By Andréa Leichtman, VP of Opportunity Research
The OS AI team has received multiple inquiries from forward-looking Centers for Medicaid and Medicare Services (CMS) focused companies researching potential task orders and contracts that are expected to be competed in 2026. Included here we share potential compete opportunities that cut across CMS and are expected to draw a lot of attention.
OS AI Note – Dance Lightly. Do know that some of these potential requirements will NOT end up being competed for any number of reasons (e.g., contract consolidation, extension, cancellation, etc). This is not meant to be a comprehensive list, but can serve as a foundation as you build out your pipeline and start to have teaming discussions.
Additionally, the new Administration and the Office of Government Efficiency (DOGE) are continuing to make many changes throughout government agencies. OS understands the implications these changes are making in the GovCon industry related to future contracting opportunities. We will continue to report on the expiring tasks but please be sure to keep track of any agency changes DOGE might put into place.
Some of the expiring contracts and tasks across CMS expected to draw the most inquiries and interest include:
*These contracts have been labeled as part of the “Department of Government Efficiency” Cost Efficiency Initiative and in some instances may have de-obligation of funds, de-scope in work, reduced costs, etc.
• $30.5M CMS CLOUD ONBOARDING, MIGRATION, ENGINEERING AND TRAINING (COMET) PROG OPS – HOSTING OPERATIONS AND END-USER SUPPORT| 47QTCA21D00C5-75FCMC22F0062 | Number of Bidders: 28
• $55.7M CMS MEDICAID AND CHIP DATACONNECT SUPPORT | GS35F342GA-75FCMC21F0108 | Number of Bidders: 13
• $73.8M CMS MARX SYSTEM SUPPORT SERVICES | GS35F281DA-75FCMC21F0047 | Number of Bidders: 8
• $36.3M CMS OPEN PAYMENTS| GS35F013DA-75FCMC22F0133 | Number of Bidders: 8
• *$12M CMS ENTERPRISE PRIVACY POLICY ENGINE (EPPE) IT SYSTEM DEVELOPMENT & SUPPORT SERVICES | HHSM500201600067I-75FCMC22F0001 | Number of Bidders: 8
• *28.9M CMS CYBER RISK MANAGEMENT (CRM) | 47QTCA19D00HL-75FCMC24F0026 | Number of Bidders: 8
• $52.6M CMS CCSQ Cloud Operations and Maintenance (CCOM) | 47QTCA21D00C5-75FCMC23F0070 | Number of Bidders: 8
• $31.1M CMS RISK ADJUSTMENT SUITE OF SYSTEMS (RASS) | GS35F013DA-75FCMC21F0037 | Number of Bidders: 8
• $70.6M CMS MEDICAID AND CHIP PROGRAM (MACPRO) | GS35F115GA-75FCMC22F0093 | Number of Bidders: 8
• $44.8M CMS PLAN PROGRAM INTEGRITY MEDICARE DRUG INTEGRITY CONTRACT (PPI MEDIC) | 75FCMC20C0021 | Number of Bidders: 7
• $274M CMS MIDWESTERN JURISDICTION UPIC WORK TASK ORDER 1 | HHSM500201600079I-HHSM500T0001 | Number of Bidders: 6
• $3.7M CMS TA SERVICES | 75FCMC19D0092-75FCMC23F0002 | Number of Bidders: 6
• $8.4M CMS FOIA BACKLOG REDUCTION PLAN | GS00F227GA-75FCMC22F0015 | Number of Bidders: 6
• $16.2M CMS AUTOMATED PLAN PAYMENT SYSTEM (APPS) | GS35F303GA-75FCMC21F0059 | Number of Bidders: 6
• $2.4M CMS MARKETPLACE SYSTEMS CENTER INDEPENDENT VERIFICATION AND VALIDATION (IV&V) | HHSM500201600039I-75FCMC21F0001 | Number of Bidders: 6
