Medicare Fee-For-Service Corrective Action Strategic Analysis (CASA)
Forecast Recompete Updated
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Solicitation expected
- Estimated value
- $2,000,000 to $5,000,000
- Set-aside
- Woman-Owned Small Business
Forecast facts
- Incumbent contract
-
- 75FCMC24C0030 Federal contract award held by Epathusa, Inc. Ends Mar 12, 2027 · Value with all options $5,651,783 · Set aside: 8(a) Sole Source
- Anticipated award
- Through
- Acquisition strategy
- Follow-on to Existing Contract
- NAICS code
- 541611 Administrative Management and General Management Consulting Services
- Forecast number
- 270322
- Points of contact
Forecast details come from CMS's procurement forecast. Agencies' dates and values are estimates.
About this forecast
The Centers for Medicare and Medicaid Services (CMS), part of the Department of Health and Human Services, plans to release a Woman-Owned Small Business recompete forecast for the Medicare Fee-For-Service Corrective Action Strategic Analysis (CASA) on 2026-11-15. The effort reduces Medicare FFS improper payments through CERT analytics and Corrective Action Plans, analyzing service types, error categories, and legislative shifts, while enhancing provider tools with education that addresses root causes. The contractor will evaluate CPI prepay (TPE, PA) and post-pay (UPICs, RACs) activities through stakeholder interviews and RACDW data, then deliver strategic assessments that align findings to optimize ROI through audits, regulatory adjustments, and reporting.
The procurement is a competitive GSA MAS order under NAICS 541611 and PSC R408, priced firm fixed price, with an estimated award value range of $2 million to $5 million and a current fiscal year value of at least $1 million and less than $2 million. The estimated award date is 2027-03-15, and the period of performance starts 03/15/2027 for 4 years, replacing incumbent ePathUSA, INC under contract 75FCMC24C0030. Points of contact are Narcessa Davis (narcessa.davis@cms.hhs.gov, +14107862915) and Jennifer Kuhn, Contracting Officer (jennifer.kuhn@cms.hhs.gov, +14107862299), both at the Centers for Medicare & Medicaid Services.
Forecast text
This initiative reduces Medicare FFS improper payments via CERT analytics and Corrective Action Plans. We analyze service types, error categories, and legislative shifts to target high-impact areas. Provider tools are enhanced with education addressing root causes. The program evaluates CPI prepay (TPE, PA) and post-pay (UPICs, RACs) activities via stakeholder interviews and RACDW data. Strategic assessments align findings to optimize ROI through audits, regulatory adjustments, and reporting.
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