Centers for Medicare and Medicaid Services December 2025

Reporting

Analyses

Impact

1. RECIPIENT

   C2C INNOVATIVE SOLUTIONS, INC.

   AWARD AMOUNT

   $13,475,358

   Base Award

   PERFORMED IN

   JACKSONVILLE, FLORIDA

   NAICS CODE

   ADMINISTRATIVE MANAGEMENT AND GENERAL MANAGEMENT CONSULTING SERVICES | 541611

   PSC CODE

   SUPPORT- PROFESSIONAL: OTHER | R499

   DESCRIPTION

   THE QUALIFIED INDEPENDENT CONTRACTOR (QIC) PERFORMS ALL OF THE TASKS ASSOCIATED WITH SUPPORT OF THE MEDICARE, MEDICAID, AND CHILDREN'S HEALTH INSURANCE PROGRAM BENEFITS IMPROVEMENT AND PROTECTION ACT OF 2000 (BIPA), PUBLIC LAW 106-554, SUBTITLE C - C

   Funding Office

   OFC OF ACQUISITION AND GRANTS MGMT

   Object Classes

   25.2: Other services from non-Federal sources

   SIGNED

   Dec 16, 2025

   CONTRACT PERIOD

   1/1/26 → 12/31/26

   KNOWN TRANSACTIONS

   1. 4/8/26 Other Administrative Action $0

   Total Spending To-Date: $13,475,358

2. RECIPIENT

   MAXIMUS FEDERAL SERVICES, INC.

   AWARD AMOUNT

   $10,248,087

   Base Award

   PERFORMED IN

   RESTON, VIRGINIA

   NAICS CODE

   ADMINISTRATIVE MANAGEMENT AND GENERAL MANAGEMENT CONSULTING SERVICES | 541611

   PSC CODE

   SUPPORT- PROFESSIONAL: OTHER | R499

   DESCRIPTION

   PART A WEST QUALIFIED INDEPENDENT CONTRACTOR LOGICAL FOLLOW-ON TASK ORDER AWARD.

   Funding Office

   OFC OF ACQUISITION AND GRANTS MGMT

   Object Classes

   25.2: Other services from non-Federal sources

   SIGNED

   Dec 18, 2025

   CONTRACT PERIOD

   1/1/26 → 12/31/27

   KNOWN TRANSACTIONS

   1. 8/25/26 Supplemental Agreement for Work Within Scope +$63,990

   Total Spending To-Date: $10,248,087

3. RECIPIENT

   CUSTOMER VALUE PARTNERS, LLC

   AWARD AMOUNT

   $9,816,758

   Exercise an Option

   PERFORMED IN

   WINDSOR MILL, MARYLAND

   NAICS CODE

   COMPUTER SYSTEMS DESIGN SERVICES | 541512

   PSC CODE

   IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SUPPORT SERVICES (LABOR) | DA01

