Definitive Contract 75FCMC23C0013

Active Awarded Last action

Contract number
75FCMC23C0013
Awardee
Awarding agency
Obligated
$95,919,241

Award facts

Contract value 45% obligated
  • $113,492,818.00 Current, with exercised options
  • $215,172,240.00 Potential, with all options
Completion date 47% 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
Nashville, TN 37214, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Vendor Address Change P00029 $0
Change Order P00028 $2,709,353
Supplemental Agreement for work within scope P00027 · JB DME MAC services $0
Other Administrative Action P00026 · JB DME MAC services and EO 14398. $0
Exercise an Option P00025 $23,320,700
Other Administrative Action P00024 $0
Other Administrative Action P00023 $0
Other Administrative Action P00022 · JB DME MAC services $1,200,000
Other Administrative Action P00021 · EOI:: executive order 14222, implementing the presidents department of government efficiency cost efficiency initiative::EOI bilateral modification to descope… -$1,024,594
Funding Only Action P00020 $12,716,383
Other Administrative Action P00019 $0
Supplemental Agreement for work within scope P00018 $0
Exercise an Option P00017 $10,225,000
Other Administrative Action P00016 $0
Supplemental Agreement for work within scope P00015 $0
Supplemental Agreement for work within scope P00014 $0
Funding Only Action P00013 $88,690
Supplemental Agreement for work within scope P00012 -$16,723
Supplemental Agreement for work within scope P00011 $15,872,652
Supplemental Agreement for work within scope P00010 $10,231,311
Exercise an Option P00009 $3,200,000
Supplemental Agreement for work within scope P00008 $0
Other Administrative Action P00007 $0
Funding Only Action P00006 $48,846
Supplemental Agreement for work within scope P00005 $0
Funding Only Action P00004 $1,333,259
Funding Only Action P00003 $3,418,219
Exercise an Option P00002 $12,559,865
Other Administrative Action P00001 $0
Original award JB DME MAC services $36,280
Show all 30

About this award

Written by GovTribe AI ·

The Centers for Medicare and Medicaid Services awarded a definitive contract to CGS Administrators, LLC for JB DME MAC services on April 1, 2023, with a ceiling value of $215.2 million and ultimate completion date of September 30, 2030. The contract is priced on a cost-plus-award-fee basis with no set-aside used.

Place of performance is Nashville, TN. The originating solicitation, posted as a sources-sought notice in November 2021, sought capability statements for Medicare Administrative Contractor services covering Durable Medical Equipment Jurisdictions B and D and Medicare Part A and B services for Jurisdiction 15. The required services encompass fee-for-service health insurance benefit administration including claims processing and payment, provider enrollment, medical review, and correspondence handling. The solicitation identified annual workloads of approximately 30 million claims for Jurisdiction B, 20 million claims for Jurisdiction D, and 6 million claims for Jurisdiction 15.

Service Contract Inventory reporting shows 90.8 FTEs and 188,948 contractor hours invoiced in FY2025, with a derived government-paid hourly rate of $122.26/hr in that year. FY2024 invoiced $11.4 million across 39.8 FTEs and 82,761 contractor hours at $137.92/hr; FY2023 invoiced $1.9 million across 6.2 FTEs and 12,849 contractor hours at $149.55/hr. The blended hourly rate declined year-over-year. Subcontractor engagement in FY2025 represented 1% of contractor hours. Broadway Ventures, LLC, an 8(a) HUBZone-certified service-disabled veteran-owned small business, is named for staff augmentation work. Karna LLC is named for professional services staff augmentation in public health, business intelligence, and consulting.

Subawards

Subcontractor Amount Awarded
Broadway Ventures, LLC JB DME MAC SERVICES Staff augmentation $1,394,668
Karna LLC JB DME MAC SERVICES Professional Services staff augmentation (Public Health, Business Intelligence, consulting) $96,000

Quick answers

Who was awarded contract 75FCMC23C0013?

75FCMC23C0013 was awarded to CGS Administrators, LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on April 1, 2023.

How much is contract 75FCMC23C0013 worth?

The government has obligated $95,919,241 on 75FCMC23C0013. Its current value, with exercised options, is $113,492,818. Its potential value, with all options, is $215,172,240.

Was contract 75FCMC23C0013 competed?

The extent of competition for 75FCMC23C0013 was full and open competition. The government received 2 offers.

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