J8 RFP Attachments_Draft RFP.zip

This is a Pre-Solicitation Notice and Draft RFP for a Medicare Administrative Contractor (MAC) Jurisdiction 8 contract. The Centers for Medicare & Medicaid Services (CMS) is seeking a contractor to provide health insurance benefit administration services for Medicare Fee-For-Service (FFS) beneficiaries in Jurisdiction 8, which encompasses Indiana and Michigan. The contractor will perform claims processing and payment services, manage claims-related activities, and establish relationships with both institutional and professional Medicare service providers for inpatient (Part A) and outpatient (Part B) services. The contractor must ensure financial integrity of the Medicare FFS program while performing all requirements in accordance with applicable laws, regulations, Medicare manuals, and CMS requirements.

CMS is conducting a full and open procurement under FAR Part 15 (Contracting by Negotiation), with award to be made using the FAR 15.103-1 Trade-off approach to select the offeror providing the best overall value to the Government. This is currently in the pre-solicitation phase, with CMS releasing a draft RFP to allow potential offerors to review requirements and submit questions prior to the final solicitation issuance. The Solicitation Number is 75FCMC27R0001, and the contracting officer will evaluate proposals based on a balance of technical merit and cost considerations rather than price alone.