See attachment j.1 statement of work (SOW)
Active Definitive Contract Awarded Last action
- Contract number
- 75FCMC25CJ007
- Awardee
-
Cotiviti GOV Services, LLC UEI MQL5DMJGJJL5
- Awarding agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Obligated
- $10,265,674
Award facts
- Opportunity
-
- Recovery Audit Contractor (RAC) Regions 3, 4, & 5 Solicitation · 75FCMC25RJ003 · Posted Nov 22, 2024
- Contract value 10% obligated
-
- $10,265,674.05 Current, with exercised options
- $100,265,674.05 Potential, with all options
- Completion date 15% complete
-
- Current, with exercised options
- Potential, with all options
- NAICS code
- 561440 Collection Agencies
- PSC
- R704 Support- Management: Auditing
- Set-aside
- No set-aside
- Competition
- Full and Open Competition · 4 offers Negotiated Proposal / Quote
- Pricing
- Firm Fixed Price
- Place of performance
- Riverton, UT 84095, 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 |
|---|---|---|
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Original award | $10,265,674 |
About this award
This is a $100,265,674.05 definitive, firm-fixed price contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Cotiviti GOV Services, LLC (doing business as HMS Federal), a for-profit limited liability company. The contract is for Recovery Audit Contractor (RAC) services to review Medicare Fee-for-Service claims and identify improper payments in Regions 3, 4, and 5, with Region 5 specifically focused on Durable Medical Equipment, Prosthetics, Orthotics, and Supply claims, and Home Health/Hospice claims. This contract was not set aside for small businesses. The contract has an 8.5-year base period from May 1, 2025 to October 30, 2033, with an 18-month administrative/appeals option period. The contractor will only be paid from recovered overpayments after claims successfully exit the second level of appeals or pass the 120-day provider appeal window.
Quick answers
Who was awarded contract 75FCMC25CJ007?
75FCMC25CJ007 was awarded to Cotiviti GOV Services, LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on May 1, 2025.
How much is contract 75FCMC25CJ007 worth?
The government has obligated $10,265,674 on 75FCMC25CJ007. Its potential value, with all options, is $100,265,674.
Was contract 75FCMC25CJ007 competed?
The extent of competition for 75FCMC25CJ007 was full and open competition. The government received 4 offers.
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