Medicare Payment System Modernization (MPSM) Product Strategy Limited-Sources Justification

Awarded Limited / Sole Source Justification Posted

Solicitation number
260670
Agency
Set-aside
No set-aside

Opportunity facts

Contract number
75FCMC19A0009-75FCMC22F0001 Federal contract award
Awardee
Flexion Inc.
NAICS code
Not on record
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 (CMS) issued a Limited-Sources Justification Notice on March 27, 2026, to extend an existing contract for Medicare Payment System Modernization (MPSM) Product Strategy services. The contract, originally awarded to Flexion on September 6, 2022, provides product strategy and product management subject matter expertise, including strategic recommendations to leadership, collaboration on product development initiatives, risk identification and mitigation, backlog prioritization, and product roadmap development to support CMS's transformation of Medicare's claims processing system. CMS justified the limited-source extension under GSAM 538.7104-3(b)(iii) logical follow-on authority, citing the need for continuity of operations and specialized expertise during a critical modernization period, while the agency pursues permanent federal employee hiring to eventually insource the work. The extension is valued at $174,883.10 for a six-month period from March 6, 2026, through September 5, 2026, bringing the total contract value to $1,182,285.40 against the original contract value of $1,178,752.41. This extension will maintain project momentum on essential Medicare payment system infrastructure changes and ensure compliance with statutory deadlines.

Notice text

CMS awarded the Product Strategy Medicare Payment System Modernization (MPSM) BPA call on September 6, 2022, to provide product strategy and product management subject matter expertise and support services to ensure that MPSM teams have the information necessary to make the best product decisions.  CMS is transforming Medicare's claims processing system to meet evolving needs while improving flexibility, efficiency, and sustainability. By balancing modernization efforts with maintenance of current systems, CMS is developing adaptable solutions that will support future business requirements.

The Product Strategy BPA Call provides the following services:  

  1. Strategic recommendations to the Product Steering Committee and leadership in OIT/AMG regarding the MPSM product suite
  2. Collaborates with CMS Product Managers to develop Epics and identify Leading Indicators for Minimum Viable Products.
  3. Identifies potential dependencies, risks and blockers and assists with mitigation strategies. 
  4. Supports prioritization of the Program Backlog. 
  5. Develops and maintains the Product Roadmap with AMG leadership approval
  6. Ensures proper maintenance of the overall product backlog 
  7. Participates in the Scrum of Scrums meetings.
  8. Provides expert product management advice to product managers involved in modernization efforts.

This Limited Source Justification contemplates extending the contract for a period of six (6) months following the end of Option Period 5, using the authority under GSAM 538.7104-3. This 6-month period will enable the continuity of operations without a lapse or disruption given the respective value, expertise, and technical skill set of services provided.

Awarded contract 75FCMC19A0009 to unknown vendor for unknown amount on 2026-02-26.

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