Jurisdiction h a/b MAC contract
Ended Definitive Contract Awarded Last action
- Contract number
- HHSM5002012M0001Z
- 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
- $861,099,850
Award facts
- Opportunity
-
- RFPCMS20110005 Solicitation number
- Juristiction H Part A and Part B Medicare Claims Administrator Award Notice · Posted Jan 6, 2011
- Contract value 83% obligated
-
- $1,035,068,039.52 Current, with exercised options
- $1,036,160,720.52 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 · 4 offers Negotiated Proposal / Quote
- Pricing
- Cost Plus Award Fee
- Place of performance
- Camp Hill, PA 17011, USA
- Legislative mandates
-
- Service Contract Act FAR subpart 22.10
Award details come from SAM.gov/FPDS.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Close Out | -$15,584,480 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | -$115,410 | |
| Other Administrative Action | $0 | |
| Funding Only Action | $50,000 | |
| Supplemental Agreement for work within scope | $3,709,277 | |
| Supplemental Agreement for work within scope | $9,771,091 | |
| Funding Only Action | $114,587 | |
| Supplemental Agreement for work within scope | $99,215 | |
| Supplemental Agreement for work within scope | $362,922 | |
| Supplemental Agreement for work within scope | $78,773 | |
| Supplemental Agreement for work within scope | $56,544,133 | |
| Definitize Change Order | -$671,000 | |
| Definitize Change Order | -$51,549 | |
| Other Administrative Action | $0 | |
| Change Order | $671,000 | |
| Supplemental Agreement for work within scope | $0 | |
| Change Order | $750,736 | |
| Supplemental Agreement for work within scope | $0 | |
| Funding Only Action | $14,500,000 | |
| Funding Only Action | $34,942,821 | |
| Supplemental Agreement for work within scope | $50,915 | |
| Funding Only Action | $37,500,000 | |
| Supplemental Agreement for work within scope | $0 | |
| Other Administrative Action | $12,200,000 | |
| Funding Only Action | $6,300,000 | |
| Funding Only Action | -$1,908,288 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Exercise an Option | $18,062,043 | |
| Supplemental Agreement for work within scope | $2,667,023 | |
| Definitize Change Order | -$1,132,668 | |
| Definitize Change Order | $0 | |
| Funding Only Action | $1,974,000 | |
| Change Order | $1,559,017 | |
| Change Order | $0 | |
| Change Order | $347,500 | |
| Supplemental Agreement for work within scope | $36,430,261 | |
| Funding Only Action | $35,700,000 | |
| Definitize Change Order | $7,309,315 | |
| Funding Only Action | $12,697,807 | |
| Exercise an Option | $24,341,939 | |
| Supplemental Agreement for work within scope | -$14,725,000 | |
| Funding Only Action | $396,715 | |
| Change Order | $0 | |
| Definitize Change Order | $0 | |
| Supplemental Agreement for work within scope | $495,924 | |
| Supplemental Agreement for work within scope | $159,626 | |
| Funding Only Action | $11,115,949 |
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About this award
Novitas Solutions, Inc., a for-profit subsidiary of Guidewell Mutual Holding Corporation, was awarded a definitive contract by the Centers for Medicare and Medicaid Services (CMS) on November 8, 2011, to serve as a Medicare Administrative Contractor for Jurisdiction H A/B under the FY26 Utilization-Driven Operations (UDO) Initiative. This cost-plus-award-fee contract, valued at approximately $1.04 billion, required ultimate completion by September 29, 2019, with performance conducted at Novitas' facility in Camp Hill, Pennsylvania. No set-aside designation was applied to this award.
Under this contract, Novitas delivered comprehensive Medicare claims administration and payment services, including Medicare Part A and Part B claims processing, provider payment issuance, cost report reviews, beneficiary eligibility record maintenance, and customer support services. The award represents a substantial portion of Novitas' federal health insurance administration portfolio; the company concurrently manages multiple Medicare Administrative Contractor jurisdictions and holds additional IDIQ vehicles from CMS valued at approximately $2 billion for provider enrollment and oversight activities. Novitas leveraged subcontractors to support various operational elements including mailroom operations, data processing, call center services, and clinical reviews throughout contract execution.
Quick answers
Who was awarded contract HHSM5002012M0001Z?
HHSM5002012M0001Z was awarded to Novitas Solutions, Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on November 8, 2011.
How much is contract HHSM5002012M0001Z worth?
The government has obligated $861,099,850 on HHSM5002012M0001Z. Its current value, with exercised options, is $1,035,068,040. Its potential value, with all options, is $1,036,160,721.
Was contract HHSM5002012M0001Z competed?
The extent of competition for HHSM5002012M0001Z was full and open competition. The government received 4 offers.
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