Part A/B Medicare Administrative Contractor (MAC) Jurisdiction M (JM) RFP
Award Notice Posted
Not the latest version. See the latest solicitation from .
- Solicitation number
- 75FCMC22C0037
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Awarded
- to Palmetto Gba, LLC
- Set-aside
- No set-aside
Opportunity facts
- Contract number
- 75FCMC22C0037 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
This Award Notice from the Department of Health and Human Services Centers for Medicare and Medicaid Services awards a contract to Palmetto, GBA to serve as the Medicare Administrative Contractor for Jurisdiction M, which includes processing Medicare claims and payments in North Carolina, South Carolina, Virginia, and West Virginia as well as Home Health and Hospice billings in 16 states. The contract value is $896,832,974 to provide Medicare administrative services including claims processing and payment for the Medicare fee-for-service program over the period of performance.
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 Medicare Administrative Contractor (herein after referred to as “the contractor” or “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 the Medicare fee-for-service, or FFS, program) for Jurisdiction M. JM includes the states of North Carolina, South Carolina, Virginia, and West Virginia. The JM MAC is also responsible for processing Medicare Home Health and Hospice (HHH) billings in 16 states: the states of Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and Texas.
Awarded contract 75FCMC22C0037 to Palmetto, GBA for 896832974.00 on 2022-09-23.
Notice history
| Notice | Type | Posted |
|---|---|---|
| Part A/B Medicare Administrative Contractor (MAC) Jurisdiction 15 (15) RFP | Award Notice | |
| Part A/B Medicare Administrative Contractor (MAC) Jurisdiction 15 (15) RFP | Solicitation | |
| This notice | 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 |
Similar open opportunities
| Opportunity | Agency | Set-aside | Responses due |
|---|---|---|---|
| Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Final Solicitation | Centers for Medicare and Medicaid Services | No set-aside |
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