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Contract Category
32 federal contract opportunities classified as Medicare Services.
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Centers for Medicare & Medicaid Services is seeking small businesses to support the Medicare Fee-For-Service Corrective Action Strategic Analysis. This Sources Sought Notice aims to identify capabilities in data analysis and corrective action strategy development to reduce improper payments and enhance program inte…
MD
AI Summary
The Defense Health Agency is hosting a virtual Industry Forum for the TRICARE Medicare Eligible Program 2nd Generation (TMEP2) to gather information on claims processing services. This forum will facilitate discussions with prime contractors and is intended for market research to inform the TMEP2 acquisition strategy. …
CO
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Department of Health and Human Services is seeking proposals for enrollment verification services from the National Student Clearinghouse on a sole source basis. This non-competitive solicitation is for a firm-fixed-price delivery order with a performance period of one base year and two option years. Proposals are …
MD
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Centers for Medicare and Medicaid Services is seeking a contractor for the Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC) to oversee Medicare Parts C and D programs. The contractor will support audits and program integrity oversight activities related to fraud, waste, and abuse, including dat…
MD
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Centers for Medicare & Medicaid Services (CMS) is seeking information on AI and ML platforms to enhance the Medicare experience for beneficiaries. This RFI aims to gather insights on solutions for personalized recommendations, conversational AI, predictive analytics, and call center automation. Responses will infor…
MD
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Department of Health and Human Services is seeking proposals for a task order related to comprehensive care for joint replacement payment reconciliation. This opportunity focuses on healthcare consulting services, specifically in payment reconciliation for Medicare services. Interested bidders should prepare to sub…
MD
AI Summary
The Defense Health Agency is hosting a virtual Industry Forum for the TRICARE Medicare Eligible Program 2nd Generation (TMEP2) to gather information on claims processing services. This forum will include one-on-one sessions with prime contractors and aims to identify best practices for the upcoming acquisition strategy…
CO
AI Summary
The Department of Defense is seeking industry feedback on the draft RFP for the TRICARE Medicare Eligible Program (TMEP2), which focuses on claims processing and customer support services for Medicare and TRICARE beneficiaries. Interested parties are encouraged to submit comments and questions regarding the draft requi…
CO
AI Summary
The Centers for Medicare and Medicaid Services (CMS) is issuing a Request for Information (RFI) to gather insights on large scale claims processing and adjudication vendors. This RFI aims to enhance beneficiary experience and administrative efficiency in Original Medicare. Responses will inform CMS's evaluation of clai…
MD
AI Summary
The Department of Health and Human Services is seeking a qualified independent contractor to conduct reconsiderations of initial Medicare claims determinations in the Part A West jurisdiction. This opportunity is focused on healthcare consulting and claims processing services.
MD
AI Summary
The Defense Health Agency is hosting a virtual Industry Forum for the TRICARE Medicare Eligible Program 2nd Generation (TMEP2) to gather information on claims processing services. This forum will take place from January 27 to 29, 2026, and aims to identify best practices in the industry. Interested contractors are enco…
CO
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Department of Health and Human Services is seeking a Qualified Independent Contractor (QIC) for the East Jurisdiction to handle Medicare Part A and B claims reconsiderations. This includes processing requests related to hospital inpatient, home health, and other services. The opportunity is posted under FAR 8.405-6…
MD
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Indian Health Service is seeking businesses capable of providing Medicare Part D plans for patients in the OKC area. Interested vendors should submit a detailed capability statement demonstrating their qualifications. Responses must be submitted by October 30, 2025, and will not be returned. This is a Sources Sough…
OK
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Centers for Medicare and Medicaid Services is seeking proposals for user experience research and transformation services on a sole source basis with TripTK. The contract is expected to be awarded for a ten-week base period starting September 30, 2025. Proposals must be submitted electronically by September 25, 2025…
MD
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
This posting announces the limited-sources justification for the Healthcare Effectiveness Data Information Set (HEDIS) Summary Level Data Collection for Medicare Advantage. The task order aims to secure a contractor for collecting and managing quality data essential for Medicare Advantage Star Ratings. Note that this i…
MD
AI Summary
The Defense Health Agency is seeking information on capabilities for the TRICARE Medicare Eligible Program 2nd Generation (TMEP2). This opportunity focuses on claims processing and customer support services for beneficiaries eligible for both Medicare and TRICARE. Responses will inform acquisition planning and market r…
CO
AI Summary
The Centers for Medicare & Medicaid Services intends to award a sole source contract to First Databank, Inc. for software services critical to the Medicare Prescription Drug program. The contract will span from September 30, 2025, to September 29, 2030, with a firm-fixed-price structure. Interested parties may submit c…
MD
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
This opportunity involves Medicare Administrative Contractor Services for Jurisdiction G, focusing on Medicare Parts A & B (Medicare Fee-for-Service). Interested parties should refer to the attached documents for further details.
MD
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Department of Health and Human Services is seeking a Medicare Administrative Contractor for Jurisdiction H to provide health insurance benefit administration services, including Medicare claims processing and payment services. This opportunity is crucial for supporting the traditional Medicare program across severa…
MD
AI Summary
The Department of Health and Human Services is seeking information for business system modernization consulting services. Interested contractors should document their capabilities and past experiences related to the Medicare appeals process. Responses are due by August 18, 2025, and must be submitted via email to the d…
MD
Common questions about finding and winning Medicare Services government contracts.