Definitive Contract HHSM5002002KY03C

This is a definitive cost-plus-award-fee contract awarded by the Centers for Medicare and Medicaid Services (CMS) to National Government Services, Inc., a subsidiary of Elevance Health, Inc. (formerly Anthem), to serve as the Medicare Administrative Contractor (MAC) for Jurisdiction K, which includes Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont. The contract has a ceiling value of $848,394,757.95 and an ultimate completion date of December 31, 2028. The...

This is a $545,192,865 cost-plus-award-fee contract awarded by the Centers for Medicare and Medicaid Services (CMS) to CGS Administrators, LLC, a subsidiary of Blue Cross & Blue Shield Of South Carolina, to provide Medicare administrative contractor (MAC) services for Jurisdiction J15 A/B. The contract covers claims processing, payment support, and administrative functions for Medicare Parts A and B, as well as Durable Medical Equipment (DME) services. It has an ultimate completion date of...

This is a federal delivery order contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Acumen LLC, doing business as Medric, a for-profit limited liability company. The contract is to implement and refine Medicare payment standardization, measurement, and reporting processes. Payment standardization involves adjusting the allowed charge for a Medicare service to facilitate comparisons of resource use across geographic areas. The contract ceiling value is $2,822,756.22 and...

The U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) awarded a $4,592,430.30 Firm Fixed Price delivery order contract to Acumen LLC, doing business as Medric, for the "Medicare Part D Patient Safety Quality Analysis Support Program." This task order was issued under the General Services Administration's (GSA) Professional Services Schedule (PSS) contract vehicle. The contract aims to provide analytical support for CMS's Medicare Part D...

This is a Definitive Contract awarded by the Centers for Medicare and Medicaid Services (CMS), a civilian agency within the Department of Health and Human Services, to National Government Services, Inc. as the prime contractor. The contract has a potential ceiling value of $684,738,517.68 and covers a range of services including claims administration, data management, financial management, and IT systems for federal health care programs. Major subcontractors include Federal Hearings And...

This federal contract award, valued at $97,478,489.26, was granted by the Centers for Medicare and Medicaid Services (CMS) to the prime contractor, Peraton Inc. (formerly HP Enterprise Services), to provide Continuous Integration and Continuous Delivery (CI/CD) services to further enhance the Medicare Enrollment and Premium Billing Systems (MEPBS) and to operate and maintain all associated MEPBS services. The contract is a Delivery Order under the Multiple Award Schedule (MAS) contract, with a...

The U.S. Centers for Medicare and Medicaid Services (CMS) awarded a Firm Fixed Price contract to David-James LLC, a professional services firm specializing in auditing, examination, and oversight services for federal health agencies. The contract, worth up to $290,000.00, is for audit services related to CMS's Medicare Advantage and Medicare Part D programs, including conducting annual financial audits of Medicare Advantage organizations and Medicare Part D plans, performing examinations of...

The Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) awarded a Blanket Purchase Agreement (BPA) call order to Myers & Stauffer LC, a for-profit limited liability company, to conduct annual financial audits of Medicare Advantage Organizations and Prescription Drug Plans. This $2,321,001.06 firm-fixed-price contract is part of CMS's Medicare Program Integrity efforts and will run through September 2022. The BPA was issued against the General...

This $225,084,498 federal contract was awarded by the Centers for Medicare and Medicaid Services (CMS) to CGS Administrators, LLC, a subsidiary of Blue Cross & Blue Shield Of South Carolina. The contract is for Medicare Administrative Contractor (MAC) services, including claims processing, payment support, and administrative functions for the Durable Medical Equipment (DME) program. It has an ultimate completion date of September 30, 2030 and is structured as a cost-plus-award-fee...

This is a $35,798,241.89 firm fixed-price delivery order contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Palmetto GBA, LLC, a subsidiary of Blue Cross & Blue Shield of South Carolina. The contract is for the contractor to properly issue and/or revoke Medicare supplier billing privileges for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers and maintain supplier files in the Provider Enrollment, Chain and Ownership System (PECOS)....