State Health Insurance Exchange Operational Oversight and Monitoring
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
-
- 47QTCA19D00AJ Federal IDV award held by Cognosante MVH LLC Ordering ends Apr 23, 2029 · Ceiling $1,000,000
- 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 procuring contractor support for the Center for Consumer Information and Insurance Oversight (CCIIO) to provide operational oversight and monitoring of State Health Insurance Exchanges, including State-based Exchanges (SBEs) and State-based Exchanges using the Federal Platform (SBE-FPs) for eligibility and enrollment functions. Key requirements include ongoing state operations and technical assistance to states related to State Exchange implementation and operation, collection and analysis of State Exchange data, and program integrity oversight and monitoring of State Exchanges and 1332 waiver grantees. The solicitation is estimated to release on October 1, 2026, with an estimated award date of February 1, 2027.
The estimated award value ranges from $20 million to $50 million. No set-aside applies to this procurement. Points of contact are Haythim Alaubaidi (haythim.alaubaidi@cms.hhs.gov) and Kelly Housein (kelly.housein@cms.hhs.gov, 410-786-2352) at CMS. The work falls under NAICS 541611 (Administrative Management and General Management Consulting Services).
This recompete involves Federal Supply Schedule contract 47QTCA19D00AJ, a multiple award schedule vehicle originally awarded to Cognosante MVH, LLC on April 24, 2019, with a $1 million ceiling. Under this schedule, CMS issued a time-and-materials delivery order on May 10, 2022, for State Health Insurance Exchange Operational Oversight and Monitoring Support valued at $31.6 million, 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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