Provider enrollment and oversight IDIQ award
Active Awarded Last action
- Contract number
- 75FCMC20D0020
- 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
- Task orders
- 1 $71,096,248 obligated
Award facts
- Opportunity
-
- 75FCMC18R0014 Solicitation number
- Provider Enrollment and Oversight Solicitation · Posted Oct 18, 2018
- Provider Enrollment and Oversight Pre-Solicitation · Posted Sep 25, 2018
- Provider Enrollment and Oversight IDIQ Solicitation · Posted Apr 23, 2018
- Combined order value
-
- $71,096,248 Current, with exercised options
- $72,404,096 Potential, with all options
- Last date to order 62% complete
- IDV ceiling 4% used
- $2,000,000,000.00
- Award type
- Multiple award
- Who can order
- Only the awarding agency
- NAICS code
- 541990 All Other Professional, Scientific, and Technical Services
- PSC
- R499 Support- Professional: Other
- Set-aside
- No set-aside
- Competition
- Full and Open Competition · 41 offers Negotiated Proposal / Quote
- Pricing
- Order Dependent (IDV only)
- Legislative mandates
-
- Service Contract Act FAR subpart 22.10
Award details come from SAM.gov/FPDS.
About this IDV
The Centers for Medicare and Medicaid Services (CMS) awarded a $2.0 billion Indefinite Delivery, Indefinite Quantity (IDIQ) contract to Novitas Solutions, Inc. on August 17, 2020, with an ultimate completion date of August 16, 2030. This multiple-award contract vehicle establishes a network of contractors to execute program integrity and provider enrollment and screening tasks across the Medicare and Medicaid programs. The IDIQ contract carries no set-aside restrictions and serves as the parent vehicle for task order issuance. Novitas Solutions, Inc., a for-profit entity owned by Guidewell Mutual Holding Corporation, specializes in health insurance benefit administration and Medicare claims processing services to the federal government. The company has demonstrated substantial experience in federal health program administration, with prior awards exceeding $860 million for Medicare Part A and Part B claims administration and payment services across multiple state jurisdictions.
Under this IDIQ vehicle, Novitas was awarded a $70.4 million firm-fixed-price delivery order on August 8, 2022, to manage provider enrollment and billing privileges for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers in the Eastern U.S. region through August 7, 2027. The delivery order requires Novitas to properly issue and revoke Medicare supplier billing privileges for DMEPOS suppliers and maintain supplier files in the Provider Enrollment, Certification, and Ownership System (PECOS) database containing information collected through Medicare enrollment applications and internet-based systems. Performance is conducted at Novitas's facility in Mechanicsburg, Pennsylvania, with support from subcontractors including Palmetto GBA, LLC, Qlarant Integrity Solutions LLC, Servicesource Inc., TDY Medical Staffing Inc., and Global Computer Products Inc., providing specialized capabilities in healthcare administration, program integrity, and operational support.
Task orders
| Task order | Ordering agency | Obligated | Awarded |
|---|---|---|---|
| The contractor shall properly issue and/or revoke medicare supplier billing privileges for dmepos suppliers and… | Centers for Medicare and Medicaid Services | $71,096,247 |
Transactions
| Action | Obligated | Date |
|---|---|---|
| Exercise an Option | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Supplemental Agreement for work within scope | $0 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Original award | $10,000 |
Subawards
| Subcontractor | Amount | Awarded |
|---|---|---|
| Servicesource Inc. | $2,432 | |
| TDY Medical Staffing Inc. | $537 | |
| Qlarant Integrity Solutions LLC | $501,492 | |
| TDY Medical Staffing Inc. | $1,746 | |
| TDY Medical Staffing Inc. | $123,713 | |
| Palmetto Gba, LLC | $495,920 | |
| Qlarant Integrity Solutions LLC | $242,273 | |
| TDY Medical Staffing Inc. | $2,071 | |
| Qlarant Integrity Solutions LLC | $242,273 | |
| TDY Medical Staffing Inc. | $167,274 | |
| TDY Medical Staffing Inc. | $2,812 |
Show all 11
Quick answers
Who was awarded contract 75FCMC20D0020?
75FCMC20D0020 was awarded to Novitas Solutions, Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on August 17, 2020.
How much is contract 75FCMC20D0020 worth?
Orders under 75FCMC20D0020 have obligated $71,096,248. Their combined potential value, with all options, is $72,404,096. 75FCMC20D0020's own ceiling is $2,000,000,000.
How many orders have been placed under contract 75FCMC20D0020?
1 order has been placed under 75FCMC20D0020, the latest on August 8, 2022.
Who can order from contract 75FCMC20D0020?
75FCMC20D0020 is a multiple award indefinite delivery contract. Only the awarding agency can place orders on it.
Is contract 75FCMC20D0020 part of a contract vehicle?
Yes. 75FCMC20D0020 is part of Provider Enrollment and Oversight.
Was contract 75FCMC20D0020 competed?
The extent of competition for 75FCMC20D0020 was full and open competition. The government received 41 offers.
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