ClaimsCore Enterprise Program Management Office (ePMO) Support
Awarded Limited / Sole Source Justification Posted
- Solicitation number
- 270134
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Set-aside
- No set-aside
Opportunity facts
- Forecast
- Cloud Enablement Support Federal forecast
- Contract number
- 75FCMC26C0028 Federal contract award
- NAICS code
- 541519 Other Computer Related Services
- Place of performance
- Windsor Mill, Maryland 21244, United States
Notice details come from SAM.gov. Updated .
About this opportunity
The Centers for Medicare and Medicaid Services has awarded a sole-source contract to TEGRIA SERVICES GROUP - US INC for ClaimsCore Enterprise Program Management Office support services, with a total projected cost of $7.246 million under FAR 6.103-1.
CMS determined that Tegria is the only capable source based on its unmatched concentration of former TriZetto/Cognizant senior leaders with deep Facets platform expertise, C-suite level vendor executive availability, dual-platform technical capability, and integrated team structure. The ClaimsCore initiative is a large-scale modernization effort to replace Medicare Fee-for-Service legacy Shared Systems and the Common Working File with a secure, near-real-time Commercial Off-the-Shelf platform. Tegria will deliver integrated, vendor-neutral, and evidence-based support services including Technical PMO Leadership, Executive Advisory services, Enterprise Architecture guidance, Dual-Platform Support for Balanced Facets and HealthEdge, and Integration & Readiness services.
The contract is Firm-Fixed Price with a 12-month base period (September 1, 2026 – August 31, 2027), a 3-month option period (September 1 – November 28, 2027), and a 12-month option period (November 29, 2027 – November 28, 2028), totaling 27 months. Place of performance is Madison, Wisconsin. This justification was posted September 16, 2026, and CMS will publish the J&A on SAM.gov with a minimum 14-day public comment period to allow other responsible sources to submit capability statements for consideration.
Notice text
This justification for limited sources is being made publicly available in accordance with RFO FAR 6.301, Availability of the Justification, which requires agencies to post justifications required under FAR 6.104 (per 10 U.S.C. 3204(f) and 41 U.S.C. 3304(f)) at the Government Point of Entry for a minimum of 30 days.
CMS requires enterprise program management office (ePMO) support services for the ClaimsCore initiative, a large-scale modernization effort to replace Medicare Fee-for-Service (FFS) legacy Shared Systems and the Common Working File (CWF) with a secure, near-real-time, Commercial Off-the-Shelf (COTS) platform.
This is not an active opportunity and is instead a required posted of an approved LSJ after task order award.
Awarded contract 75FCMC26C0028 to unknown vendor for unknown amount on 2026-09-15.
Files
| File | Type | Posted |
|---|---|---|
| ClaimsCore ePMO LSJ Redacted.pdf |
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