Medicare 2ND level of appeals

Active Awarded Last action

Contract number
HHSM500200400005I
Awardee
Awarding agency
Task orders
29 $734,888,734 obligated

Award facts

Opportunity
  • RFPQIC040001 Solicitation number
Combined order value
  • $740,929,847 Current, with exercised options
  • $998,424,556 Potential, with all options
Last date to order 92% complete
IDV ceiling 73% used
$1,001,565,941.26
Maximum order
$1,000,472,732.00
Award type
Multiple award
Who can order
Only the awarding agency
Set-aside
No set-aside
Competition
Full and Open Competition · 22 offers Negotiated Proposal / Quote
Pricing
Order Dependent (IDV only)
Legislative mandates

Award details come from SAM.gov/FPDS.

About this IDV

Written by GovTribe AI ·

The Centers for Medicare and Medicaid Services awarded an indefinite-delivery contract to C2C Innovative Solutions, Inc. on September 14, 2004, with a ceiling value of $1.001565941 billion and an ultimate completion date of September 13, 2028. This is a multiple-award vehicle with no set-aside designation. C2C Innovative Solutions is a non-profit subsidiary of TMF Health Quality Institute.

The Qualified Independent Contractor (QIC) Program supports Medicare 2nd Level of Appeals and delivers independent review, appeals processing, and healthcare quality improvement services. Place of performance is Jacksonville, Florida.

Recent task order activity issued under this IDIQ includes a $116.5 million Medicare Part C QIC order (awarded March 1, 2026, completion April 30, 2030), a $54 million CHIP and Medicare QIC order (awarded January 1, 2026, completion April 30, 2029), a $56.6 million QIC order (awarded September 18, 2025, completion September 17, 2030), a $27.5 million Part B North QIC order (awarded June 1, 2025, completion December 31, 2029), and a $26 million Part B South QIC order (awarded June 11, 2025, completion December 31, 2029). Earlier awards include a $69.4 million Part A East QIC order nearing completion (awarded September 30, 2021, completion April 30, 2026) and additional orders spanning Part D reconsideration, dispute resolution, and durable medical equipment appeal services awarded between 2006 and 2021. The IDIQ carries 29 task orders totaling approximately $1 billion in combined potential value. Of the total ceiling, $759.8 million has been obligated as of the source date.

Task orders

Task order Ordering agency Obligated Awarded
Medicare part c qualified independent contract (QIC) 75FCMC26F0041 Centers for Medicare and Medicaid Services $24,801,454
The qualified independent contractor (QIC) performs all of the tasks associated with support of the medicare, medicaid… 75FCMC26F0024 Centers for Medicare and Medicaid Services $13,475,358
Qualified independent contractor (QIC) IDIQ contract - C2C innovative solutions 75FCMC25FJ133 Centers for Medicare and Medicaid Services $10,036,937
Part b south qualified independent contractor (QIC) 75FCMC25FJ056 Centers for Medicare and Medicaid Services $11,424,106
Part b north (PBN) qualified independent contractor (QIC) 75FCMC25FJ045 Centers for Medicare and Medicaid Services $12,065,549
Part a east qualified independent contractor (QIC) 75FCMC21F0003 Centers for Medicare and Medicaid Services $46,306,497
Part b south qualified independent contractor (QIC) award 75FCMC21F0002 Centers for Medicare and Medicaid Services $18,034,920
Part b north qualified independent contractor (QIC) 75FCMC21F0001 Centers for Medicare and Medicaid Services $24,295,770
Qualified independent contractor (QIC) part b south appeals 75FCMC20F0003 Centers for Medicare and Medicaid Services $4,185,000
(QIC) part b north jurisdiction 75FCMC20F0002 Centers for Medicare and Medicaid Services $5,695,064
Part d QIC reconsideration program 75FCMC20F0001 Centers for Medicare and Medicaid Services $47,752,928
QIC part b south appeals 75FCMC19F0003 Centers for Medicare and Medicaid Services $5,583,073
QIC part b north appeals 75FCMC19F0001 Centers for Medicare and Medicaid Services $12,884,543
Durable medical equipment qualified independent contractor (DME QIC) HHSM500T0009 Centers for Medicare and Medicaid Services $12,925
Part a - east qualified independent contractor (QIC) HHSM500T0008 Centers for Medicare and Medicaid Services $85,951,864
Qualified independent contractor (QIC) DME demonstration HHSM500T0007 Centers for Medicare and Medicaid Services $33,234,133
Qualified independent contractor (QIC) part a west HHSM500T0006 Centers for Medicare and Medicaid Services $11,501,694
Qualified independent contractor (QIC) part b south HHSM500T0005 Centers for Medicare and Medicaid Services $37,081,234
Qualified independent contractor part b north appeals HHSM500T0004 Centers for Medicare and Medicaid Services $60,782,377
Review of non-contracted provider payment disputes HHSM500T0003 Centers for Medicare and Medicaid Services $3,184,415
Qualified independent contractor durable medical equipment appeals workload HHSM500T0002 Centers for Medicare and Medicaid Services $158,224,966
Medicare 2ND level of appeals - part b north HHSM500T0001 Centers for Medicare and Medicaid Services $24,140,411
Private fee for service independent adjudication review HHSM5000004 Centers for Medicare and Medicaid Services $3,957,739
Program management/support services HHSM5000003 Centers for Medicare and Medicaid Services $4,450,311
QIC part a-west logical follow-on 0003 Centers for Medicare and Medicaid Services $4,199,553
Part b appeals north workload 0002 Centers for Medicare and Medicaid Services $22,930,533
Medicare 2ND level of appeals HHSM5000002 Centers for Medicare and Medicaid Services $23,352,802
Medicare 2ND level of appeals HHSM5000001 Centers for Medicare and Medicaid Services $13,175,201
QIC - east 0001 Centers for Medicare and Medicaid Services $12,167,389
Show all 29

