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75FCMC26C0015

Definitive Contract

Overview

Government Description
The Centers for Medicare & Medicaid Services (CMS) seeks to replatform its medicare fee-for-service (FFS) claims adjudication environment by replacing four legacy cobol-based systems -- the Multi-Carrier System (MCS), fiscal intermediary shared syste
Place of Performance
Boston, MA 2210 United States
Pricing
Fixed Price
Set Aside
None
Extent Competed
Full And Open Competition
Est. Average FTE
837
Related Opportunity
75FCMC26R00220003
Analysis Notes
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%
Healthedge Software was awarded Definitive Contract 75FCMC26C0015 (75FCMC-26-C-0015) worth up to $1,149,775,172 by the CMS Office of Acquisition and Grants Management in May 2026. The contract has a duration of 7 years 6 months and was awarded full & open with NAICS 541512 and PSC DA01 via direct negotiation acquisition procedures with 4 bids received. As of today, the Definitive Contract has a total reported backlog of $1,147,275,172.

Status
(Open)

Last Modified 6/1/26
Period of Performance
5/29/26
Start Date
11/28/26
Current End Date
11/28/33
Potential End Date
0% Complete

Obligations and Backlog
$2.5M
Total Obligated
$2.5M
Current Award
$1.1B
Potential Award
0% Funded
$0.0
Funded Backlog
$1.1B
Total Backlog

Award Hierarchy

Definitive Contract

75FCMC26C0015

Subcontracts

0

Activity Timeline

Interactive chart of timeline of amendments to 75FCMC26C0015

People

Suggested agency contacts for 75FCMC26C0015

Competition

Number of Bidders
4
Solicitation Procedures
Negotiated Proposal/Quote
Evaluated Preference
None
Performance Based Acquisition
Yes
Commercial Item Acquisition
Commercial Item
Simplified Procedures for Commercial Items
No

Other Categorizations

Subcontracting Plan
Individual Subcontract Plan
Cost Accounting Standards
Exempt
Business Size Determination
Large Business
Awardee UEI
X8D9AX45NVG6
Awardee CAGE
19W00
Agency Detail
Awarding Office
75FCMC OFC OF ACQUISITION AND GRANTS MGMT
Funding Office
75FCMC
Created By
hhslholsey
Last Modified By
hhscstraker
Approved By
hhscstraker

Legislative

Legislative Mandates
None Applicable
Performance District
MA-07
Senators
Edward Markey
Elizabeth Warren
Representative
Ayanna Pressley
Modified: 6/1/26