J6 a/B MAC services
Active Definitive Contract Awarded Last action
- Contract number
- 75FCMC20C0026
- Awardee
-
Wellpoint Federal Solutions, Inc. UEI TJNDFEALGTB5 Part of Elevance Health, Inc.
- Awarding agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Obligated
- $569,022,706
Award facts
- Opportunity
-
- Part A and B (A/B) Medicare Administrative Contractor (MAC), Jurisdiction 6 (J6) Pre-Solicitation · 75FCMC19R0002 · Posted Jan 8, 2019
- Part A and B (A/B) Medicare Administrative Contractor (MAC) Jurisdiction 6 (J6) Award Notice · Posted Jul 15, 2020
- Part A and B(A/B) Medicare Administrative Contractor (MAC), Jurisdiction 6 (J6) Solicitation · Posted Feb 1, 2019
- Contract value 85% obligated
-
- $668,326,124.94 Current, with exercised options
- $668,826,124.94 Potential, with all options
- Completion date 89% 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 · 4 offers Negotiated Proposal / Quote
- Pricing
- Cost Plus Award Fee
- Place of performance
- Indianapolis, IN 46250, USA
- Legislative mandates
-
- Employment Eligibility Verification (E-Verify) FAR subpart 22.18
Award details come from SAM.gov/FPDS.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Vendor DUNS or Name Change - Non-Novation | $0 | |
| Supplemental Agreement for work within scope | $3,556,221 | |
| Change Order | $6,408,390 | |
| Supplemental Agreement for work within scope | $2,003,449 | |
| Change Order | $8,800,000 | |
| Exercise an Option | $74,562,687 | |
| Supplemental Agreement for work within scope | $6,364,087 | |
| Supplemental Agreement for work within scope | $168,773 | |
| Other Administrative Action | $164,696 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | -$439,826 | |
| Exercise an Option | $73,378,045 | |
| Funding Only Action | $66,850 | |
| Supplemental Agreement for work within scope | $0 | |
| Change Order | $0 | |
| Supplemental Agreement for work within scope | $5,000,000 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $1,894,325 | |
| Supplemental Agreement for work within scope | $0 | |
| Funding Only Action | $5,020,393 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $8,600,000 | |
| Supplemental Agreement for work within scope | $24,559,526 | |
| Supplemental Agreement for work within scope | $1,849,806 | |
| Supplemental Agreement for work within scope | $39,428,784 | |
| Supplemental Agreement for work within scope | $0 | |
| Funding Only Action | $10,900,000 | |
| Supplemental Agreement for work within scope | -$8,151,686 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $117,560 | |
| Supplemental Agreement for work within scope | $0 | |
| Other Administrative Action | $12,400,000 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $1,307,627 | |
| Vendor Address Change | $0 | |
| Definitize Change Order | -$4,417 | |
| Supplemental Agreement for work within scope | $70,704 | |
| Supplemental Agreement for work within scope | -$75,092 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | -$83,553 | |
| Supplemental Agreement for work within scope | $22,612,288 | |
| Funding Only Action | $565,093 | |
| Change Order | $569,082 | |
| Change Order | $838,009 | |
| Supplemental Agreement for work within scope | $1,257,398 | |
| Supplemental Agreement for work within scope | $3,656,540 | |
| Exercise an Option | $40,463,816 | |
| Supplemental Agreement for work within scope | $88,881 |
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About this award
The Centers for Medicare and Medicaid Services awarded a definitive contract to National Government Services, Inc. for Medicare Administrative Contractor services (Jurisdiction 6) on August 1, 2020, with a ceiling value of $668.8 million under cost-plus-award-fee pricing and no set-aside.
The originating solicitation, posted January 8, 2019, sought proposals to provide claims processing and payment services for Medicare programs in Illinois, Minnesota, and Wisconsin. The contract structure includes a base year and six one-year options, with ultimate completion by July 31, 2027. Place of performance is Indianapolis, IN.
Service Contract Inventory reporting shows actual government-invoiced labor across five fiscal years: FY2021 through FY2025 averaged 329 FTEs and 625,877 contractor hours annually. Invoiced amounts peaked at $89.8 million in FY2023 and declined to $79 million in FY2025. The derived government-paid hourly rate across this period rose from $104.23 per hour in FY2021 to $119.94 per hour in FY2024, then decreased to $109.53 per hour in FY2025. FY2025 labor footprint was 347 FTEs across 721,684 contractor hours, with 5 subcontractors accounting for approximately 4 percent of contractor hours. National Government Services, Inc. is a subsidiary of Elevance Health, Inc.
Quick answers
Who was awarded contract 75FCMC20C0026?
75FCMC20C0026 was awarded to Wellpoint Federal Solutions, Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on August 1, 2020.
How much is contract 75FCMC20C0026 worth?
The government has obligated $569,022,706 on 75FCMC20C0026. Its current value, with exercised options, is $668,326,125. Its potential value, with all options, is $668,826,125.
Was contract 75FCMC20C0026 competed?
The extent of competition for 75FCMC20C0026 was full and open competition. The government received 4 offers.
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