SAM #260108J

Medicare Part D Transaction Facilitation Services Procurement

CMS is seeking a contractor to facilitate Medicare Part D Coordination of Benefits (COB) transactions, with a focus on eligibility verification, financial data transfer, and compliance with federal standards. - Government Buyer: - Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS) - Office of Acquisition and Grants Management, Baltimore, Maryland - OEMs and Vendors: - No specific OEMs or vendors are named in the documents - Services Requested: - Part D Transaction Facilitation Services - Accurate, timely processing of COB transactions - Support for eligibility queries (E1 transactions) - TrOOP balance transfers and financial information reporting (FIR transactions) - Supplemental payment coordination (Nx transactions) - HIPAA-Compliant Business Associate Agreement (BAA) execution with Part D plan sponsors - Disaster recovery and system architecture compliance (Moderate risk level) - Information security and privacy compliance (HHS and CMS standards) - Program and technical management, including reporting and participation in CMS workgroups - Transition-in support (optional, for seamless handover) - Section 508 compliance for all ICT deliverables - Unique/Notable Requirements: - Maintain the Medicare Part D Eligibility Index - Execute and manage BAAs for PHI exchange - Real-time eligibility verification and financial data transfer between plans - Disaster recovery and information security protocols - Compliance with Section 508 accessibility standards - Period of Performance: - Base period plus four option periods (exact dates to be specified) - Place of Performance: - Contractor facility and/or CMS-designated locations - CMS Eligibility Database - CMS Office of Acquisition and Grants Management, Baltimore, MD - No product part numbers or purchase quantities are specified; focus is on service delivery and compliance.

Description

See attached Statement of Objectives and associated Request for Information documents.

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