Opportunity

Centers for Medicare & Medicaid Services #GS-35F-146DA

CMS Solicitation for Fiscal Intermediary Shared System Maintainer Services

Buyer

Health and Human Services Department, Centers for Medicare & Medicaid Services, Office of the Secretary

Posted

June 04, 2026

Identifier

GS-35F-146DA

NAICS

541512, 541513

This opportunity is a major solicitation from the Centers for Medicare & Medicaid Services (CMS) for the maintenance of a critical healthcare claims processing system. - Government Buyer: - Department of Health and Human Services (HHS) - Centers for Medicare & Medicaid Services (CMS) - Scope of Work: - Maintenance of the Fiscal Intermediary Shared System (FISS) - FISS processes claims for institutional healthcare providers, including hospitals, skilled nursing facilities, home health agencies, hospices, comprehensive outpatient rehabilitation facilities, critical access hospitals, rural health clinics, and Federally qualified health centers - Required services include: claims collection, editing, pricing, adjudication, correspondence, online inquiry, file maintenance, financial processing, and reporting for Medicare Part A - Contract Details: - GSA MAS order - Firm fixed price contract - Five-year duration, with options included in the total estimated value - Estimated contract value: $20 million to $50 million (base), over $100 million including options - OEMs and Vendors: - No specific OEMs or vendors are named in the solicitation - Unique Requirements: - Contractor must support all Part A claims processing functions for a diverse set of healthcare provider types - FISS is a mission-critical system for Medicare claims processing

Description

The Fiscal Intermediary Shared System (FISS) is used to process claims from institutional providers including hospitals, skilled nursing facilities, home health agencies, hospice, and other healthcare providers. The system handles Part A functionality such as claims collection, editing, pricing, adjudication, correspondence, online inquiry, file maintenance, financial processing, and reporting. This procurement is a competitive GSA MAS order for maintaining the FISS system. The contract duration is 5 years with an estimated value between $20 million and $50 million, totaling over $100 million including options.

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