Name | Type | Posted | Actions |
|---|---|---|---|
Amendment 3 - Attachment 3 ClaimsCore Instructions to Offerors RL.docx | DOCX | Mar 11, 2026 | |
Amendment 3 - Attachment 3 ClaimsCore Instructions to Offerors.pdf | Mar 11, 2026 | ||
Amendment 3 - Solicitation 75FCMC26R0022.pdf | Mar 11, 2026 | ||
Amendment 2 - Solicitation 75FCMC26R0022.pdf | Mar 10, 2026 | ||
Amendment 2 - Attachment 3 ClaimsCore Instructions to Offerors.pdf | Mar 10, 2026 | ||
Amendment 2 - Attachment 3 ClaimsCore Instructions to Offerors RL.docx | DOCX | Mar 10, 2026 | |
ClaimsCore RFP Questions and Responses.xlsx | XLSX | Mar 9, 2026 | |
Amendment 1 - Solicitation 75FCMC26R0022.pdf | Mar 9, 2026 | ||
Amendment 1 - Attachment 6 Beneficiary Quantities Claims and Unit Pricing.pdf | Mar 9, 2026 | ||
Amendment 1 - Attachment 6 Beneficiary Quantities Claims and Unit Pricing RL.docx | DOCX | Mar 9, 2026 | |
Amendment 1 - Attachment 3 ClaimsCore Instructions to Offerors.pdf | Mar 9, 2026 | ||
Amendment 1 - Attachment 3 ClaimsCore Instructions to Offerors RL.docx | DOCX | Mar 9, 2026 | |
Amendment 1 - Attachment 1 ClaimsCore SOO.pdf | Mar 9, 2026 | ||
Attachment 6 - Beneficiary Quantities and Unit Pricing.pdf | Feb 27, 2026 | ||
Attachment 1 - ClaimsCore Statement of Objectives.pdf | Feb 27, 2026 | ||
Solicitation - 75FCMC26R0022.pdf | Feb 27, 2026 | ||
Attachment 4 - Past Performance Questionnaire.docx | DOCX | Feb 27, 2026 | |
Attachment 3 - ClaimsCore Instructions to Offerors.pdf | Feb 27, 2026 | ||
Attachment 2 - Contractor COI Submission Template.docx | DOCX | Feb 27, 2026 | |
Attachment 5 - FAR 52.212-5.pdf | Feb 27, 2026 |
ClaimsCore Combined Synopsis/Solicitation
Contact and place of performance
Candace Straker
St James, MD 21244
USA
ClaimsCore Combined Synopsis/Solicitation Amendment 0003- The purpose of this amendment is to request offerors provide a copy of any CTA, as applicable in Phase 2 as stated in Amendment 3 - Attachment 3, ClaimsCore Instructions to Offerors. ClaimsCore Combined Synopsis/Solicitation Amendment 0002- The purpose of this amendment is to correct the Phase 1 RFP submission due date as stated in Amendment 2 - Atta...
View moreSolicitation number 75FCMC26R0022 is issued as a request for proposal (RFP) for ClaimsCore. The ClaimsCore program seeks to re-platform Medicare Fee for Service claims processing by replacing legacy “Shared Systems” including the Multi-Carrier System (MCS), Fiscal Intermediary Shared System (FISS) and Durable Medical Equipment Claims System (DME) as well as the Common Working File (CWF) with a flexible and interoperable platform that reduces administrative burden and sets improvement of the beneficiary experience as the program’s guiding objective. CMS intends to procure a Software as a Services (SaaS) Commercially-Available-Off-The-Shelf (COTS) product and complimentary configuration and integration services that will provide CMS with near real-time adjudication and claims status, policy agility, industry leading enterprise tools, improved fraud prevention capabilities, and tighter integration across CMS, Medicare Administrative Contractor (MACs), providers, and partners.
This acquisition is not set-aside for small business concerns. This solicitation incorporates provisions and clauses by reference. The full text of provisions and clauses may be accessed electronically at www.acquisition.gov.
Contract Line Item Number (CLIN) Structure:
See Attached Soliciation-75FCMC26R0022 for a full breakdown of the CLIN structure, items, quantities, and units of measure (including option(s)).
See Attachment 1 – ClaimsCore Statement of Objectives for full description of the requirements being acquired.
See the attached Solicitation - 75FCMC26R0022 and Attachment 5 - FAR 52.212-5 to find the full list of solicitation provisions and contract clauses that apply to the acquisition (see 12.205(a)).
Date, Response Times, Place for receipt of offer and Point of Contacts:
All questions regarding this solicitation shall be submitted via electronic mail (e-mail) no later than 11:00 am Eastern Time (ET) on March 6, 2026 to Contract Specialist, Lauren Holsey, at [email protected] and cc: Contracting Officer, Candace Straker, at [email protected].
Offerors shall submit Phase One (1) proposals via electronic mail (e-mail) no later than 11:00 am Eastern Time (ET) on March 13, 2026 to Contract Specialist, Lauren Holsey, at [email protected] and cc: Contracting Officer, Candace Straker, at [email protected].
See Attachment 3 - ClaimsCore Instructions to Offerors for full instructions.
The Centers for Medicare and Medicaid Services (CMS) Office of Acquisition and Grants Management is seeking proposals for ClaimsCore, an initiative to re-platform Medicare Fee-for-Service claims processing. This program intends to replace legacy shared systems—including the Multi-Carrier System, Fiscal Intermediary Shared System, Durable Medical Equipment Claims System, and the Common Working File—with a flexible, interoperable platform. CMS plans to procure a Software as a Service (SaaS) Commercially-Available-Off-The-Shelf (COTS) product alongside configuration and integration services to enable near real-time adjudication, improved policy agility, and enhanced fraud prevention.
This combined synopsis/solicitation, identified as solicitation number 75FCMC26R0022, is issued as a request for proposal (RFP) for commercial products or services. The acquisition is classified under NAICS code 541512 for Computer Systems Design Services and PSC DA01 for IT and Telecom - Business Application/Application Development Support Services (Labor). There is no set-aside for small business concerns (NONE/NONE). Performance will take place in St. James, Maryland, under the supervision of Contracting Officer Candace Straker.
Phase One proposals must be submitted via electronic mail no later than 11:00 am Eastern Time on March 13, 2026. The solicitation documentation includes 20 attachments, including a Statement of Objectives, instructions to offerors, and specific pricing units. Recent amendments to the notice have addressed responses to questions, corrections to submission dates, and requests for Contractor Teaming Arrangement (CTA) documentation during Phase 2. All contract clauses and the full line item structure are detailed within the attached solicitation and its associated exhibits.
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