1.5.1-JA Urgent and Compelling_Claims_Redacted.pdf

This is a Justification for Other Than Full and Open Competition document from U.S. Immigration and Customs Enforcement (ICE) for medical claims processing services. The document details an urgent procurement need after the Veterans Administration Financial Services Center (VAFSC) abruptly terminated its Service Level Agreement with ICE on October 3, 2025, which compromised ICE's ability to process medical claims for illegal aliens (IAs) in detention facilities.

ICE is seeking a 12-month letter contract with Acentra Health, LLC to provide a management system for claims processing, third-party administrator support, and medical claims handling for approximately 300,000 annual claims. The procurement is being pursued as an unusual and compelling urgency under FAR 6.103-2(b), with the goal of quickly restoring medical claims support to prevent disruptions in healthcare for IAs in custody. The contract will enable ICE to continue medical services, finalize a strategic vision for claims processing, and transition to a competitive procurement within the 12-month period.