Tricare managed care support services contract, 5TH generation east region
Active Definitive Contract Awarded Last action
- Contract number
- HT940223C0001
- Awardee
-
Humana Government Business Inc. UEI ZE6ZM6NKSV43
- Awarding agency
-
Defense Health Agency
Department of Defense
- Obligated
- $9,833,651,291
Award facts
- Opportunity
-
- Draft RFP - TRICARE Managed Care Support (T-5) Special Notice · HT940220R0005 · Posted Aug 28, 2020
- Contract value 14% obligated
-
- $14,450,063,582.80 Current, with exercised options
- $70,851,174,639.10 Potential, with all options
- Completion date 36% complete
-
- Current, with exercised options
- Potential, with all options
- NAICS code
- 524114 Direct Health and Medical Insurance Carriers
- PSC
- Q201 Medical- Managed Healthcare
- Set-aside
- No set-aside
- Competition
- Full and Open Competition · 2 offers Negotiated Proposal / Quote
- Pricing
- Cost Plus Award Fee
- Place of performance
- Glenview Manor, KY 40222, USA
- Legislative mandates
-
- Service Contract Act FAR subpart 22.10
- Employment Eligibility Verification (E-Verify) FAR subpart 22.18
- Service Contract Inventory FAR subpart 4.17
Award details come from SAM.gov/FPDS.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Funding Only Action | $461,500,000 | |
| Supplemental Agreement for work within scope | $0 | |
| Change Order | $0 | |
| Change Order | $0 | |
| Change Order | $0 | |
| Change Order | $0 | |
| Change Order | $0 | |
| Change Order | $0 | |
| Change Order | $0 | |
| Supplemental Agreement for work within scope | $617,429 | |
| Change Order | $0 | |
| Definitize Change Order | $0 | |
| Change Order | $0 | |
| Change Order | $0 | |
| Change Order | $0 | |
| Funding Only Action | $114,445,876 | |
| Definitize Change Order | -$35,300 | |
| Supplemental Agreement for work within scope | -$17,500,000 | |
| Change Order | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Change Order | $0 | |
| Change Order | $0 | |
| Change Order | $0 | |
| Funding Only Action | $975,000 | |
| Change Order | $0 | |
| Change Order | $0 | |
| Funding Only Action | $38,057 | |
| Change Order | $0 | |
| Supplemental Agreement for work within scope | -$5,492 | |
| Change Order | $0 | |
| Funding Only Action | $970,000,000 | |
| Supplemental Agreement for work within scope | $1,234,859 | |
| Supplemental Agreement for work within scope | -$38,057 | |
| Funding Only Action | $866,488,358 | |
| Change Order | $0 | |
| Change Order | $35,300 | |
| Change Order | $0 | |
| Change Order | $3,564 | |
| Change Order | $0 | |
| Funding Only Action | $90,000,000 | |
| Change Order | $1,928 | |
| Funding Only Action | $100,000 | |
| Change Order | $0 | |
| Definitize Change Order | $0 | |
| Funding Only Action | $643,003,393 | |
| Other Administrative Action | $0 | |
| Funding Only Action | $485,000,000 | |
| Funding Only Action | -$225,104 | |
| Other Administrative Action | $0 | |
| Change Order | $0 |
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About this award
The Defense Health Agency awarded a definitive cost-plus-award-fee contract with a ceiling value of $70.85 billion to Humana Government Business Inc. for TRICARE Managed Care Support Services, 5th Generation East Region, on February 1, 2023. No set-aside was used. The period of performance runs through June 30, 2033, with place of performance at Glenview Manor, KY 40222.
The originating Special Notice, posted August 28, 2020, announced a draft RFP for the fifth-generation TRICARE Managed Care Support Contracts (T-5). It requested contractor feedback by September 18, 2020, with a stated due date of October 2, 2020. The contracted scope covers administrative and support services that manage health care delivery through private sector providers and integrate that care with the Military Health System's direct medical care system. Work includes network management, integrated care programs, and data reporting to support decision-making for active military, retirees, and dependents.
Named subcontract actions include Vortex Solutions, LLC, a professional healthcare staffing subcontract whose ceiling was modified on January 5, 2026 to $153,504,032.17, and L & D Mail Masters Inc., a print, mail, and fulfillment subcontract whose ceiling was reduced to $16,080,911.51 on November 8, 2025. The remaining subcontracts, covering IT contingent labor, contact center operations, peer review, credentialing, HEDIS auditing, and billing and enrollment, sit with a multi-vendor team.
Subawards
| Subcontractor | Amount | Awarded |
|---|---|---|
| Vortex Solutions, LLC | $153,504,032 | |
| Skybridge Resources, LLC | $32,962,800 | |
| Interapt LLC | $25,399,712 | |
| L & D Mail Masters Inc. | $16,080,912 | |
| Quest Analytics LLC | $1,200,000 | |
| The Leapfrog Group | $1,610,200 | |
| Winifred S Hayes Inc. | $3,669,052 | |
| Professional Management Enterprises, Inc. | $37,673,854 | |
| Eight Eleven Group, LLC | $44,001,547 | |
| Network Medical Review Company, LLC | $3,029,300 | |
| Subcontractor not on record | $1,180,000 | |
| Prest & Associates, LLC | $3,029,300 | |
| Subcontractor not on record | $3,247,200 | |
| MLS Group Of Companies LLC | $3,164,400 | |
| Medical Evaluation Specialists, LLC | $3,176,000 | |
| Cicx LLC | $133,538,412 | |
| Wisconsin Physicians Service Insurance Corp. | $41,979,743 | |
| Pearl Interactive Network LLC | $60,597,048 | |
| DTS Group LLC | $360,000 | |
| A Public Benefit Corporation Aunt Bertha | $1,791,220 | |
| Healthwise, Incorporated | $663,209 | |
| Tata America International Corp | $17,184,960 |
Show all 22
Quick answers
Who was awarded contract HT940223C0001?
HT940223C0001 was awarded to Humana Government Business Inc. by Defense Health Agency (Department of Defense) on February 1, 2023.
How much is contract HT940223C0001 worth?
The government has obligated $9,833,651,291 on HT940223C0001. Its current value, with exercised options, is $14,450,063,583. Its potential value, with all options, is $70,851,174,639.
Was contract HT940223C0001 competed?
The extent of competition for HT940223C0001 was full and open competition. The government received 2 offers.
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