Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Final Solicitation
Closed Solicitation Posted
- Solicitation number
- 75FCMC27R0001FinalSolicitation
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 524114 Direct Health and Medical Insurance Carriers
- Place of performance
- United States
Notice details come from SAM.gov. Updated .
About this opportunity
The Centers for Medicare and Medicaid Services seeks a Part A/Part B Medicare Administrative Contractor to provide health insurance benefit administration services, including claims processing and payment for the traditional Medicare program in Jurisdiction 8, with proposals due November 2, 2026. No set-aside is used.
Jurisdiction 8 covers Indiana and Michigan, with place of performance across the United States. The NAICS code is 524114, Direct Health and Medical Insurance Carriers; PSC is G007, Social- Government Health Insurance Programs.
Offerors must meet dual small business subcontracting goals: a minimum of 5% of total contract value subcontracted to small businesses, and a minimum of 25% of all planned subcontracting dollars directed to small businesses. The 25% small business goal includes subset targets of 3% for HUBZone small businesses, with additional goals for Small Disadvantaged Businesses, Women-owned small businesses, and Service-Disabled Veteran Owned Small Businesses. CMS clarified on October 6, 2026 that compliance will be evaluated based on solicitation requirements and the subcontracting plan narrative; system limitations within the Health and Human Services Small Business Customer Experience portal will not prevent evaluation if offerors contact the Contracting Officer (Mark Smolenski) or Contract Specialist (Alyssa Jones) immediately upon encountering technical issues. No changes to solicitation documents resulted from the October 6 questions and answers.
Notice text
2 versions
Update #2 · Latest ·
The purpose of this contract is to obtain a Part A/Part B (A/B) Medicare Administrative Contractor (hereinafter referred to as “the contractor” or “MAC” or “A/B MAC”) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the “traditional” Medicare program (also known as the Medicare fee-for-service or FFS, program) for Jurisdiction 8. Jurisdiction 8 includes the states of Indiana and Michigan.
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10/6/2026 - Questions and Answers:
Please see the attachment that contains three questions (and responses) on the J8 MAC solicitation concerning small business subcontracting goals and the Health and Human Services (HHS) Small Business Customer Experience (SBCX) portal.
There are no changes to any of the solicitation documents as a result of these questions.
Update #1 ·
The purpose of this contract is to obtain a Part A/Part B (A/B) Medicare Administrative Contractor (hereinafter referred to as “the contractor” or “MAC” or “A/B MAC”) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the “traditional” Medicare program (also known as the Medicare fee-for-service or FFS, program) for Jurisdiction 8. Jurisdiction 8 includes the states of Indiana and Michigan.
Files
| File | Type | Posted |
|---|---|---|
| J.29 RFP Questions 10-6-26.xlsx | XLSX spreadsheet | |
| J8 MAC Solicitation 75FCMC27R0001 - all documents.zip | ZIP file |
Notice history
| Notice | Type | Posted |
|---|---|---|
| This notice | Solicitation | |
| Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Synopsis/Draft RFP / Presolicitation | Pre-Solicitation |
Similar open opportunities
| Opportunity | Agency | Set-aside | Responses due |
|---|---|---|---|
| Request for Information - CMS' Qualified Independent Contractor (QIC) Program | Centers for Medicare and Medicaid Services | No set-aside |
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