Federal contract award
HHSM500201600081G
IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. THESE RATES INCLUDE AN OVERALL NATIONAL MEDICARE FFS IMPROPER PAYMENT RATE AND IMPROPER PAYMENT RATES FOR EACH CLAIM TYPE [PART A INPATIENT HOSPITAL PROSPECTIVE PAYMENT SYSTEM (PPS); PART A EXCLUDING INPATIENT HOSPITAL PPS; PART B; AND DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND SUPPLIES (DMEPOS)]. THE CERT PROGRAM ENSURES A STATISTICALLY VALID RANDOM SAMPLE; THEREFORE, THE IMPROPER PAYMENT RATE CALCULATED FROM THIS SAMPLE IS CONSIDERED TO BE REFLECTIVE OF ALL OF CLAIMS PROCESSED BY MEDICARE FFS PROGRAM DURING THE REPORT PERIOD. CMS ALSO USES THE CERT PROGRAM TO PERFORM SPECIAL STUDIES AND SUPPLEMENTAL MEASUREMENTS TO DETERMINE THE IMPROPER PAYMENT RATES OF PARTICULAR CLAIM TYPES. CALCULATIONS OF THESE RATES FACILITATE CMS ABILITY TO TAKE APPROPRIATE CORRECTIVE ACTIONS TO REDUCE IMPROPER PAYMENTS.
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 | 541611 — Administrative Management and General Management Consulting Services |
| PSC | B537 — Medical and Health Studies |
| Parent award / vehicle | GS00F263CA |
| Set-aside | Not reported |
| Pricing type | FIRM FIXED PRICE |
| Obligations | $230.2M |
| Current contract value | $230.2M |
| Potential contract value / ceiling | $230.2M |
| Start date | Aug 17, 2016 |
| Current end date | Nov 21, 2027 |
| Potential end date | Nov 21, 2027 |
| Latest award activity | Aug 13, 2026 |
| Source loaded | Sep 19, 2026 |
Funding and modification history
Showing the latest 39 of 39 loaded transactions. Negative values are deobligations.
| Date | Modification | Obligation change | Description |
|---|---|---|---|
| Aug 13, 2026 | P00035 | $23.5M | COMPREHENSIVE ERROR RATE TESTING (CERT) PROGRAM TO CALCULATE THE MEDICARE FEE-FOR-SERVICE (FFS) PROGRAM IMPROPER PAYMENT RATE |
| Jun 17, 2026 | P00034 | $0 | COMPREHENSIVE ERROR RATE TESTING (CERT) PROGRAM REVIEW |
| May 29, 2026 | P00033 | $0 | LIFT THE STOP WORK ORDER EFFECTIVE IMMEDIATELY. |
| Mar 20, 2026 | P00032 | $0 | THE PURPOSE OF THIS MODIFICATION IS TO ISSUE AN UPDATED PAYMENT SCHEDULE FOR CLIN 0016, OPTIONAL TASK 29 - TRANSITION REQUIREMENTS OUTGOING DUE TO THE STOP WORK ORDER ISSUED ON MARCH 5, 2026. ALSO, REVISE ATTACHMENT 3 BACK PAGES TO INCORPORATE MODIFICATION P00032. |
| Mar 5, 2026 | P00031 | $0 | THE PURPOSE OF THIS MODIFICATION IS TO ISSUE A STOP WORK ORDER ON CLIN 0016, OPTIONAL TASK 29 - TRANSITION REQUIREMENTS OUTGOING EFFECTIVE IMMEDIATELY. IN ACCORDANCE WITH THE CONTRACT CLAUSE FAR 52.233-3, PROTEST AFTER AWARD (AUG 1996), THE CONTRACTOR SHALL STOP PERFORMANCE OF THE WORK ON CLIN 0016, OPTIONAL TASK 29 - TRANSITION REQUIREMENTS OUTGOING DESCRIBED IN THE CONTRACT ATTACHMENT J.1 REV. CLEAN CRC OY9 SOW MOD, UNTIL WRITTEN NOTIFICATION FROM THE CONTRACTING OFFICER. |
| Feb 9, 2026 | P00030 | $356.7K | EXERCISE AND FUND CLIN 0016, OPTIONAL TASK 29 - TRANSITION REQUIREMENTS OUTGOING. THE FIXED PRICE FOR CLIN 0016 IS $356,676.64. |
| Sep 30, 2025 | P00029 | $0 | KEY PERSONNEL AND COR CHANGE |
| Aug 29, 2025 | P00028 | $0 | INCORPORATE CLIN 0017, OPTION YEAR 10. THE FIXED PRICE FOR CLIN 0017 IS $22,085,658.55. INCORPORATE CLIN 0018, OPTION YEAR 10, OLMS, ODCS AND TRAVEL. THE T&M COST FOR CLIN 0018 IS $1,421,850.87. |
| Aug 20, 2025 | P00027 | $0 | EOI:: IMPLEMENTING EO 14222 HHS COST EFFICIENCY INITIATIVE (MARCH 19,2025) EOI:: MODIFICATION TO DESCOPE AND EXERCISE OPTION PERIOD 9 |
| Aug 11, 2025 | P00026 | $0 | EOI::IMPLEMENTING EO 14222 HHS COST EFFICIENCY INITIATIVE (MARCH 19,2025)::EOI MODIFICATION TO DESCOPE AND EXERCISE OPTION PERIOD 9 |
| Jul 21, 2025 | P00025 | $21.9M | EOI::IMPLEMENTING EO 14222 HHS COST EFFICIENCY INITIATIVE (MARCH 19,2025)::EOI MODIFICATION TO DESCOPE AND EXERCISE OPTION PERIOD 9 |
| Mar 20, 2025 | P00024 | $0 | TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS |
| Mar 7, 2025 | P00023 | $-118.1K | TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS |
