Modern Claim Adjudication Development Services (MCADS)
Overview
Buyer
Place of Performance
NAICS
PSC
Set Aside
Original Source
Timeline
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), under the Department of Health and Human Services, has published a Federal Supply Schedule Limited Sources Justification (LSJ) for the Modern Claim Adjudication Development Services (MCADS). This justification is for informational purposes only and details the rationale for extending an existing contract.
Purpose of Justification
This document seeks approval to modify and extend the period of performance for the current MCADS contract (GS-35F-523BA/75FCMC23F0049), which was originally awarded on May 1, 2023. The extension is necessary to provide a bridge period while the ClaimsCore program, a modernization effort for Medicare Fee-for-Service claims processing, matures.
Contract Details & Rationale
- Acquisition Title: Modern Claim Adjudication Development Services (MCADS)
- Agency: Centers for Medicare & Medicaid Services (CMS)
- Current Contract: GS-35F-523BA/75FCMC23F0049 (Firm-Fixed Price)
- Action: Modification to extend the contract's period of performance.
- Extension Period: May 1, 2026, through April 30, 2027 (12 months).
- Optional Transition: May 1, 2027, through July 31, 2027 (3 months), with incrementally decreasing services.
- Rationale: Recompeting MCADS during FY2026 is deemed not in the Government's best interest due to potential incomplete or inaccurate scope. Extending the current contract is considered the most economical and efficient path, avoiding significant onboarding costs and delays.
Future Competition
Market research was not conducted for this specific modification as it is a logical follow-on to a competitively awarded FSS order under FAR 8.4. CMS plans to conduct a full and open competition in FY2027 for a strategically different scope aligned with the maturing ClaimsCore program.
Additional Notes
This notice serves to inform industry of the government's intent and rationale for the extension, and to signal future opportunities related to the ClaimsCore program in FY2027.