Medicare Secondary Payer Systems Contractor (MSPSC) Request for Information (RFI)
ID: 260061JType: Sources Sought
Overview

Buyer

HEALTH AND HUMAN SERVICES, DEPARTMENT OFCENTERS FOR MEDICARE AND MEDICAID SERVICESOFC OF ACQUISITION AND GRANTS MGMTBALTIMORE, MD, 21244, USA

NAICS

Computer Systems Design Services (541512)

PSC

IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SUPPORT SERVICES (LABOR) (DA01)

Original Source

https://sam.gov/opp/5b4d91c0ea244ee28fc0baa696da0719/view
Timeline
    Description

    The Department of Health and Human Services, specifically the Centers for Medicare and Medicaid Services (CMS), has issued a Request for Information (RFI) for the Medicare Secondary Payer Systems Contractor (MSPSC). This RFI aims to gather insights from potential contractors regarding support operations and enhancements related to the Coordination of Benefits and Recovery (COB&R) Program, focusing on maintenance, software development, and disaster recovery for Medicare systems. The initiative is crucial for improving claims processing efficiency and ensuring compliance with federal regulations, thereby facilitating the identification of payment responsibilities among insurers within the Medicare framework. Interested parties are encouraged to respond with detailed information regarding their capabilities, particularly in cloud operations and machine learning applications, and can contact Erin Crockett at Erin.Crockett@cms.hhs.gov or Meghan Critzman at Meghan.Critzman@cms.hhs.gov for further inquiries.

