Contractor for No Surprise Act Technical Support/Implementing the Consolidated Appropriations Act

Closed Solicitation Posted

Solicitation number
CCIIO-393-2024-0155
Agency
Centers for Medicare and Medicaid Services Department of Health and Human Services
Responses due
Set-aside
No set-aside

Opportunity facts

NAICS code
518 Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
PSC
R408 Support- Professional: Program Management/Support
Place of performance
Windsor Mill, Maryland 21244, United States
Points of contact

Notice details come from SAM.gov. Updated .

About this opportunity

The Centers for Medicare and Medicaid Services (CMS) intends to award a sole source purchase order to Fair Health, Inc. to provide technical support and access to a reference database required to conduct Qualifying Payment Amount (QPA) audits under the No Surprises Act. CMS requires a contractor with extensive expertise and knowledge to implement these statutory requirements by the mandated deadlines. The contractor must provide access to a reference file database containing median in-network allowed amounts for various healthcare services at different geographic levels, as well as technical support to CMS in accessing the database. Interested parties must submit technical literature, terms and conditions, and a price quote within 5 days to be considered for the contract, which has a one-year base period from 06/01/2024 to 05/31/2025 and two one-year option periods.

This opportunity is not set-aside and is intended to be a sole source award to Fair Health, Inc. due to their specialized expertise. The contract value and budget range are not specified. The place of performance is Windsor Mill, Milford Mill, MD 21244, USA.

Notice text

INTENT TO AWARD SOLE SOURCE: The Centers for Medicare and Medicaid Services (CMS) intends to negotiate and award a sole source purchase order to Fair Health, Inc., 800 Third Avenue, Suite 900, New York, New York  10022 to fulfill CMS’s statutory responsibilities under the No Surprise Act to conduct Qualifying Payment Amount (QPA) Audits. In order to fulfill CMS’s statutory responsibilities under the No Surprise Act to conduct QPA Audits, CMS requires the support of a contractor with the required expertise and extensive knowledge needed to implement these provisions by the mandated deadlines. The contractor shall provide these services for the following period of performance: 06/01/2024 – 05/31/2025 for the Base Year, the period 06/01/2025 – 05/31/2026 for Option Year One, and 06/01/2026 – 05/31/2027 for Option Year Two.  Detail information has been provided in the attached Statement of Work. The sole source award will be made under the authority of 41 U.S.C. 235 ( C ) ( 1 ) as implemented by FAR6.302-1, Only One Responsible Source and No Other Supplies and Services Will Satisfy Agency Requirements.  A justification and approval is currently being processed for this requirement.

CMS REQUIREMENTS: The purpose of this requirement is to acquire the services of a contractor that maintains a No Surprise Act Reference File that will allow CMS to review the data that plans and issuers are using to ensure that they are following the QPA methodology requirements outlined in 45 CFR 149.140 so we are able to fulfill our statutory obligation.     

NAICS CODES: The North American Industry Classification System (NAICS) is 518210 ( Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services ).

INTERESTED PARTIES: All responsible sources may submit a capability statement, proposal, or quotation which shall be considered by the agency. In order to qualify as a potential contractor for this procurement, the organization must provide valid, reliable and standardized health care performance measures to support and advance public accountability, quality improvement efforts, increased patient safety, and value based purchasing. The organization must be able to serve as a national dissemination and implementation conference for health disparities researchers. To be considered, interested vendors must submit technical literature describing their capability to effectively satisfy this requirement, as well as terms and conditions and a complete price quote within 5 days of this notice, to the following electronic mail address: phillip.harrell@cms.hhs.gov.

DISCLAIMER: This notice is not a Request for Proposals or a Solicitation, nor does it restrict the Government as to the ultimate acquisition approach.  This notice is not a commitment from the Government. The Government will not reimburse any bid or proposal costs as a result of this notice.  No solicitation exists and requests for a copy of the solicitation will be disregarded.  However, any future solicitation that will be open to competition will be subsequently issued on beta.sam.gov in order to permit firms to respond.

Attachments

Files attached to this notice, newest first
File Type Posted
CCIIO-393-2024-0155 Statement of Work FH 040224.docx DOCX document

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