Contract · Federal
Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Synopsis/Draft RFP / Presolicitation
- Agency
- HEALTH AND HUMAN SERVICES, DEPARTMENT OF / CENTERS FOR MEDICARE AND MEDICAID SERVICES
- Location
- Baltimore, MD
- Amount
- Amount not listed
- Posted
- Sep 9, 2026
- Set-aside
- None (open competition)
- NAICS code
- 524114 look up NAICS codes
- PSC code
- G007
Timeline
-
Posted
Sep 9, 2026
-
Status
Open now
What contracts like this typically pay
No award history yet for this category (NAICS 524114).
What this contract is for
- Agency
- HEALTH AND HUMAN SERVICES, DEPARTMENT OF / CENTERS FOR MEDICARE AND MEDICAID SERVICES
- Location
- Baltimore, MD
- NAICS
- 524114
- Scope
- Federal
The Centers for Medicare & Medicaid Services (CMS) intends to issue a Request for Proposal (RFP) to obtain a Medicare Administrative Contractor (hereinafter referred to as “the contractor”) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the Medicare Program (also known as the Medicare Fee-For-Service or FFS) for Jurisdiction 8.
Jurisdiction 8 encompasses the following states: Indiana and Michigan.
Prior to issuing the final solicitation, with this synopsis CMS is issuing a draft RFP (inclusive of the RFP and attachments) to allow potential offerors an opportunity to review the requirements and submit questions.
Consistent with the statement of work, the contractor shall perform numerous functions to support healthcare services for Medicare beneficiaries, which include performing claims-related activities and establishing relationships with providers of Medicare services, both institutional and professional, both in-patient (Part A) and out-patient (Part B).
The contractor will perform the requirements of this contract in accordance with applicable laws, regulations, Medicare manuals, as well as CMS requirements to ensure the financial integrity of the Medicare FFS Program.
Pursuant to the authority of FAR Part 15, Contracting by Negotiation, CMS intends to conduct a full and open procurement to fulfill this need.
Accordingly, the Contracting Officer will seek to award to the vendor whose proposal represents the best solution to CMS’ requirements at a fair and reasonable price.
Award will be made to the Offeror whose proposal offers the best overall value to the Government using FAR 15.103-1 Trade-off approach, which “…is appropriate when it may be in the Government’s best interest...
Official solicitation and documents
The full solicitation, any attachments, and the actual submission instructions live on the official listing, not on this page. Oppward summarizes public record data; it does not host or mirror the source documents.
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How to bid on this
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- Read the full solicitation on the official listing above, especially the scope of work, not just this summary. Our guide to reading a solicitation walks through what to look for.
- This listing has no set-aside restriction ("full and open competition"), meaning any business, large or small, can bid.
- Submit your proposal by the deadline, using the exact submission method the official listing states. A technically on-time bid sent the wrong way is often treated as late.
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