Part A/Part B Medicare Administrative Contractor (MAC) Jurisdiction L (JL)

Closed Solicitation Posted

This opportunity was awarded. See the award notice from .

Solicitation number
75FCMC20R0008
Agency
Responses due
Set-aside
No set-aside

Opportunity facts

Place of performance
USA

Notice details come from SAM.gov. Updated .

About this opportunity

This solicitation seeks proposals to award an indefinite-delivery, indefinite-quantity contract to provide Part A and Part B Medicare Administrative Contractor services for Jurisdiction L. The Centers for Medicare and Medicaid Services intends to procure specified health insurance benefit administration services including Medicare claims processing and payment services to support the Medicare Fee-For-Service Program. The contractor must meet all requirements outlined in the statement of work including claims processing, provider enrollment, medical review, appeals processing and customer service. Proposals will be evaluated based on technical approach and price, with the best value recipient to be determined. The deadline for proposals is October 5, 2020.

Jurisdiction L covers Delaware, Maryland, New Jersey, Pennsylvania, Washington D.C., and parts of Virginia. The primary NAICS code is 524292 and PSC code R499. The estimated value is unspecified, with services to be provided over a base period of performance plus six one-year options from date of award. The contractor must support approximately 8.5 million Medicare beneficiaries and process over 17 million Part A bills and 110 million Part B claims annually within the United States.

Notice text

3 versions

Update #3 · Latest ·

The Centers for Medicare and Medicaid Services (CMS) intends to award a contract for Part A and Part B Medicare Administrative Contractor (hereinafter referred to as "the contractor") 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-Services or FFS) for Jurisdiction L. Jurisdiction L includes the following states: Delaware, Maryland, New Jersey, Pennsylvania, the District of Columbia, Part B services in Arlington and Fairfax counties in Virginia and the city of Alexandria, Virginia. 

Amendment 0001 issued September 4, 2020 with attachments

Amendment 0002 issued September 16, 2020 with attachments

Update #2 ·

The Centers for Medicare and Medicaid Services (CMS) intends to award a contract for Part A and Part B Medicare Administrative Contractor (hereinafter referred to as "the contractor") 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-Services or FFS) for Jurisdiction L. Jurisdiction L includes the following states: Delaware, Maryland, New Jersey, Pennsylvania, the District of Columbia, Part B services in Arlington and Fairfax counties in Virginia and the city of Alexandria, Virginia. 

Amendment 0001 issued September 4, 2020 with attachments 

Update #1 ·

The Centers for Medicare and Medicaid Services (CMS) intends to award a contract for Part A and Part B Medicare Administrative Contractor (hereinafter referred to as "the contractor") 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-Services or FFS) for Jurisdiction L. Jurisdiction L includes the following states: Delaware, Maryland, New Jersey, Pennsylvania, the District of Columbia, Part B services in Arlington and Fairfax counties in Virginia and the city of Alexandria, Virginia.

