Medicare Fee-For-Service Corrective Action Strategic Analysis (CASA)
Past Recompete Updated
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Solicitation expected
- Estimated value
- $1,500,000 to $3,000,000
- Set-aside
- Total 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
- NAICS code
- 541611 Administrative Management and General Management Consulting Services
- 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 is forecasting a recompete for the Medicare Fee-For-Service Corrective Action Strategic Analysis (CASA), with an estimated solicitation release date of November 1, 2026 and an estimated award date of March 1, 2027. The initiative reduces Medicare FFS improper payments through CERT analytics and Corrective Action Plans, analyzing service types, error categories, and legislative shifts to target high-impact areas. The contractor evaluates CPI prepay (TPE, PA) and post-pay (UPICs, RACs) activities through stakeholder interviews and RACDW data, aligns findings to optimize ROI through audits, regulatory adjustments, and reporting, and enhances provider tools with education addressing root causes.
The set-aside is Total Small Business under NAICS 541611, Administrative Management and General Management Consulting Services, and the incumbent is ePathUSA, INC. The estimated award value range is $1.5 million to $3.0 million. Contact Jennifer Kuhn, Contracting Officer, at jennifer.kuhn@cms.hhs.gov or +14107862299, or Narcessa Davis at narcessa.davis@cms.hhs.gov or +14107862915.
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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