This is a $253,668.00 firm fixed-price purchase order contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Health Management Associates Inc. (HMA) to conduct targeted audits of Medicaid and CHIP eligibility termination determinations. The contract has an ultimate completion date of April 30, 2025.
The original solicitation was a sole-source contract using simplified acquisition procedures, as CMS determined that HMA was the only source capable of providing the required Medicaid and CHIP policy and program integrity expertise, including analysis of state Medicaid agency structures, eligibility criteria, enrollment systems, and data architecture. This contract is not set aside. HMA has previously provided expert witness services to the Department of Justice's Criminal Division, as well as Medicaid analysis and technical assistance to other prime contractors and federal grant subrecipients.
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