Part A/B Medicare Administrative Contractor (MAC) Jurisdiction M (JM) RFP
Closed Solicitation Posted
This opportunity was awarded. See its 2 award notices in the notice history.
- Solicitation number
- 75FCMC22R0001
- 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
- United States
Notice details come from SAM.gov. Updated .
About this opportunity
This solicitation seeks proposals for a Part A/B Medicare Administrative Contractor to provide health insurance benefit administration services for Jurisdiction M, covering North Carolina, South Carolina, Virginia and West Virginia. The Centers for Medicare and Medicaid Services within the Department of Health and Human Services seeks to award an estimated cost-plus-award-fee contract to process Medicare claims, payments, and Home Health and Hospice billings in 16 additional states under solicitation number 75FCMC22R0001. Proposals will be evaluated based on technical, business, ethics and compliance factors, with a proposal submission deadline of February 18, 2022.
There is no set-aside designation specified. The contractor will perform work under NAICS codes 524292 (Third Party Administration of Insurance and Pension Funds) and 561110 (Office Administrative Services). The estimated period of performance is an implementation period of up to 6 months followed by a base year and six one-year option periods. The contractor will be responsible for approximately 25 million claims annually and provide program management, integrity, and recovery audit support across 20 states. The primary place of performance will be within the United States.
Notice text
2 versions
Update #2 · Latest ·
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 M. Jurisdiction M 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.
**Amendment 0001 issued on 1/26/2022 to add RFP Cover Page (SF33) and provide updated Questions and Responses attachment**
Update #1 ·
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 M. Jurisdiction M 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.
Files
| File | Type | Posted |
|---|---|---|
| Amendment 0001 Revised RFP Questions and Responses -- JM RFP 75FCMC22R0001.xlsx | XLSX spreadsheet | |
| RFP Amendment 0001.pdf | ||
| 75FCMC22R0001 FINAL RFP with SF33.pdf | ||
| FINAL RFP.pdf | ||
| JM Final RFP Attachments.zip | ZIP file | |
| RFP Questions and Responses JM RFP 75FCMC22R0001.xlsx | XLSX spreadsheet |
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 | |
| 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 | |
| This notice | 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 | |
| TRICARE Medicare Eligible Program Second Generation (TMEP2) | Defense Health Agency | No set-aside |
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