Medicare Fee-For-Service Corrective Action Strategic Analysis (CASA)
Key Dates
Due Date
-
Posted Date
-
Agency & Value
Agency
OFC OF ACQUISITION AND GRANTS MGMT
Contract Value
Not provided
Codes & Classification
Solicitation Number
261097
NAICS
541611 - Administrative Management and General Management Consulting Services
Classification Code
R499
Additional Details
Documents1
The Centers for Medicare & Medicaid Services (CMS), through its Office of Acquisition and Grants Management, has issued a Sources Sought Notice (SSN) to assess the availability and capabilities of qualified small businesses to support the Medicare Fee-For-Service (FFS) Corrective Action Strategic Analysis (CASA) initiative. This market research effort is specifically targeted at a range of small business categories, 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).
The primary objective of the CASA initiative is to enhance the integrity of the Medicare FFS program by identifying, measuring, and preventing improper payments. The scope of work encompasses comprehensive data analysis related to Provider Compliance Group (PCG) corrective action activities, the development and assessment of corrective action strategies, and robust engagement with internal stakeholders. The intended outcomes of this effort are multifaceted: contractors will be expected to transform Comprehensive Error Rate Testing (CERT) data into actionable templates to pinpoint the most effective corrective action strategies, reduce provider burden and appeals, decrease improper payments, and support CMS in fulfilling its obligations under the Payment Integrity Information Act of 2019 (PIIA). Additionally, the contractor will be responsible for delivering actionable recommendations to both PCG programs and CMS leadership.
Key requirements for interested contractors include demonstrated expertise in administrative management and general management consulting services, as classified under NAICS code 541611 (2022 version), and the ability to provide strategic analysis and support in a highly regulated healthcare environment. The anticipated deliverables will center on data-driven analysis, strategic recommendations, and support activities that directly contribute to the reduction of improper payments and the enhancement of program integrity.
The place of performance for this opportunity is Windsor Mill, Maryland. The procurement is being managed by the Office of Acquisition and Grants Management within CMS, a component of the U.S. Department of Health and Human Services. The primary points of contact for this notice are Eisha Banks ([email protected], 410-786-5145) and Jennifer Kuhn ([email protected], 410-786-2299).
This notice is for planning and market research purposes only and does not constitute a solicitation or a commitment by the government to award a contract. All interested small businesses must be registered in the System for Award Management (SAM) at https://sam.gov prior to any potential award and throughout the contract lifecycle. The government will not respond to questions regarding this notice.
Contractors evaluating this opportunity should consider their experience in healthcare program integrity, data analysis, and strategic consulting within the federal sector, as well as their eligibility under the specified small business set-aside categories. The opportunity is classified under Product Service Code R499 (Support – Professional: Other), and all responses must be submitted by May 8, 2026.
For further details and to access the full notice and attachments, interested parties should refer to the official posting on SAM.gov at: https://sam.gov/opp/19bf2e433dd349a388a36fa5f11db8fb/view.