State Medicaid Program Integrity Audits

Closed Solicitation Posted

This opportunity was awarded. See the award notice from .

Solicitation number
75FCMC24RJ002
Agency
Centers for Medicare and Medicaid Services Department of Health and Human Services
Responses due
Set-aside
Competitive 8(a)

Opportunity facts

NAICS code
541990 All Other Professional, Scientific, and Technical Services
PSC
B506 Special Studies/Analysis- Data (Other Than Scientific)
Place of performance
Baltimore, Maryland, United States
Points of contact

Notice details come from SAM.gov. Updated .

About this opportunity

The Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) is seeking contractors to assist with State Medicaid Program Integrity (PI) Audits under Solicitation Number 75FCMC24RJ002. The purpose of this Cost-Plus-Fixed-Fee contract is to help CMS review state Medicaid and Children's Health Insurance Program (CHIP) program integrity oversight functions, including compliance with PI regulations and beneficiary eligibility requirements. Contractors will be evaluated based on their technical approach, past performance, and pricing. Proposals are due by July 26, 2024, and CMS will conduct a two-phase evaluation process.

This is a competitive 8(a) set-aside opportunity. The total contract value is to be determined. The contract has a base period from December 1, 2024 to November 30, 2025, with up to five 1-year option periods. The place of performance is Baltimore, MD. There are no named incumbents, but the current contractors may be eligible to compete for this new opportunity.

Notice text

2 versions

Update #2 · Latest ·

***** Amendment 0001 ******
Amendment 0001 provides updates/ revisions to the Solicitation as described within the attached Solicitation Amendment 0001 and revised Exhibits E.1.

***** Original *****

The purpose of the State Medicaid Program Integrity (PI) Audits (SMPIA) contract is to assist CMS with its review of state Medicaid and Children’s Health Insurance Program (CHIP) program integrity oversight functions, including compliance with Medicaid PI regulations and beneficiary eligibility requirements.

Update #1 ·

The purpose of the State Medicaid Program Integrity (PI) Audits (SMPIA) contract is to assist CMS with its review of state Medicaid and Children’s Health Insurance Program (CHIP) program integrity oversight functions, including compliance with Medicaid PI regulations and beneficiary eligibility requirements.

Attachments

Files attached to this notice, newest first
File Type Posted
75FCMC24RJ002_Amendment 0001.pdf PDF
E.1 - SMPIA Questions Submission - Response.xlsx XLSX spreadsheet
E.3 - Scenario 2 - Review Guide Module.docx DOCX document
E.4 - Scenario 2 - Response Template.docx DOCX document
E.11 - CMS 508 PDF Checklist.xlsx XLSX spreadsheet
E.6 - Responsibility Questionnaire.docx DOCX document
E.8 - Consent to Subcontract.docx DOCX document
E.13 - CMS 508 Word Checklist.xlsx XLSX spreadsheet
E.14 - CMS 508 Excel Checklist.xlsx XLSX spreadsheet
E.1 - SMPIA Questions Submission Template.xlsx XLSX spreadsheet
E.10 - 508 Checklist Instructions.docx DOCX document
E.2 - Scenario 1 - Compliance Plan.docx DOCX document
J.1 - SMPIA SOW.docx DOCX document
J.3 - Conflict of Interest Template.docx DOCX document
E.5 - Past Performance Questionnaire.docx DOCX document
E.7 - Prime Proposal Checklist.docx DOCX document
75FCMC24RJ002.pdf PDF
E.12 - CMS 508 Webapps Checklist.xlsx XLSX spreadsheet
J.2 - CFM Report.xlsx XLSX spreadsheet
E.15 - CMS 508 PowerPoint Checklist.xlsx XLSX spreadsheet
E.9 - Business Proposal Template.xlsx XLSX spreadsheet
Show all 21

Notice history

Notices posted for this opportunity, newest first
Notice Type Posted
State Medicaid Program Integrity Audits Award Award Notice
State Medicaid Program Integrity Audits This notice · Latest solicitation Solicitation

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