Amendment 1 - Solicitation 75FCMC26R0022.pdf

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11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBE

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

Section SF 30 Block 14 Continuation Page

The purpose of this amendment is to 1) provide responses to RFP questions, 2) provide an Amended Solicitation - 75FCMC26R0022, 3) provide an amended Attachment 1 - ClaimsCore SOO, 4) provide an Amended Attachment 3 - ClaimsCore Instructions to Offerors, and 5) rename and provide an amended Attachment 6 - Beneficiary Quantities Claims and Unit Pricing.

Summary of Changes

Special Contract Requirements

The following miscellaneous text was changed:

The Medicare claims processing software services being performed by the Contractor are described in the True Up Clause:

Performance Work Statement (PWS) associated with this contract. The beneficiary quantities, claims volume, and their associated unit prices are detailed in Attachment 6 - Beneficiary Quantities Claims and Unit Pricing. Fixed unit prices represent a monthly price per beneficiary or per claim to provide software services for the period of performance associated with CLIN 0004, CLIN 0006, CLIN 0008, CLIN 0010, CLIN 0012, and CLIN 0014.

Once annually, the firm fixed price of must be CLIN 0004, CLIN 0006, CLIN 0008, CLIN 0010, CLIN 0012, and CLIN 0014 prospectively adjusted to reflect changes between actual and estimated quantity of beneficiaries or claim volume expected to be served by the Contractor's software in the forthcoming option period.

In support of this process, the Contractor shall deliver to CMS a report 90 days prior to the end of the current period of performance of CLIN 0002, CLIN 0004, CLIN 0006, CLIN 0008, CLIN 0010, and CLIN 0012. The report must indicate changes between the estimated quantity of beneficiaries or estimated claim volume, as set forth in the Contract Attachment referenced above, and the actual number of beneficiaries or claims processed through the software system during the current period of performance. The actual quantity of beneficiaries or claims volume cited in the report should be based on unique beneficiaries or processed claims per month as tracked in the Contractor's system and verified against CMS records.

The report must then calculate the estimated value of the price adjustment to CLIN 0004, CLIN 0006, CLIN 0008, CLIN 0010, CLIN 0012, and CLIN 0014 in the subsequent option period using the unit rates from the Attachment cited above. The report must include:

A revision to the Attachment formatted in MS Excel Supporting basis of estimate for projected beneficiary or claims volumes Historical beneficiary or claim volume trends from the current period Any anticipated changes in beneficiary population or claim volume that may impact pricing

Following review of the report, the Contracting Officer may then adjust the price of CLIN 0004, CLIN 0006, CLIN 0008, CLIN 0010, CLIN 0012, and CLIN 0014 for the subsequent option period via unilateral modification to the contract. All adjustments will be prospective in nature; retrospective adjustments for differences between estimated and actual beneficiary quantities or claims volume will not be considered under this clause. will not be subject to an adjustment under this clause; the CLIN 0002 first CLIN subject to adjustment will be .CLIN 0004

(End of Section)

Contract Clauses

The following clauses were removed:

Number Title Effective Date

75FCMC26R00220001

52.204-15 RFO Service Contract Reporting Requirements for Indefinite- Delivery Contracts.

RFO DEVIATION NOV

(End of Section)

List of Attachments

The following attachments were added:

Number Attachment Name Attachment Description Reference Number

Date

07 Amendment 1 - Attachment 1 ClaimsCore SOO

Other Description 09 MAR 2026

08 Amendment 1 - Attachment 3 ClaimsCore Instructions to Offerors

Other Description Amendment 1

- Attachment 3 ClaimsCore Instructions to Offerors

09 MAR 2026

09 Amendment 1 - Attachment 6 Beneficiary Quantities Claims and Unit Pricing

Other Description Amendment 1

- Attachment 6 Beneficiary Quantities Claims and Unit Pricing

09 MAR 2026

10 ClaimsCore Consolidated Q&A

Other Description ClaimsCore Consolidated Q&A

09 MAR 2026

(End of Section)

Evaluation Factors for Award

The following clauses were removed:

Number Title Effective Date

52.217-5 RFO Evaluation of Options. RFO DEVIATION NOV

(End of Section)

75FCMC26R00220001

CMS - OAGM

7500 SECURITY BOULEVARD, MS: B3-30-03

BALTIMORE, MD 21244-1850

Candace Straker, Contracting Officer, Telephone: 4107868174 Email: candace.straker@cms.hhs.gov Lauren Holsey, Contract Specialist, Email: lauren.holsey@cms.hhs.gov

Email: candace.straker@cms.hhs.gov Telephone: 4107868174