Opportunity

SAM #RFI-CMS-SMRC-2026-001

RFI: Supplemental Medical Review Contractor (SMRC) Services for CMS

Buyer

CMS Office of Acquisition and Grants Management

Posted

April 09, 2026

Respond By

April 16, 2026

Identifier

RFI-CMS-SMRC-2026-001

NAICS

541990, 541690, 541611

This opportunity seeks industry feedback on the Supplemental Medical Review Contractor (SMRC) Statement of Work (SOW) for the Centers for Medicare & Medicaid Services (CMS): - CMS is considering a firm fixed price or hybrid pricing structure for the SMRC contract - The SMRC SOW includes: - Medical record review for improper Medicare payments - Program integrity reviews and ad hoc projects - Provider education sessions and reporting - IT system setup and maintenance - Support for Administrative Law Judge (ALJ) hearings - Optional tasks: fraud referral, public portal development, innovation projects, and statistical extrapolation - Over 150,000 Medicare claims are expected to be reviewed annually - No specific OEMs, products, or part numbers are listed; this is a request for information only - CMS requests industry input on pricing strategies for these services - Place of performance is CMS headquarters in Baltimore, MD

Description

CMS is requesting information from industry to determine if the work in the SMRC SOW could be firm fixed price.  All contractors are welcome to provided responses to help CMS determine the pricing strategy. 

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