MAC Consolidation & Contract Award Period of Performance
Type: Special Notice
Overview

Buyer

HEALTH AND HUMAN SERVICES, DEPARTMENT OFCENTERS FOR MEDICARE AND MEDICAID SERVICES

NAICS

Direct Health and Medical Insurance Carriers (524114)

PSC

SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS (G007)
Timeline
    Description

    The Department of Health and Human Services, specifically the Centers for Medicare and Medicaid Services (CMS), is seeking public feedback through a Request for Information (RFI) regarding the consolidation of Medicare Administrative Contractor (MAC) jurisdictions and the potential extension of MAC contract award periods to ten years. The RFI aims to gather insights on the benefits and challenges of consolidating specific jurisdictions (J5/J6 into Jurisdiction G and J8/J15 into Jurisdiction Q), focusing on contract performance, system security, provider communication, and subcontracting processes. This initiative is crucial for enhancing the efficiency and effectiveness of Medicare program operations while maintaining competition and quality in service delivery. Interested parties are encouraged to submit their responses via email to MAC_Procurement@cms.hhs.gov within 30 days of the RFI publication date, with a maximum response length of 15 pages. For further inquiries, Brenda Clark and Cheryl Caldwell can be contacted at their respective emails and phone numbers.

    Files
    Title
    Posted
    The Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) concerning the consolidation of Medicare Administrative Contractors (MACs) within two specified jurisdictions (J5/J6 into Jurisdiction G and J8/J15 into Jurisdiction Q) and the consideration of extending MAC contract award periods to ten years. The RFI seeks to gather insights on the potential benefits and challenges associated with these consolidations, including impacts on contract performance, system security, provider communication, and subcontracting processes. CMS is also interested in factors that might enhance contractors' performance incentives and the motivations for innovation in the context of longer contract durations. The agency aims to identify critical aspects and local issues that may arise during consolidation and invites responses from industry veterans to inform future procurements. Responses must be submitted within 30 days, though this RFI does not constitute a formal proposal nor a commitment to contract award. The outcome is intended to guide CMS in leveraging opportunities for improvements in Medicare program operations while ensuring maintaining competition and quality in service delivery.
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