Jurisdiction 12 part a/b medicare administrative contractor

Ended Definitive Contract Awarded Last action

Contract number
HHSM5002008M0001Z
Awardee
Awarding agency
Obligated
$439,095,176

Award facts

Contract value 80% obligated
$549,704,490.60 Current and potential, with all options
Completion date 100% complete
Current and potential, with all options
Set-aside
No set-aside
Competition
Full and Open Competition · 3 offers Negotiated Proposal / Quote
Pricing
Cost Plus Award Fee
Place of performance
Camp Hill, PA 17089, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Other Administrative Action P00003 · The purpose of this modification is to close this physically complete contract in accordance with far 4.804-5. -$28,068,527
Other Administrative Action P00002 $0
Other Administrative Action P00001 · Provide specified health insurance benefit administration services $0
Other Administrative Action 72 $0
Other Administrative Action 71 $0
Funding Only Action 70 $14,937,114
Other Administrative Action 000069A $0
Other Administrative Action 69 $0
Supplemental Agreement for work within scope 68 $21,968,753
Other Administrative Action 67 $0
Funding Only Action 66 $275,622
Exercise an Option 65 $1,499,019
Supplemental Agreement for work within scope 64 $680,298
Supplemental Agreement for work within scope 63 $3,150,100
Supplemental Agreement for work within scope 62 $216,293
Other Administrative Action 61 $0
Funding Only Action 60 $70,216,051
Supplemental Agreement for work within scope 59 $157,800
Exercise an Option 58 $24,191,374
Definitize Change Order 56 -$924,722
Funding Only Action 57 $477,423
Funding Only Action 55 $136,468
Supplemental Agreement for work within scope 54 $26,622
Supplemental Agreement for work within scope 53 $360,000
Funding Only Action 52 $500,000
Definitize Change Order 51 $9,853
Change Order 50 $455,350
Supplemental Agreement for work within scope 49 $1,499,630
Definitize Change Order 48 -$168,459
Supplemental Agreement for work within scope 47 $140,287
Supplemental Agreement for work within scope 46 $885,873
Funding Only Action 45 $56,197,749
Funding Only Action 44 $418,262
Funding Only Action 43 $16,200,000
Change Order 42 $178,810
Exercise an Option 41 $23,437,422
Other Administrative Action 40 $0
Funding Only Action 39 $30,000
Change Order 38 $186,000
Definitize Change Order 37 $2,552,886
Funding Only Action 36 $175,000
Change Order 35 $366,835
Supplemental Agreement for work within scope 34 $2,683,058
Supplemental Agreement for work within scope 33 $350,998
Change Order 32 $3,200,000
Supplemental Agreement for work within scope 31 $33,473,307
Definitize Change Order 30 $43,601
Change Order 29 $150,000
Additional Work (new agreement, FAR part 6 applies) 28 · 75 8393::TAS J12 a/b MAC $32,250,445
Exercise an Option 27 · J12 a/b MAC J12 a/b MAC $13,671,733
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About this award

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 beneficiary eligibility records, and providing customer support.

Novitas Solutions is a subsidiary of Guidewell Mutual Holding Corporation, a not-for-profit organization. The contract does not have a set-aside designation. Novitas has partnered with small and large subcontractors to fulfill elements of this prime contract, such as mailroom operations, data processing, call center services, clinical reviews, and enrollment application intake. This contract is part of CMS's broader efforts to administer the Medicare Fee-For-Service program.

Quick answers

Who was awarded contract HHSM5002008M0001Z?

HHSM5002008M0001Z was awarded to Novitas Solutions, Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on October 28, 2007.

How much is contract HHSM5002008M0001Z worth?

The government has obligated $439,095,176 on HHSM5002008M0001Z. Its current value, with exercised options, is $549,704,491.

Was contract HHSM5002008M0001Z competed?

The extent of competition for HHSM5002008M0001Z was full and open competition. The government received 3 offers.

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