A/b MAC jurisdiction l

Active Definitive Contract Awarded Last action

Contract number
75FCMC21C0019
Awardee
Awarding agency
Obligated
$544,992,327

Award facts

Opportunity
Contract value 69% obligated
  • $677,600,839.94 Current, with exercised options
  • $790,517,472.94 Potential, with all options
Completion date 75% complete
  • Current, with exercised options
  • Potential, with all options
Set-aside
No set-aside
Competition
Full and Open Competition · 2 offers Negotiated Proposal / Quote
Pricing
Cost Plus Award Fee
Place of performance
Mechanicsburg, PA, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Exercise an Option P00088 $88,962,460
Supplemental Agreement for work within scope P00087 · EO 14398 and a/b MAC jurisdiction l -$2,683,592
Supplemental Agreement for work within scope P00086 $13,193,354
Supplemental Agreement for work within scope P00085 -$64,144
Funding Only Action P00084 $200,000
Supplemental Agreement for work within scope P00083 $788,753
Change Order P00082 $530,373
Change Order P00081 $100,000
Other Administrative Action P00080 $0
Funding Only Action P00079 $6,000,000
Exercise an Option P00078 $71,978,209
Funding Only Action P00077 $50,000
Change Order P00076 · EOI::executive order 14222, implementing the presidents department of government efficiency cost efficiency initiative::EOI bilateral modification to descope… $0
Supplemental Agreement for work within scope P00075 $0
Supplemental Agreement for work within scope P00074 $0
Supplemental Agreement for work within scope P00073 $0
Funding Only Action P00072 $150,000
Other Administrative Action P00071 $0
Other Administrative Action P00070 · The purpose of this unilateral modification is to update the contracting officer from mark werder to mark smolenski for the JL MAC contract. $0
Supplemental Agreement for work within scope P00069 · The purpose of this modification is to incorporate administrative updates to the MAC statement of work (SOW), performance requirements summary (PRS) and… $0
Supplemental Agreement for work within scope P00068 · The purpose of this modification is to definitize the change order issued under modification P00065, which was implemented to fulfill the requirements of… -$33,926
Supplemental Agreement for work within scope P00067 · The purpose of this modification is to adjust the complementary credits for option year 2 and DE-obligate the total amount of $989,348 from slin 0004AA. -$989,348
Supplemental Agreement for work within scope P00066 · The purpose of this modification is to implement the draft change request (CR) 13801, entitled "requirements for the changes to the review timeframes during the… $734,861
Change Order P00065 · The purpose of this modification is to issue a unilateral change order for jurisdiction l (JL) to implement the requirements of draft change request (CR) 13713,… $174,467
Funding Only Action P00064 · The purpose of this modification is to add funding to slin 0005AA in the amount of $14,979,607. $14,979,607
Other Administrative Action P00063 · The purpose of this modification is to update the current quarterly deliverable schedule (DS) from version 8 (v.8) to version 9 (v.9). There is no cost… $0
Supplemental Agreement for work within scope P00062 · The purpose of this modification is to implement change request (CR) 13711, titled "repetitive, scheduled non-emergent ambulance transport (rsnat) prior… $840,507
Supplemental Agreement for work within scope P00061 · The purpose of this modification is to implement change request (CR) 13555, titled "processing instructions for skilled nursing facility (SNF) attachments on… $16,009,031
Supplemental Agreement for work within scope P00060 · The purpose of this modification is to (1) descope of the advanced clinical editing (ACE) software for program management (PM) for JL option years (OY) 2, 3, 4,… -$294,983
Supplemental Agreement for work within scope P00059 · The purpose of this modification is to provide funding to slin 0005AB for the change of request (CR) 13413, entitled "instructions for processing request for… $502,282
Exercise an Option P00058 · The purpose of this modification is to exercise option year 3 (08/01/2024 - 07/31/2025), slins 0005AA, 0005AB, 0005AC, clins 0021, 0029, 0038 and slin 0040AB. $67,530,660
Supplemental Agreement for work within scope P00057 · The purpose of this modification is to incorporate the requirements of CR 13413, entitled "instructions for processing request for SSI realignment for cost… $0
Supplemental Agreement for work within scope P00056 · The purpose of this modification is to (1) add funding to option year 2 in response to a negotiated request for equitable adjustment (REA); and (2) provide… $5,315,201
Other Administrative Action P00055 · The purpose of this modification is to update the current quarterly deliverable schedule (DS) and performance requirements summary (PRS). Update the DS from v.7… $0
Other Administrative Action P00054 $0
Funding Only Action P00053 $85,000
Other Administrative Action P00052 $0
Other Administrative Action P00051 $0
Supplemental Agreement for work within scope P00050 $21,876,884
Other Administrative Action P00049 $0
Supplemental Agreement for work within scope P00048 $0
Funding Only Action P00047 $115,000
Supplemental Agreement for work within scope P00046 $10,000,000
Supplemental Agreement for work within scope P00045 $6,249,762
Definitize Change Order P00044 -$1,222
Supplemental Agreement for work within scope P00043 $4,329,694
Definitize Change Order P00042 $0
Definitize Change Order P00041 -$26,543
Other Administrative Action P00040 $0
Funding Only Action P00039 $20,690,393
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About this award

