Federal Supply Schedule Limited Sources Justification Medicare Appeals System

Awarded Limited / Sole Source Justification Posted

Solicitation number
251363J
Agency
Set-aside
No set-aside

Opportunity facts

Contract number
GS-35F-281DA-75FCMC25JF100
Place of performance
Virginia 22033, United States

Notice details come from SAM.gov. Updated .

About this opportunity

The Centers for Medicare and Medicaid Services has issued a Limited Sources Justification for a sole source follow-on contract modification to CGI Federal, Inc. for continued development and maintenance of the Medicare Appeals System (MAS). The one-year extension for Fiscal Year 2025 allows CGI to complete critical system integration changes necessary to handle a six-fold increase in workload, including processing "big box" appeals containing multiple claims, redesigned file management systems, batch services, and enhanced web service interfaces. The justification cites economy and efficiency as the rationale for bypassing fair opportunity procedures, noting that CGI has been working on this system since 2005 and possesses the specialized knowledge required for the complex architectural modifications. While the specific contract value is redacted in the documentation, this Time and Materials contract enables standardization of Level 1 appeals processing across all Medicare appeal types and creation of a central repository for Level 1-3 appeals data. CMS plans to conduct a competitive acquisition following this extension period, with the goal of establishing a mature system environment that will support increased competition among qualified vendors in future procurements.

Notice text

FEDERAL SUPPLY SCHEDULE LIMITED SOURCES JUSTIFICATION

In accordance with FAR 8.4 posting a  limited sources justification for an exception to fair opportunity for a sole source follow on order needed in the interest of economy and efficiency.  

Awarded contract GS-35F-281DA to unknown vendor for unknown amount on 2025-09-08.

Files

File Type Posted
MAS LSJ 07162025 Final Approved Signed_Redacted.pdf PDF

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