Managed care support services - east region

Ended Definitive Contract Awarded Last action

Contract number
HT940216C0001
Awardee
Awarding agency
Obligated
$51,269,205,263

Award facts

Opportunity
Contract value 91% obligated
  • $52,641,654,181.19 Current, with exercised options
  • $56,620,536,577.19 Potential, with all options
Completion date 100% complete
Current and potential, with all options
Set-aside
No set-aside
Competition
Full and Open Competition · 4 offers Negotiated Proposal / Quote
Pricing
Cost Plus Fixed Fee
Place of performance
Louisville, KY 40201, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Change Order P00713 $0
Change Order P00712 $0
Funding Only Action P00711 $80,000,000
Funding Only Action P00710 $16,000,000
Supplemental Agreement for work within scope P00709 -$69,528,295
Other Administrative Action P00707 -$113,973
Funding Only Action P00708 -$11,536
Supplemental Agreement for work within scope P00706 $0
Change Order P00705 $0
Additional Work (new agreement, FAR part 6 applies) P00703 $1,489,291
Supplemental Agreement for work within scope P00704 $0
Funding Only Action P00702 $9,803,187
Definitize Change Order P00701 -$174,058
Funding Only Action P00700 $20,000,000
Funding Only Action P00694 $200,000
Definitize Change Order P00698 $0
Definitize Change Order P00699 $73,329
Funding Only Action P00697 $15,000,000
Definitize Change Order P00696 $667,228
Funding Only Action P00695 $33,000,000
Funding Only Action P00693 -$44,895
Supplemental Agreement for work within scope P00692 $14,000,000
Funding Only Action P00687 $336,000
Funding Only Action P00691 $80,000,000
Definitize Change Order P00659 $20,809
Other Administrative Action P00690 -$79,787
Other Administrative Action P00689 $29,822
Definitize Change Order P00685 -$53,170
Funding Only Action P00688 $10,000,000
Funding Only Action P00686 $95,000,000
Funding Only Action P00684 $293,000,000
Other Administrative Action P00681 -$128,004
Change Order P00683 $0
Change Order P00682 $0
Change Order P00680 $0
Supplemental Agreement for work within scope P00679 -$1,208,786
Funding Only Action P00678 $897,757,314
Change Order P00677 $0
Change Order P00675 $0
Change Order P00676 $0
Funding Only Action P00674 $926,668
Change Order P00673 $34,490
Change Order P00672 $18,680
Other Administrative Action P00671 $0
Funding Only Action P00670 $627,757,314
Change Order P00669 $0
Funding Only Action P00668 $722,757,314
Funding Only Action P00645 -$77,380,128
Funding Only Action P00667 $16,840,281
Change Order P00665 $0
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About this award

Written by GovTribe AI ·

The Defense Health Agency awarded a definitive contract to Humana Government Business Inc. for managed care support services in the East Region on August 1, 2016, with a ceiling value of $56.62 billion and an ultimate completion date of December 31, 2025.

Place of performance is Louisville, KY. The contract is priced on a cost-plus-fixed-fee basis and carries no set-aside designation. The originating solicitation addresses managed care support services for the TRICARE East Region, delivering health benefits to military members, retirees, and their families under the TRICARE program.

Wisconsin Physicians Service Insurance Corp. serves as the primary subcontractor, providing healthcare claims administration and TRICARE plan management services. Additional subcontractors include Pearl Interactive Network LLC for contact center and hotline support, Vortex Solutions LLC for allied health professional staffing and payroll services, and L & D Mail Masters Inc. for print, mail, and fulfillment services supporting communications requirements.

