Jurisdiction J15 a/b MAC
Active Definitive Contract Awarded Last action
- Contract number
- 75FCMC24C0005
- Awardee
-
CGS Administrators, LLC UEI LLNXG14PXPB3 Part of Blue Cross & Blue Shield Of South Carolina
- Awarding agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Obligated
- $209,116,112
Award facts
- Opportunity
-
- Part A/B Medicare Administrative Contractor (MAC) Jurisdiction M (JM) Synopsis/Draft RFP Pre-Solicitation · 75FCMC23R0003 · Posted Dec 1, 2021
- Contract value 38% obligated
-
- $231,254,450.00 Current, with exercised options
- $545,901,512.00 Potential, with all options
- Completion date 40% complete
-
- Current, with exercised options
- Potential, with all options
- NAICS code
- 524114 Direct Health and Medical Insurance Carriers
- 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
-
- Service Contract Act FAR subpart 22.10
- 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 |
|---|---|---|
| Supplemental Agreement for work within scope | $0 | |
| Vendor Address Change | $0 | |
| Supplemental Agreement for work within scope | $2,240,758 | |
| Supplemental Agreement for work within scope | $33,877 | |
| Supplemental Agreement for work within scope | $1,906,089 | |
| Supplemental Agreement for work within scope | $543,758 | |
| Supplemental Agreement for work within scope | $481,799 | |
| Funding Only Action | $183,717 | |
| Funding Only Action | $35,695,044 | |
| Definitize Change Order | $0 | |
| Definitize Change Order | $0 | |
| Change Order | $600,000 | |
| Other Administrative Action | $0 | |
| Exercise an Option | $35,823,619 | |
| Supplemental Agreement for work within scope | $333,360 | |
| Definitize Letter Contract | $3,544,392 | |
| Supplemental Agreement for work within scope | $0 | |
| Change Order | $172,701 | |
| Change Order | $500,000 | |
| Supplemental Agreement for work within scope | $10,294 | |
| Supplemental Agreement for work within scope | $600,000 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | -$3,335,935 | |
| Funding Only Action | $18,224,048 | |
| Change Order | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $427,007 | |
| Funding Only Action | $25,233,235 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $200,219 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $156,447 | |
| Other Administrative Action | $162,256 | |
| Definitize Change Order | $286,757 | |
| Exercise an Option | $32,608,864 | |
| Supplemental Agreement for work within scope | $268,891 | |
| Supplemental Agreement for work within scope | $50,000 | |
| Supplemental Agreement for work within scope | $216,667 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $850,692 | |
| Other Administrative Action | $9,314,565 | |
| Other Administrative Action | $421,113 | |
| Other Administrative Action | $17,611,007 | |
| Other Administrative Action | $1,244,072 | |
| Exercise an Option | $22,443,801 | |
| Other Administrative Action | $0 | |
| Original award | $62,998 |
Show all 47
About this award
The Centers for Medicare and Medicaid Services awarded a $545.9 million definitive contract to CGS Administrators, LLC for Medicare Administrative Contractor services in Jurisdiction J15 A/B on January 1, 2024, under a cost-plus-award-fee structure with no set-aside.
The contract runs through December 31, 2030. CGS Administrators provides claims processing, payment support, and administrative functions for Medicare Parts A and B across Tennessee and multiple additional states, with place of performance in Nashville, TN.
The originating pre-solicitation, posted in December 2021, described comprehensive MAC services including claims processing, provider relations, and financial integrity oversight of the Medicare fee-for-service program across multiple states. The procurement conducted a best value tradeoff between cost and technical factors.
In fiscal year 2025, the contract reported 367 FTEs performing 764,181 contractor hours, generating $77.5 million in invoiced labor. The derived government-paid hourly rate was $101.38/hr in FY2025, up from $68.21/hr in FY2024. Subcontractors accounted for approximately 11% of contractor hours in FY2025.
CGS Administrators subcontracted with Digital Blue Solutions LLC for information systems consulting, Peckham Vocational Industries, Inc. for staff augmentation in claims processing, Medix Staffing Solutions, LLC for staff augmentation, Figliozzi & Company for audit and reimbursement services, and Palmetto GBA, LLC for infrastructure and statement of work services.
Subawards
| Subcontractor | Amount | Awarded |
|---|---|---|
| Digital Blue Solutions LLC | $300,000 | |
| Peckham Vocational Industries, Inc. | $2,876,046 | |
| Digital Blue Solutions LLC | $503,480 | |
| Medix Staffing Solutions, LLC | $2,348,429 | |
| Figliozzi & Company, C.p.a.'s P.C. | $6,046,865 | |
| Palmetto Gba, LLC | $16,912,427 |
Quick answers
Who was awarded contract 75FCMC24C0005?
75FCMC24C0005 was awarded to CGS Administrators, LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on January 1, 2024.
How much is contract 75FCMC24C0005 worth?
The government has obligated $209,116,112 on 75FCMC24C0005. Its current value, with exercised options, is $231,254,450. Its potential value, with all options, is $545,901,512.
Was contract 75FCMC24C0005 competed?
The extent of competition for 75FCMC24C0005 was full and open competition. The government received 2 offers.
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