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) Center for Consumer Information and Insurance Oversight (CCIIO) is recompeting a contract to provide operational oversight and monitoring support for State Health Insurance Exchanges, including State-based Exchanges (SBEs) and State-based Exchanges using the Federal Platform (SBE-FPs). The work encompasses ongoing state operations and technical assistance to states implementing and operating State Exchanges, collection and analysis of State Exchange data, and program integrity oversight of State Exchanges and 1332 waiver grantees. CMS expects to release the solicitation on or around October 1, 2026, with an estimated award date of February 1, 2027.
The estimated award value ranges from $20 million to $50 million. The work falls under NAICS 541611 (Administrative Management and General Management Consulting Services) and supports CMS's State Marketplace and Insurance Programs Group (SMIPG). Kelly Housein, Contracting Officer at CMS, is the primary point of contact (kelly.housein@cms.hhs.gov, 410-786-2352); Haythim Alaubaidi is a secondary contact at the same organization.
The current award being recompeted is Federal Supply Schedule contract 47QTCA19D00AJ, issued to Cognosante MVH, LLC on April 24, 2019. Under this multiple award FSS contract, a delivery order for State Health Insurance Exchange Operational Oversight and Monitoring Support was issued on May 10, 2022, valued at $31.6 million with performance through June 10, 2027. Cognosante MVH has held various CMS delivery orders under this schedule, including work on the Enrollment Assistance Program, No Surprises Help Desk, and Form 1095-A data reporting, with total CMS orders exceeding $380 million.
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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