HPSA Zip Code Crosswalk

Amendment / Modification

• The response due date for the solicitation has been extended.

• Response Due Date

• The proposal deadline has been moved from April 28, 2026, to April 30, 2026, at 4:00 PM.

Solicitation / RFP / RFQ

This solicitation seeks a contractor to develop and provide The Centers for Medicare and Medicaid Services (CMS) with a crosswalk of geographic Health Professional Shortage Area (HPSA) designations to United States Postal Service (USPS) ZIP Codes. This crosswalk will be used to determine Medicare HPSA bonus payments per section 413(a) of the Medicare Prescription Drug and Modernization Act (MMA) of 2003.

• Development and provision of a HPSA Zip Code Crosswalk.

• The Statement of Work (SOW) is attached as Attachment J.1.

• The solicitation issue date is April 15, 2026.

• The offer due date is April 28, 2026, at 4:00 PM EST.

• The NAICS code is 541512 (Computer Systems Design and Related Services).

• This is a Request for Quote (RFQ).

• Offerors must complete blocks 12, 17, 23, 24, and 30 of the Standard Form 1449.

• Evaluation criteria are not detailed in the provided pages.

• The acquisition is set aside for Women-Owned Small Business (WOSB).

• FAR clauses incorporated by reference include those related to representations, certifications, and supply chain security.

• Specific clauses regarding prohibitions on contracting for certain telecommunications and video surveillance services/equipment (52.204-24, 52.204-25, 52.204-26) and Federal Acquisition Supply Chain Security Act Orders (52.204-29) require specific representations and potential disclosures from offerors.

Solicitation / RFP / RFQ

This document outlines a solicitation for the development and provision of a crosswalk between geographic Health Professional Shortage Area (HPSA) designations and United States Postal Service (USPS) ZIP Codes. This crosswalk is intended to determine the payment of the Medicare HPSA bonus, as per section 413(a) of the Medicare Prescription Drug and Modernization Act of 2003.

• Development and provision of a crosswalk between HPSA designations and USPS ZIP Codes.

• The Statement of Work (Attachment J.1) provides detailed requirements for the contractor to accomplish minimum contract needs.

• This will be a Firm Fixed Price (FFP) contract. The Government reserves the right to change the contract type.

• The period of performance includes a Base Year (June 1, 2026 - May 31, 2027) and four Option Years (June 1, 2027 - May 31, 2031).

• Proposals will be evaluated based on Technical Proposal, Personnel Qualifications, Management Plan, Past Performance, and Business Proposal (including cost analysis).

• A Conflict of Interest Review will also be conducted.

• Key deadlines and submission instructions are detailed throughout the solicitation, particularly in Section L.

• The NAICS code for this acquisition is 541512 (Computer Systems Design Services).

• The small business size standard is $30 million in average annual receipts.

• Specific clauses related to small business concerns, including WOSB, are included.

• The document includes extensive information on contract administration, including data to be delivered, use of government data, subcontracting, property administration, payments, and accounting data.

• Clauses related to security, accessibility (Section 508), HIPAA, conflicts of interest, and contractor past performance are detailed.

• Specific requirements for proposal submission, including format, page limitations, and content for technical and business proposals, are outlined.

Amendment / Modification

This amendment extends the proposal due date.

• Response Due Date

• The proposal deadline has been extended from April 30, 2026, to May 15, 2026.

Statement of Work (SOW)

This contract aims to develop and provide a crosswalk of geographic Health Professional Shortage Area (HPSA) designations to United States Postal Service (USPS) ZIP Codes. This crosswalk will be used to determine Medicare HPSA bonus payments.

• Automate the extraction and matching process of Geographic Information System (GIS) data to improve efficiency, accuracy, and reduce costs.

• Analyze CMS requirements to determine necessary resources for product development.

• Locate information not supplied by CMS.

• Adhere to a schedule of regular updates and attend meetings with CMS staff.

• Respond to CMS inquiries by the close of business of the next business day.

• Provide a finished product that is easily usable by Medicare contractors and can be added to the CMS website.

• Provide support and make corrections to the work product.

• Access and manipulate the HPSA database from HRSA using SAS statistical software.

• Utilize computing capacity and archive systems for large geographic and statistical operations.

• Access historical ZIP Code boundary data from 2004 to the present.

• Adjudicate questions, requests, and disputes.

• Use GIS skills to crosswalk geographic areas to ZIP Codes.

• Create composite HPSA boundary files and combine them with ZIP Code boundary information.

• Familiarity with USPS ZIP Code files, including those for Puerto Rico and U.S. outlying areas.

• Interpret geographic data with precision and accuracy.

• Provide documentation of the crosswalk development process.

