75FCMC21C0019

A/B MAC JURISDICTION L

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Award details

Obligations, current value and potential value describe different measures; they are never added together.

Field	Reported value
Agency	Department of Health and Human Services
Office	OFC OF ACQUISITION AND GRANTS MGMT
NAICS	524114 — Direct Health and Medical Insurance Carriers
PSC	G007 — Government Health Insurance Programs
Parent award / vehicle	Not reported
Set-aside	NO SET ASIDE USED.
Pricing type	COST PLUS AWARD FEE
Obligations	$545.0M
Current contract value	$677.6M
Potential contract value / ceiling	$790.5M
Start date	Aug 1, 2021
Current end date	Jul 31, 2027
Potential end date	Jul 31, 2028
Latest award activity	Jul 20, 2026
Source loaded	Sep 26, 2026

Funding and modification history

Showing the latest 89 of 89 loaded transactions. Negative values are deobligations.

Date	Modification	Obligation change	Description
Jul 20, 2026	P00088	$89.0M	A/B MAC JURISDICTION L
Jun 22, 2026	P00087	$-2.7M	EO 14398 AND A/B MAC JURISDICTION L
Mar 19, 2026	P00086	$13.2M	A/B MAC JURISDICTION L
Jan 15, 2026	P00085	$-64.1K	A/B MAC JURISDICTION L
Nov 18, 2025	P00084	$200.0K	A/B MAC JURISDICTION L
Nov 10, 2025	P00083	$788.8K	A/B MAC JURISDICTION L
Oct 28, 2025	P00082	$530.4K	A/B MAC JURISDICTION L
Sep 24, 2025	P00081	$100.0K	A/B MAC JURISDICTION L
Sep 18, 2025	P00080	$0	A/B MAC JURISDICTION L
Sep 8, 2025	P00079	$6.0M	A/B MAC JURISDICTION L
Jul 24, 2025	P00078	$72.0M	A/B MAC JURISDICTION L
Jul 7, 2025	P00077	$50.0K	A/B MAC JURISDICTION L
Jun 5, 2025	P00076	$0	EOI::EXECUTIVE ORDER 14222, IMPLEMENTING THE PRESIDENTS DEPARTMENT OF GOVERNMENT EFFICIENCY COST EFFICIENCY INITIATIVE::EOI BILATERAL MODIFICATION TO DESCOPE A/B MAC JURISDICTION WAGE INDEX - JL MAC
May 7, 2025	P00075	$0	A/B MAC JURISDICTION L
Apr 23, 2025	P00074	$0	A/B MAC JURISDICTION L
Mar 17, 2025	P00073	$0	A/B MAC JURISDICTION L
Feb 6, 2025	P00072	$150.0K	A/B MAC JURISDICTION L
Jan 16, 2025	P00071	$0	A/B MAC JURISDICTION L
Jan 4, 2025	P00070	$0	THE PURPOSE OF THIS UNILATERAL MODIFICATION IS TO UPDATE THE CONTRACTING OFFICER FROM MARK WERDER TO MARK SMOLENSKI FOR THE JL MAC CONTRACT.
Dec 17, 2024	P00069	$0	THE PURPOSE OF THIS MODIFICATION IS TO INCORPORATE ADMINISTRATIVE UPDATES TO THE MAC STATEMENT OF WORK (SOW), PERFORMANCE REQUIREMENTS SUMMARY (PRS) AND DELIVERABLE SCHEDULE (DS). UPDATE THE SOW FROM VERSION 9 (V.9) TO VERSION 10 (V.10), THE PRS FROM
Dec 11, 2024	P00068	$-33.9K	THE PURPOSE OF THIS MODIFICATION IS TO DEFINITIZE THE CHANGE ORDER ISSUED UNDER MODIFICATION P00065, WHICH WAS IMPLEMENTED TO FULFILL THE REQUIREMENTS OF DRAFT CHANGE REQUEST (CR) 13713, ENTITLED "OPERATIONALIZATION OF THE MEDICARE ADMINISTRATIV
Nov 8, 2024	P00067	$-989.3K	THE PURPOSE OF THIS MODIFICATION IS TO ADJUST THE COMPLEMENTARY CREDITS FOR OPTION YEAR 2 AND DE-OBLIGATE THE TOTAL AMOUNT OF $989,348 FROM SLIN 0004AA.
