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
    Similar Opportunities
    Master Data Management (MDM) & Enterprise Data Lake (EDL)
    Buyer not available
    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
    Buyer not available
    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.
    Notice of Intent to Sole Source – Solventum
    Buyer not available
    The Department of Health and Human Services, specifically the National Institutes of Health (NIH), intends to award a sole source contract to Solventum Health Information Systems, Inc. for upgraded platform support and coding, abstracting, and data analysis functions at the NIH Clinical Center's Health Information Management Division. This acquisition is critical as it involves proprietary software that supports existing health information management products, ensuring seamless integration and functionality without the need for extensive rebuilding or retesting of pre-existing interfaces. Interested parties may express their interest and capabilities to the NIH by contacting Kristin Nagashima at kristin.nagashima@nih.gov, with comments due by December 12, 2025, at 12 PM EST.
    Enterprise Portal Contract (EPC)
    Buyer not available
    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.
    DW USC C DocuWare Update/Support Contract
    Buyer not available
    The Department of Health and Human Services, through the National Institutes of Health (NIH), intends to award a firm-fixed price contract to DocuWare Corporation for a one-year license and annual maintenance and software support services for its document management system. This procurement is essential for the Department of Transfusion Medicine (DTM) to effectively manage patient and donor medical records, leveraging DocuWare's capabilities for document digitization and workflow automation. The contract, valued at approximately $25,151.16, is justified as a sole-source acquisition due to the unique requirements of DTM and the significant costs associated with migrating to an alternative system. Interested parties may submit capability statements by December 14, 2025, to Valerie Gregorio at valerie.gregorio@nih.gov for consideration.
    Residency Management Suite Software and Maintenance
    Buyer not available
    The Department of Defense, through the Defense Health Agency (DHA), intends to sole source the procurement of the Residency Management Suite Software and its maintenance from Qgenda, LLC. This proprietary software is essential for unifying program and resident information into a centralized data warehouse, facilitating compliance with Accreditation Council Graduate Medical Education (ACGME) requirements for 36 Graduate Medical Education (GME) and 22 Graduate Allied Health programs, which collectively support over 700 residents and fellows annually. The software's capabilities are critical for accreditation tracking and management of GME work hours, ensuring the continuity of training for military medical professionals. The estimated value of this contract is $97,000, with an anticipated award date of December 31, 2025. Interested parties may submit capability statements to the primary contact, Rebecca Quint, at rebecca.d.quint.civ@health.mil, by 4:00 PM CT on December 19, 2025.
    Health Care Quality Information Systems (HCQIS) Infrastructure and Data Center Support (HIDS) Bridge
    Buyer not available
    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.
    Risk Management Support
    Buyer not available
    The Department of Health and Human Services, specifically the Centers for Medicare and Medicaid Services (CMS), is seeking a contractor to provide risk management support aimed at identifying and mitigating risks associated with CMS programs and initiatives. The contractor will be responsible for addressing issues related to fraud, waste, and abuse, as well as proposing effective mitigation strategies to preserve the integrity of the Center for Medicare & Medicaid Innovation models and CMS programs. This opportunity underscores the importance of maintaining robust oversight and risk management within federal healthcare initiatives. Interested parties can reach out to Jennifer Kuhn at jennifer.kuhn@cms.hhs.gov or by phone at 410-786-2299 for further details regarding this procurement.
    Current Sources of Income and Employment Verification Services (CSI) - Limited-Sources Justification
    Buyer not available
    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.
    Identify as a Service (IDaas) License Subscriptions (Okta Licenses)
    Buyer not available
    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.