ESRD Help Desk
Past New Requirement Updated
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Solicitation expected
- Not on record
- Estimated value
- $3,000,000 to $7,000,000
- Set-aside
- No set-aside
Forecast facts
- Anticipated award
- NAICS code
- 541512 Computer Systems Design Services
- Points of contact
Forecast details come from HHS's procurement forecast. Agencies' dates and values are estimates.
About this forecast
The Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) is seeking a contractor to support the Automated Plan Payment System (APPS), a critical system for calculating and processing monthly payments to Medicare Advantage Plans, Prescription Drug Sponsors, and various plan types. The primary objective is to assist in correcting End-Stage Renal Disease (ESRD) data when plans report incorrect payments, ensuring accurate and timely multi-billion dollar monthly payments. The estimated contract award date is June 1, 2025, with the opportunity falling under the Computer Systems Design Services NAICS code 541512.
While specific award values are not disclosed, the contract involves supporting a core payment processing system with significant financial implications. The work will be performed at CMS, with key points of contact being Aliza Kim (aliza.kim@cms.hhs.gov) and Evelyn Dixon (evelyn.dixon1@cms.hhs.gov), who can provide additional details about the ESRD Help Desk re-compete opportunity. The solicitation was posted on December 10, 2025, and interested contractors should focus on demonstrating expertise in payment systems, data correction, and healthcare payment processing.
Forecast text
ESRD Help Desk Re-compete: The Automated Plan Payment System (APPS) is the system that CMS uses to calculate, validate and process prospective monthly payments in advance to Medicare Advantage Plans, Prescription Drug Sponsors, and various demonstrations and other plan types. CMS is required by law to make monthly payments to Plans and Sponsors. The Contractor is responsible for assisting in the correction of ESRD data when a plan reports an incorrect payment. The APPS is the focal point core system for processing monthly plan payments and is key to ensuring that these multi-billion dollar payments can be made accurately and on time.
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