Nov 1, 2024	P00066	$734.9K	THE PURPOSE OF THIS MODIFICATION IS TO IMPLEMENT THE DRAFT CHANGE REQUEST (CR) 13801, ENTITLED "REQUIREMENTS FOR THE CHANGES TO THE REVIEW TIMEFRAMES DURING THE PRIOR AUTHORIZATION (PA) PROCESS IN THE HOSPITAL OUTPATIENT DEPARTMENT (OPD) SETTING
Oct 16, 2024	P00065	$174.5K	THE PURPOSE OF THIS MODIFICATION IS TO ISSUE A UNILATERAL CHANGE ORDER FOR JURISDICTION L (JL) TO IMPLEMENT THE REQUIREMENTS OF DRAFT CHANGE REQUEST (CR) 13713, OPERATIONALIZATION OF THE MEDICARE ADMINISTRATIVE CONTRACTORS' (MACS') ROLE IN
Sep 18, 2024	P00064	$15.0M	THE PURPOSE OF THIS MODIFICATION IS TO ADD FUNDING TO SLIN 0005AA IN THE AMOUNT OF $14,979,607.
Sep 9, 2024	P00063	$0	THE PURPOSE OF THIS MODIFICATION IS TO UPDATE THE CURRENT QUARTERLY DELIVERABLE SCHEDULE (DS) FROM VERSION 8 (V.8) TO VERSION 9 (V.9). THERE IS NO COST ASSOCIATED WITH THIS MODIFICATION.
Aug 30, 2024	P00062	$840.5K	THE PURPOSE OF THIS MODIFICATION IS TO IMPLEMENT CHANGE REQUEST (CR) 13711, TITLED "REPETITIVE, SCHEDULED NON-EMERGENT AMBULANCE TRANSPORT (RSNAT) PRIOR AUTHORIZATION (PA) MODEL OPERATIONAL CHANGES REGARDING EXPEDITED REQUESTS AND REVIEW TIMEFRA
Aug 21, 2024	P00061	$16.0M	THE PURPOSE OF THIS MODIFICATION IS TO IMPLEMENT CHANGE REQUEST (CR) 13555, TITLED "PROCESSING INSTRUCTIONS FOR SKILLED NURSING FACILITY (SNF) ATTACHMENTS ON THE FORM CMS-855A APPLICATION." AS A RESULT, THE CONTRACT VALUE AND FUNDING FOR SL
Aug 15, 2024	P00060	$-295.0K	THE PURPOSE OF THIS MODIFICATION IS TO (1) DESCOPE OF THE ADVANCED CLINICAL EDITING (ACE) SOFTWARE FOR PROGRAM MANAGEMENT (PM) FOR JL OPTION YEARS (OY) 2, 3, 4, 5 AND 6; AND (2) DESCOPE THE MEDICARE ADMINISTRATIVE CONTRACTORS (MAC) PROVIDER INTERVENT
Aug 6, 2024	P00059	$502.3K	THE PURPOSE OF THIS MODIFICATION IS TO PROVIDE FUNDING TO SLIN 0005AB FOR THE CHANGE OF REQUEST (CR) 13413, ENTITLED "INSTRUCTIONS FOR PROCESSING REQUEST FOR SSI REALIGNMENT FOR COST REPORTING PERIODS STARTING BEFORE OCTOBER 1, 2013", IN TH
Jul 26, 2024	P00058	$67.5M	THE PURPOSE OF THIS MODIFICATION IS TO EXERCISE OPTION YEAR 3 (08/01/2024 - 07/31/2025), SLINS 0005AA, 0005AB, 0005AC, CLINS 0021, 0029, 0038 AND SLIN 0040AB.
Jul 24, 2024	P00057	$0	THE PURPOSE OF THIS MODIFICATION IS TO INCORPORATE THE REQUIREMENTS OF CR 13413, ENTITLED "INSTRUCTIONS FOR PROCESSING REQUEST FOR SSI REALIGNMENT FOR COST REPORTING PERIODS STARTING BEFORE OCTOBER 1, 2013". THIS CHANGE INCLUDES INCREASING
Jul 18, 2024	P00056	$5.3M	THE PURPOSE OF THIS MODIFICATION IS TO (1) ADD FUNDING TO OPTION YEAR 2 IN RESPONSE TO A NEGOTIATED REQUEST FOR EQUITABLE ADJUSTMENT (REA); AND (2) PROVIDE INCREMENTAL FUNDING FOR THE SUB-CONTRACT LINE ITEM NUMBER 0004AB, ENTITLED "MEDICARE INTE
Jun 4, 2024	P00055	$0	THE PURPOSE OF THIS MODIFICATION IS TO UPDATE THE CURRENT QUARTERLY DELIVERABLE SCHEDULE (DS) AND PERFORMANCE REQUIREMENTS SUMMARY (PRS). UPDATE THE DS FROM V.7 TO V.8. UPDATE THE PRS FROM V.3 TO V.4.
