This is a $804,133,549.47 definitive contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Novitas Solutions, Inc. to provide Part A and Part B Medicare Administrative Contractor (MAC) services for Jurisdiction L, which covers Delaware, Maryland, New Jersey, Pennsylvania, Washington D.C., and parts of Virginia. This contract does not have a set-aside designation.
As the MAC, Novitas Solutions will perform a variety of services to support the Medicare Fee-For-Service program, including claims processing, provider enrollment, medical review, appeals processing, and customer service for approximately 8.5 million Medicare beneficiaries. Novitas has subcontracted with several firms to provide specific support services such as cost report audits, clinical reviews, mailroom operations, and customer contact center services.
The original contract opportunity was a solicitation for an indefinite-delivery, indefinite-quantity contract to provide these Medicare administrative services for Jurisdiction L. The contract has a base period with six one-year option periods.
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