Services for the jurisdiction h (part a and b) medicare administrative contractor (MAC). The contractor will provide specified health insurance benefit administration services, including medicare…
Active Definitive Contract Awarded Last action
- Contract number
- 75FCMC26C0019
- Awardee
-
Novitas Solutions, Inc. UEI PLHWY41UW5V3
- Awarding agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Obligated
- $568,382
Award facts
- Opportunity
-
- Medicare Administrative Contractor (MAC) Jurisdiction H (JH) - Synopsis/Draft RFP / Presolicitation Pre-Solicitation · 75FCMC26R0001 · Posted Jul 1, 2025
- Contract value <1% obligated
-
- $568,382.00 Current, with exercised options
- $948,524,659.00 Potential, with all options
- Completion date 4% 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
- Mechanicsburg, PA, USA
- Legislative mandates
-
- Employment Eligibility Verification (E-Verify) FAR subpart 22.18
Award details come from SAM.gov/FPDS.
About this award
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.
Description
Services for the jurisdiction h (part a and b) medicare administrative contractor (MAC). The contractor will provide specified health insurance benefit administration services, including medicare claims processing and payment services, in support of
Quick answers
Who was awarded contract 75FCMC26C0019?
75FCMC26C0019 was awarded to Novitas Solutions, Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on July 1, 2026.
How much is contract 75FCMC26C0019 worth?
The government has obligated $568,382 on 75FCMC26C0019. Its potential value, with all options, is $948,524,659.
Was contract 75FCMC26C0019 competed?
The extent of competition for 75FCMC26C0019 was full and open competition. The government received 2 offers.
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