Commercial Banking Services for the Centers for Medicare and Medicaid Services: Medicare Claims Processing Contractors and Demonstration Projects
Notice Type: Sources Sought Notice
Posted Date:
Office Address:
Subject: Commercial Banking Services for the
Classification Code: R - Professional, administrative, and management support services
Solicitation Number: APP_190418_190781
Contact:
Description:
THIS IS A SOURCES SOUGHT NOTICE TO DETERMINE THE AVAILABILITY OF POTENTIAL SMALL BUSINESSES (E.G., 8(A), SERVICE-DISABLED VETERAN OWNED SMALL BUSINESS, HUBZONE SMALL BUSINESS, SMALL DISADVANTAGED BUSINESS, VETERAN-OWNED SMALL BUSINESS, AND WOMEN-OWNED SMALL BUSINESS) IN ACCORDANCE WITH FAR 7.104(D). THE POTENTIAL SMALL BUSINESS WILL NEED TO DEMONSTRATE THE ABILITY TO PROVIDE COMMERCIAL SERVICES AS SPECIFIED BELOW. History: CMS uses commercial banks to perform payment services in two different arenas: 1) to process Medicare payments authorized by the Medicare Administrative Contractors (MACs) 2) to process payments for CMS demonstration projects.
A. Medicare Payments Authorized by the MACs
Title XVIII of the Social Security Act authorizes CMS to use claims processing contractors to authorize and make payments for Medicare services. A Medicare Administrative Contractor (MAC) is an organization that has entered into an agreement with the CMS to perform specified functions under the Hospital Insurance Program (Part A) and/or under the Supplemental Medical Insurance Program (Part B). These functions include, but are not limited to: making payments to providers of Part A and Part B services and making payments to beneficiaries, physicians and suppliers furnishing Part B medical services. Currently, these Medicare claims processing contractors include Part A and B Medicare Administrative Contractors (MACs), Part B Durable Medical Equipment Regional Carriers (DMERCs)/Durable Medical Equipment MACs (DMACs), Part A Fiscal Intermediaries (FIs), and Part B Carriers. Currently there are 12 A/B MACs and 4 DMACs.
CMS will utilize two commercial banks meeting our requirements to process Medicare payments. Using a Letter of Credit authorized by CMS in coordination with the
B. CMS Demonstration Projects
CMS sponsors a variety of demonstration programs under legislation and/or research requirements which serve to study a variety of health care applications and concepts; currently CMS has 18 operational demonstration projects to be paid through commercial banking services. While the subject of the studies differs among the demonstration projects, the fundamental payment process is universal to these programs. In all cases, a payment file is created and forwarded to the financial institution for processing. Funding is provided separately from specially designated and appropriated funds. Each demonstration project is unique and requires a certain amount of individual attention. Payment processing is universal and consistent between demonstration projects. Demonstration projects are currently operational and are anticipated to grow in number during the term of this contract.
Work Description: The selected financial institution will be expected to perform the following responsibilities: The
REQUIREMENTS
The commercial banking services required must be provided by a financial institution with experience in large scale commercial banking transactions; management of substantial government funding/deposits,
- Capability to maintain 24X7 customer service data transmission support, and handle a volume of over 100 incoming and 200 outgoing files per day. This represents half of the data transmission volume for total claims payments.
- Capability to perform 7,500 demonstration payments monthly representing over
Anticipated Contract Type: CMS anticipates issuance of a Firm-Fixed-Price type contract for Commercial Services under the forthcoming solicitation. However, CMS does reserve the option to use any other procurement instrument as deemed appropriate at the time of the official solicitation
Capability Statement: Please provide a brief capability statement for our organization, tailored to demonstrate your relevant experience and/or ability to provide requirements of this magnitude.
CAPABILITY STATEMENTS MUST DEMONSTRATE THE MINIMUM REQUIREMENTS OUTLINED ABOVE. Please address each in order listed above.
Teaming Arrangements: All teaming arrangements shall include the above-cited information. Teaming arrangements are encouraged.
This is not an invitation for bid, request for proposal or other solicitation and in no way obligates CMS to award a contract. The sole intent of this Sources Sought Notice is to obtain capabilities for set-aside and procurement planning purposes.
The capability statement shall be limited to 3 pages and include the following information:
1. Business Information and Identification 2. DUNS No. 3. Company
All capability statements can be submitted via email to [email protected] and [email protected]. Responses shall be limited to 3 pages. Responses must be submitted no later than
Disclaimer and Important Notes:
This notice does not obligate the Government to award a contract or otherwise pay for the information provided in response. The Government reserves the right to use information provided by respondents for any purpose deemed necessary and legally appropriate. Any organization responding to this notice should ensure that its response is complete and sufficiently detailed to allow the Government to determine the organization's qualifications to perform the work. Respondents are advised that the Government is under no obligation to acknowledge receipt of the information received or provide feedback to respondents with respect to any information submitted. After a review of the responses received, a pre-solicitation synopsis and solicitation may be published in Federal Business Opportunities.
Link/URL: https://www.fbo.gov/spg/HHS/HCFA/AGG/APP_190418_190781/listing.html
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