Written by GovTribe AI ·

The Centers for Medicare and Medicaid Services awarded a $790.517 million definitive contract to Novitas Solutions, Inc. for Medicare Administrative Contractor services covering Jurisdiction L on August 1, 2021, with ultimate completion July 31, 2028, under a cost-plus-award-fee pricing structure.

Jurisdiction L encompasses Delaware, Maryland, New Jersey, Pennsylvania, Washington D.C., and parts of Virginia, supporting approximately 8.5 million Medicare beneficiaries and processing over 17 million Part A bills and 110 million Part B claims annually. Place of performance is Mechanicsburg, PA. The originating solicitation, posted August 3, 2020 with October 5, 2020 proposal due date, sought an indefinite-delivery, indefinite-quantity contract for Part A and Part B Medicare claims processing and payment services, provider enrollment, medical review, appeals processing, and customer service. The contract carries NAICS 524292 and PSC code R499.

The contract's Service Contract Inventory footprint shows FY2025 invoicing of $86.4 million across 346 FTEs performing 719,318 contractor hours, reflecting a blended government-paid rate of $120.09 per hour. Invoiced labor has trended upward from $57.1 million in FY2022 ($110.85/hr) through a peak of $97.9 million in FY2024 ($132.28/hr). Novitas subcontracts approximately 4 percent of hours, with three named subcontractors delivering clinical review, mailroom, provider enrollment processing, cost report audit, contact center, records storage, and optical character recognition services including Pearl Interactive Network LLC (HUBZone and Black American-owned), Servicesource Inc. (AbilityOne nonprofit), and Avosys Technology Inc. (8(a) certified, minority-owned small disadvantaged business), alongside Figliozzi & Company (woman-owned), Broadpath LLC, Iron Mountain Information Management LLC, TDY Medical Staffing Inc. (SDVOSB), Global Computer Products Inc. (minority-owned SDB), Heffler, Radetich & Saitta L.L.P., and Imagenet LLC.