May 15, 2024	P00054	$0	A/B MAC JURISDICTION L
May 14, 2024	P00053	$85.0K	A/B MAC JURISDICTION L
May 3, 2024	P00052	$0	A/B MAC JURISDICTION L
Apr 19, 2024	P00051	$0	A/B MAC JURISDICTION L
Apr 11, 2024	P00050	$21.9M	A/B MAC JURISDICTION L
Mar 27, 2024	P00049	$0	A/B MAC JURISDICTION L
Mar 1, 2024	P00048	$0	A/B MAC JURISDICTION L
Feb 21, 2024	P00047	$115.0K	A/B MAC JURISDICTION L
Feb 7, 2024	P00046	$10.0M	A/B MAC JURISDICTION L
Jan 22, 2024	P00045	$6.2M	A/B MAC JURISDICTION L
Dec 22, 2023	P00044	$-1.2K	A/B MAC JURISDICTION L
Dec 18, 2023	P00043	$4.3M	A/B MAC JURISDICTION L
Nov 8, 2023	P00042	$0	A/B MAC JURISDICTION L
Oct 11, 2023	P00041	$-26.5K	A/B MAC JURISDICTION L
Sep 25, 2023	P00040	$0	A/B MAC JURISDICTION L
Aug 31, 2023	P00039	$20.7M	A/B MAC JURISDICTION L
Aug 28, 2023	P00038	$638.8K	A/B MAC JURISDICTION L
Aug 23, 2023	P00036	$392.5K	A/B MAC JURISDICTION L
Aug 23, 2023	P00037	$100.9K	A/B MAC JURISDICTION L
Aug 21, 2023	P00035	$167.4K	A/B MAC JURISDICTION L
Jul 27, 2023	P00034	$15.0K	A/B MAC JURISDICTION L
Jul 25, 2023	P00033	$39.5M	A/B MAC JURISDICTION L
Jul 19, 2023	P00032	$0	A/B MAC JURISDICTION L
Jun 22, 2023	P00031	$842.9K	A/B MAC JURISDICTION L
May 24, 2023	P00030	$54.2K	A/B MAC JURISDICTION L
May 23, 2023	P00029	$161.6K	JURISDICTION L MEDICARE ADMINISTRATIVE CONTRACTOR
May 8, 2023	P00028	$0	JURISDICTION L MEDICARE ADMINISTRATIVE CONTRACTOR
Apr 21, 2023	P00027	$0	JURISDICTION L MEDICARE ADMINISTRATIVE CONTRACTOR
Apr 3, 2023	P00026	$0	JURISDICTION L MEDICARE ADMINISTRATIVE CONTRACTOR
Mar 21, 2023	P00025	$18.1M	JURISDICTION L MEDICARE ADMINISTRATIVE CONTRACTOR
Mar 16, 2023	P00024	$-2.9M	JURISDICTION L A/B MAC
Feb 14, 2023	P00023	$0	JURISDICTION L A/B MAC
Jan 26, 2023	P00022	$15.3M	A/B MAC JURISDICTION L
Jan 10, 2023	P00021	$608.1K	A/B MAC JURISDICTION L
Dec 14, 2022	P00020	$586.1K	A/B MAC JURISDICTION L
Nov 29, 2022	P00019	$22.5M	A/B MAC JURISDICTION L
Nov 4, 2022	P00018	$0	A/B MAC JURISDICTION L
Aug 23, 2022	P00017	$307.6K	A/B MAC JURISDICTION L
Aug 18, 2022	P00016	$128.6K	A/B MAC JURISDICTION L
Aug 15, 2022	P00015	$5.8M	A/B MAC JURISDICTION L
Jul 26, 2022	P00014	$33.0M	A/B MAC JURISDICTION L
May 17, 2022	P00013	$0	A/B MAC JURISDICTION L
May 9, 2022	P00012	$-2.4M	A/B MAC JURISDICTION L
Apr 1, 2022	P00011	$0	A/B MAC JURISDICTION L
Mar 31, 2022	P00010	$21.1M	A/B MAC JURISDICTION L
Mar 25, 2022	P00009	$202.8K	A/B MAC JURISDICTION L
Mar 11, 2022	P00008	$7.6M	A/B MAC JURISDICTION L OTC TESTING
Mar 2, 2022	P00007	$270.2K	EO14042 A/B MAC JURISDICTION L
Jan 27, 2022	P00006	$0	EO14042 A/B MAC JURISDICTION L
Jan 13, 2022	P00005	$15.0M	EO14042 A/B MAC JURISDICTION L
Dec 14, 2021	P00004	$3.5M	EO14042 A/B MAC JURISDICTION L
Nov 30, 2021	P00003	$16.9M	EO14042 A/B MAC JURISDICTION L
Oct 28, 2021	P00002	$0	EO14042 A/B MAC JURISDICTION L
Aug 25, 2021	P00001	$0	A/B MAC JURISDICTION L
Jul 27, 2021	0	$189.8K	A/B MAC JURISDICTION L

