A16 - Sources Sought Medicare RCM.pdf

SOURCES SOUGHT NOTICE

FPSU Medicare Claim Management / Revenue Cycle Management (RCM) Service

This is a Sources Sought notice. This is NOT a solicitation for proposals, proposal abstracts, or quotations. Pursuant to 48 CFR Part 326, Subpart 326.603-3 and IHM 5.5-6, Indian Health Service must use the negotiation authority of the Buy Indian Act, 25 U.S.C. 47, to give preference to Indian Economic Enterprises (IEE) whenever the use of that authority is authorized and practicable.

The Government is seeking to identify Indian Small Business Economic Enterprises (ISBEEs), Indian Economic Enterprises (IEE), and any other category of vendor capable of performing the below Indian Health Services (IHS) requirement. Any vendor responding to this notice should submit their capability statement as well as the Buy Indian Act Indian Economic Enterprise Representation Form (attached).

Consistent with the revised Buy Indian Act, HHS/IHS adopted the definition of an Indian Economic Enterprise (IEE) set forth in 48 CFR 1480.201. This definition includes the following requirement, amongst others: “the Indians or Indian Tribes must, together, receive at least a majority of the earnings from the contract.”

Instructions for submission are outlined further below.

DEFINITIONS

INDIAN ECONOMIC ENTERPRISE (IEE):

Any business activity owned by one or more Indians, Federally Recognized Indian Tribes, or Alaska Native Corporations provided that:

• The combined Indian, Federally Recognized Indian Tribe or Alaska Native Corporation ownership of the enterprise constitutes not less than 51%;

• The Indian, Federal Recognized Indian Tribes, or Alaska Native Corporations must, together, receive at least 51% of the earnings from the contract; and

• The management and daily business operations must be controlled by one or more individuals who are Indians

DESCRIPTION OF REQUIREMENT

NAICS:

518210 - Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services Size

Duration:

Base Year plus four (4) Option Years

INSTRUCTIONS TO INDUSTRY

ISBEEs are highly encouraged to respond to this notice. However, firms must also understand that generic capability statements are not sufficient for effective evaluation of their capacity and capability to perform the work required. To be considered a capable source, responses must directly demonstrate the company’s capability, experience, and ability to provide services as shown below.

Your Response shall include, but not limited to:

• Number of years of experience in providing Medicare Claim Management / Revenue Cycle

Management (RCM) Service

• List of past jobs/contracts of Medicare Claim Management / Revenue Cycle Management

(RCM) Service

• Demonstrate how your company meets the definition for Indian Economic Enterprise (IEE) in consideration to this requirement:

o How, as the prime IEE, will your company receive at least 51% of the earnings from the awarded contract, or together with the subcontractor if the same category, receive a combined 51% of the earnings from the contract o How, as the prime IEE or together with the subcontractor if the same category, will management and daily operations be controlled by one or more individuals who are Indians.

Failure to address these items in your capability statement could exclude your firm from being determined a capable ISBEE source.

If you are interested in this contracting opportunity, please respond by email to:

Nikki.ferguson@ihs.gov by Tuesday, April 14, 2026 @ 2:00 pm.

Submit the capability response as instructed above and include a copy of the Buy Indian Act Indian Economic Enterprise Representation Form. It is recommended to include the sources sought ID in the subject line. Sources Sought ID: 75H70926BOA-39. Responses received to this notice will assist in determining the acquisition strategy of the requirement.

mailto:Vincent.Hansen@ihs.gov.