HITECH Medicaid EHR Incentive Program Evaluation

The Centers for Medicare and Medicaid Services established the HITECH Medicaid EHR Incentive Program Evaluation Master IDIQ on September 27, 2010, with a shared ceiling of $200 million, but ordering closed on September 26, 2015—more than ten years ago. This vehicle is no longer active and cannot support new pursuit activity.

The vehicle supported CMS evaluation of state implementation of the Medicaid electronic health record incentive program authorized under the Health Information Technology for Economic and Clinical Health Act of 2009. Awarded task orders funded policy analysis, technical assistance, data analytics, evaluation and reporting, learning collaboratives, and infrastructure development across Medicaid and related programs including the Medicare-Medicaid dual-eligible demonstration, health home plan option, home and community-based services, and state health coverage design. Awards mixed Cost Plus Fixed Fee, Firm Fixed Price, Cost Plus Award Fee, and Time and Materials pricing.

All 85 task orders issued under the vehicle carried no set-aside designation. The vehicle served a single customer: CMS itself. Mathematica Inc. led the competitive field with 23 orders totaling $174.2 million in combined potential value, followed by National Opinion Research Center with 16 orders ($113.2 million) and Research Triangle Institute with 13 orders ($114.7 million). These three firms and The Lewin Group and IBM together held 88% of combined potential value across nine distinct primes. Ordering activity peaked in 2014 with 24 awards, then fell sharply to only three awards in 2015 before closure.

The combined potential value across all 85 task orders reached $636.5 million, with $569.7 million obligated (90% of the potential). Task-order values ranged widely—from small initial pilot awards under $5,000 to substantial multi-year efforts with ceilings exceeding $45 million. The largest single award was delivery order HHSM500201100001I-HHSM500T0007 to an unspecified prime, with $45.3 million potential value and $31.1 million obligated through September 2018. Most task orders completed between 2013 and 2019, though the vehicle remained open for administrative closeout activity into the early 2020s.

The American Recovery and Reinvestment Act of 2009 (Recovery Act), provides opportunities to improve the nation's health care through health information technology (HIT) by promoting the meaningful use of electronic health records (EHR) via incentives. The HIT provisions of the Recovery Act are found primarily in the Health Information Technology for Economic and Clinical Health Act or the HITECH Act. This Master IDIQ supported the HITECH team in its efforts to evaluate how States were implementing the Medicaid EHR Incentive Program in CY 2011.