PART A/B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION 15 (15) RFP

Solicitation No.

75FCMC23R0003

Notice Type

Award Notice

Posted Date

December 4, 2023

Response Deadline

—

NAICS Code

524114AI guide

PSC / Class Code

G007

Contract Code

7530

Issuing Office

OFFICE OF ACQ GRANTS MGMT

Sub-Agency

CENTERS FOR MEDICARE AND MEDICAID SERVICES

Agency

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Primary Contact

Brenda Clark

City

BALTIMORE

State

MD

ZIP Code

21244

Awardee

CGS ADMINISTRATORS, LLC Nashville TN 37214 USA

Award Amount

$474.9M

Award Date

November 30, 2023

This award is the result of a competitive procurement. The contract type is not fixed price because of the ongoing changes in the Medicare program requirements directed by mandatory legislation and because resulting performance uncertainties in many functional areas are such that reasonable estimates of their cost impact cannot be made. The purpose of this contract is to obtain a Part A/Part B (A/B) Medicare Administrative Contractor (hereinafter referred to as “the contractor” or “MAC” or “A/B MAC”) to provide specified 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) for Jurisdiction 15. Jurisdiction 15 includes the states of Kentucky and Ohio. The J15 MAC is also responsible for processing Medicare Home Health and Hospice (HHH) billings in the District of Columbia and the following 15 states: Colorado, Delaware, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia and Wyoming.  

1. December 4, 2023Posted Date
2. November 30, 2023Award Date