HHS releases J&A for Qualified Independent Contractor (QIC) Part A West Follow-On Task Order to Maximus

Updated January 8, 2021

Contract Award Number: HHSM-500-2004-00007I

Task/Delivery Order Number: 75FCMC21F0001

Part A West QIC Task Order (HHSM-500-2004-00007I/HHSM-500-T0011): Awarded in June 2016 to MAXIMUS Federal Services, Inc. (MAXIMUS). The total funding obligated on the task order to date is approximately $38.6 million. The current period of performance is as follows:

  • Transition Period: June 22, 2016 – August 31, 2016
  • Base Operational Period: September 1, 2016 – August 31, 2017
  • Renewal Year 1: September 1, 2017 – August 31, 2018
  • Renewal Year 2: September 1, 2018 – August 31, 2019
  • Renewal Year 3: September 1, 2019 – December 31, 2020

The proposed period of performance of the 1-year logical follow-on is:

  • Base Operational Period: January 1, 2021 – December 31, 2021
  • Optional Transition-Out: January 1, 2022 – April 30, 2022

The estimated value of the proposed action is $9,982,892.66.

The purpose of the proposed logical follow-on Part A West QIC task order is to process reconsiderations requested as a result of Medicare Administrative Contractors (MACs) redeterminations of Medicare Part A claims. This workload includes processing reconsideration requests for, at a minimum, hospital inpatient, home health, skilled nursing home, hospice, and other Part A services and claims. It also includes Part B services billed through MACs (sometimes referred to as “Part B of A”).

It shall be noted that the QIC is also responsible for reconsiderations based on “initial determinations” regarding Medicare Secondary Payer (MSP) recovery claims against beneficiaries or providers/suppliers where the redetermination was processed by a MAC. Such recovery claims against beneficiaries routinely include both Part A & Part B claims.

Read more here.

Posted January 4, 2021

Maximus has been awarded a 16-month Qualified Independent Contractor (QIC) Part A West Appeals task with the Centers for Medicare and Medicaid Services. The task was awarded using the CMS Qualified Independent Contractor (QIC) IDIQ.

Contract Duration: 16 months
Total Contract Value: $9,246,840.00
Action Obligation: $9,035,941.00
Number of Bidders: 1
Award ID: 75FCMC21F0001

Maximus, a leading provider of government services worldwide, was recently named to the updated list of NXT UP firms poised to make big waves in the Federal sector in 2020 and for years to come.



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