Technical Support for Payment Systems and Rates
Awarded Limited / Sole Source Justification Posted
- Solicitation number
- 260138J
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Set-aside
- No set-aside
Opportunity facts
- Contract number
- 47QRAA25D002Q-75FCMC26F0149 Federal contract award
- Awardee
- Acumen LLC
- NAICS code
- 541611 Administrative Management and General Management Consulting Services
- PSC
- R499 Support- Professional: Other
- Place of performance
- Burlingame, California 94010, United States
- Points of contact
Notice details come from SAM.gov. Updated .
About this opportunity
The Centers for Medicare and Medicaid Services has awarded a logical follow-on contract to Acumen LLC for technical support for payment systems and rates on a limited-sources basis, with an estimated total value of $8.2 million.
CMS justifies the award under FAR 8.405-6(a)(1)(i)(C), citing Acumen's continuous performance since 2010 and development of proprietary analytical tools and ratesetting methodologies that are inseparable from agency operational workflows and not replicated elsewhere in the market. Introducing a new vendor at this stage would create significant operational and programmatic risk, particularly given ongoing SAS Conversion and enterprise architecture modernization efforts. Transitioning vendors would require extensive reconstruction of proprietary methodologies, revalidation of technical processes, and re-establishment of complex data linkages, resulting in unacceptable delays and substantial additional costs.
The contract is structured as a Time and Materials agreement with a period of performance from September 17, 2026, through September 16, 2028, consisting of two 12-month bridge periods. Projected costs total $4 million for FY 2026 and $4.2 million for FY 2027. Work supports statutorily required ratesetting and compliance with CMS data security policies across Medicare Outpatient Prospective Payment System (OPPS), Ambulatory Surgical Center (ASC), Inpatient Prospective Payment System (IPPS), Long-Term Care Hospital (LTCH) PPS, and End Stage Renal Disease (ESRD) Prospective Payment System. The contract is awarded under GSA Multiple Award Schedule authority. A competitive solicitation is planned for July 17, 2028, with estimated award by November 1, 2028, followed by transition through February 29, 2029. Place of performance is Burlingame, California.
Notice text
This posting provides notice that the limited-sources justification (LSJ) for the Technical Support for Payment Systems and Rates procurement is being posted pursuant to GSAR 538.7104-3(b)(3)(i), which requires the ordering activity to publish a notice and post the justification within 14 days after placing an order exceeding the simplified acquisition threshold that is supported by an LSJ.
The agency requires the continuation of highly specialized ratesetting and related enterprise architecture activities that have been developed, refined, and maintained by Acumen since 2010. Acumen is the only responsible source capable of providing the required services at the level of quality and technical sophistication necessary to meet agency needs at this time. With more than a decade of continuous performance, Acumen has developed substantial institutional knowledge, proprietary analytical tools, and refinements to ratesetting models that are not replicated elsewhere in the market. These capabilities are currently inseparable from the agency's operational workflows and are essential for accurate, timely data production and the execution of rulemaking schedules. The current period aligns with critical milestones in the SAS Conversion and broader enterprise architecture modernization efforts, and introducing a new vendor at this stage would create significant operational and programmatic risk. Transitioning midstream would require reconstruction and relearning of proprietary methodologies, duplication of already-funded development, and revalidation of highly technical processes—all of which would result in unacceptable delays and substantial additional costs.
Because the required work is deeply integrated with ongoing modernization activities and the SAS Conversion effort, switching vendors at this time would require extensive re-familiarization, redevelopment of analytical baselines, and re-establishment of complex data linkages. Such a transition would reduce efficiency, waste previously obligated funds, and delay key milestones associated with data validation and model conversion.
While the continued Federal Supply Schedule (FSS) task order independently qualifies as a logical follow-on under FAR 8.405-6, the broader justification for continuity with Acumen further reflects the sole-source considerations described above. This acquisition also qualifies as a logical follow-on to the original Federal Supply Schedule order as it was awarded competitively using the General Services Administration (GSA)’s Multiple Award Schedule (MAS) SIN 541611. Continuing the work with Acumen is essential to preserving technical and operational continuity across interconnected workstreams that cannot be separated or re-sequenced without jeopardizing mission-critical deliverables. The ratesetting models, data production schedules, and enterprise architecture components under this contract directly support multiple regulatory and rulemaking timelines. Interrupting performance or onboarding a new vendor would compromise the sequencing and validation of these processes, introducing significant risk to statutory and policy deadlines. A short-term logical follow-on ensures continuity of operations, preserves the value of prior investments, and allows adequate time for full and open competition in 2028. It also gives the agency sufficient runway to develop updated metrics, engage with industry, build internal subject-matter expertise, and design a more targeted and cost-effective competitive strategy. Continuing the work with Acumen is therefore the most efficient and economical approach, and it squarely satisfies the FAR requirement for a logical follow-on acquisition.
Please see the Attachments section of this notice for a complete copy of the approved LSJ.
Note - This is NOT an active procurement opportunity but is instead a required posting of an approved LSJ subsequent to task order award.
Awarded contract 47QRAA25D002Q to unknown vendor for unknown amount on 2026-09-15.
Files
| File | Type | Posted |
|---|---|---|
| 260138J- JA Limited Source Justification.pdf |
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