| Jun 18, 2024 | P00022 | $22.1M | TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS |
| Apr 5, 2024 | P00021 | $54.5K | TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS |
| Jun 8, 2023 | P00020 | $22.9M | TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS |
| Mar 29, 2023 | P00019 | $0 | TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS |
| Mar 21, 2023 | P00018 | $0 | TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS |
| Aug 25, 2022 | P00017 | $0 | TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS |
| Jun 30, 2022 | P00016 | $21.5M | TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS |
| Apr 28, 2022 | P00015 | $-113.0K | TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS |
| Mar 3, 2022 | P00014 | $0 | TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS |
| Nov 10, 2021 | P00013 | $0 | UPDATE MEDICAL DIRECTOR |
| Aug 20, 2021 | P00012 | $1.1M | ADD FUNDING TO CLIN 0006 AND ESTABLISH NEW TASK 23 IN THE STATEMENT OF WORK |
| Jul 23, 2021 | P00011 | $21.6M | ESTABLISH AND EXERCISE CLIN 0006 FOR OPTION YEAR 5 |
| Jan 28, 2021 | P00010 | $0 | REVISE COR AND ACOR |
| Nov 20, 2020 | P00009 | $592.5K | ADD TASK 30 FOR CDM WORK |
| Jul 30, 2020 | P00008 | $17.7M | EXERCISE OPTION YEAR 4, MODIFY TASK 19 AND DESCOPE TASK 9 |
| Apr 23, 2020 | P00007 | $0 | INCORPORATE MANDATORY CONTRACTOR TRAINING CLAUSE |
| Nov 29, 2019 | P00006 | $0 | THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. |
| Jul 23, 2019 | P00005 | $19.5M | THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. |
| Apr 9, 2019 | P00004 | $538.5K | IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. |
| Oct 22, 2018 | P00003 | $0 | IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. |
| Aug 7, 2018 | P00002 | $18.5M | IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. |
| Apr 2, 2018 | P00001 | $253.1K | IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. |
| Jul 25, 2017 | 3 | $18.7M | IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. |
| Apr 11, 2017 | 2 | $129.8K | IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. |
| Dec 2, 2016 | 1 | $175.6K | IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. |
| Aug 17, 2016 | 0 | $19.3M | IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. THESE RATES INCLUDE AN OVERALL NATIONAL MEDICARE FFS IMPROPER PAYMENT RATE AND IMPROPER PAYMENT RATES FOR EACH CLAIM TYPE [PART A INPATIENT HOSPITAL PROSPECTIVE PAYMENT SYSTEM (PPS); PART A EXCLUDING INPATIENT HOSPITAL PPS; PART B; AND DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND SUPPLIES (DMEPOS)]. THE CERT PROGRAM ENSURES A STATISTICALLY VALID RANDOM SAMPLE; THEREFORE, THE IMPROPER PAYMENT RATE CALCULATED FROM THIS SAMPLE IS CONSIDERED TO BE REFLECTIVE OF ALL OF CLAIMS PROCESSED BY MEDICARE FFS PROGRAM DURING THE REPORT PERIOD. CMS ALSO USES THE CERT PROGRAM TO PERFORM SPECIAL STUDIES AND SUPPLEMENTAL MEASUREMENTS TO DETERMINE THE IMPROPER PAYMENT RATES OF PARTICULAR CLAIM TYPES. CALCULATIONS OF THESE RATES FACILITATE CMS ABILITY TO TAKE APPROPRIATE CORRECTIVE ACTIONS TO REDUCE IMPROPER PAYMENTS. |
Estimated positioning window
Nov 21, 2026 – May 21, 2027
Recompete signal: . Rule-based research score; positioning dates are estimates.
60/100
Why this recompete signal
Contract timing and recorded acquisition signals at the time of calculation.
Stored score: 60/100. Available recorded signals: 55 points.
- Contract end 2027-11-21 (392 days from calculation)
- +25 points
- 1 historical awards in this buyer and category group
- +0 points
- 39 recorded award transactions
- +10 points
- Latest award action: 2026-08-13
- +5 points
- Parent award identifier recorded
- +5 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.
Recompete score calculated Oct 25, 2026.
Research next steps
- Check the linked forecast or SAM for a confirmed solicitation and current timing.
- Confirm the ordering vehicle and your eligibility or a qualified teaming route.
- Review the award scope and buyer evidence before making a bid/no-bid decision.