R002515.pdf

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Attached to
Centers for Medicare & Medicaid Services (CMS) Medicare Section 111 Reporting Services
Solicitation number
260493
Issued by
Orange County, California

About this file

This is a Purchase Requisition document from the Orange County Transportation Authority (OCTA) for Centers for Medicare & Medicaid Services (CMS) Medicare Section 111 liability reporting agent services. The OCTA is procuring a three-year firm-fixed-price contract with an option to extend, with the primary objective of integrating a CMS Medicare Section 111 liability reporting agent with Origami Risk to ensure compliance of liability claims by January 1, 2027. The requisition was requested by Yamille Welch on July 15, 2026, and entered into the system on July 20, 2026, with authorization provided by Kimberly Cole on July 17, 2026.

The total contract value is $36,000.00 for the three-year initial term. The purchase requisition identifies this as a single line item (Item 0001) for one software support service unit. The requisition is part of Fiscal Year 26-27 budget planning for 2027 and is designated as warehouse software support required. The project manager assigned is identified in the document, and the requisition was processed under Purchase Requisition number R002515 with authorization code V99999.

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Text version

Is Dept Involved

Budget Year Fiscal Year Encumbered Grant Funded

Warehouse

SOFTWARE SUPPORT REQUIRED

Fiscal Year 26-27 Y Fiscal Year 26-27

Yamille WelchR002515 RM 07/15/2026YAMILLE WELCH $36,000.00Kimberly Cole 07/17/2026

***** PURCHASE REQUISITION REPRINT *****

OCTA PRD

Run On: 2026/07/20 PR8001Report:

Rhea AninzoRun. By: 1Page:

- - - - - -- - - - - - - - - - - - - - Authorized - - - - - - - - - - - - - -- - - - - -

TBD

Auth. By

V99999 Supplier:

Auth. ValueAuth.Date

Purchasing Question

FOB

Purchasing Instructions

Project Manager Date ReqdDate EnteredSec CdRequested ByReq No

Actual PriceOrder NoDescriptionItem UOM Estimated PriceQty

$36,000.000001 EA OCTA is procuring a three-year firm-fixed-price (with option to1 36,000.00 extend contract) CMSMedicareSection111 liability reporting agent to integrate with Origami Risk for compliance of liability claims by

1/1/27.

%100.000040 7561 A0017 CKW

PR8001Jul 20,2026 R002515 Report:

Run. By: Rhea Aninzo Req No Page: 1

Run On:

File details come from the government source that posted it. Updated .