Jurisdiction 12 part a/b medicare administrative contractor
Ended Definitive Contract Awarded Last action
- Contract number
- HHSM5002008M0001Z
- Awardee
-
Novitas Solutions, Inc. UEI PLHWY41UW5V3 Part of Guidewell Mutual Holding Corporation
- Awarding agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- 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
- NAICS code
- 524114 Direct Health and Medical Insurance Carriers
- 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
-
- Service Contract Act FAR subpart 22.10
Award details come from SAM.gov/FPDS.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Other Administrative Action | -$28,068,527 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Funding Only Action | $14,937,114 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $21,968,753 | |
| Other Administrative Action | $0 | |
| Funding Only Action | $275,622 | |
| Exercise an Option | $1,499,019 | |
| Supplemental Agreement for work within scope | $680,298 | |
| Supplemental Agreement for work within scope | $3,150,100 | |
| Supplemental Agreement for work within scope | $216,293 | |
| Other Administrative Action | $0 | |
| Funding Only Action | $70,216,051 | |
| Supplemental Agreement for work within scope | $157,800 | |
| Exercise an Option | $24,191,374 | |
| Definitize Change Order | -$924,722 | |
| Funding Only Action | $477,423 | |
| Funding Only Action | $136,468 | |
| Supplemental Agreement for work within scope | $26,622 | |
| Supplemental Agreement for work within scope | $360,000 | |
| Funding Only Action | $500,000 | |
| Definitize Change Order | $9,853 | |
| Change Order | $455,350 | |
| Supplemental Agreement for work within scope | $1,499,630 | |
| Definitize Change Order | -$168,459 | |
| Supplemental Agreement for work within scope | $140,287 | |
| Supplemental Agreement for work within scope | $885,873 | |
| Funding Only Action | $56,197,749 | |
| Funding Only Action | $418,262 | |
| Funding Only Action | $16,200,000 | |
| Change Order | $178,810 | |
| Exercise an Option | $23,437,422 | |
| Other Administrative Action | $0 | |
| Funding Only Action | $30,000 | |
| Change Order | $186,000 | |
| Definitize Change Order | $2,552,886 | |
| Funding Only Action | $175,000 | |
| Change Order | $366,835 | |
| Supplemental Agreement for work within scope | $2,683,058 | |
| Supplemental Agreement for work within scope | $350,998 | |
| Change Order | $3,200,000 | |
| Supplemental Agreement for work within scope | $33,473,307 | |
| Definitize Change Order | $43,601 | |
| Change Order | $150,000 | |
| Additional Work (new agreement, FAR part 6 applies) | $32,250,445 | |
| Exercise an Option | $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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