• The contractor shall not perform duties at any CMS property location.

• Use HRSA website data to identify metropolitan and non-metropolitan primary medical care, mental health, and dental HPSAs for the United States, Puerto Rico, and U.S. Virgin Islands.

• Cross-walk CMS-provided County Dominance ZIP Code files to designated HPSA areas.

• Provide Microsoft Excel lists of 5-digit ZIP Codes that fall fully within HRSA-designated primary medical care, mental health, and dental HPSAs.

• Required Task 1: Provide Microsoft Excel lists of 5-digit ZIP Codes for primary medical care, mental health, and geographic dental HPSAs.

• File Delivery: Deliverables to the CMS Contracting Officer's Representative (COR).

• Communications: Respond to inquiries, attend teleconferences.

• Quality of Deliverables: Subjectively assessed by CMS for format, coverage, and quality.

• Quality Assurance Requirements: Provide a project work plan detailing data capture and crosswalk process; weekly progress meetings; monthly status reports.

Deliverables required annually for 4 option years, with delivery dates of November 1st each year.

Form / Attachment / Pricing Sheet

This document, "Attachment J.2 SOW Appendix A.pdf," serves as documentation for the "Identification of ZIP Code Areas Eligible for Medicare HPSA Bonus Payments." Its primary purpose is to identify ZIP Codes that correspond to areas where physicians qualify for bonus payments, as mandated by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA 2003).

• Background: Explains the MMA 2003 provisions for automatic bonus payments for physician services in geographic Health Professional Shortage Areas (HPSAs), covering Primary Care, Mental Health, and Dental Care HPSAs.
• Deliverable Files: Details four lists of ZIP Codes produced:
  • FullyDentalCareHPSA_20140829.xlsx: ZIP Codes for Dental Care HPSA status.
  • FullyMentalHealthHPSA_20140829.xlsx: ZIP Codes for automatic payment for Mental Health HPSA status.
  • FullyPriCareHPSA_20140829.xlsx: ZIP Codes for automatic payment for Primary Care HPSA status.
  • USzips20140829_D_ALL.xlsx: Contains detailed ZIP Code and Census boundary information, USPS dominant county status, and geographic overlap percentages.
• Methodology: Describes the process of identifying eligible ZIP Codes, including geographic mapping with HPSA boundaries, calculating area overlap, and using USPS dominant county data.
• Data Sources: Lists the input data used, including Census Boundary Files (2010), TomTom MultiNet ZIP Code Boundary Files (June 2014), HRSA HPSA Designation File (August 2014), and USPS ZIP Code Dominance File (October 2014).

This document is crucial for bidders who may be involved in healthcare services, particularly those operating in or seeking to operate in HPSA-designated areas. Understanding which ZIP Codes are eligible for Medicare HPSA bonus payments can inform business decisions, service area planning, and financial projections related to physician reimbursement and incentive programs. The detailed lists of ZIP Codes and the methodology used provide transparency on how eligibility is determined.

Form / Attachment / Pricing Sheet

This document is a template provided for contractors/offerors to submit information regarding potential Conflicts of Interest (COI) as required by Solicitation/Contract Section H.1. A response is mandatory, even if no conflict exists.

• Offeror/Contractor Information: Name, date submitted, submission type (initial or revised), Solicitation #, Contract #.
• Corporate and Organizational Structure: Requires high-level and internal organization charts, and a narrative explanation of structure/ownership.
• Actual, Potential, and/or Apparent COIs and Financial Interests/Relationships:
  • Description of COI oversight process.
  • Disclosure of contracts that could pose a COI, including prime contractor or subcontractor relationship, customer name, contract #, period of performance, total contract value, type of COI (Actual, Potential, Apparent), and specific COI type (UA, BG, IO).
  • Disclosure of financial interests/relationships that cause a COI, including the entity name, COI type, and a description of the interest/relationship.
  • A detailed explanation for why each disclosed item is or is not a conflict, and proposed mitigation strategies.
• Personal Conflicts of Interest (PCI): Requires analysis of PCIs for governing body members, principals, managers, and key personnel. Specific details of personal financial disclosures are not to be submitted to the government, but mitigation plans for identified PCIs must be provided.
• Subcontractors: Prime contractors/offerors must analyze their subcontractors' COI submissions, ensuring they meet criteria, have mitigated COIs, and provide an analysis of the subcontractor's mitigation strategy.

Bidders must use this template (or a substitute providing equivalent information) to detail any organizational or personal conflicts of interest. Failure to provide this information, or inadequate mitigation plans, may impact proposal evaluation and contract award. The submission requires a thorough understanding of the offeror's corporate structure and existing contractual relationships.