75FCMC23R0013 - DME Medicare Administrative Contractor (MAC) Jurisdiction A (JA) RFP/Solicitation

This solicitation seeks proposals for a Durable Medical Equipment Medicare Administrative Contractor to provide specified health insurance benefit administration services for Jurisdiction A under the traditional Medicare program. The Centers for Medicare and Medicaid Services seeks a contractor to process DME claims, conduct Medicare integrity programs, and support recovery audit contractor operations in 12 states and territories. Proposals will be evaluated based on administrative requirements, technical approach, business costs, and conflicts of interest. The period of performance is an initial 6 month implementation period followed by six 1-year option periods. Final proposal submission date is March 8, 2024.

There is no set-aside designation. The NAICS code is 524292 and PSC code is R499. The incumbent contractor is CGS Administrators, LLC. The contract type will be cost reimbursement with an estimated total value between $500 million to $1 billion over the 7.5 year period of performance. The place of performance is Windsor Mill, Milford Mill, Maryland, where the contractor must process over 1.5 million claims annually and maintain a call center to handle approximately 500,000 inquiries per year.