Medicare Administrative Contractor Jurisdiction 8
Past Recompete Updated
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Solicitation expected
- Estimated value
- $100,000,000 or more
- Set-aside
- No set-aside
Forecast facts
- Incumbent contract
-
- 75FCMC19C0002 Federal contract award held by Wisconsin Physicians Service Insurance Corp. Ends Feb 29, 2028 · Value with all options $485,546,336
- Previous solicitation
- Part A/B Medicare Administrative Contractor, Jurisdiction 8 Award Notice · RFP-500-2017-0016 · Posted Aug 18, 2017
- Anticipated award
- NAICS code
- 524114 Direct Health and Medical Insurance Carriers
- Points of contact
Forecast details come from HHS's procurement forecast. Agencies' dates and values are estimates.
About this forecast
The Centers for Medicare and Medicaid Services (CMS) is preparing to recompete the Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) contract, which will process Part A & B Medicare claims for Indiana and Michigan. The estimated solicitation release date is January 1, 2025, with an anticipated contract award date of October 1, 2025. This procurement will focus on Medicare claims administration services for the specified jurisdiction.
The contract falls under the NAICS code 524114 for Direct Health and Medical Insurance Carriers, with no specific small business set-aside. Points of contact include Adrienne Holsey, Acting MSCG Group Director, and James Wilkerson, both from CMS. While precise award value details for the upcoming contract are not specified, the previous contract provides a benchmark, with the incumbent contract having a ceiling value of approximately $485.5 million and obligations of $306,408,435.37.
The incumbent contractor is Wisconsin Physicians Service Insurance Corp., which was awarded contract number 75FCMC19C0002 on November 1, 2018. The current contract is structured as a cost-plus award fee arrangement, scheduled to complete on February 29, 2028, and covers Medicare claims processing, customer support services, and utilization review activities for Jurisdiction 8. The incumbent has been performing these services from Madison, Wisconsin, managing Medicare Parts A and B claims administration.
Forecast text
Recompete for the Medicare Administrative
Contractor (MAC) Jurisdiction 8 (J8). The J8 MAC
processes Part A & B claims for Indiana and
Michigan.
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