Plan Management Compliance Review (PMCR)
Forecast Recompete Updated
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Solicitation expected
- Estimated value
- $50,000,000 to $100,000,000
- Set-aside
- Total Small Business
Forecast facts
- Incumbent contract
-
- 47QRAA19D006P Federal IDV award held by Strategygen Co Ordering ends Apr 3, 2029 · Ceiling $100,000
- Anticipated award
- Through
- Acquisition strategy
- Follow-on to Existing Contract
- NAICS code
- 541611 Administrative Management and General Management Consulting Services
- Forecast number
- 270144
- 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' Center for Consumer Information and Insurance Oversight is procuring compliance review services to evaluate health insurance issuers operating Qualified Health Plans and Stand-Alone Dental Plans in the Federally-Facilitated Exchange under the Affordable Care Act. These reviews will identify irregularities, validate self-reported data, and document issuer compliance with ACA requirements, with an estimated solicitation release date of January 4, 2027, and an estimated award date of April 1, 2027.
The estimated award value ranges from $50 million to $100 million for a five-year period of performance beginning May 1, 2027. Services will be procured as a competitive GSA Multiple Award Schedule order on a time-and-materials basis under the External GSA MAS Professional Services contract vehicle. Points of contact are Lesa Paige (lesa.paige1@cms.hhs.gov, 301-448-3760) and Kelly Housein, Contracting Officer (kelly.housein@cms.hhs.gov, 410-786-2352).
This recompete covers existing task order 75FCMC22F0059 issued under GSA Federal Supply Schedule contract 47QRAA19D006P, awarded to Strategygen Co on August 1, 2022, with a value of $24.1 million through July 31, 2027. Strategygen Co, a HUBZone-certified small disadvantaged business and 8(a) Program Participant, has performed marketplace plan management compliance reviews with performance location in Jacksonville, Florida.
Forecast text
Plan Management Compliance Review (PMCR): The purpose of this procurement is to obtain services to conduct various types of compliance reviews of health insurance issuers who operate Qualified Health Plans (QHHP)/Stand-Alone Dental Plans (SADP) in the Federally-Facilitated Exchange (FFE). These reviews are being procured by the Centers for Medicare & Medicaid Services’ (CMS) Center for Consumer Information and Insurance Oversight’s (CCIIO), in support of the health insurance Exchanges (Exchanges), as required under the Patient Protection and Affordable Care Act (PPACA). Compliance reviews serve as one of the primary mechanisms that CMS will use for ensuring and documenting QHP issuers’ compliance with Affordable Care Act (ACA) requirements. Compliance reviews are necessary to identify irregularities, validate self-reported data, and to ensure that CCIIO is managing the FFE programs effectively.
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