Risk Adjustment Data Validation (RADV) Appeals Support Contractor / New
Type: Forecast • Source ID: 270287
Overview
Description
The purpose of the Appeals Support contractor is to provide legal and regulatory support for the Risk Adjustment Data Validation (RADV) activities for the Medicare Part C program with CPI. The Appeals Support contract provides support for RADV appeals planning processing and reporting. The contractor functions as the RADV Appeals Subject Matter Expert for medical record review determination (MRRD) and payment error calculation (PEC) appeals at the first level of appeal at the first level of appeal. Additionally, the contractor provides support to CPI for appeals for levels two (Office of Hearings) and three (CMS Office of the Attorney Advisor).
Est. Value
Min: $20,000,000
Max: $50,000,000
Max: $50,000,000
Est. Award Date
06/26/2027
Future Opp
Source Est. Solicitation Date
02/26/2027
Set Aside
TBD
Pricing
TBD
Forecast Type
Tbd
Place of Performance
USA
Centers for Medicare and Medicaid Services is forecasted to issue a new procurement for Risk Adjustment Data Validation (RADV) Appeals Support Contractor / New around 06/26/2027 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
CPI - CMG
Incumbent
Incumbent
Award ID
Potential Value
$36,459,950.79
Period of Performance
8/26/19
-
8/25/27
Contacts
Potential Bidders and Partners
Similar Active Opportunities
Additional Detail
Date Published
11/6/26
Date Modified
11/7/26
Source Est. Period of Performance Start
6/26/27
Additional Notes
Program contact: Crystal Southall-Norman, crystal.southall-norman@cms.hhs.gov, 410-786-8708. Contracting office: 7500-7530-00500. OAGM division: ASG - DPIFMC. Duration: 5 Years. Current FY value: >= $5M and < $10M.
Source Forecast ID
270287