Part A/B Medicare Administrative Contractor (MAC) Jurisdiction K (JK) Solicitation
Closed Solicitation Posted
This opportunity was awarded. See the award notice from .
- Solicitation number
- 75FCMC21R0001
- 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
- USA
Notice details come from SAM.gov. Updated .
About this opportunity
The Centers for Medicare and Medicaid Services seeks to award a cost reimbursement contract to provide Part A and Part B Medicare Administrative Contractor services for Jurisdiction K. Jurisdiction K encompasses Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont. The contractor shall process Medicare claims and payments in these states, as well as Medicare Home Health and Hospice billings in six states. The contractor must implement services within 4-6 months and then provide ongoing operations and maintenance for a base year plus six 1-year options. Proposals are due March 1, 2021 and award is anticipated within 6 months thereafter. Evaluation criteria include technical approach, management approach, and past performance.
There is no set-aside designation for this procurement. The primary NAICS code is 524292 and PSC code R499. The incumbent MAC for this jurisdiction is Novitas Solutions. Key details include processing over 30 million claims annually and a potential value of over $1 billion for the base period and all options. The place of performance will be within the United States and services shall be provided in the seven states comprising Jurisdiction K.
Notice text
3 versions
Update #3 · Latest ·
The Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Acquisition and Grants Management (OAGM), intends to award a contract for Part A & Part B (A/B) Medicare Administrative Contractor (MAC) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the Medicare Program (also known as Medicare Fee-for-Service or FFS) for Jurisdiction K (JK). Jurisdiction K encompasses the states of Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont. The JK MAC is also responsible for processing Medicare Home Health and Hospice (HHH) billings in six states: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont.
**Amendment 0001 issued on January 22, 2021 with attachments**
**Amendment 0002 issued on January 25, 2021**
Update #2 ·
The Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Acquisition and Grants Management (OAGM), intends to award a contract for Part A & Part B (A/B) Medicare Administrative Contractor (MAC) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the Medicare Program (also known as Medicare Fee-for-Service or FFS) for Jurisdiction K (JK). Jurisdiction K encompasses the states of Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont. The JK MAC is also responsible for processing Medicare Home Health and Hospice (HHH) billings in six states: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont.
**Amendment 0001 issued on January 22, 2021 with attachments**
Update #1 ·
The Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Acquisition and Grants Management (OAGM), intends to award a contract for Part A & Part B (A/B) Medicare Administrative Contractor (MAC) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the Medicare Program (also known as Medicare Fee-for-Service or FFS) for Jurisdiction K (JK). Jurisdiction K encompasses the states of Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont. The JK MAC is also responsible for processing Medicare Home Health and Hospice (HHH) billings in six states: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont.
Files
Notice history
| Notice | Type | Posted |
|---|---|---|
| Part A/B Medicare Administrative Contractor (MAC) Jurisdiction K (JK) Solicitation | Award Notice | |
| This notice | Solicitation | |
| Part A/B Medicare Administrative Contractor (MAC) Jurisdiction K (JK) Synopsis | Pre-Solicitation |
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