To support the centers for medicare & medicaid services (CMS) by monitoring the accuracy of CMS medicare and medicaid medical review contractors medical review decision making, their ability to…
Active Definitive Contract Awarded Last action
- Contract number
- 75FCMC23C0058
- Awardee
-
Fedpath Solutions LLC UEI FU9CTUNLXNP2
- Awarding agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Obligated
- $17,624,213
Award facts
- Opportunity
-
- Medical Review Accuracy Contractor (MRAC) Pre-Solicitation · 75FCMC23R0015 · Posted Apr 13, 2023
- Contract value 78% obligated
-
- $17,624,213.31 Current, with exercised options
- $22,643,192.93 Potential, with all options
- Completion date 60% complete
-
- Current, with exercised options
- Potential, with all options
- NAICS code
- 541611 Administrative Management and General Management Consulting Services
- PSC
- R499 Support- Professional: Other
- Set-aside
- Competitive 8(a)
- Competition
- Full and Open Competition after exclusion of sources · 1 offer Negotiated Proposal / Quote
- Pricing
- Firm Fixed Price
- Place of performance
- West Des Moines, IA 50266, 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 |
|---|---|---|
| Vendor Address Change | $4,771,290 | |
| Exercise an Option | $4,458,413 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Exercise an Option | $4,392,436 | |
| Other Administrative Action | $0 | |
| Original award | $4,002,074 |
About this award
The Centers for Medicare and Medicaid Services awarded a $22.6 million definitive contract to Fedpath Solutions LLC, an 8(a) certified minority-owned small business, for medical review accuracy monitoring on September 26, 2023, under a competitive 8(a) set-aside.
The contract supports CMS by monitoring the accuracy of Medicare and Medicaid medical review contractors' decision-making, their ability to implement Medicare and Medicaid coverage and coding policies, and related payment determinations. Place of performance is West Des Moines, Iowa. The contract runs through November 25, 2028, under firm fixed-price terms.
Government-invoiced labor across SCI reporting shows 18.6 FTEs and 38,754 contractor hours in fiscal 2025, with $4.4 million invoiced that year. Fiscal 2024 reflected 16.3 FTEs and 33,896 hours for $3.9 million invoiced. The derived blended government-paid rate held flat at approximately $114/hour across both years. In fiscal 2025, three subcontractors performed 100 percent of contractor hours, indicating a fully teamed structure at the prime level.
Description
To support the centers for medicare & medicaid services (CMS) by monitoring the accuracy of CMS medicare and medicaid medical review contractors medical review decision making, their ability to implement medicare and medicaid coverage, coding, PA
Quick answers
Who was awarded contract 75FCMC23C0058?
75FCMC23C0058 was awarded to Fedpath Solutions LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on September 26, 2023.
How much is contract 75FCMC23C0058 worth?
The government has obligated $17,624,213 on 75FCMC23C0058. Its potential value, with all options, is $22,643,193.
Was contract 75FCMC23C0058 competed?
The extent of competition for 75FCMC23C0058 was full and open competition after exclusion of sources. The government received 1 offer. It was set aside: Competitive 8(a).
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