JM Draft RFP Attachments.zip

This document provides a draft request for proposal for Medicare administrative contractor services in jurisdiction M. 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 support for North Carolina, South Carolina, Virginia, West Virginia, and home health and hospice billings in 16 additional states. Services include claims-related activities, provider relationships, and ensuring financial integrity of the Medicare fee-for-service program in accordance with applicable laws, regulations, and CMS requirements. The contract would have a one-year base period and six one-year options, with an anticipated award date of January 2023. Offerors must submit any questions on the draft RFP in Microsoft Excel format by December 15, 2021 to be considered for the final solicitation planned for release on January 3, 2022, with proposals due around February 1, 2022.