Maintenance of the Groupers
ID: CMS260590Type: Special Notice
Overview

Buyer

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

NAICS

All Other Professional, Scientific, and Technical Services (541990)

PSC

SUPPORT- PROFESSIONAL: OTHER (R499)

Original Source

https://sam.gov/workspace/contract/opp/438c1bdc614e4ba094c5bf90a2a53394/view
Timeline
    Description

    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.

    Point(s) of Contact
    Rachel Johnson
    rachel.johnson@cms.hhs.gov
    Thaiana Rodrigues Maciel
    Thaiana.Rodriguesmaciel@cms.hhs.gov
    Files
    Title
    Posted
    260590 Sole Source Intent.pdf
    The Centers for Medicare & Medicaid Services (CMS) intends to issue a non-competitive contract to Solventum Health Information Systems (HIS). This contract aims to continue essential maintenance and enhancement of critical healthcare payment systems, including Medicare Severity Diagnosis Related Group (MS-DRG), Medicare Code Editor (MCE), and various Prospective Payment Systems (PPS). Solventum HIS, previously 3M, has been a CMS contractor since 2004, providing unique services for validating HCPCS codes and maintaining complex software systems. Their expertise is deemed critical for accurate Medicare claims processing, annual updates, and responding to legislative mandates. The contract will have a 12-month base period and four 12-month option years. This notice is an intent to award, not a request for proposals, but responsible sources can submit capability statements by January 5, 2026, demonstrating proficiency in JAVA, CMS groupers, editors, PPS, and ICD-10 CM coding.
    Lifecycle
    Title
    Type
    Maintenance of the Groupers
    Currently viewing
    Special Notice
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