IHS purchased referred care (PRC) fiscal intermediary (FI) services

Active Definitive Contract Awarded Last action

Contract number
75H70422C00003
Awardee
Awarding agency
Obligated
$80,140,400

Award facts

Opportunity
Contract value 93% obligated
$86,000,000.00 Current and potential, with all options
Completion date 86% complete
Current and potential, with all options
Set-aside
No set-aside
Competition
Full and Open Competition · 1 offer Negotiated Proposal / Quote
Pricing
Time and Materials
Place of performance
Chicago, IL 60601, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Exercise an Option P00013 · Exercise OY 4 $10,000,000
Other Administrative Action P00012 $0
Other Administrative Action P00011 $0
Funding Only Action P00010 · Additional funding to FY3 $6,000,000
Supplemental Agreement for work within scope P00009 $0
Other Administrative Action P00008 $0
Exercise an Option P00007 $10,000,000
Funding Only Action P00006 · IHS purchased referred care (PRC) fiscal intermediary (FI) services. The purpose of this modification is to add funding to FY2 $14,000,000
Other Administrative Action P00005 · IHS purchased referred care (PRC) fiscal intermediary (FI) services. Modification is to update key personnel $0
Exercise an Option P00004 $6,000,000
Other Administrative Action P00003 $0
Exercise an Option P00002 $20,000,000
Funding Only Action P00001 · IHS purchased referred care (PRC) fiscal intermediary (FI) services. Funding action only. $7,070,200
Original award $7,070,200
Show all 14

About this award

The Indian Health Service awarded a definitive contract to Health Care Service Corporation, A Mutual Legal Reserve Company for fiscal intermediary services supporting the Purchased Referred Care program on July 8, 2022, under a time-and-materials pricing structure with an $86 million ceiling. The contract is exercising Option Year 4, with ultimate completion set for July 31, 2027.

The originating solicitation required processing approximately 466,000 medical and dental claims annually, coordination of benefits, statistical and financial reporting, and customer support for the Purchased Referred Care program serving Native American populations nationwide. The contract structure includes a one-year base period and four one-year option periods.

Place of performance is Chicago, IL 60601. As of the most recent invoiced fiscal year (FY2023), the contract engaged 68.9 FTEs with 143,223 contractor hours at a derived government-paid rate of $103.49 per hour. The contractor self-performed all reported labor with no subcontractors reported. Pricing declined year-over-year from $112.95 per hour in FY2022 to $103.49 in FY2023. The NAICS code is 541990, with a small business size standard of $16.5 million.

Quick answers

Who was awarded contract 75H70422C00003?

75H70422C00003 was awarded to Health Care Service Corporation, A Mutual Legal Reserve Company by Indian Health Service (Department of Health and Human Services) on July 8, 2022.

How much is contract 75H70422C00003 worth?

The government has obligated $80,140,400 on 75H70422C00003. Its current value, with exercised options, is $86,000,000.

Was contract 75H70422C00003 competed?

The extent of competition for 75H70422C00003 was full and open competition. The government received 1 offer.

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