Part A/B Medicare Administrative Contractor, Jurisdiction E

Notice Type: Presolicitation Notice

Posted Date: 20-AUG-19

Office Address: Department of Health and Human Services; Centers for Medicare & Medicaid Services; Office of Acquisition and Grants Management; 7500 Security Blvd.C2-21-15 Baltimore MD 21244-1850

Subject: Part A/B Medicare Administrative Contractor, Jurisdiction E

Classification Code: G - Social services

Contact: Lauren Holsey, Contract Specialist, Phone 4107863746, Email [email protected] - Brenda Clark, Contracting Officer, Phone 410-786-5165, Email [email protected]

Description: Department of Health and Human Services

Centers for Medicare & Medicaid Services

Office of Acquisition and Grants Management

The Centers for Medicare & Medicaid Services (CMS) intends to issue a Request for Proposal to obtain a Medicare Administrative Contractor (hereinafter referred to as "the contractor") to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the Medicare Program (also known as the Medicare Fee-For-Service or FFS) for Jurisdiction E. Jurisdiction E includes the following states: California, Hawaii, and Nevada, as well as the U.S. territories, American Samoa, Guam, and Northern Mariana Islands. The contractor shall perform numerous functions to support healthcare services for Medicare beneficiaries, which include performing claims-related activities and establishing relationships with providers of Medicare services, both institutional and professional, both in-patient (Part A) and out-patient (Part B). The contractor will perform the requirements of this contract in accordance with applicable laws, regulations, Medicare manuals, as well as CMS requirements to ensure the financial integrity of the Medicare FFS Program.

Pursuant to the authority of FAR Part 15, Contracting by Negotiation, CMS intends to conduct a full and open procurement to fulfill this need. Accordingly, the Contracting Officer will seek to award to the vendor whose proposal represents the best solution to CMS' requirements at a fair and reasonable price. Award will be made to the Offeror whose proposal offers the best overall value to the Government using FAR 15.101-1 trade-off processes, which "...allows the Government to consider award to other than the lowest cost Offeror or other than the highest technically rated Offeror..."; affording the Government the most advantageous balance of cost and technical factors as defined in the upcoming solicitation.

CMS anticipates releasing a solicitation for Jurisdiction E on or about September 4, 2019. The contract will include a base year plus six (6) one-year options. The anticipated proposal due date is November 4, 2019, with an anticipated award date of August 4, 2020. In the event a draft solicitation is published, please note that the anticipated November 4, 2019 proposal due date is not expected to change.

This solicitation is expected to be issued pending availability of funds.

Link/URL: https://www.fbo.gov/spg/HHS/HCFA/AGG/75FCMC19R0023/listing.html