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FBO DAILY ISSUE OF MAY 24, 2009 FBO #2736
SOLICITATION NOTICE

R -- Zone Program Integrity Contract Cycle Three

Notice Date
5/22/2009
 
Notice Type
Presolicitation
 
NAICS
541990 — All Other Professional, Scientific, and Technical Services
 
Contracting Office
Department of Health and Human Services, Centers for Medicare & Medicaid Services, Office of Acquisition and Grants Management, 7500 Security Blvd., C2-21-15, Baltimore, Maryland, 21244-1850
 
ZIP Code
21244-1850
 
Solicitation Number
RFP-CMS-2009-0014
 
Point of Contact
Nicole Hoey, Phone: 410-786-0489, Theresa - Schultz, Phone: 410-786-8496
 
E-Mail Address
nicole.hoey@cms.hhs.gov, theresa.schultz@cms.hhs.gov
(nicole.hoey@cms.hhs.gov, theresa.schultz@cms.hhs.gov)
 
Small Business Set-Aside
N/A
 
Description
This synopsis is a presolicitaion notice and is not a request for proposal (RFP). The Centers for Medicare & Medicaid Services' (CMS) mission is to ensure health care security to all beneficiaries. In carrying out this mission, CMS is dedicated to the highest integrity of its programs and has contracted with various entities for benefit integrity functions. Originally, program integrity efforts were aligned with CMS' fiscal intermediaries and carriers. The recent enactment of section 911 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) changes CMS' current contracting structure by phasing out the fiscal intermediaries and carriers and phasing in the Medicare Administrative Contractors (MAC) for CMS Medicare claims processing. As a result of the MMA and the adoption of the MAC strategy, a realignment of the program integrity jurisdictions is necessary so that workloads align with the new MACs. In addition, the future intent of these realignments is to have one program integrity contractor be responsible for the detection, deterrence and prevention of fraud, waste, and abuse across all claim types. CMS has established seven (7) jurisdictional zones to deal efficiently with fraud, waste and abuse issues which also align effectively with multiple MAC jurisdictions. CMS will be procuring the seven (7) zones in three (3) separate cycles. CMS anticipates releasing a solicitation for two (2) zones as follows: ZPIC Cycle Three Zone 3: Minnesota, Wisconsin, Illinois, Indiana, Michigan, Ohio and Kentucky Zone 6: Pennsylvania, New York, Maryland, DC, Delaware, Maine, Massachusetts, New Jersey, Connecticut, Rhode Island, New Hampshire and Vermont It is anticipated that two (2) separate stand alone single IDIQ contracts will be awarded, one for each zone, with a base period plus 4 option years. CMS intends to solicit this requirement as a full and open competition. This announcement is not a request for proposal (RFP). CMS anticipates release of Request for Proposal in June, 2009. The solicitation will be available on the Federal Business Opportunities (FedBizOpps) website. It is estimated that this cycle will be awarded before December 31, 2009.
 
Web Link
FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/HCFA/AGG/RFP-CMS-2009-0014/listing.html)
 
Record
SN01825844-W 20090524/090522234745-49a7457f218cd639711235c9412d212d (fbodaily.com)
 
Source
FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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