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Financial Alignment Actuarial and Rate Review Services

HEALTH AND HUMAN SERVICES, DEPARTMENT OF · Solicitation GS00F090CA75FCMC26F0116 · NAICS 541611 · Unrestricted (full and open)

Solicitation details

Solicitation numberGS00F090CA75FCMC26F0116
Notice ID22fd9fa24b9344229f01eeea86687cee
AgencyHEALTH AND HUMAN SERVICES, DEPARTMENT OF
Sub-tierCENTERS FOR MEDICARE AND MEDICAID SERVICES
Contracting officeOFC OF ACQUISITION AND GRANTS MGMT
NAICS code541611
Product / service code (PSC)R499
Set-asideUnrestricted (full and open)
Notice typeJustification
Posted11 August 2026
Response deadlineNot stated
Place of performanceAnnandale, VA, USA

Description

Provide the Centers for Medicare & Medicaid Services (CMS) with actuarial, rate-review, and analytic services to support the ongoing operations of Medicare-Medicaid financial alignment model demonstrations for individuals enrolled in both Medicare and Medicaid (dually eligible beneficiaries). These demonstrations are opportunities for CMS and states to test new approaches to providing integrated, high-quality care to dually eligible beneficiaries. The contractor awarded this contract will provide actuarial services, rate-review, analytic services, and technical assistance for the ongoing operation of these demonstrations in multiple states. The work will include the review of the Medicaid components of the capitated payment rates for Medicare-Medicaid Plans (MMPs) under capitated demonstrations and ongoing analytic work to monitor demonstration financing issues.

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