Evaluation of medicare prior authorization models for repetitive scheduled non

Ended Awarded Last action

Contract number
HHSM500T0004
Awardee
Awarding agency
Obligated
$6,044,154

Award facts

Contract value 100% obligated
$6,044,154.18 Current and potential, with all options
Completion date 100% complete
Current and potential, with all options
Set-aside
No set-aside
Competition
Full and Open Competition · 3 offers Multiple Award, Fair Opportunity
Pricing
Cost Plus Fixed Fee
Place of performance
Windsor Mill, Milford Mill, MD 21244, USA

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Close Out P00006 -$181,977
Other Administrative Action P00005 $0
Other Administrative Action P00004 $0
Other Administrative Action P00003 $0
Supplemental Agreement for work within scope P00002 $342,945
Supplemental Agreement for work within scope P00001 $1,157,788
Other Administrative Action 2 · CMS will test the use of prior authorization for certain non-emergent services covered under part b of the medicare fee-for-service (FFS) program. CMS will… $0
Supplemental Agreement for work within scope 1 $2,238,705
Original award $2,486,693

About this award

The Centers for Medicare and Medicaid Services (CMS) awarded a $6.04 million delivery order to Mathematica Inc. on July 24, 2015, under the Research Measurement Assessment Design and Analysis (RMADA) indefinite delivery vehicle. The contract, which operated through July 30, 2021, was structured as a cost-plus-fixed-fee arrangement with no set-aside designation. Under this award, Mathematica conducted an evaluation of Medicare prior authorization models for repetitive scheduled non-emergent services covered under Part B of the Medicare fee-for-service program, with a specific focus on two service categories: repetitive scheduled non-emergent ambulance transport (RSNAT) and hyperoxemia treatments. Work was performed at locations in Windsor Mill and Milford Mill, Maryland.

Mathematica Inc., a woman-owned research and data analytics firm headquartered in Washington, DC, and subsidiary of Research Triangle Institute International, brought substantial expertise in program evaluation and evidence-based research methodologies to this engagement. The company's relevant experience includes extensive work with CMS and other federal health agencies on healthcare policy research and evaluation initiatives. As an established federal contractor, Mathematica holds multiple significant indefinite delivery vehicles across agencies including the Social Security Administration, Department of Labor, and Food and Nutrition Service, positioning the company to deliver complex, multi-year research and evaluation projects that inform federal policy and program improvement.

Quick answers

Who was awarded contract HHSM500T0004?

HHSM500T0004 was awarded to Mathematica Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on July 24, 2015.

How much is contract HHSM500T0004 worth?

The government has obligated $6,044,154 on HHSM500T0004.

Is contract HHSM500T0004 an order under another contract?

Yes. HHSM500T0004 is a delivery order under HHSM500201400034I, an indefinite delivery contract, on Research Measurement Assessment Design and Analysis (RMADA).

Was contract HHSM500T0004 competed?

The extent of competition for HHSM500T0004 was full and open competition. The government received 3 offers.

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