Sources Sought Notice for Medicare Administrative Contractor (MAC) Services DME Jurisdictions B, D. Medicare Part A & B Jurisdiction 15
Closed Pre-Solicitation Posted
This opportunity was awarded. See the award notice from , or the latest solicitation from .
- Solicitation number
- SSN-DME-AB-MACs(JB-J15-JD)
- 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 Sources Sought Notice issued by the Centers for Medicare and Medicaid Services seeks capability statements from potential small businesses to provide Medicare Administrative Contractor services for Durable Medical Equipment Jurisdictions B and D, and Medicare Part A and B services for Jurisdiction 15. The required services include fee-for-service health insurance benefit administration such as Medicare claims processing and payment in accordance with the attached Statements of Work. Responses are due by December 3, 2021 and will be evaluated based on the offeror's capability to perform the claims processing, provider enrollment, medical review, correspondence handling, and other requirements delineated in the Statements of Work.
The acquisition will not utilize any set-aside designations, and responses received in response to this notice will aid CMS in determining whether to conduct a full and open competitive procurement or reserve the acquisition for small businesses under NAICS codes 523110 or 519190. The Statements of Work indicate annual workloads of approximately 30 million claims for Jurisdiction B, 20 million claims for Jurisdiction D, and 6 million claims for Jurisdiction 15. No minimum or maximum award values have been established.
Notice text
The purpose of this SOURCES SOUGHT NOTICE is to determine the availability and capability of potential small businesses (e.g., 8(a), service-disabled veteran-owned and veteran-owned small business, HUBZone small business, small disadvantaged business, and women-owned small business) that can provide specific fee-for-service (FFS) 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) in accordance with the Statements of Work (SOWs) provided with this notice as attachments.
The information obtained through this market research will assist the Centers for Medicare & Medicaid Services (CMS) in determining the appropriate acquisition procedures for obtaining the Medicare health insurance benefit services described in the attached SOWs. This market research will aid CMS in its determination as to whether a full and open competitive acquisition is appropriate, or if the acquisition should be set aside for small businesses or a specific socio- economic category of small businesses such as 8(a), service-disabled veteran-owned small business, HUBZone small business, or women-owned small business.
Please note that CMS will rely on the results of this market research when conducting acquisitions for Medicare Administrative Contractor (MAC) services in multiple geographical jurisdictions over multiple years, including Jurisdiction B (JB), Jurisdiction 15 (J15) and Jurisdiction D (JD).
Refer to attachments for more information.
Files
Notice history
| Notice | Type | Posted |
|---|---|---|
| Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Jurisdiction B RFP | Award Notice | |
| Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Jurisdiction B RFP | Solicitation | |
| Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Jurisdiction B Synopsis/Draft RFP | Pre-Solicitation | |
| This notice | Pre-Solicitation |
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