    Files
    Title
    Posted
    MSPSC RFI 260061J 05022025 Posting.pdf
    The Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) for the Medicare Secondary Payer Systems Contractor (MSPSC). This RFI seeks information from potential contractors to support operations and enhancements related to the Coordination of Benefits & Recovery (COB&R) Program. It clarifies that responses are for informational purposes only and do not indicate a commitment to an eventual request for proposals (RFP). Interested parties are encouraged to provide thorough answers to specific questions regarding project transition timelines, performance metrics, innovative approaches, and their relevant experience, especially concerning cloud operations and machine learning applications in healthcare. The RFI outlines the scope of work, which includes maintenance, software development, and disaster recovery for Medicare systems. The document emphasizes the importance of efficient claims processing, the need for adherence to security standards, and the requirement for certified and competent personnel. The CMS aims to enhance the program's efficiency and quality of service while ensuring compliance with federal regulations. This initiative is critical for effectively identifying payment responsibilities among insurers, thus ensuring proper functioning within the Medicare system.
    Lifecycle
    Title
    Type
    Medicare Secondary Payer Systems Contractor (MSPSC) Request for Information (RFI)
    Currently viewing
    Sources Sought
    Similar Opportunities
    Maintenance of the Groupers
    Health And Human Services, Department Of
    The Department of Health and Human Services, specifically the Centers for Medicare and Medicaid Services (CMS), intends to award a sole source contract to Solventum Health Information Systems Inc. for the maintenance and enhancement of critical healthcare payment systems, including the Medicare Severity Diagnosis Related Group (MS-DRG) and Medicare Code Editor (MCE). This contract is essential for ensuring accurate Medicare claims processing and compliance with legislative mandates, leveraging Solventum's unique expertise developed over nearly two decades of service to CMS. The contract will consist of a 12-month base period with four additional 12-month option years, and interested parties may submit capability statements demonstrating relevant qualifications by January 5, 2026, to the primary contact, Rachel Johnson, at rachel.johnson@cms.hhs.gov.
    Master Data Management (MDM) & Enterprise Data Lake (EDL)
    Health And Human Services, Department Of
    The Department of Health and Human Services, specifically the Centers for Medicare and Medicaid Services (CMS), is seeking to award a sole source task order for Master Data Management (MDM) and Enterprise Data Lake (EDL) services. This procurement aims to establish a bridge contract that will ensure the continuity of these critical services, which are essential for managing and analyzing healthcare data effectively. The contract will be executed in Windsor Mill, Maryland, and is justified under the exception to fair opportunity as outlined in FAR 16.505(b)(2)(i)(C). For further inquiries, interested parties may contact Dawn Wilkins at dawn.wilkins@cms.hhs.gov or by phone at 410-786-4588, or Allisan Hafner at allisan.hafner@cms.hhs.gov or 410-786-5147.
    Experian Remote Identity Proofing (RIDP) Services
    Health And Human Services, Department Of
    The Department of Health and Human Services, specifically the Centers for Medicare & Medicaid Services (CMS), intends to award a sole-source contract to Experian Information Solutions, Inc. for Remote Identity Proofing (RIDP) Services. This procurement aims to ensure continuity of operations by utilizing Experian's proprietary RIDP services, which are already integrated into CMS systems and are essential for identity management and credentialing processes. The services will include various functionalities such as Identity Assurance Level 2 (IAL2) and Level of Assurance 3 (LOA3) proofing, Social Security Number verification, and support for Spanish and Limited English Proficiency users. Interested parties may submit capability statements by December 17, 2025, with a formal Request for Proposal anticipated in December 2025 and an award expected in February 2026. For further inquiries, contact Jeremy Garvin at jeremy.garvin@cms.hhs.gov or Benjamin Peter at benjamin.peter@cms.hhs.gov.
    Health Care Quality Information Systems (HCQIS) Infrastructure and Data Center Support (HIDS) Bridge
    Health And Human Services, Department Of
    The Department of Health and Human Services, specifically the Centers for Medicare and Medicaid Services, is seeking a contractor for the Health Care Quality Information Systems (HCQIS) Infrastructure and Data Center Support (HIDS) Bridge project. This procurement will be conducted on a sole source basis, justified by the unique and highly specialized nature of the services required, which are critical for maintaining the quality and integrity of health care data systems. The services will be performed in Columbus, Ohio, and are essential for ensuring the effective operation of health care quality information systems. Interested parties can reach out to Sabrina Thompson at sabrina.thompson1@cms.hhs.gov or by phone at 410-786-3242 for further details.
    Current Sources of Income and Employment Verification Services (CSI) - Limited-Sources Justification
    Health And Human Services, Department Of
    The Department of Health and Human Services, specifically the Centers for Medicare and Medicaid Services, is seeking to procure Current Sources of Income and Employment Verification Services through a Limited-Sources Justification. This procurement is in accordance with FAR 8.405-6(a)(2) and supports the FAR 52.217-8 Option to Extend Services, indicating a need for reliable verification services that are critical for administrative support in credit reporting. The Limited-Sources Justification document is available for review on SAM.gov, and interested parties can reach out to Matthew Waskiewicz at matthew.waskiewicz@cms.hhs.gov or Lakisha Holly at lakisha.holly@cms.hhs.gov for further inquiries.
    Enterprise Portal Contract (EPC)
    Health And Human Services, Department Of
    The Department of Health and Human Services, specifically the Centers for Medicare and Medicaid Services (CMS), is seeking to award a sole source task order for the Enterprise Portal Contract (EPC) to ensure continuity of services. This procurement is being conducted under the exception to fair opportunity as outlined in FAR 16.505(c)(2)(i)(C), indicating the urgency and necessity of maintaining existing EPC services without a competitive bidding process. The services provided under this contract are critical for the ongoing operations and functionality of CMS's enterprise portal, which supports various IT and telecom applications. Interested parties can reach out to Andrew Mummert at andrew.mummert@cms.hhs.gov or by phone at 410-786-0403 for further information regarding this opportunity.
    TRICARE Medicare Eligible Program Second Generation (TMEP2) Draft RFP
    Dept Of Defense
    The Department of Defense, through the Defense Health Agency (DHA), is seeking industry feedback on the draft Request for Proposal (RFP) for the TRICARE Medicare Eligible Program Second Generation (TMEP2), which aims to provide claims processing and customer support services for beneficiaries eligible for both Medicare and TRICARE. The contractor will be responsible for ensuring accurate and timely claims processing, comprehensive customer service, and compliance with federal regulations, while managing a high volume of claims, which historically ranges from 58 million to 59 million annually. Interested parties are encouraged to submit comments and questions regarding the draft requirements by using the provided Excel response template, with electronic submissions due to the primary contact, Kristin Moore, at kristin.m.moore13.civ@health.mil, and secondary contact, Addison Sexton, at addison.t.sexton.civ@health.mil. The government plans to conduct an industry day for all interested parties, and further information will be posted on www.sam.gov.
    World Trade Center Health Program - Comprehensive Cost Avoidance, Coordination of Benefits, and Recovery Program
    Health And Human Services, Department Of
    The Department of Health and Human Services, through the Centers for Disease Control and Prevention (CDC) Office of Acquisition Services, is seeking sources for a Comprehensive Cost Avoidance, Coordination of Benefits, and Recovery Program for the World Trade Center Health Program (WTCHP). The program aims to enhance operational efficiency and control healthcare costs by implementing a robust insurance identification system, validating coordination of benefits, and recovering incorrectly paid claims, all while ensuring quality assurance and payment integrity. This initiative is critical for providing medical monitoring and treatment for responders and survivors of the 9/11 terrorist attacks, as mandated by the James Zadroga 9/11 Health and Compensation Act of 2010. Interested parties must submit their capability statements by 10:00 a.m. Eastern Standard Time on December 22, 2025, to the primary contact, Serina Allingham, at xog9@cdc.gov.
    DHS Medical Services Strategic Sourcing Vehicle (SSV) for Persons in Custody (PIC) and Related Services
    Homeland Security, Department Of
    The Department of Homeland Security (DHS) is seeking information from industry stakeholders regarding the Medical Services Strategic Sourcing Vehicle (SSV) for Persons in Custody (PIC) and related services through Request for Information (RFI) 70RWMD26RFIP00002. The objective of this RFI is to gather insights on efficient, safe, and secure healthcare solutions, including medical staffing, logistics, equipment management, and quality oversight, to support DHS operations across various components such as ICE, CBP, and USCG. This initiative is crucial for ensuring standardized and effective medical care for individuals in custody and workforce members, addressing a dynamic healthcare landscape that requires adaptability and operational continuity. Interested parties must submit their responses using the provided template by December 23, 2025, at 5:00 PM ET, via email to the DHS Office of Procurement Operations at opoindustryliaison@hq.dhs.gov.
    Identify as a Service (IDaas) License Subscriptions (Okta Licenses)
    Health And Human Services, Department Of
    The Department of Health and Human Services, specifically the Centers for Medicare and Medicaid Services (CMS), is seeking to procure Okta-brand subscriptions for an identity management-as-a-service (IDaaS) solution. This procurement is being conducted as a sole source task order under the exception to fair opportunity described at FAR 8.405-6(b), aimed at acquiring a FedRAMP-accredited service that has already been implemented at CMS as part of its enterprise shared services called Identity Management (IDM). The IDaaS solution is critical for managing identities securely and efficiently within the CMS framework. For further inquiries, interested parties can contact Dawn Wilkins at dawn.wilkins@cms.hhs.gov or by phone at 410-786-4588, or Carrie Vien at carrie.vien@cms.hhs.gov or 410-786-8068.