Jurisdiction 4 a/b medicare administrative contractor

Ended Definitive Contract Awarded Last action

Contract number
HHSM5002007M0001Z
Awardee
Awarding agency
Obligated
$418,703,893

Award facts

Contract value 82% obligated
$509,736,889.28 Current and potential, with all options
Completion date 100% complete
  • Current, with exercised options
  • Potential, with all options
Set-aside
No set-aside
Competition
Full and Open Competition · 2 offers Negotiated Proposal / Quote
Pricing
Cost Plus Award Fee
Place of performance
Dallas, TX 75243, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Other Administrative Action P00002 · Far 4.804, closeout of contract files. -$38,039,803
Other Administrative Action P00001 · To perform numerous functions to support health care services for medicare beneficiaries $0
Supplemental Agreement for work within scope 90 $2,307
Supplemental Agreement for work within scope 89 $200,000
Supplemental Agreement for work within scope 88 $15,864,108
Change Order 87 $579,507
Supplemental Agreement for work within scope 86 $177,317
Supplemental Agreement for work within scope 85 $29,829,607
Supplemental Agreement for work within scope 84 $200,000
Funding Only Action 83 $287,660
Funding Only Action 82 $7,410,672
Funding Only Action 81 $350,062
Funding Only Action 80 $1,458,236
Supplemental Agreement for work within scope 79 $500,000
Funding Only Action 78 $250,000
Funding Only Action 77 $4,679,621
Funding Only Action 76 $1,020,817
Supplemental Agreement for work within scope 75 $344,650
Funding Only Action 74 $420,000
Funding Only Action 73 $50,917
Supplemental Agreement for work within scope 72 $1,889,456
Supplemental Agreement for work within scope 71 $4,042,563
Funding Only Action 69 $403,949
Change Order 70 $455,350
Funding Only Action 68 $8,942,144
Exercise an Option 67 $80,467,971
Definitize Change Order 66 $8,633,208
Funding Only Action 65 $6,149,240
Definitize Change Order 64 -$26,057
Funding Only Action 63 $2,280,655
Change Order 62 $570,000
Supplemental Agreement for work within scope 61 $95,762
Change Order 60 $549,889
Definitize Change Order 58 -$73,712
Funding Only Action 57 $4,224,000
Definitize Change Order 56 -$3
Supplemental Agreement for work within scope 55 $6,330,000
Change Order 54 $477,000
Change Order 53 $100,000
Funding Only Action 52 $1,055,807
Change Order 51 $33,726
Supplemental Agreement for work within scope 50 $4,053,386
Supplemental Agreement for work within scope 49 $331,438
Definitize Change Order 48 $2,547,228
Supplemental Agreement for work within scope 46 $677,208
Exercise an Option 47 $65,639,831
Supplemental Agreement for work within scope 45 $22,361
Supplemental Agreement for work within scope 44 $246,973
Supplemental Agreement for work within scope 42 $636,912
Change Order 43 · J4 a/b MAC $50,000
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About this award

This is a $509,736,889.28 cost-plus-award-fee definitive contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Trailblazer Health Enterprises LLC, a subsidiary of Blue Cross & Blue Shield of South Carolina. The contract is for Jurisdiction 4 A/B Medicare Administrative Contractor (MAC) services, which includes claims processing, provider enrollment, and program integrity support for the Medicare program. There is no set-aside designation noted for this award. Trailblazer Health Enterprises has a long history of providing healthcare administration services to CMS, leveraging its expertise in areas such as claims processing and IT infrastructure. The parent company, Blue Cross & Blue Shield of South Carolina, also holds several other significant CMS contracts through its subsidiaries Palmetto GBA and CGS Administrators, making it a major provider of services to support federal healthcare programs.

Quick answers

Who was awarded contract HHSM5002007M0001Z?

HHSM5002007M0001Z was awarded to Trailblazer Health Enterprises LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on August 6, 2007.

How much is contract HHSM5002007M0001Z worth?

The government has obligated $418,703,893 on HHSM5002007M0001Z. Its current value, with exercised options, is $509,736,889.

Was contract HHSM5002007M0001Z competed?

The extent of competition for HHSM5002007M0001Z was full and open competition. The government received 2 offers.

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