Subawards

Subcontractor Amount Awarded
Pearl Interactive Network LLC A/B MAC JURISDICTION L Subcontractor provides staff to perform customer contact center services. $1,191,249
Servicesource Inc. A/B MAC JURISDICTION L Subcontractor provides contract workers to perform mailroom support tasks during the mailroom 1st shift. $68,337
Global Computer Products Inc. A/B MAC JURISDICTION L Subcontractor provides resources to perform clinical review services. $25,345
Figliozzi & Company, C.p.a.'s P.C. A/B MAC JURISDICTION L Subcontractor performs cost report audit services. $540,000
Heffler, Radetich & Saitta L.L.P. A/B MAC JURISDICTION L Subcontractor performs cost report audit services. $230,000
Avosys Technology, Inc. A/B MAC JURISDICTION L Subcontractor provides resources to perform clinical review services. $1,132,024
Servicesource Inc. A/B MAC JURISDICTION L Subcontractor provides contract workers to perform mailroom support tasks during the mailroom 1st shift. $141
Avosys Technology, Inc. A/B MAC JURISDICTION L Subcontractor provides resources to perform clinical review services. $477,626
Subcontractor not on record A/B MAC JURISDICTION L Subcontractor provides print and outgoing mail processing services. $3,458,555
Servicesource Inc. A/B MAC JURISDICTION L Subcontractor provides contract workers to perform mailroom support tasks. $522
Global Computer Products Inc. A/B MAC JURISDICTION L Subcontractor provides resources to perform clinical review services. $164,979
Heffler, Radetich & Saitta L.L.P. A/B MAC JURISDICTION L Subcontractor to perform cost report audit services. $95,209
Broadpath LLC A/B MAC JURISDICTION L Subcontractor provides resources to perform provider enrollment application processing services. $675,980
TDY Medical Staffing Inc. A/B MAC JURISDICTION L Subcontractor provides Contract Workers to perform Mailroom Processing Services. $6,814
Subcontractor not on record A/B MAC JURISDICTION L Subcontractor provides print and outgoing mail processing services. $768,568
Imagenet, LLC A/B MAC JURISDICTION L Subcontractor will provide Optical Character Recognition (OCR) and File Transmission Services. $1,308,522
Figliozzi & Company, C.p.a.'s P.C. A/B MAC JURISDICTION L Subcontractor to perform cost report audit services. $335,467
Iron Mountain Information Management LLC A/B MAC JURISDICTION L Subcontractor provides off-site, NARA-compliant record storage management services. $534,383
TDY Medical Staffing Inc. A/B MAC JURISDICTION L Subcontractor will provide Contract Workers to perform Mailroom Processing Services. $22,145
Subcontractor not on record A/B MAC JURISDICTION L Subcontractor will provide print and outgoing mail processing services. $760,762
Pearl Interactive Network LLC A/B MAC JURISDICTION L Subcontractor will provide staff to perform customer contact center services in support of the A/B MAC Jurisdiction L (JL) contract. $1,332,441
TDY Medical Staffing Inc. A/B MAC JURISDICTION L Subcontractor will provide Contract Workers to perform Mailroom Processing Services. $2,111,371
Avosys Technology, Inc. A/B MAC JURISDICTION L Subcontractor will perform clinical review services in support of the A/B MAC Jurisdiction L (JL) contract. $2,102,845
Servicesource Inc. A/B MAC JURISDICTION L Subcontractor will perform mailroom support tasks in support of the A/B MAC Jurisdiction L (JL) contract. $52,326
Figliozzi & Company, C.p.a.'s P.C. THE PURPOSE OF THIS MODIFICATION IS TO ADJUST THE COMPLEMENTARY CREDITS FOR OPTION YEAR 2 AND DE-OBLIGATE THE TOTAL AMOUNT OF $989,348 FROM SLIN 0004AA.… $43,492
TDY Medical Staffing Inc. A/B MAC JURISDICTION L Subcontractor will provide Contract Workers onsite at Prime Contractor’s Mechanicsburg, PA location to perform Mailroom Processing… $21,627
