SAM #RFICMSQIC2026

CMS RFI for a potential on-ramp to the Medicare Qualified Independent Contractor (QIC) IDIQ

CMS is conducting market research for a potential on-ramp to its existing Qualified Independent Contractor (QIC) IDIQ, covering Medicare appeals and related administration. - Agency: U.S. Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), including the Center for Medicare and Medicare Enrollment and Appeals Group. - Notice type and status: Request for Information (RFI) only—not a solicitation or award. CMS is seeking vendor capabilities, relevant experience, conflict-of-interest information, and feedback on possible changes to the work structure. - Response deadline: November 5, 2026, at 11:00 a.m. Eastern Time. - Potential work: Independent reconsideration of Medicare appeals across Original Medicare Parts A and B, durable medical equipment (DME), and Medicare Parts C and D; plus Administrative QIC (AdQIC) coordination and administration. CMS also asks about potentially dividing national Part C work into two geographic task orders. - Services described in the attachments: Appeal review and decisions; expedited appeals; case management and imaging in the Medicare Appeals System (MAS); appellant communications; coordination with Medicare appeals entities; reporting and data analysis; effectuation monitoring; websites and hearing support; transition activities; and optional specialized tasks such as ALJ hearing party participation, statistical extrapolation, retrospective appeals, and provider-record requests. - Key requirements: Secure CMS-compliant systems and operations, MAS connectivity, privacy protections, accessible communications and websites (including Section 508 where specified), quality assurance, and compliance with appeal decision timeframes. Contractors may need to provide their own equipment and software, but the materials specify no product quantities, part numbers, or named OEMs. - Contract scope and value: No award, workload quantity, contract value, or RFI-specific period of performance is established in the available materials. The RFI concerns a potential on-ramp to an existing IDIQ; individual attached statements of work describe differing schedules and options. - Vendors and conflicts: No vendor is named as an awardee or required supplier. Respondents are asked to provide capability and conflict-of-interest information.

Description

The Centers for Medicare and Medicaid Services seeks information from potential vendors regarding its the Qualified Independent Contractor (QIC) program.  Please the attached documents for further details.

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