Plan Management Compliance Review (PMCR)
Type: Forecast
Overview
Description
Plan Management Compliance Review (PMCR): The purpose of this procurement is to obtain services to conduct various types of compliance reviews of health insurance issuers who operate Qualified Health Plans (QHHP)/Stand-Alone Dental Plans (SADP) in the Federally-Facilitated Exchange (FFE). These reviews are being procured by the Centers for Medicare & Medicaid Services' (CMS) Center for Consumer Information and Insurance Oversight's (CCIIO), in support of the health insurance Exchanges (Exchanges), as required under the Patient Protection and Affordable Care Act (PPACA). Compliance reviews serve as one of the primary mechanisms that CMS will use for ensuring and documenting QHP issuers' compliance with Affordable Care Act (ACA) requirements. Compliance reviews are necessary to identify irregularities, validate self-reported data, and to ensure that CCIIO is managing the FFE programs effectively.
Est. Value
Min: $20,000,000
Max: $50,000,000
Max: $50,000,000
Est. Award Date
27-Apr
Future Opp
Source Est. Solicitation Date
27-Jan
Set Aside
To be determined
Forecast Type
Recompete
Place of Performance
USA
Forecast Source
Department of Health and Human Services
Center for Consumer Information and Insurance Oversight is forecasted to issue a recompete procurement for Plan Management Compliance Review (PMCR) around 27-Apr worth up to $50,000,000.
Agency
Source Level 1 Agency
Department of Health and Human Services
Source Level 2 Agency
CMS
Source Level 3 Agency
Center for Consumer Information and Insurance Oversight (CCIIO)
Incumbent
Contacts
Potential Bidders and Partners
Similar Active Opportunities
Additional Detail
Date Published
11/6/26
Date Modified
11/7/26
Additional Notes
Program Office: 75M002; Program contact: Lesa Paige, lesa.paige1@cms.hhs.gov; Contracting Office: 75M002