A/b MAC jurisdiction e
Active Definitive Contract Awarded Last action
- Contract number
- 75FCMC21C0003
- Awardee
-
Noridian Healthcare Solutions, LLC UEI S9LBFM3QCED8
- Awarding agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Obligated
- $601,816,748
Award facts
- Opportunity
-
- Part A/B Medicare Administrative Contractor, Jurisdiction E Solicitation · 75FCMC19R0023 · Posted Aug 20, 2019
- Part A/B Medicare Administrative Contract (MAC) Jurisdiction E Award Notice · Posted Dec 22, 2020
- Contract value 73% obligated
-
- $695,460,423.00 Current, with exercised options
- $824,334,061.00 Potential, with all options
- Completion date 79% 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 · 3 offers Negotiated Proposal / Quote
- Pricing
- Cost Plus Award Fee
- Place of performance
- Fargo, ND 58108, 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 |
|---|---|---|
| Change Order | $1,827,397 | |
| Supplemental Agreement for work within scope | $1,387,532 | |
| Exercise an Option | $107,554,581 | |
| Funding Only Action | $6,000,000 | |
| Definitize Change Order | $1,297,729 | |
| Change Order | $997,614 | |
| Supplemental Agreement for work within scope | $150,000 | |
| Supplemental Agreement for work within scope | $12,261,091 | |
| Supplemental Agreement for work within scope | $6,000,967 | |
| Supplemental Agreement for work within scope | $44,077,751 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Exercise an Option | $24,747,827 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | -$2,141,838 | |
| Supplemental Agreement for work within scope | $10,410,907 | |
| Funding Only Action | $6,000,000 | |
| Supplemental Agreement for work within scope | $879,853 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $100,000 | |
| Supplemental Agreement for work within scope | $2,635,591 | |
| Change Order | $80,786 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $6,486,301 | |
| Supplemental Agreement for work within scope | $394,756 | |
| Funding Only Action | $779,864 | |
| Supplemental Agreement for work within scope | $1,488,064 | |
| Supplemental Agreement for work within scope | -$71,588 | |
| Funding Only Action | $56,221,881 | |
| Supplemental Agreement for work within scope | $2,464,962 | |
| Supplemental Agreement for work within scope | $2,615,486 | |
| Exercise an Option | $28,772,378 | |
| Funding Only Action | $10,000 | |
| Other Administrative Action | $6,711,278 | |
| Definitize Change Order | $165,671 | |
| Change Order | $1,419,086 | |
| Funding Only Action | $13,781,059 | |
| Supplemental Agreement for work within scope | $11,652 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $14,746,861 | |
| Supplemental Agreement for work within scope | $73,394 | |
| Supplemental Agreement for work within scope | $38,469 | |
| Supplemental Agreement for work within scope | $726,131 | |
| Supplemental Agreement for work within scope | $1,547,641 | |
| Change Order | $156,723 | |
| Funding Only Action | $38,208,338 | |
| Supplemental Agreement for work within scope | $70,201 | |
| Exercise an Option | $28,588,269 |
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About this award
The Centers for Medicare and Medicaid Services awarded a definitive contract to Noridian Healthcare Solutions, LLC for Medicare Administrative Contractor services in Jurisdiction E on January 1, 2021, with a ceiling value of $824.3 million. The contract covers claims processing, payment services, and healthcare benefit administration for California, Hawaii, Nevada, American Samoa, Guam, and Northern Mariana Islands, with no set-aside applied.
The originating solicitation, posted August 20, 2019, specified an indefinite-delivery/indefinite-quantity structure with a one-year base period and six one-year options. The contractor must process over 25 million claims annually from over 100,000 healthcare providers while maintaining offices in California, Hawaii, and Nevada. Place of performance is Fargo, ND. The contract uses cost-plus-award-fee pricing.
In FY2025, the most recent reported fiscal year, Noridian invoiced $107 million across 577 FTEs and 1,199,477 contractor hours, with a blended government-paid rate of $89.21 per hour. Labor footprint has grown materially from FY2021 (80.9 FTEs, 168,227 hours) through FY2024, then remained steady across FY2024 and FY2025. Noridian subcontracts approximately 6 percent of contractor hours to four subcontractors.
NAICS 524292 and PSC R499 apply.
Quick answers
Who was awarded contract 75FCMC21C0003?
75FCMC21C0003 was awarded to Noridian Healthcare Solutions, LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on January 1, 2021.
How much is contract 75FCMC21C0003 worth?
The government has obligated $601,816,748 on 75FCMC21C0003. Its current value, with exercised options, is $695,460,423. Its potential value, with all options, is $824,334,061.
Was contract 75FCMC21C0003 competed?
The extent of competition for 75FCMC21C0003 was full and open competition. The government received 3 offers.
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