75FCMC23R0013 - DME Medicare Administrative Contractor (MAC) Jurisdiction A (JA) Synopsis/RFP/Solicitation
Award Notice Posted
- Solicitation number
- 75FCMC23R0013
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Awarded
- to Noridian Healthcare Solutions, LLC
- Set-aside
- No set-aside
Opportunity facts
- Contract number
- 75FCMC25C0003 Federal contract award
- NAICS code
- 524114 Direct Health and Medical Insurance Carriers
- Place of performance
- United States
Notice details come from SAM.gov. Updated .
About this opportunity
The Department of Health and Human Services Centers for Medicare and Medicaid Services has awarded a contract (ID: 75FCMC23R0013) to NORIDIAN HEALTHCARE SOLUTIONS, LLC for Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) services in Jurisdiction A. The contract, valued at $141,642,963, covers Medicare claims processing and payment services for the traditional Medicare fee-for-service program across 12 states and territories including Connecticut, New York, Pennsylvania, and others. This competitive procurement will provide health insurance benefit administration services, with the contract type accommodating ongoing changes in Medicare program requirements. The award was made on February 5, 2025, for administrative services supporting the Medicare program in the specified jurisdiction.
Notice text
2 versions
Update #2 · Latest ·
This award is the result of a competitive procurement. The contract type is not fixed price because of the ongoing changes in the Medicare program requirements directed by mandatory legislation and because resulting performance uncertainties in many functional areas are such that reasonable estimates of their cost impact cannot be made.
The purpose of this contract is to obtain a Durable Medical Equipment (DME) Medicare Administrative Contractor (hereinafter referred to as “the contractor” or “MAC” or “DME MAC”) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the “traditional” Medicare program (also known as the Medicare fee-for-service or FFS, program) for Jurisdiction A (JA). JA encompasses the states and territories of Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont.
Awarded contract 75FCMC25C0003 to NORIDIAN HEALTHCARE SOLUTIONS, LLC for 141642963.00 on 2025-02-05.
Update #1 ·
This award is the result of a competitive procurement. The contract type is not fixed price because of the ongoing changes in the Medicare program requirements directed by mandatory legislation and because resulting performance uncertainties in many functional areas are such that reasonable estimates of their cost impact can be made.
The purpose of this contract is to obtain a Durable Medical Equipment (DME) Medicare Administrative Contractor (hereinafter referred to as “the contractor” or “MAC” or “DME MAC”) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the “traditional” Medicare program (also known as the Medicare fee-for-service or FFS, program) for Jurisdiction A (JA). JA encompasses the states and territories of Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont.
Awarded contract 75FCMC25C0003 to NORIDIAN HEALTHCARE SOLUTIONS, LLC for 141642963.00 on 2025-02-05.
Notice history
| Notice | Type | Posted |
|---|---|---|
| This notice | Award Notice | |
| 75FCMC23R0013 - DME Medicare Administrative Contractor (MAC) Jurisdiction A (JA) RFP/Solicitation | Solicitation | |
| 75FCMC23R0013 - DME Medicare Administrative Contractor (MAC) Jurisdiction A (JA) Synopsis/Draft RFP - Pre-solicitation | Pre-Solicitation |
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