the mitigation of Organizational and Personal Conflicts of Interest (OCI), requiring annual certifications to ensure impartial adjudication.
Administrative Management and General Management Consulting Services

POSTED

2 days ago

DEADLINE

in 15 days
View Details
NAICS: 561611
Federal
Request for Information - Fraud Defense Contracts
Solicitation # 270536
The Centers for Medicare & Medicaid Services (CMS) has issued a Request for Information (RFI) under solicitation number 270536 to gather industry feedback and innovative solutions for its future Fraud Defense Contracts. The primary objective is to enhance Program Integrity (PI) efforts to combat fraud and abuse within federal health care programs, specifically Medicare and Medicaid. CMS is proposing a new operating model that increases its own role in lead development, prioritization, and the direction of investigations. The agency is seeking input on the use of advanced analytics, artificial intelligence, SQL, and open-source intelligence (OSINT) to identify problematic actors and develop defensible law enforcement referral packages and administrative actions, such as payment suspensions and revocations. Interested vendors must submit their responses using the designated Interested Vendor Response form by 11 AM EST on November 4, 2026. The scope of work involves collaborating with various entities, including the Department of Justice, FBI, and the HHS Office of Inspector General, while maintaining strict security, privacy, and evidentiary safeguards. CMS is particularly interested in feedback regarding fixed-price contracting structures and strategies to mitigate organizational conflicts of interest for firms with existing health plan or provider business. This RFI is for informational and planning purposes only, and no contract will be awarded based solely on the responses provided.
Investigation and Personal Background Check Services

POSTED

8 days ago

DEADLINE

in 14 days
View Details

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