Sources Sought Notice for Medicare Administrative Contractor (MAC) Services Medicare Part A & B Jurisdiction H
Closed Pre-Solicitation Posted
- Solicitation number
- SSN-AB-MAC_(JH)
- 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
Summary of the Pre-Solicitation Notice:
The Centers for Medicare & Medicaid Services (CMS) has issued a Sources Sought Notice to determine the availability, capability, and capacity of potential small businesses to provide fee-for-service health insurance benefit administration services, including Medicare claims processing and payment services, in support of the traditional Medicare program for Jurisdiction H. The required functions include claims-related activities, provider enrollment and education, appeals processing, financial management, medical review, and coordination with CMS partners. CMS will use the market research results to decide if a full and open competition or a small business set-aside is appropriate for the future Medicare Administrative Contractor (MAC) contract. Responses to the notice are due by October 4, 2024.
This is not a set-aside procurement, and no incumbent or current contractor information is provided. The notice does not specify any award values or budget ranges. However, it outlines details on the required workload volumes and performance requirements for the MAC services in Jurisdiction H, which includes Arkansas, Colorado, New Mexico, Oklahoma, Texas, Louisiana, and Mississippi.
Notice text
The purpose of this SOURCES SOUGHT NOTICE is to determine the availability, capability, and capacity of potential small businesses (e.g., 8(a), 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 Statement of Work (SOW) provided with this notice as an attachment.
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 SOW. 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.
Refer to attachments for more information.
Files
| File | Type | Posted |
|---|---|---|
| Sources Sought Notice JH MAC.pdf | ||
| Attachment 1 JH Part AB MAC Statement of Work.pdf |
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