75FCMC22C0003
Definitive Contract
Overview
Government Description
Part a/part B Medicare Administrative Contractor (MAC) Jurisdiction K (JK). Provides health insurance benefit administration services, including medicare claims processing and payment services, for jurisdiction K, which encompasses Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont. The JK MAC is also responsible for processing medicare Home Health and Hospice (HHH) billings in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont. Additional work includes cost report desk review and audit services, S-10 reviews, medicare secondary payer hospital audit services, provider enrollment, redeterminations and appeals, reopenings, prior authorizations for opd and rsnat, print and mail services, banking relations, hard copy and NARA record storage, and aged record disposal initiative services.
Awardee
Awarding / Funding Agency
Place of Performance
Indianapolis, IN 46250 United States
Pricing
Cost Plus Award Fee
Set Aside
None
Extent Competed
Full And Open Competition
Related Opportunity
Analysis Notes
Amendment Since initial award the Potential Award value has increased 4% from $785,518,166 to $817,903,412.
Subcontracting Plan This Definitive Contract has an Individual Subcontract Plan. The Department of Health and Human Services has an overall small business subcontracting goal of 32%
Subcontracting Plan This Definitive Contract has an Individual Subcontract Plan. The Department of Health and Human Services has an overall small business subcontracting goal of 32%
National Government Services was awarded
Definitive Contract 75FCMC22C0003 (75FCMC-22-C-0003)
for Part A/B Medicare Administrative Contractor (MAC) Jurisdiction K (JK)
worth up to $817,903,412
by the CMS Office of Acquisition and Grants Management
in January 2021.
The contract
has a duration of 7 years and
was awarded
through solicitation Part A/B Medicare Administrative Contractor (MAC) Jurisdiction K (JK) Solicitation
full & open
with
NAICS 524114 and
PSC G007
via direct negotiation acquisition procedures with 2 bids received.
As of today, the Definitive Contract has a total reported backlog of $394,522,364 and funded backlog of $156,602,122.
Status
(Open)
Last Modified 3/31/26
Period of Performance
1/1/22
Start Date
12/31/26
Current End Date
12/31/28
Potential End Date
Obligations and Backlog
$423.4M
Total Obligated
$580.0M
Current Award
$817.9M
Potential Award
$156.6M
Funded Backlog
$394.5M
Total Backlog
Award Hierarchy
Definitive Contract
75FCMC22C0003
Subcontracts
Activity Timeline
Labor Services Billing
Annual labor billing rates and FTE reported for 75FCMC22C0003
| Year | Services Invoiced | Hours | FTE | Blended Rate |
|---|---|---|---|---|
| 2022 | $34,192,246 | 362,609.4 | 174.3 | $94.29 |
| 2023 | $97,492,217 | 939,548.6 | 451.7 | $103.76 |
| 2024 | $101,496,701 | 947,148.8 | 455.3 | $107.16 |
Subcontract Awards
Disclosed subcontracts for 75FCMC22C0003
Opportunity Lifecycle
Procurement history for 75FCMC22C0003
Transaction History
Modifications to 75FCMC22C0003
People
Suggested agency contacts for 75FCMC22C0003
Competition
Number of Bidders
2
Solicitation Procedures
Negotiated Proposal/Quote
Evaluated Preference
None
Commercial Item Acquisition
Commercial Item Procedures Not Used
Simplified Procedures for Commercial Items
No
Other Categorizations
Subcontracting Plan
Individual Subcontract Plan
Cost Accounting Standards
Exempt
Business Size Determination
Large Business
Awardee UEI
TJNDFEALGTB5
Awardee CAGE
3NKX7
Agency Detail
Awarding Office
75FCMC OFC OF ACQUISITION AND GRANTS MGMT
Funding Office
75FCMC
Created By
hhsedrannbauer
Last Modified By
hhsmislam
Approved By
hhsmislam
Legislative
Legislative Mandates
None Applicable
Performance District
IN-07
Senators
Todd Young
Mike Braun
Mike Braun
Representative
André Carson
Budget Funding
| Federal Account | Budget Subfunction | Object Class | Total | Percentage |
|---|---|---|---|---|
| Program Management, Centers for Medicare and Medicaid Services, Health and Human Services (075-0511) | Health care services | Other services from non-Federal sources (25.2) | $117,396,017 | 65% |
| Health Care Fraud and Abuse Control Account, Health and Human Services (075-8393) | Medicare | Other services from non-Federal sources (25.2) | $39,220,004 | 22% |
| Health Care Fraud and Abuse Control Account, Health and Human Services (075-8393) | Medicare | Medical care (25.6) | $22,107,213 | 12% |
Modified: 3/31/26