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Program Integrity and Financial Oversight

Type: Forecast • Source ID: 260125J

Overview

Description
This project supports the financial oversight and program integrity functions that safeguard Exchange and premium stabilization program payments and charges, ensuring that payments are made accurately and on-time and that CMS successfully responds to and passes government audits from the GAO, OIG, and others. The Standard Operating Procedures and internal controls developed under the PIFO contract are the basis of CMS's monthly payment activities and the foundation of the annual CMS A-123 audit and various audits including the OIG, GAO, and the annual financial statement audit. These procedures are captured annually in the Marketplace Cycle Memo, which documents internal controls for groups across the Exchange and premium stabilization programs. Recompete of GS-00F-275CA/75FCMC21F0088
Est. Value
Min: $20,000,000
Max: $50,000,000
Est. Award Date
06/01/2026
Source Est. Solicitation Date
02/18/2026
Set Aside
TBD
Pricing
Time and Materials
Place of Performance
USA
Centers for Medicare and Medicaid Services is forecasted to issue a procurement for Program Integrity and Financial Oversight around 06/01/2026 worth up to $50,000,000.

Agency

Source Level 1 Agency
Centers for Medicare and Medicaid Services
Source Level 2 Agency
MSCG - DMMC
Source Level 3 Agency
CCIIO - PPFMG

Incumbent

Incumbent
Potential Value
$24,816,616.00
Period of Performance
9/30/21 - 9/29/26

Contacts

Point of Contact
Elrington, Keshanna

Potential Bidders and Partners

Similar Active Opportunities

Additional Detail

Date Published
7/1/25
Source Est. Period of Performance Start
6/1/26
Source Est. Period of Performance End
6/29/26
Source Forecast ID
260125J