01 / Federal Opportunity Brief
Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Final Solicitation
02 / Federal Buyer
Who is buying?
03 / Purchase
What is the government buying?
Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Final Solicitation
The current notice is soliciting this requirement from eligible offerors.
The evidence provides only a high-level scope (benefit administration services, including claims processing and payment services) for Jurisdiction 8. It does not define specific deliverables or state that scope will be defined in future orders.
The evidence states the government will obtain a Part A/Part B Medicare Administrative Contractor (A/B MAC) to provide Medicare benefit administration services for Jurisdiction 8. It does not describe an ordering mechanism, task/delivery order structure, or other acquisition structure details in the provided text.
The notice describes the contractor’s work at a high level: specified health insurance benefit administration services, including Medicare claims processing and payment services, supporting the traditional Medicare fee-for-service program for Jurisdiction 8.
04 / Contracting Requirements
How will this procurement work?
| Requirement | What the notice says | Source status |
|---|---|---|
| Eligibility | No offeror eligibility requirements are provided in the supplied evidence. | Not Disclosed |
| Contract ceiling | Not disclosed | Not Disclosed |
| Minimum guarantee | Not disclosed | Not Disclosed |
| Contract duration | Not disclosed | Not Disclosed |
| Foreign participation | Not disclosed | Not Disclosed |
| Proposal and award procedure | The supplied evidence does not include submission instructions, evaluation factors, scoring, or award procedures. | Not Disclosed |
| Staffing and security | No staffing levels, roles, background checks, or security/clearance requirements are provided in the supplied evidence. | Not Disclosed |
Read the original SAM.gov description
The purpose of this contract is to obtain a Part A/Part B (A/B) Medicare Administrative Contractor (hereinafter referred to as “the contractor” or “MAC” or “A/B MAC”) to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the “traditional” Medicare program (also known as the Medicare fee-for-service or FFS, program) for Jurisdiction 8. Jurisdiction 8 includes the states of Indiana and Michigan.
05 / Historical Spending Trend
How has spending on the selected comparable contracts changed?
The same closed fiscal-year window and the same complete comparable-contract set are used throughout this Brief. Net obligations total $4.25B across 7 fiscal years.
| Fiscal year | Comparable obligations | Actions | Vendors |
|---|---|---|---|
| FY 2019 | $338.28M | 83 | 12 |
| FY 2020 | $547.26M | 102 | 13 |
| FY 2021 | $534.81M | 113 | 14 |
| FY 2022 | $576.34M | 100 | 11 |
| FY 2023 | $711.20M | 126 | 14 |
| FY 2024 | $876.03M | 139 | 15 |
| FY 2025 | $665.72M | 94 | 12 |
06 / Related Historical Awards
Which contracts support the comparison?
No direct contract reference was found. 15 broad matches are shown as supporting context.
| Contract | Vendor | Latest activity | Office | NAICS / PSC | Match | Obligations | Actions |
|---|---|---|---|---|---|---|---|
| 75FCMC19C0043 | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | Dec 4, 2025 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $366.15M | 85 |
| 75FCMC24C0011 | NORIDIAN HEALTHCARE SOLUTIONS, LLC | Sep 8, 2025 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $38.05M | 11 |
| HHSM5002013M0015Z | NATIONAL GOVERNMENT SERVICES, INC. | Aug 26, 2024 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $16.33M | 13 |
| 75FCMC20C0025 | CGS ADMINISTRATORS, LLC | Dec 11, 2025 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $228.25M | 64 |
| 75FCMC19C0018 | NOVITAS SOLUTIONS, INC | Nov 12, 2025 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $891.91M | 91 |
| 75FCMC22C0037 | PALMETTO GBA, LLC | Nov 5, 2025 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $615.64M | 52 |
| 75FCMC22C0018 | FIRST COAST SERVICE OPTIONS INC | Nov 5, 2025 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $254.32M | 40 |
| 75FCMC22C0003 | NATIONAL GOVERNMENT SERVICES, INC. | Mar 14, 2025 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $332.70M | 41 |
| HHSM5002012M0012Z | NORIDIAN ADMINISTRATIVE SERVICES, LLC | Oct 17, 2023 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $210.38M | 43 |
| HHSM5002009M0004Z | CAHABA GOVERNMENT BENEFIT ADMINISTRATORS, LLC | Sep 12, 2019 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $0 | 1 |
| HHSM5002008M0008Z | FIRST COAST SERVICE OPTIONS, INC | Sep 12, 2019 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $0 | 1 |
| HHSM5002012M0005Z | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | Jun 7, 2019 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $0 | 1 |
| 75FCMC18C0029 | NORIDIAN HEALTHCARE SOLUTIONS, LLC | Nov 12, 2024 | OFC OF ACQUISITION AND GRANTS MGMT | 524114 / G007 | Broad match Buyer and requirement-language evidence | $3.37M | 4 |
| HHSM5000003 | ENTERPRISE SERVICES LLC | Sep 23, 2021 | OFC OF ACQUISITION AND GRANTS MGMT | 541513 / R499 | Broad match Buyer and requirement-language evidence | -$21.83M | 1 |
| 75FCMC20F0004 | REED AND ASSOCIATES CPAS | Sep 10, 2025 | OFC OF ACQUISITION AND GRANTS MGMT | 541211 / R703 | Broad match Buyer and requirement-language evidence | $992.2K | 5 |
07 / Contractor Evidence
Which contractors have performed related work?
Historical contractors are ranked by direct procurement-family evidence and comparable contract activity. The table distinguishes connected holders from broader performers without identifying unverified bidders.