Files

File Type Posted
75FCMC20R0008 Amend 2.pdf PDF
J.23 Government Provided Proposal Assumptions (GPPA) clean Amend 2.docx DOCX document
J.23 Government Provided Proposal Assumptions (GPPA) redline Amend 2.docx DOCX document
J.21 Proposal Self-Check Tool redline Amend 1.xlsx XLSX spreadsheet
J.22 Basis of Estimate clean Amend 1.xlsx XLSX spreadsheet
J.36 CLIN 0003 Cost Proposal Template - Option Year 1 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.35 CLIN 0002 Cost Proposal Template - Base Year (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.1 Statement of Work (SOW) clean Amend 1.docx DOCX document
J.43 CLIN 0010 Cost Proposal Template - Base Year (MPIP) clean Amend 1.xlsx XLSX spreadsheet
J.39 CLIN 0006 Cost Proposal Template - Option Year 4 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.46 CLIN 0013 Cost Proposal Template - Option Year 3 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
J.22.A Historic & Proposed FTE, Hours & Gross Cost Instructions & Narrative clean Amend 1.docx DOCX document
J.44 CLIN 0011 Cost Proposal Template - Option Year 1 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
Q and A RFP 75FCMC20R00008.xlsx XLSX spreadsheet
J.21 Proposal Self-Check Tool clean Amend 1.xlsx XLSX spreadsheet
75FCMC20R0008.pdf PDF
J.34 CLIN 0001 Cost Proposal Template - Implementation clean Amend 1.xlsx XLSX spreadsheet
J.33 Cost Template Summary Sheet clean Amend 1.xlsx XLSX spreadsheet
J.23 Government Provided Proposal Assumptions (GPPA) clean Amend 1.docx DOCX document
J.38 CLIN 0005 Cost Proposal Template - Option Year 3 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.49 CLIN 0016 Cost Proposal Template - Option Year 6 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
J.37 CLIN 0004 Cost Proposal Template - Option Year 2 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.47 CLIN 0014 Cost Proposal Template - Option Year 4 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
J.22 Basis of Estimate redline Amend 1.xlsx XLSX spreadsheet
J.23 Government Provided Proposal Assumptions (GPPA) redline Amend 1.docx DOCX document
J.1 Statement of Work (SOW) redline Amend 1.docx DOCX document
J.41 CLIN 0008 Cost Proposal Template - Option Year 6 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.42 CLIN 0009 Cost Proposal Template - Outgoing Contractor Workload Transition Activities clean Amend 1.xlsx XLSX spreadsheet
J.22.A Historic & Proposed FTE, Hours & Gross Cost Instructions & Narrative redline Amend 1.docx DOCX document
J.48 CLIN 0015 Cost Proposal Template - Option Year 5 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
J.45 CLIN 0012 Cost Proposal Template - Option Year 2 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
JL Solicitation 75FCMC20R0008 Sections B-M CLEAN Amend 1.pdf PDF
JL Solicitation 75FCMC20R0008 Sections B-M REDLINE Amend 1.pdf PDF
J.40 CLIN 0007 Cost Proposal Template - Option Year 5 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.2 Deliverable Schedule.docx DOCX document
J.36 CLIN 0003 Cost Proposal Template - Option Year 1 (PM, MIP, RAC).xlsx XLSX spreadsheet
J.37 CLIN 0004 Cost Proposal Template - Option Year 2 (PM, MIP, RAC).xlsx XLSX spreadsheet
J.5 Government Systems Provided For Use.docx DOCX document
J.39 CLIN 0006 Cost Proposal Template - Option Year 4 (PM, MIP, RAC).xlsx XLSX spreadsheet
J.25 Past Performance Questionnaire.docx DOCX document
J.7 AB MAC Award Fee Plan and Self Assessment Template.docx DOCX document
J.45 CLIN 0012 Cost Proposal Template - Option Year 2 (MPIP).xlsx XLSX spreadsheet
J.47 CLIN 0014 Cost Proposal Template - Option Year 4 (MPIP).xlsx XLSX spreadsheet
Solicitation 75FCMC20R0008.pdf PDF
J.21 Proposal Self-Check Tool.xlsx XLSX spreadsheet
J.10 Contractor Business Ethics COI and Compliance Program Requirements.docx DOCX document
J.22 Basis of Estimate.xlsx XLSX spreadsheet
J.23.A GPPA Audit & Reimbursement Tables.xlsx XLSX spreadsheet
J.1.C Fee-For-Service Shared System Base Functions.docx DOCX document
J.28 Voluntary Product Accessibility Template (VPAT).docx DOCX document
Show 40 more

50 files listed here. See the rest on GovTribe.

Notice history

Notice Type Posted
Part A/Part B Medicare Administrative Contractor (MAC) Jurisdiction L (JL) Award Award Notice
This notice Latest solicitation Solicitation

On GovTribe

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