State Health Insurance Exchange Operational Oversight and Monitoring

Forecast Recompete Updated

Agency
Solicitation expected
Estimated value
$20,000,000 to $50,000,000
Set-aside
No set-aside

Forecast facts

Incumbent contract
Anticipated award
Through
Acquisition strategy
Follow-on to Existing Contract
NAICS code
541611 Administrative Management and General Management Consulting Services
Forecast number
270095
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 is procuring contractor support for the Center for Consumer Information and Insurance Oversight to provide operational oversight and monitoring of State Exchanges, including State-based Exchanges and State-based Exchanges using the Federal Platform, with responsibilities covering implementation support, technical assistance to states, data collection and analysis, and program integrity oversight of State Exchanges and 1332 waiver grantees. The solicitation is estimated to release on October 30, 2026, with award anticipated on February 15, 2027. The contract will be awarded as a competitive order against the GSA Multiple Award Schedule (MAS) under Professional Services.

The estimated award value ranges from $20 million to $50 million, with a contract length of five years and period of performance beginning June 11, 2027. Work is performed on a time-and-materials basis. Points of contact include Haythim Alaubaidi at haythim.alaubaidi@cms.hhs.gov or +13014924253, and Contracting Officer Kelly Housein at kelly.housein@cms.hhs.gov or +14107862352.

The current award being recompeted is Federal Supply Schedule contract 47QTCA19D00AJ, originally awarded to Cognosante MVH, LLC on April 24, 2019, with a ceiling of $1 million and ultimate completion date of April 23, 2024. Under this existing contract, CMS issued a time-and-materials delivery order (75FCMC22F0053) on May 10, 2022, valued at $31.6 million for State Health Insurance Exchange Operational Oversight and Monitoring Support, with performance through June 10, 2027.

Forecast text

This requirement provides contractor support for the Center for Consumer Information and Insurance Oversight (CCIIO), in the Centers for Medicare & Medicaid Services (CMS), on the implementation and ongoing oversight of State Exchanges, including State-based Exchanges (SBEs) and State-based Exchanges using the Federal Platform (SBE-FPs) for eligibility and enrollment (E&E) functions. This document describes the general requirements and ongoing activities required to provide support to the CMS/CCIIO State Marketplace and Insurance Programs Group’s (SMIPG’s) on-going state-operations and technical assistance (TA) to states related to the implementation and operation of State Exchanges, SMIPG’s collection and analyses of State Exchange data, and SMIPG’s program integrity oversight and monitoring of the State Exchanges and 1332 waiver grantees.

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