No directly connected predecessor was identified. The companies below are historical performers selected from the comparable contract set; none is identified as a bidder.
| Company | Evidence | Fit | Why included | Contracts | Actions | Obligations | Latest activity | Links |
|---|---|---|---|---|---|---|---|---|
| NOVITAS SOLUTIONS, INC UEI PLHWY41UW5V3 · CAGE 4KGW8 | Broad historical performer Historical performer | Moderate | Comparable buyer and requirement history | 1 | 91 | $891.91M | Nov 12, 2025 | GETWAB profile Verified via GSA eLibrary Official website |
| PALMETTO GBA, LLC UEI CFLDECZBMDV6 · CAGE 3EYS4 | Broad historical performer Historical performer | Moderate | Comparable buyer and requirement history | 1 | 52 | $615.64M | Nov 5, 2025 | GETWAB profile Verified via SAM Entities Official website |
| WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION UEI HLY2E796N2L3 · CAGE 2R921 | Broad historical performer Historical performer | Moderate | Comparable buyer and requirement history | 2 | 86 | $366.15M | Dec 4, 2025 | GETWAB profile |
| NATIONAL GOVERNMENT SERVICES, INC. UEI TJNDFEALGTB5 · CAGE 3NKX7 | Broad historical performer Historical performer | Moderate | Comparable buyer and requirement history | 2 | 54 | $349.03M | Mar 14, 2025 | GETWAB profile Verified via GSA eLibrary Official website |
| FIRST COAST SERVICE OPTIONS INC UEI RK89KEJYQJR1 · CAGE 1M7H5 | Broad historical performer Historical performer | Moderate | Comparable buyer and requirement history | 2 | 41 | $254.32M | Nov 5, 2025 | GETWAB profile Verified via SAM Entities Official website |
| NORIDIAN HEALTHCARE SOLUTIONS, LLC UEI S9LBFM3QCED8 · CAGE 3EN02 | Broad historical performer Historical performer | Moderate | Comparable buyer and requirement history | 3 | 58 | $251.80M | Sep 8, 2025 | GETWAB profile Verified via SAM Entities Official website |
| CGS ADMINISTRATORS, LLC UEI LLNXG14PXPB3 · CAGE 39MA3 | Broad historical performer Historical performer | Moderate | Comparable buyer and requirement history | 1 | 64 | $228.25M | Dec 11, 2025 | GETWAB profile Verified via SAM Entities Official website |
| ENTERPRISE SERVICES LLC UEI MBSRAWAQ9559 · CAGE 1U305 | Broad historical performer Historical performer | Moderate | Comparable buyer and requirement history | 1 | 1 | -$21.83M | Sep 23, 2021 | GETWAB profile Verified via SAM Entities Official website |
| REED AND ASSOCIATES CPAS UEI U4XSQTM8LN36 · CAGE 3E6J3 | Broad historical performer Historical performer | Moderate | Comparable buyer and requirement history | 1 | 5 | $992.2K | Sep 10, 2025 | GETWAB profile Verified via SAM Entities Official website |
| CAHABA GOVERNMENT BENEFIT ADMINISTRATORS, LLC UEI TK1SRKMTQJA9 · CAGE 47PG1 | Broad historical performer Historical performer | Moderate | Comparable buyer and requirement history | 1 | 1 | $0 | Sep 12, 2019 | GETWAB profile |
08 / Competitive Landscape
How was comparable work competed?
Competition treatment is calculated from exactly the same closed-period contract set used in Sections 5–7. It describes historical actions, not the outcome of this solicitation.
| FPDS treatment | Code | Actions | Obligations | Share |
|---|---|---|---|---|
| Full and open competition | A | 743 | $4.28B | 99.3% |
| FPDS competition category | CDO | 13 | -$31.73M | 0.7% |
| FPDS competition category | — | 1 | $0 | 0.0% |
09 / Procurement History
How was this opportunity published and updated?
One SAM.gov notice record was resolved for this procurement family.
| Notice | Type | Posted | Response deadline | Status | Official source |
|---|---|---|---|---|---|
| 75FCMC27R0001FinalSolicitation Current Brief record Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Final Solicitation | Solicitation | Sep 28, 2026 | Nov 2, 2026 11:00 AM GMT-0500 | Active | View on SAM.gov |
10 / NAICS and PSC Market Context
How large is the selected comparable market?
Classification codes organize the evidence; they do not prove that every contract in the broader NAICS or PSC market matches this requirement.
11 / Capture Signals and Risks
What should be validated before committing capture resources?
Capture signals separate verified procurement-family evidence from unresolved requirements and market-only indicators.
Direct procurement-family evidence
No direct award record found
Buyer proximity
15 comparable record(s) share the contracting office
Eligibility
Not disclosed in the indexed notice
Unresolved requirement fields
7
12 / Who Should Pursue
When does this opportunity fit?
- Your team can demonstrate recent, relevant delivery in Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Final Solicitation.
- You can perform under the stated acquisition model: The evidence states the government will obtain a Part A/Part B Medicare Administrative Contractor (A/B MAC) to provide Medicare benefit administration services for Jurisdiction 8. It does not describe an ordering mechanism, task/delivery or
- You can show credible past performance for OFC OF ACQUISITION AND GRANTS MGMT or a closely related federal customer.
- Your technical scope fits, but you lack demonstrated history with OFC OF ACQUISITION AND GRANTS MGMT.
- You need a specialist teammate to close unresolved staffing, security, or detailed-scope requirements before committing.
- Your delivery model cannot support the stated contract vehicle or order-based work structure.
- The unresolved requirements shown above cannot be validated before committing proposal resources.