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
- 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 (CMS) is forecasting a recompete for the Plan Management Compliance Review (PMCR), with an estimated solicitation release date of January 1, 2027, and an estimated award date of April 1, 2027. CMS's Center for Consumer Information and Insurance Oversight (CCIIO) is procuring services to conduct various types of compliance reviews of health insurance issuers operating Qualified Health Plans (QHP) and Stand-Alone Dental Plans (SADP) in the Federally-Facilitated Exchange (FFE), in support of the Exchanges as required under the Patient Protection and Affordable Care Act (PPACA). The reviews identify irregularities, validate self-reported data, and confirm that CCIIO manages FFE programs effectively, serving as a primary mechanism for ensuring and documenting QHP issuer compliance with Affordable Care Act requirements; the set-aside is Total Small Business under NAICS 541611, Administrative Management and General Management Consulting Services.
The estimated award value range is $50 million to $100 million, and the incumbent contractor is Strategygen Co. Points of contact are Kelly Housein, Contracting Officer (kelly.housein@cms.hhs.gov, +1-410-786-2352), and Lesa Paige (lesa.paige1@cms.hhs.gov, +1-301-448-3760), both at CMS.
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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