A/b MAC cycle 2 jurisdictions 8, 9 & 10

Award Notice Posted

Solicitation number
RFP-CMS-2007-0018
Agency
Awarded
to Wisconsin Physicians Service Insurance Corp.
Set-aside
No set-aside

Opportunity facts

Contract number
HHSM-500-2011-M0006Z Federal contract award
NAICS code
524114 Direct Health and Medical Insurance Carriers
PSC
Not on record

Notice details come from SAM.gov. Updated .

Notice text

2 versions

Update #2 · Latest ·

A/B MAC CYCLE 2 JURISDICTIONS 8, 9 & 10

Section 911 of the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) requires the Centers for Medicare and Medicaid Services (CMS) to take the necessary steps between now and 2011 to implement Medicare Contracting Reform (MCR). MCR will bring standard contracting principles to Medicare such as competition and performance incentives. These basic contracting principles, which have been applied to other federal programs under the Federal Acquisition Regulation (FAR), have been missing from the Medicare contracting environment. CMS is required to replace the current contracting authority under Title XVIII of the Social Security Act with the new Medicare Administrative Contractor (MAC) authority. The MACs will perform the work currently being handled by fiscal intermediaries, carriers, regional home health intermediaries and durable medical equipment regional carriers in administering the Medicare fee-for-service program.



CMS anticipates releasing a solicitation for the Part A and Part B Medicare Administrative Contractors (A/B MAC) for Jurisdiction 8 (comprised of the states of Indiana and Michigan), Jurisdiction 9 (comprised of the states of Florida, Puerto Rico and the U.S. Virgin Islands), Jurisdiction 10 (comprised of the states of Alabama, Georgia and Tennessee).



The A/B MAC will provide specified fee-for-service health insurance benefit administration services, including Medicare claims processing and payment services, for most all institutional health care as well as for providers. It is anticipated that this solicitation will result in the award of three stand-alone A/B MAC contracts. These contracts will include a base year and four one-year options. CMS anticipates releasing the solicitation on or about August 30, 2007.





POINT OF CONTACT



Gina Romano, Contract Specialist, Phone (410) 786-8645, Fax (410) 786-9643, Email Gina.Romano@cms.hhs.gov

Melanie Hooker, Contract Specialist, Phone

(410) 786-5461, Fax (410) 786-9643, Email Melanie.Hooker@cms.hhs.gov

Linda Hook, Contracting Officer, Phone (410) 786-8371, Fax (410) 786-9643, Email Linda.Hook@cms.hhs.gov.

Update #1 ·

A/B MAC CYCLE 2 JURISDICTIONS 8, 9 & 10

Section 911 of the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) requires the Centers for Medicare and Medicaid Services (CMS) to take the necessary steps between now and 2011 to implement Medicare Contracting Reform (MCR). MCR will bring standard contracting principles to Medicare such as competition and performance incentives. These basic contracting principles, which have been applied to other federal programs under the Federal Acquisition Regulation (FAR), have been missing from the Medicare contracting environment. CMS is required to replace the current contracting authority under Title XVIII of the Social Security Act with the new Medicare Administrative Contractor (MAC) authority. The MACs will perform the work currently being handled by fiscal intermediaries, carriers, regional home health intermediaries and durable medical equipment regional carriers in administering the Medicare fee-for-service program.



CMS anticipates releasing a solicitation for the Part A and Part B Medicare Administrative Contractors (A/B MAC) for Jurisdiction 8 (comprised of the states of Indiana and Michigan), Jurisdiction 9 (comprised of the states of Florida, Puerto Rico and the U.S. Virgin Islands), Jurisdiction 10 (comprised of the states of Alabama, Georgia and Tennessee).



The A/B MAC will provide specified fee-for-service health insurance benefit administration services, including Medicare claims processing and payment services, for most all institutional health care as well as for providers. It is anticipated that this solicitation will result in the award of seven stand-alone A/B MAC contracts. These contracts will include a base year and four one-year options. CMS anticipates releasing the solicitation on or about August 30, 2007.





POINT OF CONTACT



Gina Romano, Contract Specialist, Phone (410) 786-8645, Fax (410) 786-9643, Email Gina.Romano@cms.hhs.gov

Melanie Hooker, Contract Specialist, Phone

(410) 786-5461, Fax (410) 786-9643, Email Melanie.Hooker@cms.hhs.gov

Linda Hook, Contracting Officer, Phone (410) 786-8371, Fax (410) 786-9643, Email Linda.Hook@cms.hhs.gov.

Files

File Type Posted
1_RFP-CMS-2007-0018_Amendment5.zip ZIP file
Amendment4_0018.ZIP ZIP file
0018Amendment000003.zip ZIP file
RFP-CMS-2007-0018Amendment2.pdf PDF
RFP-CMS-2007-0018Amendment1.doc DOC document
SF33RFP-CMS-2007-0018pdf.pdf PDF
J-11_CLIN0007CostProposalTemplate.xls XLS spreadsheet
J-02_CategoriesOfBenefitsAndProviderTypes.doc DOC document
SF33RFP-CMS-2007-0018.pdf PDF
J-16_NonDisclosureStatement.doc DOC document
J-17_WEDIAcknowledgementRecommendation.pdf PDF
J-10_CLIN0002CostProposalTemplate.xls XLS spreadsheet
J-09_CLIN0001CostProposalTemplate.xls XLS spreadsheet
CycleTwoRFP1rfpcoverletter.doc DOC document
J-14_ProposalChecklist.doc DOC document
J-06_Reserved.doc DOC document
J-07_BillingInstructions.doc DOC document
J-05_SmallBusinessSubcontractingPlan.pdf PDF
J-03_RequirementsForPerformingSAS70Audit.doc DOC document
J-08_CostProposalInstructions.xls XLS spreadsheet
CycleTwoRFP1FINALJ8J9J10.doc DOC document
J-04_ProviderBankruptcyChecklist.doc DOC document
J-12_CLIN0008CostProposalTemplate.xls XLS spreadsheet
J-01_AB_MAC_Statement_of_WorkAppendicesRFP-CMS-2007-0018.doc DOC document
J-13_StaffPlanTemplate.xls XLS spreadsheet
J-01_AB_MAC_Statement_of_WorkRFP-CMS-2007-0018083107.doc DOC document
J-15_DirectionsToCentralOffice.pdf PDF
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