AB MAC Jurisdiction 15 Draft RFP 75FCMC22R0013 Attachments.zip

This document provides details regarding a draft Request for Proposal for Medicare Administrative Contractor services in Jurisdiction 15. The Centers for Medicare and Medicaid Services intends to award a contract to provide specified health insurance benefit administration services including Medicare claims processing and payment for Colorado, Delaware, District of Columbia, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia and Wyoming. The contractor shall perform numerous functions to support healthcare services for Medicare beneficiaries, which include performing claims-related activities and establishing relationships with providers. The resulting contract is anticipated to include a base year plus six one-year options periods. Offerors are invited to submit questions on the draft RFP by June 10th in order to inform the final solicitation planned for release on July 14th, with proposals due on August 15th and award anticipated for June 2023. The NAICS code for this procurement is 524114 with a small business size standard of $41.5 million.