• $5.3M CMS WEB CONTENT MANAGEMENT AND DEVELOPMENT SUPPORT | HHSM500201600039I-75FCMC21F0002 | Number of Bidders: 6
• $7.2M CMS INDEPENDENT VERIFICATION & VALIDATION (IV&V) | HHSM500201600063I-75FCMC22F0001 | Number of Bidders: 6
• $122.4M CMS FISCAL INTERMEDIARY SHARED SYSTEM MAINTAINER (FISS) CLAIM PROCESSING SYSTEM SUPPORT | GS35F146DA-75FCMC22F0016 | Number of Bidders: 6
• $221.5M CMS NITAAC CIO-SP3 WMS REQUIREMENT | 75N98120D00007-75FCMC22F0024 | Number of Bidders: 5
• $8M CMS TECHNICAL ASSISTANCE, QUALITY IMPROVEMENT AND LEARNING (TAQIL) | 75FCMC19D0026-75FCMC21F0008 | Number of Bidders: 5
• $2.3M CMS EXPLORING COLLECTIVE MODEL EFFECTS AND THE BROADER SYSTEMWIDE TRANSFORMATION | 75FCMC19D0091-75FCMC24F0135 | Number of Bidders: 5
• $9.4M CMS MESSAGE QUEUE/QUEUE REPLICATION (MQ/Q-REP)+A35 | HHSN316201200077W-75FCMC21F0061 | Number of Bidders: 5
• $42.5M CMS CCSQ SERVICE CENTER TECHNICAL SUPPORT INFRASTRUCTURE | 47QTCB22D0546-75FCMC23F0135 | Number of Bidders: 5
• $374.2M CMS STRATEGIC MEDICAL REVIEW CONTRACTOR (SMRC) SUPPORT TO LOWER IMPROPER PAYMENT RATES | HHSM500201600082I-75FCMC18F0001 | Number of Bidders: 5
• $9.5M CMS MULTICHANNEL MEDICARE AND MARKETPLACE CONTACT CENTER INDEPENDENT QUALITY ASSURANCE (IQA) AUDIT | 47QRAA20D005E-75FCMC21F0038 | Number of Bidders: 5
• $13.5M CMS CENTER FOR MEDICARE COLLABORATION EFFORTS (CMCE) | GS35F0212X-75FCMC21F0079 | Number of Bidders: 5
• $73.6M CMS COMMON WORKING FILE SYSTEM DEVELOPMENT AND MAINTENANCE | GS35F666GA-75FCMC22F0006 | Number of Bidders: 5
• $89.4M CMS RISK ADJUSTMENT DATA VALIDATION (RADV) | 47QRAA18D001P-75FCMC19F0005 | Number of Bidders: 5
• *$93.6M CMS HEALTHCARE QUALITY INFORMATION SYSTEM (HCQIS) APPLICATIONS, ENTERPRISE SYSTEM SERVICES | HHSN316201200098W-75FCMC21F0029 | Number of Bidders: 4
• $50.5M CMS ELECTRONIC SUBMISSION OF MEDICAL DOCUMENTATION (ESMD) | HHSM500201600068I-75FCMC21F0001 | Number of Bidders: 4
• *$36M CMS CCJR EVALUATION | HHSM500201400033I-HHSM500T0007 | Number of Bidders: 4
• *$40.2M CMS CMMI ANALYSIS AND MANAGEMENT SYSTEM (AMS) DEVELOPMENT | GS35F192BA-75FCMC22F0036 | Number of Bidders: 4
• $12.1M CMS PROCESS AUTOMATION | 75FCMC20A0013-75FCMC21F0003 | Number of Bidders: 4
• *$172.5M CMS DATALINK | GS10F0133S-75FCMC21F0067 | Number of Bidders: 4
• $19.2M CMS MEDICARE MODERNIZATION PROGRAM DEVSECOPS, INFRASTRUCTURE SUPPORT, AND TECHNICAL COORDINATION | 75FCMC19A0010-75FCMC22F0001 | Number of Bidders: 4
• $218M CMS COMBAT FRAUD, WASTE AND ABUSE IN THE NORTH-EASTERN JURISDICTION | HHSM500201600083I-HHSM500T0001 | Number of Bidders: 4
• $20M CMS EASY ACCESS TO SYSTEMS INFORMATION (EASI) | GS35F666GA-75FCMC21F0044 | Number of Bidders: 4
• $13M CMS INTEGRATED CARE FOR KIDS (INCK) MODEL IMPLEMENTATION AND MONITORING | HHSM500201400033I-75FCMC19F0006 | Number of Bidders: 4
• $8.2M CMS HEARINGS AND APPLICATION SUPPORT (HAS) | GS00F263CA-75FCMC21F0014 | Number of Bidders: 4
• $8.2M CMS MEDICAID PAYMENT STRATEGIES MEDICAL LOSS RATIO MLR,
