Part A/B Medicare Administrative Contractor (MAC) Jurisdiction 15 (15) RFP
Award Notice Posted
- Solicitation number
- 75FCMC23R0003
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Awarded
- to CGS Administrators, LLC
- Set-aside
- No set-aside
Opportunity facts
- Contract number
- 75FCMC24C0005 Federal contract award
- 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 awarded a contract to CGS Administrators, LLC to provide Medicare claims processing and payment services as well as Medicare Home Health and Hospice billings processing to support the traditional Medicare program in Kentucky, Ohio, and 16 other states. Valued at $474,946,965 over the period of performance, the contract tasks CGS Administrators with Medicare Administrative Contractor responsibilities for Jurisdiction 15, which includes Kentucky and Ohio, as well as processing Medicare Home Health and Hospice billings in the District of Columbia and 15 additional states.
Notice text
This award is the result of a competitive procurement. The contract type is not fixed price because of the ongoing changes in the Medicare program requirements directed by mandatory legislation and because resulting performance uncertainties in many functional areas are such that reasonable estimates of their cost impact cannot be made.
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 15. Jurisdiction 15 includes the states of Kentucky and Ohio. The J15 MAC is also responsible for processing Medicare Home Health and Hospice (HHH) billings in the District of Columbia and the following 15 states: Colorado, Delaware, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia and Wyoming.
Awarded contract 75FCMC24C0005 to CGS ADMINISTRATORS, LLC for 474946965.00 on 2023-11-30.
Notice history
| Notice | Type | Posted |
|---|---|---|
| This notice | Award Notice | |
| Part A/B Medicare Administrative Contractor (MAC) Jurisdiction 15 (15) RFP | Solicitation | |
| Part A/B Medicare Administrative Contractor (MAC) Jurisdiction M (JM) RFP | Award Notice | |
| Part A/B Medicare Administrative Contractor (MAC) Jurisdiction 15 (15) RFP | Pre-Solicitation | |
| Part A/B Medicare Administrative Contractor (MAC) Jurisdiction M (JM) RFP | Solicitation | |
| Part A/B Medicare Administrative Contractor (MAC) Jurisdiction M (JM) Synopsis/Draft RFP | Pre-Solicitation |
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