Durable medical equipment (DME) medicare administrative contractor (MAC) for jurisdiction c (JC)
Active Definitive Contract Awarded Last action
- Contract number
- 75FCMC20C0025
- Awardee
-
CGS Administrators, LLC UEI LLNXG14PXPB3 Part of Blue Cross & Blue Shield Of South Carolina
- Awarding agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Obligated
- $267,251,077
Award facts
- Opportunity
-
- Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Jurisdiction C Solicitation · 75FCMC19R0041 · Posted Jan 14, 2020
- Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Jurisdiction C Award Notice · Posted Aug 21, 2020
- Contract value 87% obligated
-
- $307,115,974.00 Current, with exercised options
- $307,615,974.00 Potential, with all options
- Completion date 88% complete
- Current and potential, with all options
- NAICS code
- 524114 Direct Health and Medical Insurance Carriers
- Set-aside
- No set-aside
- Competition
- Full and Open Competition · 2 offers Negotiated Proposal / Quote
- Pricing
- Cost Plus Award Fee
- Place of performance
- Nashville, TN 37228, USA
- Legislative mandates
-
- Employment Eligibility Verification (E-Verify) FAR subpart 22.18
- Service Contract Inventory FAR subpart 4.17
Award details come from SAM.gov/FPDS.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Other Administrative Action | $0 | |
| Change Order | $3,999,160 | |
| Vendor Address Change | $0 | |
| Exercise an Option | $35,000,000 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Funding Only Action | $4,400,000 | |
| Exercise an Option | $31,442,940 | |
| Funding Only Action | $1,220,000 | |
| Other Administrative Action | $0 | |
| Vendor Address Change | $5,000,000 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Funding Only Action | $6,000,000 | |
| Exercise an Option | $25,295,741 | |
| Other Administrative Action | $0 | |
| Additional Work (new agreement, FAR part 6 applies) | $84,688 | |
| Other Administrative Action | $14,995,935 | |
| Other Administrative Action | $0 | |
| Funding Only Action | $2,200,000 | |
| Other Administrative Action | $0 | |
| Funding Only Action | $1,600,000 | |
| Funding Only Action | $8,178,164 | |
| Exercise an Option | $16,396,288 | |
| Supplemental Agreement for work within scope | $0 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $9,378 | |
| Funding Only Action | $224,248 | |
| Other Administrative Action | $17,912,932 | |
| Other Administrative Action | $0 | |
| Funding Only Action | $7,700,000 | |
| Other Administrative Action | $0 | |
| Funding Only Action | $224,248 | |
| Supplemental Agreement for work within scope | $1,980,581 | |
| Exercise an Option | $15,169,066 | |
| Supplemental Agreement for work within scope | $154,920 | |
| Supplemental Agreement for work within scope | -$338,020 | |
| Funding Only Action | $8,844,430 | |
| Supplemental Agreement for work within scope | $2,112,166 | |
| Change Order | $2,136,022 | |
| Funding Only Action | $5,960,000 | |
| Other Administrative Action | $0 |
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About this award
The Centers for Medicare and Medicaid Services awarded a definitive contract to CGS Administrators, LLC for Durable Medical Equipment Medicare Administrative Contractor services for Jurisdiction C on September 1, 2020, with a ceiling value of $307.6 million and ultimate completion date of August 31, 2027.
The contract covers Medicare claims processing, payment support, and related administrative functions across 17 states and territories. Place of performance is Nashville, Tennessee. CGS Administrators is a subsidiary of Blue Cross & Blue Shield of South Carolina. The contract is structured as cost-plus-award-fee with no set-aside designation.
Service Contract Inventory data shows the prime contractor invoiced $35.1 million in FY2025 across 144 FTEs and 298,645 contractor hours, yielding a blended government-paid rate of $117.48 per hour. Labor footprint has remained relatively stable since FY2021 (106 FTEs); FY2022 and FY2023 peaked at 156–160 FTEs. Subcontracting represents 3 percent of contractor hours in FY2025. Named subcontractors include Broadway Ventures, LLC (8(a) HUBZone certified SDVOSB, staff augmentation), JBS International, Inc. (health services consulting and data analysis), and Federal Hearings and Appeals Services, LLC (Administrative Law Judge hearings support).
Subawards
| Subcontractor | Amount | Awarded |
|---|---|---|
| Broadway Ventures, LLC | $3,116,719 | |
| JBS International, Inc. | $868,614 | |
| Federal Hearings And Appeals Services, LLC | $633,640 |
Quick answers
Who was awarded contract 75FCMC20C0025?
75FCMC20C0025 was awarded to CGS Administrators, LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on September 1, 2020.
How much is contract 75FCMC20C0025 worth?
The government has obligated $267,251,077 on 75FCMC20C0025. Its current value, with exercised options, is $307,115,974. Its potential value, with all options, is $307,615,974.
Was contract 75FCMC20C0025 competed?
The extent of competition for 75FCMC20C0025 was full and open competition. The government received 2 offers.
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