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
- $602,103,601
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
-
- $695,447,276.00 Current, with exercised options
- $824,320,914.00 Potential, with all options
- Completion date 80% 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 |
|---|---|---|
| Definitize Change Order | $286,853 | |
| 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 |
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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 under a cost-plus-award-fee structure and no set-aside.
The originating solicitation, posted August 20, 2019, sought an indefinite-delivery/indefinite-quantity contract to process Medicare claims, payments, and healthcare benefit administration for California, Hawaii, Nevada, American Samoa, Guam, and Northern Mariana Islands. The contractor must process over 25 million claims annually from over 100,000 healthcare providers. Place of performance is Fargo, ND.
The contract includes a one-year base period and six one-year options, with ultimate completion scheduled for April 30, 2028. NAICS 524292 and PSC R499 apply. The incumbent contractor was CGS Administrators, LLC.
Service Contract Inventory data shows the contract invoiced $107 million in FY2025, with 577 FTEs across 1,199,477 contractor hours at a blended rate of $89.21 per hour. Noridian maintained 4 subcontractors accounting for 6 percent of contractor hours in FY2025. Year-over-year invoicing grew from $14.3 million in FY2021 to $107 million in FY2025, reflecting ramp-up from initial contract operations. The blended hourly rate remained roughly flat across the reported period, ranging from $85.01 to $100.30 per hour.
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 $602,103,601 on 75FCMC21C0003. Its current value, with exercised options, is $695,447,276. Its potential value, with all options, is $824,320,914.
Was contract 75FCMC21C0003 competed?
The extent of competition for 75FCMC21C0003 was full and open competition. The government received 3 offers.
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