Definitive Contract 75FCMC26C0019
- Not listed
- The Centers for Medicare and Medicaid Services awarded a $1.174 billion definitive contract to Novitas Solutions, Inc. for Medicare Administrative Contractor (MAC) services covering Jurisdiction H (Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas) on June 1, 2019, under cost-plus-award-fee pricing with an ultimate completion date of February 28, 2027. The contract encompasses Medicare Part A and Part B claims processing, payment services, and health insurance benefit...
- The Centers for Medicare and Medicaid Services awarded a $790.3 million definitive contract to Novitas Solutions, Inc. for Medicare Administrative Contractor (A/B MAC) services supporting Jurisdiction L on August 1, 2021, under a cost-plus-award-fee structure with no set-aside. The originating solicitation, posted August 3, 2020 with an October 5, 2020 proposal deadline, sought an indefinite-delivery, indefinite-quantity contract to provide Part A and Part B Medicare claims processing, payment...
- The Centers for Medicare and Medicaid Services awarded a definitive contract to National Government Services, Inc. (doing business as Wellpoint Federal Solutions, Inc.) for Medicare Administrative Contractor services on August 1, 2020, with a ceiling value of $651.9 million under cost-plus-award-fee pricing and no set-aside. The originating solicitation, posted as a pre-solicitation notice on January 8, 2019, sought proposals to provide Medicare Administrative Contractor services for...
- Novitas Solutions, Inc., a for-profit subsidiary of Guidewell Mutual Holding Corporation, was awarded a definitive contract by the Centers for Medicare and Medicaid Services (CMS) on November 8, 2011, to serve as a Medicare Administrative Contractor for Jurisdiction H A/B under the FY26 Utilization-Driven Operations (UDO) Initiative. This cost-plus-award-fee contract, valued at approximately $1.04 billion, required ultimate completion by September 29, 2019, with performance conducted at Novitas'...
- The Centers for Medicare and Medicaid Services awarded a $541.1 million definitive contract to CGS Administrators, LLC for Medicare administrative contractor (MAC) services in Jurisdiction J15 A/B on January 1, 2024, under cost-plus-award-fee pricing with no set-aside. The originating solicitation addresses claims processing, payment support, and administrative functions for Medicare Parts A and B, as well as home health and hospice services across Tennessee and multiple additional states. Place...
- This is a $549,704,490.60 cost-plus-award-fee contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Novitas Solutions, Inc., a for-profit organization that provides healthcare insurance benefit administration services to the federal government. The contract is for Jurisdiction 12 Part A/B Medicare Administrative Contractor services, which include processing beneficiary claims, issuing payments to healthcare providers, conducting cost report reviews, maintaining...
- The Centers for Medicare and Medicaid Services awarded a definitive contract to Wisconsin Physicians Service Insurance Corp. for Medicare Administrative Contractor Jurisdiction 5 (J5) claims administration on September 30, 2019, with a $441.1 million ceiling value under Cost Plus Award Fee pricing. No set-aside was used. The contract provides Medicare claims processing and administration services for Jurisdiction 5. Place of performance is Madison, WI. Ultimate completion date is August 31,...
- The Centers for Medicare and Medicaid Services (CMS) awarded a $167,216,994.06 cost-plus-award-fee contract to NHIC, Corp, a subsidiary of DXC Technology Company, to serve as the Medicare Administrative Contractor (MAC) for Jurisdiction 14 Part A & B. The contract, which has an ultimate completion date of March 11, 2015, was competitively awarded and does not have a set-aside designation. As a MAC, NHIC, Corp is responsible for processing Medicare claims and providing related services within...
- The Centers for Medicare and Medicaid Services (CMS) awarded Noridian Healthcare Solutions, LLC a definitive cost-plus-award-fee contract valued at $822.5 million for Medicare Administrative Contractor (MAC) services supporting Jurisdiction E, which encompasses California, Hawaii, Nevada, American Samoa, Guam, and Northern Mariana Islands. The contract was awarded on January 1, 2021, with an ultimate completion date of April 30, 2028, and includes no set-aside designation. Under this contract,...
- The Centers for Medicare and Medicaid Services awarded a $303.6 million definitive contract to CGS Administrators, LLC for Durable Medical Equipment Medicare Administrative Contractor services for Jurisdiction C on September 1, 2020, with no set-aside. The contract is priced on a cost-plus-award-fee basis. CGS Administrators will process Medicare claims and payments and perform related administrative functions supporting the Medicare Fee-For-Service Program across 17 states and territories, with...
The Centers for Medicare and Medicaid Services awarded a definitive contract to Novitas Solutions, Inc. for Medicare Administrative Contractor services for Jurisdiction H on July 1, 2026, with a ceiling value of $948.5 million and an ultimate completion date of June 30, 2033. The contract is priced as cost plus award fee and covers health insurance benefit administration services, including Medicare claims processing and payment services, for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas. Performance is based in Mechanicsburg, PA. The contract structure comprises a base year with six one-year option periods. The originating solicitation, posted July 1, 2025 with proposals due September 8, 2025, was conducted as a full and open competition under FAR Part 15 using trade-off evaluation. Technical factors—staffing plan, operations approach, targeted experience, past performance, and small business utilization—were weighted more heavily than price. Work encompasses claims-related activities for both institutional and professional Medicare services, covering inpatient Part A and outpatient Part B services, provider relationship establishment, and compliance assurance with applicable laws and CMS requirements to maintain financial integrity of the Medicare Fee-For-Service program. NAICS code 524114 applies, with a small business size standard of $41.5 million.
Name | Description | Solicitation Number | FederalAgency | Type | PostedDate |
|---|---|---|---|---|---|
Medicare Administrative Contractor (MAC) Jurisdiction H (JH) - Synopsis/Draft RFP / Presolicitation | 75FCMC26R0001 | Department of Health and Human Services Centers for Medicare and Medicaid Services | Solicitation 2/3 | 8/8/25, 4:24 PM | |
Medicare Administrative Contractor (MAC) Jurisdiction H (JH) - Synopsis/Draft RFP / Presolicitation | 75FCMC26R0001 | Department of Health and Human Services Centers for Medicare and Medicaid Services | Pre-Solicitation 1/3 | 7/1/25, 4:54 PM | |
Medicare Administrative Contractor (MAC) Jurisdiction H (JH) - Synopsis/Draft RFP / Presolicitation | 75FCMC26R0001 | Department of Health and Human Services Centers for Medicare and Medicaid Services | Award Notice 3/3 | 6/25/26, 10:23 AM |
Mod # | Description | ReasonForModification | Federal Obligation | Date |
|---|---|---|---|---|
| Not listed | Not listed | $568.4k | 6/24/26 |