Modern Claim Adjudication Development Services (MCADS) Recompete
Forecast New Requirement Updated
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Solicitation expected
- Estimated value
- $20,000,000 to $50,000,000
- Set-aside
- Total Small Business
Forecast facts
- Anticipated award
- Through
- NAICS code
- Not on record
- Forecast number
- 270020
- Points of contact
Forecast details come from CMS's procurement forecast. Agencies' dates and values are estimates.
About this forecast
Centers for Medicare and Medicaid Services is seeking services to establish a modern claims processing platform and implement adjudication functionality for dental claims in the 837d electronic format, aligned with the Medicare Payment System Modernization vision and roadmap. The procurement is set aside for total small business, with estimated solicitation release on December 1, 2026, and estimated award on April 30, 2027.
The estimated award value ranges from $20 million to $50 million under a five-year firm fixed price contract, with period of performance beginning May 1, 2027. This is a competitive GSA MAS IT order. Contracting Officer Meghan Critzman can be reached at meghan.critzman@cms.hhs.gov or 410-786-2042; secondary contact is Danielle Brown at danielle.brown@cms.hhs.gov or 410-786-8676.
Forecast text
Modern Claim Adjudication Development Services (MCADS) Recompete
The intent of this procurement is to obtain services to establish a modern claims processing platform and implement adjudication functionality for dental claims (including the 837d electronic format) that is congruent with the Medicare Payment System Modernization vision/roadmap. The product(s) developed shall enable seamless integration into the overall Medicare claims processing ecosystem and provide a foundation from which modernization of other claim types can be modernized
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