Part B South Qualified Independent Contractor
Past Recompete 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
- No set-aside
Forecast facts
- Incumbent contract
-
- HHSM500200400005I Federal IDV award held by C2C Innovative Solutions, Inc. Ordering ends Sep 13, 2028 · Ceiling $1,001,565,941
- 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 Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) is forecasting a recompete for a Qualified Independent Contractor (QIC) contract to provide independent review services for Medicare Part B claims reconsiderations. The contract is estimated to have a solicitation release date of January 1, 2025, with an anticipated award date of May 1, 2025. The procurement will focus on administrative management and general management consulting services within the Medicare appeals process.
The forecasted contract falls under NAICS code 541611 and is structured as a multiple-award, indefinite delivery contract with no specific set-aside designations. The potential ceiling value is substantial, at $1,001,565,941.26. The primary point of contact is Mark Smolenski, Contracting Officer at CMS, who can be reached at mark.smolenski@cms.hhs.gov or +1 (410) 786-0175. While specific place of performance details are not explicitly stated, the services will support the Medicare appeals review process.
The incumbent contractor for this recompete is C2C Innovative Solutions, Inc., a subsidiary of TMF Health Quality Institute. The existing contract (HHSM500200400005I) was originally awarded on September 14, 2004, with an ultimate completion date of September 13, 2025. The current contract covers QIC services for Medicare Parts A, B, D, and Durable Medical Equipment appeals, with delivery orders totaling over $1 billion. C2C has been providing these specialized Medicare appeals review services continuously since 2005.
Forecast text
Reconsiderations of Medicare Administrative
Contractors' redetermination of Medicare Part B claims
On GovTribe
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