IHS Fiscal Intermediary - exercise option period
Past Recompete Updated
- Agency
-
Indian Health Service
Department of Health and Human Services
- Solicitation expected
- By GovTribe estimate
- Estimated value
- $20,000,000 to $50,000,000
- Set-aside
- No set-aside
Forecast facts
- Incumbent contract
-
- 75H70422C00003 Federal contract award held by Health Care Service Corporation, A Mutual Legal Reserve Company Ends Jul 31, 2027 · Value with all options $86,000,000
- Previous solicitation
- IHS Purchased Referred Care (PRC) Fiscal intermediary (FI) Services 75H70422R00006 · Posted May 23, 2022
- Anticipated award
- NAICS code
- 541990 All Other Professional, Scientific, and Technical Services
- Points of contact
-
- Darryl Smith darryl.smith@ihs.gov
- Robin Watkins robin.watkins@ihs.gov
Forecast details come from HHS's procurement forecast. Agencies' dates and values are estimates.
About this forecast
The Indian Health Service (IHS) is forecasting a recompete for a Fiscal Intermediary contract to process medical and dental claims for the Purchased/Referred Care (PRC) Program. The estimated award date is July 1, 2025, with services focused on claims processing, benefit coordination, statistical reporting, and customer support for Native American healthcare services. This opportunity falls under the NAICS code 541990 for Professional, Scientific, and Technical Services.
The potential contract is estimated to have a substantial value, with the previous award ceiling valued at $90,000,000. The contract is expected to handle approximately 466,000 medical and dental claims annually through a time-and-materials pricing structure. Key points of contact for this opportunity are Darryl Smith (Contract Specialist) and Robin Watkins, both from the Indian Health Service, who can be reached at their respective IHS email addresses.
The incumbent contractor is Health Care Service Corp. (HCSC), a non-profit health insurance company currently holding Contract Number 75H70422C00003. The existing contract was awarded on July 8, 2022, with a total ceiling value of $90,000,000 and an ultimate completion date of July 31, 2027. The current contract has a one-year base period with four one-year option periods, and to date, $64,140,400 has been obligated against the contract for providing fiscal intermediary services for the IHS Purchased/Referred Care program.
Forecast text
Medical and dental claims processing for the Purchased/Referred Care Program.
On GovTribe
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