Thursday, February 5, 2026

Protest Denied for 7-year CMS Medicare Administrative Contractor task

“National Government Services, Inc. (NGS), of Indianapolis, Indiana, protests the terms of request for proposals (RFP) No. HHSM-500-2017-RFP-0016, issued by the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS), to obtain a Medicare Administrative Contractor (MAC) to provide services for the administration of Medicare Part A and Part B (A/B) fee-for-service benefit claims.  NGS challenges as unduly restrictive of competition the agency’s inclusion in the solicitation of a contract award limit provision, which restricts the percentage of overall MAC workload that can be held by MAC contractors.”

“BACKGROUND – The RFP, issued on September 15, 2017, under the negotiated procurement procedures of Federal Acquisition Regulation (FAR) part 15, contemplated the award of a cost-plus-award-fee contract, for a base period of 12 months, with six 1-year options.  RFP at 10.  The RFP sought A/B MAC services–which include health insurance benefit administration services, such as Medicare claims processing and payment services, in support of the Medicare program–in Indiana and …”

“Protest challenging the terms of the solicitation as unduly restrictive of competition is denied where the record shows that the terms of the solicitation were reasonably necessary to meet the agency’s needs. “ The full 7-page decision is available here.

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Jackie Gilbert
Jackie Gilbert
Jackie Gilbert is a Content Analyst for FedHealthIT and Author of 'Anything but COVID-19' on the Daily Take Newsletter for G2Xchange Health and FedCiv.

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