Transactions

Action Obligated Date
Other Administrative Action P00024 $0
Vendor Address Change P00023 · Qualified independent contractor (QIC) IDIQ contract. $0
Supplemental Agreement for work within scope P00022 · EO 14398 - qualified independent contractor (QIC) IDIQ contract - C2C innovative solutions $0
Other Administrative Action P00021 $0
Supplemental Agreement for work within scope P00020 $65,616
Other Administrative Action P00019 $0
Other Administrative Action P00018 $0
Supplemental Agreement for work within scope P00017 $254,500
Other Administrative Action P00016 $0
Exercise an Option P00015 $343,248
Other Administrative Action P00014 $0
Supplemental Agreement for work within scope P00013 $42,088
Exercise an Option P00012 $67,562
Exercise an Option P00011 $0
Additional Work (new agreement, FAR part 6 applies) P00010 $41,742
Other Administrative Action P00009 · Qualified independent contractor (QIC) IDIQ contract - C2C innovative solutions $0
Other Administrative Action P00008 · C2C innovative solutions $0
Other Administrative Action P00007 $0
Other Administrative Action P00006 $0
Additional Work (new agreement, FAR part 6 applies) P00005 $222,866
Supplemental Agreement for work within scope P00004 $40,657
Exercise an Option P00003 $70,728
Other Administrative Action P00002 $0
Supplemental Agreement for work within scope P00001 $160,325
Supplemental Agreement for work within scope 14 · Qualified independent contractor (QIC) IDIQ contract - C2C innovative solutions $287,407
Exercise an Option 13 · IDIQ renewal $0
Other Administrative Action 12 · Update contract clauses $0
Other Administrative Action 11 · Clarify applicability of name change agreement $0
Other Administrative Action 10 · Change-of-name agreement $0
Supplemental Agreement for work within scope 9 $0
Exercise an Option 8 $25,000
Other Administrative Action 7 $0
Exercise an Option 6 $25,000
Novation Agreement 4 · Medicare 2ND level appeals $0
Exercise an Option 3 $25,000
Exercise an Option 2 $0
Exercise an Option 1 $0
Original award $25,000
Show all 38

Quick answers

Who was awarded contract HHSM500200400005I?

HHSM500200400005I was awarded to C2C Innovative Solutions, Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on September 14, 2004.

How much is contract HHSM500200400005I worth?

Orders under HHSM500200400005I have obligated $734,888,734. Their combined current value, with exercised options, is $740,929,847. Their combined potential value, with all options, is $998,424,556. HHSM500200400005I's own ceiling is $1,001,565,941. A single order can be worth up to $1,000,472,732.

How many orders have been placed under contract HHSM500200400005I?

29 orders have been placed under HHSM500200400005I, the latest on March 1, 2026.

Who can order from contract HHSM500200400005I?

HHSM500200400005I is a multiple award indefinite delivery contract. Only the awarding agency can place orders on it.

Is contract HHSM500200400005I part of a contract vehicle?

Yes. HHSM500200400005I is part of Qualified Independent Contractor Program.

Was contract HHSM500200400005I competed?

The extent of competition for HHSM500200400005I was full and open competition. The government received 22 offers.

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