Opportunity
Centers for Medicare & Medicaid Services #75FCMC24C0030
CMS seeks strategic analysis services to reduce Medicare Fee-For-Service improper payments
Buyer
Health and Human Services Department, Centers for Medicare & Medicaid Services, Office of the Secretary
Posted
June 07, 2026
Identifier
75FCMC24C0030
NAICS
541611, 541618
The Centers for Medicare & Medicaid Services (CMS), under the Department of Health and Human Services, is seeking strategic analysis services to address improper payments in the Medicare Fee-For-Service (FFS) program. - Government Buyer: - Agency: Department of Health and Human Services (HHS) - Sub-agency: Centers for Medicare & Medicaid Services (CMS) - Office: ASG - DPIFMC, CPI - PCG - OEMs and Vendors: - No specific OEMs or vendors are named in the solicitation - Products/Services Requested: - Strategic analysis services focused on reducing Medicare FFS improper payments - Analytics on Comprehensive Error Rate Testing (CERT) data - Development and implementation of Corrective Action Plans (CAPs) - Analysis of service types and error categories - Strategic assessments to optimize return on investment through audits, regulatory adjustments, and reporting - Enhancement of provider tools with educational resources addressing root causes of improper payments - Evaluation of CPI prepay and post-pay activities using stakeholder interviews and RACDW data - Unique or Notable Requirements: - Set aside for Women Owned Small Businesses - Firm fixed price contract structure - NAICS code: 541611 (Administrative Management and General Management Consulting Services) - Product Service Code: R408 (Support- Professional: Program Management/Support) - Estimated contract value between $2M and $5M
Description
This initiative aims to reduce Medicare Fee-For-Service improper payments through CERT analytics and Corrective Action Plans. The work includes analyzing service types, error categories, and legislative changes to focus on high-impact areas. Provider tools are enhanced with education addressing root causes. The program evaluates CPI prepay and post-pay activities via stakeholder interviews and data analysis. Strategic assessments are conducted to optimize return on investment through audits, regulatory adjustments, and reporting.