   DESCRIPTION

   EO14042 WEBSITE QUALITY CONTROL (WQC) 2.0

   Major Program

   WEBSITE QUALITY CONTROL (WQC) 2.0

   Funding Office

   OFC OF ACQUISITION AND GRANTS MGMT

   Object Classes

   25.2: Other services from non-Federal sources

   Program Activities

   0001: PROGRAM OPERATIONS;0808: MARKETPLACE USER FEES

   SIGNED

   Dec 2, 2025

   CONTRACT PERIOD

   12/3/21 → 12/2/26

   KNOWN TRANSACTIONS

   1. 10/24/24 Other Administrative Action $0
   2. 11/4/24 Other Administrative Action $0
   3. 11/12/24 Close Out $0
   4. 11/13/24 Change Order $0
   5. 11/14/24 Exercise an Option +$2,757,568
   6. 11/21/24 Other Administrative Action $0
   7. 11/25/24 Exercise an Option +$7,509,260
   8. 11/26/24 Funding Only Action +$10,800
   9. 12/4/24 Other Administrative Action $0
   10. 12/9/24 Other Administrative Action $0
   11. 12/19/24 Exercise an Option +$13,792,158
   12. 12/20/24 Supplemental Agreement for Work Within Scope $0
   13. 12/20/24 Exercise an Option $0
   14. 1/2/25 Other Administrative Action $0
   15. 1/10/25 Supplemental Agreement for Work Within Scope +$8,389,853
   16. 1/15/25 Supplemental Agreement for Work Within Scope +$235,771
   17. 1/22/25 Other Administrative Action $0
   18. 1/22/25 Other Administrative Action $0
   19. 2/6/25 Supplemental Agreement for Work Within Scope +$1,591,046
   20. 2/6/25 Supplemental Agreement for Work Within Scope +$3,130,019
   21. 2/7/25 Exercise an Option +$1,300,593
   22. 2/24/25 Exercise an Option +$171,350
   23. 2/25/25 Supplemental Agreement for Work Within Scope +$342,946
   24. 2/26/25 Other Administrative Action $0
   25. 3/5/25 Other Administrative Action $0
   26. 3/10/25 Funding Only Action +$4,108,970
   27. 3/11/25 Exercise an Option +$5,085,279
   28. 3/13/25 Exercise an Option +$1,906,207
   29. 3/17/25 Exercise an Option +$1,487,021
   30. 3/18/25 Other Administrative Action $0
   31. 3/24/25 Other Administrative Action $0
   32. 3/24/25 Other Administrative Action $0
   33. 3/27/25 Exercise an Option +$100,395
   34. 4/2/25 Exercise an Option +$5,536,397
   35. 4/3/25 Other Administrative Action $0
   36. 4/9/25 Exercise an Option +$2,322,506
   37. 4/15/25 Other Administrative Action $0
   38. 4/15/25 Exercise an Option +$19,005,843
   39. 4/16/25 Other Administrative Action $0
   40. 4/23/25 Exercise an Option +$20,340,857
   41. 4/24/25 Other Administrative Action $0
   42. 5/6/25 Other Administrative Action $0
   43. 5/6/25 Additional Work (New Agreement) +$5,494,985
   44. 5/7/25 Other Administrative Action $0
   45. 5/7/25 Additional Work (New Agreement) +$1,990,512
   46. 5/8/25 Supplemental Agreement for Work Within Scope +$101,985
   47. 5/13/25 Change Order $0
   48. 5/15/25 Other Administrative Action $0
   49. 5/16/25 Other Administrative Action $0
   50. 5/22/25 Other Administrative Action $0
   51. 6/4/25 Change Order -$377,306
   52. 6/9/25 Other Administrative Action $0
   53. 6/30/25 Other Administrative Action +$13,344,043
   54. 6/30/25 Funding Only Action +$11,081,634
   55. 7/9/25 Supplemental Agreement for Work Within Scope -$190,258
   56. 7/24/25 Other Administrative Action $0
   57. 7/25/25 Supplemental Agreement for Work Within Scope -$705,599
   58. 8/1/25 Funding Only Action +$1,198,707
   59. 8/1/25 Supplemental Agreement for Work Within Scope -$731,580
   60. 8/6/25 Supplemental Agreement for Work Within Scope +$8,632,447
   61. 8/7/25 Exercise an Option +$9,044,726
   62. 8/7/25 Exercise an Option +$18,033,722
   63. 8/13/25 Exercise an Option +$1,450,490
   64. 8/14/25 Other Administrative Action $0
   65. 8/25/25 Exercise an Option +$1,107,860
   66. 8/25/25 Exercise an Option +$17,906
   67. 9/2/25 Supplemental Agreement for Work Within Scope +$2,325,193
   68. 9/9/25 Additional Work (New Agreement) $0
   69. 9/11/25 Exercise an Option +$5,378,285
   70. 9/12/25 Supplemental Agreement for Work Within Scope +$4,135,901
   71. 9/12/25 Exercise an Option +$344,012
   72. 9/15/25 Supplemental Agreement for Work Within Scope +$2,008,469
   73. 9/16/25 Funding Only Action +$901,890
   74. 9/19/25 Supplemental Agreement for Work Within Scope +$359,694
   75. 9/19/25 Change Order +$5,502,175
   76. 9/23/25 Funding Only Action +$504,473
   77. 9/26/25 Supplemental Agreement for Work Within Scope +$3,871,332
   78. 12/2/25 Exercise an Option +$7,678,196
   79. 12/2/25 Exercise an Option +$2,138,561
   80. 12/11/25 Exercise an Option +$11,802,376
   81. 12/22/25 Other Administrative Action $0
   82. 12/30/25 Other Administrative Action $0
   83. 1/9/26 Supplemental Agreement for Work Within Scope +$14,443,259
   84. 1/12/26 Exercise an Option +$3,656,802
   85. 1/30/26 Other Administrative Action $0
   86. 2/13/26 Exercise an Option +$7,910,029
   87. 2/25/26 Exercise an Option +$5,112,173
   88. 2/26/26 Supplemental Agreement for Work Within Scope +$171,350
   89. 2/28/26 Exercise an Option +$228,256
   90. 3/3/26 Other Administrative Action $0
   91. 3/4/26 Other Administrative Action $0
   92. 3/10/26 Supplemental Agreement for Work Within Scope +$1,392,904
   93. 3/13/26 Exercise an Option +$837,348
   94. 3/13/26 Exercise an Option +$1,147,655
   95. 3/13/26 Supplemental Agreement for Work Within Scope +$1,183,936
   96. 3/20/26 Exercise an Option +$5,246,952
   97. 3/23/26 Other Administrative Action $0
   98. 3/24/26 Supplemental Agreement for Work Within Scope +$556,225
   99. 4/1/26 Other Administrative Action $0
   100. 4/2/26 Supplemental Agreement for Work Within Scope +$3,065,941

