Medicare 2ND level of appeals

Active Awarded Last action

Contract number
HHSM500200400007I
Awardee
Awarding agency
Task orders
26 $900,753,416 obligated

Award facts

Opportunity
  • RFPQIC04001 Solicitation number
Combined order value
  • $901,725,403 Current, with exercised options
  • $1,026,032,459 Potential, with all options
Last date to order 92% complete
IDV ceiling 60% used
$1,500,045,000.00
Maximum order
$1,000,000,000.00
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 Maximus Federal Services, Inc. with a $1.5 billion ceiling on September 14, 2004, under the Qualified Independent Contractor Program, a multiple-award vehicle with no set-aside, for Medicare second-level appeals and independent contractor services.

Work is performed at multiple locations, including Reston, Virginia; Herndon, Virginia; Falls Church, Virginia; and Pittsford, New York. The contract period of performance extends through September 13, 2028.

The QIC Program engages independent contractors to support the administration and oversight of Medicare and Medicaid programs, including Part A, Part C, Part D, and durable medical equipment appeals review and reconsideration services. Task orders under this IDIQ cover medical peer review, appeals adjudication, and eligibility determination across multiple Medicare parts and geographic jurisdictions.

Recent delivery orders issued under this IDIQ include a $33.4 million logical follow-on task order for Part A West qualified independent contractor services awarded January 1, 2026, with completion by April 30, 2029, performed in Reston, Virginia; a $40.6 million order for durable medical equipment qualified independent contractor services issued April 26, 2023, through December 31, 2027, performed in Falls Church, Virginia; and a $108.4 million order for Part C qualified independent contractor services awarded April 13, 2022, through July 31, 2026, performed in Reston, Virginia. Historic task orders spanning 2005 through 2021 demonstrate sustained engagement across all major Medicare parts and geographic regions, with pricing structures including firm fixed price and cost-plus-fixed-fee arrangements.

Task orders

Task order Ordering agency Obligated Awarded
Part a west qualified independent contractor logical follow-on task order award. 75FCMC26F0021 Centers for Medicare and Medicaid Services $10,312,077
Durable medical equipment (DME) qualified independent contractor (QIC) 75FCMC23F0001 Centers for Medicare and Medicaid Services $28,342,609
Part c qualified independent contractor (QIC) award 75FCMC22F0001 Centers for Medicare and Medicaid Services $108,406,090
Part a west qualified independent contractor (QIC) award 75FCMC21F0002 Centers for Medicare and Medicaid Services $31,932,667
Qualified independent contractor (QIC) part a west appeals 75FCMC21F0001 Centers for Medicare and Medicaid Services $10,030,893
Durable medical equipment qualified independent contractor (DME QIC) 75FCMC18F0001 Centers for Medicare and Medicaid Services $30,821,038
Provide qualified independent contractor part c appeals services. HHSM500T0012 Centers for Medicare and Medicaid Services $56,650,816
Provide qualified independent contractor part a west appeals services. HHSM500T0011 Centers for Medicare and Medicaid Services $35,139,696
Medicare part c qualified independent contractor (QIC) task order HHSM500T0010 Centers for Medicare and Medicaid Services $15,469,250
Qualified independent contractors - part d QIC HHSM500T0009 Centers for Medicare and Medicaid Services $50,969,792
Qualified independent contractor part a east jurisdiction HHSM500T0008 Centers for Medicare and Medicaid Services $158,646,569
Qualified independent contractor part a west reconsiderations HHSM500T0007 Centers for Medicare and Medicaid Services $67,823,319
Qualified independent contractors (QIC) part c jurisdiction HHSM500T0006 Centers for Medicare and Medicaid Services $48,680,744
Medicare 2ND level appeals HHSM500T0005 Centers for Medicare and Medicaid Services $49,541,513
Medicare 2ND level of appeals HHSM500TO0004 Centers for Medicare and Medicaid Services $11,065,450
Medicare 2ND level of appeals HHSM500T0004 Centers for Medicare and Medicaid Services $25,107,948
Medicare part a east 2ND level appeals HHSM500T0003 Centers for Medicare and Medicaid Services $33,559,673
Medicare 2ND level of appeals HHSM500T0002 Centers for Medicare and Medicaid Services $9,990,883
Medicare 2ND level of appeals HHSM500T0001 Centers for Medicare and Medicaid Services $14,338,250
Part d appeals data analysis HHSM5000007 Centers for Medicare and Medicaid Services $55,413
Qualified independent contractor part a west HHSM5000006 Centers for Medicare and Medicaid Services $13,980,816
Medicare 2ND level of appeals HHSM5000005 Centers for Medicare and Medicaid Services $19,436,709
Medicare 2ND level of appeals HHSM5000004 Centers for Medicare and Medicaid Services $23,608,971
Medicare 2ND level of appeals HHSM5000002 Centers for Medicare and Medicaid Services $14,789,247
Medicare 2ND level of appeals HHSM5000003 Centers for Medicare and Medicaid Services $13,545,429
Medicare 2ND level of appeals HHSM5000001 Centers for Medicare and Medicaid Services $18,507,550
Show all 26

Transactions

Action Obligated Date
Other Administrative Action P00016 · EO 14398 $0
Other Administrative Action P00015 $0
Other Administrative Action P00014 $0
Other Administrative Action P00013 $0
Other Administrative Action P00012 $0
Other Administrative Action P00011 $0
Other Administrative Action P00010 $0
Other Administrative Action P00009 $0
Other Administrative Action P00008 $0
Other Administrative Action P00007 $0
Other Administrative Action P00006 $0
Other Administrative Action P00005 $0
Other Administrative Action P00004 $0
Other Administrative Action P00003 $0
Exercise an Option P00002 $0
Other Administrative Action P00001 $0
Additional Work (new agreement, FAR part 6 applies) 14 · Qualified independent contractor program $20,000
Exercise an Option 13 · QIC IDIQ renewal $0
Other Administrative Action 12 · Qualified independent contractor $0
Supplemental Agreement for work within scope 11 $0
Exercise an Option 10 · QIC IDIQ renewal $25,000
Other Administrative Action 9 $0
Other Administrative Action 8 $0
Exercise an Option 7 $25,000
Other Administrative Action 6 $0
Other Administrative Action 5 $0
Exercise an Option 3 $25,000
Exercise an Option 2 $0
Exercise an Option 1 $0
Original award $25,000
Show all 30

Subawards

Subcontractor Amount Awarded
The Layer 8 Group, Inc. PART C QUALIFIED INDEPENDENT CONTRACTOR (QIC) AWARD Hosts websites for customer $1,829,234

Quick answers

Who was awarded contract HHSM500200400007I?

HHSM500200400007I was awarded to Maximus Federal Services, Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on September 14, 2004.

How much is contract HHSM500200400007I worth?

Orders under HHSM500200400007I have obligated $900,753,416. Their combined current value, with exercised options, is $901,725,403. Their combined potential value, with all options, is $1,026,032,459. HHSM500200400007I's own ceiling is $1,500,045,000. A single order can be worth up to $1,000,000,000.

How many orders have been placed under contract HHSM500200400007I?

26 orders have been placed under HHSM500200400007I, the latest on January 1, 2026.

Who can order from contract HHSM500200400007I?

HHSM500200400007I is a multiple award indefinite delivery contract. Only the awarding agency can place orders on it.

Is contract HHSM500200400007I part of a contract vehicle?

Yes. HHSM500200400007I is part of Qualified Independent Contractor Program.

Was contract HHSM500200400007I competed?

The extent of competition for HHSM500200400007I was full and open competition. The government received 22 offers.

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