RISK MITIGATION, AND STATE DIRECTED PAYMENT REVIEWS | 75FCMC19D0091-75FCMC21F0005 | Number of Bidders: 4
• $78.5M CMS IT CAPABILITY INNOVATION SUPPORT PLATFORM SOLUTIONS AND SERVICES | 47QTCA19D00GF-75FCMC21F0033 | Number of Bidders: 4
• $130.3M CMS PROFESSIONAL: PROGRAM EVALUATION/REVIEW/DEVELOPMENT SUPPORT | GS00F263CA-75FCMC18F0026 | Number of Bidders: 4
• $38.4M CMS SERVICENOW APPLICATION DEVELOPMENT & WORKFLOW (SNOW) DESIGN | GS35F328DA-75FCMC22F0066 | Number of Bidders: 3
• $75.2M CMS DURABLE MEDICAL EQUIPMENT MAC CLAIMS PROCESSING SYSTEM | GS35F080CA-75FCMC21F0012 | Number of Bidders: 3
• *$3.7M CMS END STAGE RENAL DISEASE (ESRD) NETWORK 13 SUPPORT | 75FCMC19D0026-75FCMC21F0002 | Number of Bidders: 3
• $13.1M CMS MARKETPLACE OPEN MODERNIZATION AND OPTIMIZATION | GS35F161CA-75FCMC23F0052 | Number of Bidders: 3
• $12.5M CMS ESRD NCC | 75FCMC19D0026-75FCMC21F0007 | Number of Bidders: 3
• *$38M CMS WEBSITE QUALITY CONTROL (WQC) 2.0 SUPPORT | HHSM500201600034I-75FCMC22F0001 | Number of Bidders: 2
• $206.7M CMS PSS CERT | GS00F263CA-HHSM500201600081G | Number of Bidders: 2
• $798.1M CMS FEDERALLY FACILITATED EXCHANGE (FFE) | HHSM500201600003I-75FCMC21F0002 | Number of Bidders: 2
• *$89.6M CMS HOSPITAL QUALITY REPORTING (HQR) II | HHSM500201600009B-75FCMC21F0002 | Number of Bidders: 2
• $6.1M CMS END STAGE RENAL DISEASE (ESRD) NETWORK 12 | 75FCMC19D0049-75FCMC21F0002 | Number of Bidders: 2
• *$4.2M CMS END STAGE RENAL DISEASE (ESRD) NETWORK 17 | 75FCMC19D0026-75FCMC21F0004 | Number of Bidders: 2
• *$4.3M CMS END STAGE RENAL DISEASE (ESRD) NETWORK 18 | 75FCMC19D0026-75FCMC21F0005 | Number of Bidders: 2
• *$3.6M CMS END STAGE RENAL DISEASE (ESRD) NETWORK 15 | 75FCMC19D0026-75FCMC21F0003 | Number of Bidders: 2
• *$5.4M CMS END STAGE RENAL DISEASE (ESRD) NETWORK 8 | 75FCMC19D0005-75FCMC21F0001 | Number of Bidders: 2
• *$69.3M CMS PART A EAST QUALIFIED INDEPENDENT CONTRACTOR (QIC) | HHSM500200400005I-75FCMC21F0003 | Number of Bidders: 2
• *$127.7M CMS PATIENT CARE FIRST – PAYMENT, OPERATIONS, MANAGEMENT AND QUALITY (POM-Q) | HHSM500201400037I-75FCMC19F0002 | Number of Bidders: 2
• $43.4M CMS PAYMENT RECONCILIATION FOR CARE IMPROVEMENT ADVANCED BUNDLED PAYMENTS | HHSM500201400027I-HHSM500T0008 | Number of Bidders: 2
• *$258.6M CMS ENROLLMENT RESOLUTION & RECONCILIATION, FORM 1095-A DATA REPORTING | 47QTCA19D00AJ-75FCMC22F0005 | Number of Bidders: 2
For OS Insiders, we have included below another grouping of 4.5 dozen additional expiring tasks.
Pro Tip 1 – If you are a firm with capabilities and socio-economic status that might support this or any related effort, comment below and let others know you are interested. Comments are some of the most viewed portions of any post.
Feel like you are missing out on some of the key action at CMS? It can be hard to keep up. Make sure you are in the know by checking out the CMS Competitive Intelligence Segment page, chock full of insights and intelligence related to the agency.
Have questions, comments or other feedback? Feel free to reach out to me at andrea.leichtman@orangeslices.ai. I’d love to hear from you!