   Total Spending To-Date: $36,104,243

4. RECIPIENT

   C2C INNOVATIVE SOLUTIONS, INC.

   AWARD AMOUNT

   $7,949,501

   Funding Only Action

   PERFORMED IN

   JACKSONVILLE, FLORIDA

   NAICS CODE

   ADMINISTRATIVE MANAGEMENT AND GENERAL MANAGEMENT CONSULTING SERVICES | 541611

   PSC CODE

   SUPPORT- PROFESSIONAL: OTHER | R499

   DESCRIPTION

   QUALIFIED INDEPENDENT CONTRACTOR (QIC) IDIQ CONTRACT - C2C INNOVATIVE SOLUTIONS

   Funding Office

   OFC OF ACQUISITION AND GRANTS MGMT

   SIGNED

   Dec 9, 2025

   CONTRACT PERIOD

   9/18/25 → 11/17/26

   KNOWN TRANSACTIONS

   1. 9/18/25 Base Award $1,622
   2. 11/17/25 Exercise an Option $0
   3. ▶ 12/9/25 Funding Only Action +$7,949,501
   4. 4/29/26 Supplemental Agreement for Work Within Scope +$13,511
   5. 6/30/26 Exercise an Option +$1,336,860
   6. 7/30/26 Supplemental Agreement for Work Within Scope +$2,072,303

   Total Spending To-Date: $7,951,123

5. RECIPIENT

   MATHEMATICA INC.

   AWARD AMOUNT

   $7,578,000

   Base Award

   PERFORMED IN

   PRINCETON, NEW JERSEY

   NAICS CODE

   RESEARCH AND DEVELOPMENT IN THE SOCIAL SCIENCES AND HUMANITIES | 541720

   PSC CODE

   HEALTH R&D SERVICES; HEALTH CARE - OTHER; APPLIED RESEARCH | AN42

   DESCRIPTION

   THE PURPOSE OF THIS TASK ORDER IS TO DESIGN AND CONDUCT AN EVALUATION OF THE WASTEFUL AND INAPPROPRIATE SERVICE REDUCTION (WISER) MODEL. THE EVALUATION WILL ASSESS THE EFFECTIVENESS OF THE MODEL'S ABILITY TO REDUCE EXPENDITURES WITHOUT REDUCING THE Q

   Funding Office

   OFC OF ACQUISITION AND GRANTS MGMT

   SIGNED

   Dec 1, 2025

   CONTRACT PERIOD

   12/1/25 → 12/31/29

   KNOWN TRANSACTIONS

   1. ▶ 12/1/25 Base Award $7,578,000
   2. 1/22/26 Supplemental Agreement for Work Within Scope $0
   3. 4/22/26 Other Administrative Action $0

   Total Spending To-Date: $7,578,000

6. RECIPIENT

   RED TAIL DIGITAL, LLC

   AWARD AMOUNT

   $4,347,686

   Base Award

   PERFORMED IN

   WINDSOR MILL, MARYLAND

   NAICS CODE

   OTHER COMPUTER RELATED SERVICES | 541519

   PSC CODE

   IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SUPPORT SERVICES (LABOR) | DA01

   DESCRIPTION

   THE OVERARCHING GOAL OF THE MEASURE AUTHORING AND DEVELOPMENT INTEGRATED ENVIRONMENT (MADIE) SYSTEM IS TO SUSTAIN AND ELEVATE AN EXISTING WEB-BASED, PUBLICLY ACCESSIBLE TOOL. MADIE SYSTEM CAPABILITIES EMPOWER MEASURE DEVELOPERS BY ENABLING THEM TO AR

