Part a/part B medicare administrative contractor (MAC) jurisdiction K (JK)

Active Definitive Contract Awarded Last action

Contract number
75FCMC22C0003
Awardee
Awarding agency
Obligated
$431,876,189

Award facts

Opportunity
Contract value 52% obligated
  • $587,942,886.95 Current, with exercised options
  • $825,863,128.95 Potential, with all options
Completion date 69% 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
Indianapolis, IN 46250, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Vendor DUNS or Name Change - Non-Novation P00062 $0
Change Order P00061 $6,408,390
Definitize Change Order P00060 $1,538,411
Supplemental Agreement for work within scope P00059 $319,408
Change Order P00057 $228,932
Supplemental Agreement for work within scope P00056 $109,576
Supplemental Agreement for work within scope P00055 $275,922
Supplemental Agreement for work within scope P00054 $87,047
Exercise an Option P00053 $44,430,302
Change Order P00051 $108,885
Change Order P00050 $154,520
Funding Only Action P00049 $648,614
Supplemental Agreement for work within scope P00048 -$6,383,856
Funding Only Action P00047 $36,829,791
Supplemental Agreement for work within scope P00046 · Jurisdiction K is comprised of the states of new york, connecticut, massachusetts, rhode island, vermont, maine, and new hampshire. JK also includes the home… $0
Change Order P00045 · EOI:: executive order 14222, implementing the president's "department of government efficiency" cost efficiency initiative:: EOI bilateral modification to… $0
Supplemental Agreement for work within scope P00044 · The purpose of this modification is to update the deliverable schedule and the award-fee plan. $0
Supplemental Agreement for work within scope P00043 · The purpose of this modification is to incorporate CR 13859, add incremental funding, and update the list of approved subcontractors. $3,430,993
Supplemental Agreement for work within scope P00042 · The purpose of this modification is to incorporate CR 13571, add incremental funding, and award fee plan. $11,077,931
Other Administrative Action P00041 · The purpose of this modification is to change the contracts specialist to edward drannbauer and the contracting officer to mohammed islam. $0
Other Administrative Action P00040 $0
Funding Only Action P00039 $10,900,000
Supplemental Agreement for work within scope P00038 $25,500,000
Exercise an Option P00037 $15,057,833
Supplemental Agreement for work within scope P00036 $600,000
Supplemental Agreement for work within scope P00035 $437,507
Supplemental Agreement for work within scope P00034 $0
Supplemental Agreement for work within scope P00033 $0
Supplemental Agreement for work within scope P00032 $33,165,691
Supplemental Agreement for work within scope P00031 $481,904
Supplemental Agreement for work within scope P00030 -$10,250,682
Supplemental Agreement for work within scope P00029 $32,028,458
Other Administrative Action P00028 $0
Supplemental Agreement for work within scope P00027 $0
Supplemental Agreement for work within scope P00026 $2,640,037
Funding Only Action P00025 $25,800,000
Supplemental Agreement for work within scope P00024 $425,055
Exercise an Option P00023 $14,691,753
Definitize Change Order P00022 -$33
Supplemental Agreement for work within scope P00021 $50,000
Change Order P00020 $4,974,997
Supplemental Agreement for work within scope P00019 $9,056,559
Supplemental Agreement for work within scope P00018 $23,470,382
Other Administrative Action P00017 $0
Funding Only Action P00016 $33,535,077
Supplemental Agreement for work within scope P00015 -$3,007,251
Supplemental Agreement for work within scope P00014 $2,524,369
Supplemental Agreement for work within scope P00013 $2,965,942
Exercise an Option P00012 $36,481,982
Supplemental Agreement for work within scope P00011 $0
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About this award

Written by GovTribe AI ·

The Centers for Medicare and Medicaid Services awarded a $825.9 million definitive contract to National Government Services, Inc. for Part A/Part B Medicare Administrative Contractor services in Jurisdiction K (covering Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont, plus home health and hospice work for Region A) on January 1, 2022, under a cost-plus-award-fee structure with no set-aside.

Place of performance is Indianapolis, IN. The originating pre-solicitation, posted November 16, 2020, sought proposals for claims processing, payment services, and provider relationship support for the Medicare Fee-For-Service Program, with award evaluation by best-value tradeoff (cost and technical factors). The contract spans a base year plus six one-year options through December 31, 2028.

In FY2025, the contract reported 445 FTEs across 925,535 contractor hours, invoicing $99.9 million at a derived government-paid rate of $107.95 per hour. Subcontractors performed 5 percent of contractor hours. Year-over-year invoiced volume increased from $34.2 million in FY2022 to a plateau of approximately $100 million annually in FY2023–FY2025, with labor footprint growing from 174 FTEs to 445 FTEs over the same span and hourly rates rising from $94.29 to $107.95.

Subcontractors include Federal Hearings And Appeals Services, LLC (redeterminations appeals, reopenings and redeterminations, and prior authorizations); U.S. Bank National Association (banking relations); Iron Mountain Information Management LLC (hard-copy record storage); Allison Payment Systems, LLC (print and mail); and a multi-vendor team of smaller specialists in medical secondary payer hospital audits, cost report audits, provider enrollment, and NARA record storage.

Subawards

Subcontractor Amount Awarded
Federal Hearings And Appeals Services, LLC PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) MAC JKR Redeterminations Appeals Services $1,967,196
U.s. Bank National Association PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) Banking Relations Services $116,190
Federal Hearings And Appeals Services, LLC PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) Reopenings and Redeterminations Services $1,911,854
Iron Mountain Information Management LLC PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) Hard copy record storage services $691,047
Allison Payment Systems, LLC PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) Print & Mail Services $16,702,181
Systematic Medical Billing & Credentialing Services, Inc. PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) Medicare Secondary Payer Hospital Audit Services $132,402
Figliozzi & Company, C.p.a.'s P.C. PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) Cost Report Audit and S-10 Reviews $2,177,530
Federal Hearings And Appeals Services, LLC PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) Prior Authorizations for OPD and RSNAT $452,297
Nhic, Corp PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) Provider Enrollment Services $10,227,875
Access Information Management Corporation PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) NARA Record Storage Part A and B $378,842

Quick answers

Who was awarded contract 75FCMC22C0003?

75FCMC22C0003 was awarded to Wellpoint Federal Solutions, Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on January 1, 2022.

How much is contract 75FCMC22C0003 worth?

The government has obligated $431,876,189 on 75FCMC22C0003. Its current value, with exercised options, is $587,942,887. Its potential value, with all options, is $825,863,129.

Was contract 75FCMC22C0003 competed?

The extent of competition for 75FCMC22C0003 was full and open competition. The government received 2 offers.

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