Medicare Fee-For-Service Corrective Action Strategic Analysis (CASA)

SOL #: 261097Sources Sought

Overview

Buyer

Health And Human Services
Centers For Medicare And Medicaid Services
OFC OF ACQUISITION AND GRANTS MGMT
BALTIMORE, MD, 21244, United States

Place of Performance

St James, MD

NAICS

Administrative Management and General Management Consulting Services (541611)

PSC

Other Professional Services (R499)

Set Aside

No set aside specified

Timeline

1
Posted
Apr 23, 2026
2
Response Deadline
May 8, 2026, 4:00 PM

Qualification Details

Fit reasons
  • NAICS alignment with historical contract wins in similar service areas.
  • Scope strongly matches core technical capabilities and delivery model.
Risks
  • Past performance thresholds may require one additional teaming partner.
  • Potential clarification needed on staffing minimums before bid/no-bid.
Next steps

Validate eligibility requirements, assign capture owner, and schedule partner outreach to confirm teaming strategy before submission planning.

Quick Summary

The Centers for Medicare & Medicaid Services (CMS), specifically the Center for Program Integrity (CPI) / Provider Compliance Group (PCG), has issued a Sources Sought Notice (SSN) for Medicare Fee-For-Service Corrective Action Strategic Analysis (CASA). This market research aims to identify qualified small businesses to support efforts in identifying, measuring, and preventing improper payments in the Medicare FFS program. Responses are due by May 8, 2026.

Scope of Work

The CASA work focuses on data analysis of PCG corrective action activities, strategy development and assessment, and internal stakeholder engagement. Desired outcomes include:

  • Characterizing Comprehensive Error Rate Testing (CERT) data to identify high-value corrective action strategies.
  • Reducing provider burden, appeals, and improper payments in the Medicare FFS program.
  • Supporting CMS in meeting obligations under the Payment Integrity Information Act of 2019 (PIIA).
  • Providing actionable recommendations to PCG programs and CMS leadership.

Contract & Timeline

  • Opportunity Type: Sources Sought (for planning purposes only)
  • Anticipated Period of Performance: 2026–2028 (for a potential future contract)
  • Set-Aside: Specifically seeking responses from eligible Small Businesses, including 8(a), Service-Disabled Veteran-Owned Small Businesses (SDVOSBs), HUBZone Small Businesses, Small Disadvantaged Businesses (SDBs), Veteran-Owned Small Businesses (VOSBs), and Women-Owned Small Businesses (WOSBs).
  • NAICS Code: 541611 (Other Professional Services)
  • Response Due: May 8, 2026, 12:00 PM local time, Baltimore, MD
  • Published: April 23, 2026

Key Requirements / Capabilities

Respondents must demonstrate experience in the following areas:

  • MANDATORY:
    1. Medicare FFS Claims Data Analysis and CMS Data Systems Access
    2. Improper Payment Analysis, Vulnerability Identification, and ROI Assessment
    3. Corrective Action Plan (CAP) Development, Assessment, and Medical Review
    4. Federal Healthcare Program Integrity Ecosystem Coordination
  • PREFERRED:
    1. Provider Education Materials and Compliance Products
    2. Stakeholder Engagement and Federal Program Office Support

Responses are limited to 15 single-sided pages, plus a separate Structured Capability Response Matrix.

Additional Notes

This is a Sources Sought Notice for planning purposes only and is not a solicitation. CMS will not entertain questions regarding this market research. Contractors must be registered in the System for Award Management (SAM) database (sam.gov) prior to any potential award.

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Sources Sought
Posted: Apr 23, 2026
Medicare Fee-For-Service Corrective Action Strategic Analysis (CASA) | GovScope