The Centers for Medicare and Medicaid Services (CMS), a civilian federal agency, has awarded a series of Indefinite Delivery Contract (IDC) delivery orders and task orders to Maximus Federal Services, Inc., a subsidiary of Maximus Inc., under the Qualified Independent Contractor (QIC) Program master IDIQ contract. The total contract ceiling value across these awards is approximately $1.5 billion. The contracts are for Maximus to provide a range of administrative, operational, and technical services to support CMS's administration of the Medicare program, including independent review of coverage determinations and payment decisions, contact center operations, and quality assurance. Many of the individual task orders have multi-year periods of performance, with the most recent award dated April 2023. No set-aside designations were used for these contracts. Maximus Federal Services has a demonstrated track record of delivering large-scale, complex services to various federal agencies, including the Internal Revenue Service, Department of Veterans Affairs, and Federal Emergency Management Agency.
The QIC Program supports the second level of appeals for Medicare Part A, Part B, Part C, and Part D claims. Through these IDC awards, Maximus Federal Services will provide independent reviews of Medicare coverage and payment determinations, as well as contact center and quality assurance services to adjudicate appeals brought by healthcare providers, suppliers, and beneficiaries. The task orders span a variety of Medicare services, including durable medical equipment, pre-discharge evaluations, and international examinations, with the work primarily performed in locations in Virginia.
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