   Funding Office

   OFC OF ACQUISITION AND GRANTS MGMT

   SIGNED

   Dec 3, 2025

   CONTRACT PERIOD

   12/10/25 → 11/24/26

   KNOWN TRANSACTIONS

   1. ▶ 12/3/25 Base Award $4,347,686
   2. 4/2/26 Other Administrative Action -$148,787
   3. 5/11/26 Other Administrative Action $0

   Total Spending To-Date: $4,347,686

7. RECIPIENT

   NEIL HOOSIER & ASSOCIATES, INC

   AWARD AMOUNT

   $2,991,250

   Exercise an Option

   PERFORMED IN

   POMONA, NEW YORK

   NAICS CODE

   ADMINISTRATIVE MANAGEMENT AND GENERAL MANAGEMENT CONSULTING SERVICES | 541611

   PSC CODE

   SUPPORT- PROFESSIONAL: OTHER | R499

   DESCRIPTION

   MEDICARE SECONDARY PAYER INTEGRATION CONTRACTOR (MSPIC) SERVICES.

   Major Program

   COB&R OPERATIONS

   Funding Office

   OFC OF ACQUISITION AND GRANTS MGMT

   Object Classes

   25.2: Other services from non-Federal sources

   Program Activities

   0001: MEDICARE INTEGRITY PROGRAM;0803: COORDINATION OF BENEFITS

   SIGNED

   Dec 1, 2025

   CONTRACT PERIOD

   12/1/22 → 12/8/26

   KNOWN TRANSACTIONS

   1. 10/24/24 Exercise an Option +$9,673,180
   2. 11/20/24 Supplemental Agreement for Work Within Scope +$201,164
   3. 11/26/24 Other Administrative Action $0
   4. 12/13/24 Other Administrative Action $0
   5. 12/26/24 Supplemental Agreement for Work Within Scope +$21,814
   6. 1/6/25 Supplemental Agreement for Work Within Scope $0
   7. 1/17/25 Other Administrative Action $0
   8. 1/21/25 Supplemental Agreement for Work Within Scope +$19,316,370
   9. 2/28/25 Exercise an Option +$124,374,566
   10. 3/14/25 Other Administrative Action $0
   11. 4/9/25 Other Administrative Action $0
   12. 4/24/25 Supplemental Agreement for Work Within Scope +$1,418,282
   13. 4/24/25 Other Administrative Action $0
   14. 4/28/25 Other Administrative Action $0
   15. 5/28/25 Other Administrative Action $0
   16. 6/16/25 Supplemental Agreement for Work Within Scope -$2,826,326
   17. 6/24/25 Other Administrative Action $0
   18. 6/27/25 Other Administrative Action -$659,524
   19. 8/6/25 Supplemental Agreement for Work Within Scope +$6,384,098
   20. 8/11/25 Close Out $0
   21. 8/27/25 Exercise an Option +$199,837
   22. 9/2/25 Exercise an Option +$12,844,979
   23. 9/2/25 Supplemental Agreement for Work Within Scope $0
   24. 9/3/25 Other Administrative Action +$39,392,664
   25. 9/11/25 Supplemental Agreement for Work Within Scope +$2,996,888
   26. 9/19/25 Supplemental Agreement for Work Within Scope +$102,232
   27. 9/29/25 Change Order +$25,000,000
   28. ▶ 12/1/25 Exercise an Option +$2,991,250
   29. 12/10/25 Other Administrative Action $0
   30. 12/22/25 Definitize Change Order -$56
   31. 1/23/26 Supplemental Agreement for Work Within Scope $0
   32. 1/26/26 Other Administrative Action $0
   33. 2/9/26 Other Administrative Action $0
   34. 2/25/26 Exercise an Option +$153,962,418
   35. 3/24/26 Other Administrative Action $0
   36. 4/24/26 Other Administrative Action +$66,139
   37. 5/5/26 Funding Only Action +$119,062
   38. 6/3/26 Other Administrative Action $0
   39. 6/30/26 Supplemental Agreement for Work Within Scope $0
   40. 7/27/26 Other Administrative Action $0
   41. 7/30/26 Funding Only Action +$181,409
   42. 8/3/26 Other Administrative Action $0
   43. 8/6/26 Exercise an Option +$10,768,431
   44. 9/2/26 Supplemental Agreement for Work Within Scope +$3,184,299
   45. 9/3/26 Exercise an Option +$177,782
   46. 9/8/26 Supplemental Agreement for Work Within Scope +$109,741
   47. 9/11/26 Supplemental Agreement for Work Within Scope +$24,254,817