Global Computer Products Inc. A/B MAC JURISDICTION L Subcontractor will perform clinical review services in support of the A/B MAC Jurisdiction L (JL) contract. $54,280
Servicesource Inc. A/B MAC JURISDICTION L Subcontractor will perform mailroom support tasks in support of the A/B MAC Jurisdiction L (JL) contract. $342
Broadpath LLC A/B MAC JURISDICTION L Subcontractor performs provider enrollment applications processing tasks in support of the A/B MAC Jurisdiction L (JL) contract. $2,695
Global Computer Products Inc. THE PURPOSE OF THIS MODIFICATION IS TO ADJUST THE COMPLEMENTARY CREDITS FOR OPTION YEAR 2 AND DE-OBLIGATE THE TOTAL AMOUNT OF $989,348 FROM SLIN 0004AA.… $11,507
Heffler, Radetich & Saitta L.L.P. THE PURPOSE OF THIS MODIFICATION IS TO ISSUE A UNILATERAL CHANGE ORDER FOR JURISDICTION L (JL) TO IMPLEMENT THE REQUIREMENTS OF DRAFT CHANGE REQUEST (CR) 13713,… $426,522
Subcontractor not on record THE PURPOSE OF THIS MODIFICATION IS TO ADD FUNDING TO SLIN 0005AA IN THE AMOUNT OF $14,979,607. Subcontractor will provide print and outgoing mail processing… $4,141,253
Iron Mountain Information Management LLC THE PURPOSE OF THIS MODIFICATION IS TO ADD FUNDING TO SLIN 0005AA IN THE AMOUNT OF $14,979,607. Subcontractor will provide offsite record storage services in… $529,931
Broadpath LLC THE PURPOSE OF THIS MODIFICATION IS TO EXERCISE OPTION YEAR 3 (08/01/2024 - 07/31/2025), SLINS 0005AA, 0005AB, 0005AC, CLINS 0021, 0029, 0038 AND SLIN 0040AB.… $13,537
Pearl Interactive Network LLC THE PURPOSE OF THIS MODIFICATION IS TO EXERCISE OPTION YEAR 3 (08/01/2024 - 07/31/2025), SLINS 0005AA, 0005AB, 0005AC, CLINS 0021, 0029, 0038 AND SLIN 0040AB.… $2,275,699
TDY Medical Staffing Inc. THE PURPOSE OF THIS MODIFICATION IS TO EXERCISE OPTION YEAR 3 (08/01/2024 - 07/31/2025), SLINS 0005AA, 0005AB, 0005AC, CLINS 0021, 0029, 0038 AND SLIN 0040AB.… $2,049,227
Global Computer Products Inc. A/B MAC JURISDICTION L Subcontractor will perform clinical review services in support of the A/B MAC Jurisdiction L (JL) contract. $852,659
Servicesource Inc. A/B MAC JURISDICTION L Subcontractor will perform mailroom support tasks in support of the A/B MAC Jurisdiction L (JL) contract. $52,289
Servicesource Inc. A/B MAC JURISDICTION L Subcontractor will perform mailroom support tasks in support of the A/B MAC Jurisdiction L (JL) contract. $370
Heffler, Radetich & Saitta L.L.P. A/B MAC JURISDICTION L Subcontractor will perform Part A cost report desk review, audit, and/or reopening services in support of the A/B MAC Jurisdiction L (JL)… $151,619
Figliozzi & Company, C.p.a.'s P.C. A/B MAC JURISDICTION L Subcontractor will perform Part A cost report desk review, audit, and/or reopening services in support of the A/B MAC Jurisdiction L (JL)… $1,132,619
Global Computer Products Inc. A/B MAC JURISDICTION L Subcontractor will perform clinical review services in support of the A/B MAC Jurisdiction H (JH) contract. $465,234
TDY Medical Staffing Inc. A/B MAC JURISDICTION L Subcontractor will provide Contract Workers onsite at Prime Contractor’s Mechanicsburg, PA location to perform Mailroom Processing… $34,003
Show all 43

Quick answers

Who was awarded contract 75FCMC21C0019?

75FCMC21C0019 was awarded to Novitas Solutions, Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on August 1, 2021.

How much is contract 75FCMC21C0019 worth?

The government has obligated $544,992,327 on 75FCMC21C0019. Its current value, with exercised options, is $677,600,840. Its potential value, with all options, is $790,517,473.

Was contract 75FCMC21C0019 competed?

The extent of competition for 75FCMC21C0019 was full and open competition. The government received 2 offers.

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