National Correct Coding Initiative (NCCI)

The purpose of solicitation amendment 0001 is to provide responses to relevant questions received and to incorporate the following changes throughout the Solicitation:

1. Correct the Period of Performance start date in F.2. to February 3, 2023;

2. Updated the text in L.6 (4)(B) to include a maximum of three overall past performance submissions for the Prime;

3. Remove the reference to “All” from L.6 (4)(b)(1 & 2);

3. Updated the text in L.6 (4)(B) to include no more than three (Prime)/ two (Significant Subcontractor) Past Performance Questionnaire (PPQ); and

4. Incorporate an updated Exhibit E.2, which includes responses to relevant questions received.

Please note this Solicitation is subject to the availability of funds. All other terms and conditions remain unchanged.

The Centers for Medicare and Medicaid Services (CMS) is seeking eligible 8(a) small business offerors having the ability for providing National Correct Coding Initiative (NCCI) program services to assist CMS in promoting program integrity (PI) and compliance through guidance, edits, and other methodologies that reduce improper payments in the Medicare and Medicaid program. The contract shall focus on the maintenance and further expansion all of the NCCI correct coding edits and other methodologies to ensure that consistent coding and adjudication of Medicare and Medicaid claims lead to consistent payments to providers in accordance with the payment policies of those programs; and enabling CMS and states to meet the Medicaid program requirements as outlined in section 6507 of the Patient Protection and Affordable Care Act (PPACA). Additionally, the contract will provide for the maintenance of associated manuals and references, maintenance of edit files, and the continuation of the ongoing activities necessary to the successful administration of the NCCI program.  CMS anticipates award of a firm fixed price type contract for a one-year Base Period, three, one-year Option Periods, one, ten-month Option Period, and a 90-day Option Transition Period that can be exercised at the unilateral discretion of the Government.

This acquisition is being offered for competition limited to eligible 8(a) participants under North American Industry Classification System (NAICS) code 541990.  Hard copies of the solicitation document will not be available. The site provides downloading instructions. All future information about this acquisition, including solicitation amendments, will also be distributed solely through this site. Interested parties are responsible for monitoring this site to ensure that they have the most up-to-date information about this acquisition.  All responsible 8(a) sources may submit a proposal which will be considered by this agency. No telephone requests or written requests for the solicitation will be accepted.