   Total Spending To-Date: $29,387,800

8. RECIPIENT

   ANALYTICA LLC

   AWARD AMOUNT

   $2,919,672

   Exercise an Option

   PERFORMED IN

   BETHESDA, MARYLAND

   NAICS CODE

   ALL OTHER PROFESSIONAL, SCIENTIFIC, AND TECHNICAL SERVICES | 541990

   PSC CODE

   SPECIAL STUDIES/ANALYSIS- DATA (OTHER THAN SCIENTIFIC) | B506

   DESCRIPTION

   THE PURPOSE OF THE STATE MEDICAID PROGRAM INTEGRITY (PI) AUDITS CONTRACT IS TO ASSIST CMS WITH ITS REVIEW OF STATE MEDICAID AND CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) PROGRAM INTEGRITY OVERSIGHT FUNCTIONS, INCLUDING COMPLIANCE WITH MEDICAID PI RE

   Funding Office

   OFC OF ACQUISITION AND GRANTS MGMT

   Object Classes

   25.2: Other services from non-Federal sources

   Program Activities

   0012: MEDICAID INTEGRITY PROGRAM

   SIGNED

   Dec 5, 2025

   CONTRACT PERIOD

   12/7/24 → 12/6/26

   KNOWN TRANSACTIONS

   1. 12/6/24 Base Award $2,111,416
   2. 4/14/26 Supplemental Agreement for Work Within Scope $0

   Total Spending To-Date: $5,031,088

9. RECIPIENT

   RAINMAKERS STRATEGIC SOLUTIONS LLC

   AWARD AMOUNT

   $1,129,024

   Base Award

   PERFORMED IN

   WINDSOR MILL, MARYLAND

   NAICS CODE

   ADMINISTRATIVE MANAGEMENT AND GENERAL MANAGEMENT CONSULTING SERVICES | 541611

   PSC CODE

   SUPPORT- PROFESSIONAL: OTHER | R499

   DESCRIPTION

   THE PURPOSE OF THIS ACQUISITION IS TO OBTAIN A CONTRACTOR TO REVIEW PRIOR AUTHORIZATION (PA) AND STEP THERAPY (ST) CRITERIA SUBMITTED TO CMS BY PRESCRIPTION DRUG PLANS (PDPS), AND MEDICARE ADVANTAGE, AND MMP DEMONSTRATION PLANS. THE CONTRACTOR WILL A

   Funding Office

   OFC OF ACQUISITION AND GRANTS MGMT

   Object Classes

   25.2: Other services from non-Federal sources

   SIGNED

   Dec 30, 2025

   CONTRACT PERIOD

   1/1/26 → 12/31/26

   KNOWN TRANSACTIONS

   1. 4/24/26 Other Administrative Action $0
   2. 9/3/26 Supplemental Agreement for Work Within Scope $0

   Total Spending To-Date: $1,129,024

10. RECIPIENT

    DELOITTE FINANCIAL ADVISORY SERVICES LLP

    AWARD AMOUNT

    $742,681

    Base Award

    PERFORMED IN

    ARLINGTON, VIRGINIA

    NAICS CODE

    ADMINISTRATIVE MANAGEMENT AND GENERAL MANAGEMENT CONSULTING SERVICES | 541611

    PSC CODE

    SUPPORT- MANAGEMENT: OTHER | R799

    DESCRIPTION

    PROCUREMENT OF IT PROFESSIONAL SERVICES FROM DIGITAL PRODUCT TEAMS THAT ARE WELL-VERSED IN INDUSTRY STANDARD, SOFTWARE, ARCHITECTURE, AND DEVELOPMENT PRACTICES USING MODERN LANGUAGES AND TOOLS TO PERFORM TASKS ASSOCIATED WITH PRODUCT AND DELIVERY MAN

    Funding Office

    OFC OF ACQUISITION AND GRANTS MGMT

    Object Classes

    25.2: Other services from non-Federal sources

    SIGNED

    Dec 18, 2025

    CONTRACT PERIOD

    12/23/25 → 12/22/26

    KNOWN TRANSACTIONS

    1. 5/11/26 Other Administrative Action $0

    Total Spending To-Date: $742,681