Health Insurance and Medicare Part C and Part D Medical Loss Ratio (MLR) Examinations
Closed Pre-Solicitation Posted
- Solicitation number
- 250300
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 541211 Offices of Certified Public Accountants
- PSC
- Not on record
- Place of performance
- Baltimore, Maryland, United States
- Points of contact
Notice details come from SAM.gov. Updated .
About this opportunity
The Centers for Medicare and Medicaid Services (CMS) has issued a Sources Sought Notice (SSN) for qualified and experienced small business contractors to assist with the continued development and implementation of processes and procedures to evaluate compliance with the Medical Loss Ratio (MLR) requirements for health insurance issuers, Medicare Advantage Organizations, and Part D Plan Sponsors. CMS is seeking contractors with expertise in MLR regulations, data validation and analysis, financial and regulatory reviews, and project management to conduct examinations of MLR data and provide related training and education. Specific capabilities required include knowledge of MLR regulations, experience with financial/regulatory examinations, ability to review and analyze MLR data and reporting, and proficiency in managing large data sets. Responses are due by October 29, 2024 and must be submitted in the specified format. This is a pre-solicitation notice and does not commit CMS to award a contract at this time.
This opportunity is not set-aside for any particular business size or socioeconomic program. The notice does not provide any information about potential incumbent contractors or award values. The services required are related to the NAICS code 541211 - Offices of Certified Public Accountants, which covers accounting, auditing, and examination services.
Notice text
Health Insurance and Medicare Part C and Part D Medical Loss Ratio (MLR) Examinations Sources Sought Notice
Files
| File | Type | Posted |
|---|---|---|
| Sources Sought Notice FY25 - 250300.pdf |
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