Estimated positioning window

Jul 31, 2027 – Jan 31, 2028

Recompete signal:

70/100

Why this recompete signal

Contract timing and recorded acquisition signals at the time of calculation.

Stored score: 70/100. Available recorded signals: 65 points.

Contract end 2028-07-31 (645 days from calculation): +25 points
27 historical awards in this buyer and category group: +15 points
89 recorded award transactions: +10 points
Latest award action: 2026-07-20: +5 points
Parent award identifier recorded: +0 points
Solicitation identifier recorded: +10 points
Linked official forecast: +0 points
Calculated on: 2026-10-25 10:18:04.631876+00:00

The historical group combines buyer, NAICS, and PSC. Multiple awards in this group do not by themselves establish repeated competitions.

Rule-based research score; it does not measure your chance of winning.

This older calculation does not retain a complete reproducible breakdown. Missing or changed inputs are not assigned invented points: Original award-value bonus input.

USAspending award record

. Rule-based research score; positioning dates are estimates.

Recompete score calculated Oct 25, 2026.

Buyer contacts from matching notices

Matched on exact award/solicitation identifier and awarding agency. Source dates describe the notice, not current contact verification.

Contact	Role	Published contact methods	Evidence	Source date
Rachel Johnson	Contact	rachel.johnson@cms.hhs.gov 4107868995	Source	Sep 16, 2020
Mark Werder	Contact	mark.werder@cms.hhs.gov 4107867839	Source	Sep 16, 2020
Rachel Johnson	Contact	rachel.johnson@cms.hhs.gov 4107868995	Source	Sep 4, 2020
Mark Werder	Contact	mark.werder@cms.hhs.gov 4107867839	Source	Sep 4, 2020
Rachel Johnson	Contact	rachel.johnson@cms.hhs.gov 4107868995	Source	Aug 3, 2020
Mark Werder	Contact	mark.werder@cms.hhs.gov 4107867839	Source	Aug 3, 2020

Research next steps

Check the linked forecast or SAM for a confirmed solicitation and current timing.
Verify whether remaining options may extend performance beyond the current end date.
Check the stated set-aside against the solicitation and current certifications.
Review the award scope and buyer evidence before making a bid/no-bid decision.