Subawards

Subcontractor Amount Awarded
Wisconsin Physicians Service Insurance Corp. IGF::OT::IGF Modification 6/17/2026 to incorporate P00651 DMEPOS_PEN effort. Modification M177 issued 4/20/2026 to incorporate Transition Out CLIN increase $834,283,087
Wisconsin Physicians Service Insurance Corp. IGF::OT::IGF To incorporate the settlement amount for the API Access Extension, through 9/30/2025. $288,176
Wisconsin Physicians Service Insurance Corp. IGF::OT::IGF To incorporate the settlement amount that implemented the requirements for Change TOM140, Change TPM130, Change TRM81 and Change TSM82, manual… $65,285
Wisconsin Physicians Service Insurance Corp. IGF::OT::IGF Subcontract modification to incorporate the settlement amount that implemented the requirements for Change 139 of the TRICARE Operations Manual… $51,960
Wisconsin Physicians Service Insurance Corp. IGF::OT::IGF Subcontract modification to incorporate the settlement amount that implemented the requirements for Change 126 of the TRICARE Operations Manual… $512,234
Wisconsin Physicians Service Insurance Corp. IGF::OT::IGF This modification is to increase the Subcontract value and establish incremental funding tracking for Transition Out CLINs 9001 and 9002.… $2,580,254
Wisconsin Physicians Service Insurance Corp. IGF::OT::IGF T2017 Transition Out Ceiling and Funding Increase $22,994,208
Wisconsin Physicians Service Insurance Corp. IGF::OT::IGF Incorporate the settlement amount that implemented the requirements for Change 110 of the TRICARE Policy Manual (TPM110); Change 69 of the… $258,312
L & D Mail Masters Inc. MANAGED CARE SUPPORT SERVICES - EAST REGION Mod 01 - Print, mail and fulfillment services in support of the T2017 East contract $591,040
Pearl Interactive Network LLC MANAGED CARE SUPPORT SERVICES - EAST REGION Definitized Subcontract for T2017 Contact Center Services. Value increased from $204,900 (un-definitized amount)… $2,226,161
Signature Performance, Inc. MANAGED CARE SUPPORT SERVICES - EAST REGION Mod 1. To extend the current contract for an additional one-year term, for Other Health Insurance Discovery… $319,200
The Leapfrog Group MANAGED CARE SUPPORT SERVICES - EAST REGION Mod 2. To extend the current contract for an additional one-year term, for subscription of The Leapfrog Group… $111,720
Subcontractor not on record MANAGED CARE SUPPORT SERVICES - EAST REGION Mod M007 - This modification is to acquire an exclusive license for the use of eighteen (18) assessments. $200,000
Vortex Solutions, LLC MANAGED CARE SUPPORT SERVICES - EAST REGION Commercial Subcontract for Allied Health Professional Staffing and Payroll Services. Mod M0014 issued to incorporate… $598,209
Wisconsin Physicians Service Insurance Corp. MANAGED CARE SUPPORT SERVICES - EAST REGION Mod M157 - Adjustment for the OP5 Annual Claims Overpayment Audit incentive. $5,000,000
Prest & Associates, LLC MANAGED CARE SUPPORT SERVICES - EAST REGION Mod 1 - Physician independent review services in support of T-2017 contract. $93,345
Network Medical Review Company, LLC MANAGED CARE SUPPORT SERVICES - EAST REGION Mod 2 - Physician independent review services in support of T-2017 contract. $197,100
Wisconsin Physicians Service Insurance Corp. MANAGED CARE SUPPORT SERVICES - EAST REGION Mod M155 - This modification is to update Exhibit 2 - Prices of the subcontract to reflect changes in the number… $150,141
MLS Group Of Companies LLC MANAGED CARE SUPPORT SERVICES - EAST REGION Mod 1. This subcontract is for services to provide utilization management and independent review organization… $252,050
Accurate Background, LLC MANAGED CARE SUPPORT SERVICES - EAST REGION Mod 1 - This subcontract is for provider background checks, as required by TRICARE TOM Chapter 4.1.8 $1,800,000
Subcontractor not on record MANAGED CARE SUPPORT SERVICES - EAST REGION Mod M006 - To exercise Option Period 7 (OP7) and update Exhibit B-Prices. $2,809,000
Subcontractor not on record MANAGED CARE SUPPORT SERVICES - EAST REGION Mod 1. This subcontract is for Services to provide utilization management and independent review organization… $57,500
Show all 22

Quick answers

Who was awarded contract HT940216C0001?

HT940216C0001 was awarded to Humana Government Business Inc. by Defense Health Agency (Department of Defense) on August 1, 2016.

How much is contract HT940216C0001 worth?

The government has obligated $51,269,205,263 on HT940216C0001. Its current value, with exercised options, is $52,641,654,181. Its potential value, with all options, is $56,620,536,577.

Was contract HT940216C0001 competed?

The extent of competition for HT940216C0001 was full and open competition. The government received 4 offers.

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