Jurisdiction f part a/part b medicare administrative contractor

Ended Definitive Contract Awarded Last action

Contract number
HHSM5002011M0004Z
Awardee
Awarding agency
Obligated
$409,652,741

Award facts

Opportunity
Contract value 81% obligated
  • $505,782,655.57 Current, with exercised options
  • $505,782,656.57 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 · 3 offers Negotiated Proposal / Quote
Pricing
Cost Plus Award Fee
Place of performance
Fargo, ND 58103, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Close Out P00020 -$29,275,622
Other Administrative Action P00019 · Closeout $0
Funding Only Action P00018 -$8,326,312
Other Administrative Action P00017 $0
Funding Only Action P00016 $0
Other Administrative Action P00015 $0
Definitize Change Order P00014 -$723,327
Funding Only Action P00013 $2,515,884
Exercise an Option P00012 $2,380,185
Exercise an Option P00011 $199,205
Definitize Change Order P00010 -$109,940
Change Order P00009 $1,595,000
Supplemental Agreement for work within scope P00008 $12,534,998
Other Administrative Action P00007 $14,417
Other Administrative Action P00006 $0
Funding Only Action P00005 $0
Other Administrative Action P00004 · MAC jurisdiction f $0
Supplemental Agreement for work within scope P00003 · The purpose of this modification is to incorporate the requirements of change request (CR) 10513 - medicare diabetes prevention program (mdpp) $0
Definitize Change Order P00002 · The purpose of this modification is to definitize the ADR change order in MOD 74. -$294,366
Funding Only Action P00001 · The purpose of this modification is to implement low volume appeals (LVA) settlement process (CR 10388). $76,858
Change Order 74 · The purpose of this modification is to: 1.incorporate an change order to implement the ADR and ARS functionalities and incrementally fund the OY6 ssnri effort. $1,470,110
Other Administrative Action 73 · The purpose of this modification is to: 1.incorporate an updated j.06 attachment, JF a/b award fee plan, OY6. $0
Funding Only Action 72 · The purpose of this modification is to incrementally fund clin 0008, slin 0008AB for OY5 MIP work, and update section h.1-key personnel to reflect cynthia… $86,053
Exercise an Option 71 · The purpose of this modification is to 1) exercise option year 6, clin 0009, 2) provide funding for OY6, clin 0009 in the amount of $60,333,022. $60,333,022
Other Administrative Action 70 · The purpose of this modification is to implement changes to remove the social security number (SSN) from the medicare card. A new number, called the medicare… $0
Other Administrative Action 69 · The purpose of this modification is to extend the work related to psave from july 14, 2017 through august 31, 2017. IT also adds this work to option year 6. The… $0
Other Administrative Action 68 · The purpose of this contract modification is to consolidate CLIN0009 by rolling the HI-tech contract value in slin 0009AJ into the MIP contract value in slin… $0
Funding Only Action 67 · The purpose of this contract modification is to incorporates the additional funds negotiated in response to the CMS CR 9877, settlement effectuation… $152,087
Other Administrative Action 66 · The purpose of this contract is to reflect the change in audit and reimbursement manager/director from JIM olson to scott braun; and 2)update attachments j.1… $0
Other Administrative Action 65 · The purpose of this contract is for the a/b MAC jurisdiction f. $0
Other Administrative Action 64 $0
Other Administrative Action 63 · The purpose of this contract modification is to 1) update section h.1 hhsar 352.242-70 key personnel to reflect the change in CFO from rich haugen to cynthia… $0
Other Administrative Action 62 · The purpose of this contract modification is to update section h.3 business ethics, conflict of interest and compliance (DEC 2015) $0
Other Administrative Action 61 · Social- government health insurance programs $0
Other Administrative Action 60 · The purpose of this administrative contract modification is to update attachments j.1 statement of work (SOW)to incorporate the revised SOW dated august 25,… $0
Funding Only Action 59 · The purpose of this contract modification is to incrementally fund slin 0008AA in the amount of $651,080 and slin 0008AB in the amount of $322,939. $974,019
Exercise an Option 58 $56,372,626
Funding Only Action 57 · The purpose of this contract modification is to deobligate funding for clin 0005, OY3 and clin 0006, OY4 and incrementally fund slin 0006AA and 0006AC. -$7,484,205
Funding Only Action 56 · The purpose of this contract action is to implement the frontier community health integration project (fchip) demonstration in accordance with the CMS change… $0
Supplemental Agreement for work within scope 55 · The purpose of this modification is to increase contract value and funding in the amount of $33,765 for slin 0006AD in order to implement the provider… $33,765
Other Administrative Action 54 · The purpose of this no cost, administrative modification is to make changes to section h-special contract requirements, subsection h.1-hhsar 352.242-70 key… $0
Other Administrative Action S00005 · The purpose of this modification is to reconcile the invoice and voucher log to cams. $0
Funding Only Action 53 $4,800,000
Funding Only Action 52 · The purpose of this modification is to 1) incrementally fund slin 0006AA in the amount of $2,400,000. $2,400,000
Supplemental Agreement for work within scope 51 $1,336,061
Funding Only Action 50 $1,200,000
Funding Only Action 49 · The purpose of this modification is to 1) adjust slin 0005AC complimentary credits from $12,509,037 by -$375,213 to $12,133,824, 2) provide funding for slin… $1,270,000
Other Administrative Action 48 $0
Other Administrative Action 47 · The purpose of this modification is to 1) update attachment j.6 award fee plan and j.6.a award fee plan self-assessment template and combine the two documents… $0
Funding Only Action 46 · The purpose of this modification is to 1) incorporate revised statement of work, deliverable schedule, performance standards, award fee self-assessment, and… $2,250,000
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About this award

This is a cost-plus-award-fee contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Noridian Healthcare Solutions, LLC, a for-profit limited liability company based in Fargo, North Dakota. The contract, awarded on August 22, 2011, is for Jurisdiction F Part A/Part B Medicare Administrative Contractor (MAC) services, with a ceiling value of $505,782,656.57 and a period of performance through April 30, 2019. As a MAC, Noridian is responsible for processing Medicare claims, providing payment services, and supporting program integrity efforts for the federal healthcare programs in its assigned jurisdiction. This contract is not set-aside and represents a significant prime contract award for Noridian, which has established itself as a key player in federal healthcare administration, securing several other large CMS contracts to serve as a MAC in different regions of the country.

Quick answers

Who was awarded contract HHSM5002011M0004Z?

HHSM5002011M0004Z was awarded to Noridian Healthcare Solutions, LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on August 22, 2011.

How much is contract HHSM5002011M0004Z worth?

The government has obligated $409,652,741 on HHSM5002011M0004Z. Its current value, with exercised options, is $505,782,656. Its potential value, with all options, is $505,782,657.

Was contract HHSM5002011M0004Z competed?

The extent of competition for HHSM5002011M0004Z was full and open competition. The government received 3 offers.

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