MODIFICATION
R -- Sources Sought Notice for Medicare Administrative Contractor (MAC) Services, Medicare Parts A & B, Jurisdictions F, 8 and H
- Notice Date
- 1/3/2017
- Notice Type
- Modification/Amendment
- NAICS
- 524114
— Direct Health and Medical Insurance Carriers
- Contracting Office
- Department of Health and Human Services, Centers for Medicare & Medicaid Services, Office of Acquisition and Grants Management, 7500 Security Blvd., C2-21-15, Baltimore, Maryland, 21244-1850
- ZIP Code
- 21244-1850
- Solicitation Number
- SSN-AB-MACs(JF-J8-JH)
- Archive Date
- 1/20/2017
- Point of Contact
- Tina Zanti, Phone: 4107868414, Antoinette R Hazelwood, Phone: 4107861579
- E-Mail Address
-
tina.zanti@cms.hhs.gov, antoinette.hazelwood@cms.hhs.gov
(tina.zanti@cms.hhs.gov, antoinette.hazelwood@cms.hhs.gov)
- Small Business Set-Aside
- N/A
- Description
- ******** UPDATED TO REFLECT CHANGE IN RESPONSE DUE DATE FROM TUESDAY, JANUARY 3, 2017 @ 11:00AM EST TO THURSDAY, JANUARY 5, 2017 @ 11:00AM. ************** Sources Sought Notice Medicare Administrative Contractor (MAC) services Medicare Parts A and B (Medicare Fee for Service), Jurisdiction F, 8, H Introduction This SOURCES SOUGHT NOTICE is to determine the availability and capability of potential small businesses (e.g., 8(a), service-disabled veteran owned small business, HUBZone small business, small disadvantaged business, veteran-owned small business, and women-owned small business) that can provide specific fee-for-service (FFS) 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) in accordance with the Draft Statement of Works (SOW) provided with this notice, entitled A/B Medicare Administrative Contractor (MAC) SOW. The information attained through this market research will assist the Centers for Medicare & Medicaid Services (CMS) in determining the appropriate acquisition procedures for obtaining the above described MAC services. Specifically, the determination as to whether a full and open competitive acquisition is appropriate or if the acquisition should be set-aside for small businesses or a specific socio-economic category of small businesses such as (8(a), service –disabled veteran-owned small business, HUBZone small business, or women-owned small business. Please note the CMS will rely on the results of this market research when conducting acquisitions for MAC services in multiple geographical jurisdictions over multiple years, including those listed above (Jurisdiction F, 8, and H). THIS IS STRICTLY MARKET RESEARCH. CMS WILL NOT ENTERTAIN QUESTIONS REGARDING THIS MARKET RESEARCH. Background and Purpose of Acquisition Prior to 2015, Section 1874A under Title XVIII of the Social Security Act required CMS to re-compete its Medicare Fee-for-Service (FFS) benefit and claims administration (MAC) contracts at least once every five years. As of April 16, 2015, the Medicare Access and CHIP Reauthorization ACT of 2015 revised Section 1874A (b)(1)(B) of the Social Security Act (42 U.S.C. 1395kk–1(b)(1)(B)), increasing the five year term limit to up to ten years. The purpose of the acquisition is to procure an A/B MAC to perform numerous Medicare Program functions to support healthcare payments on behalf of Medicare beneficiaries, which include performing Medicare claims-related activities and establishing relationships with the providers of healthcare services, both institutional and professional, for a defined geographic area. The Contractor must perform the requirements of this contract in accordance with applicable laws, regulations, Medicare manuals, as well as the CMS’s requirements to ensure the financial integrity of the Medicare program. The Statement of Work (SOW) and SOW Performance Standards documents, for Jurisdictions F, Jurisdiction 8, and Jurisdiction H (JF, J8, and JH) A/B MACs, are attached. These documents contain a current snapshot of requirements and performance standards on the three contracts noted. This Sources Sought Notice is targeted to JF, J8, and JH A/B MAC jurisdictions; however, the results of this market research may be considered when determining the acquisition approach for these services in other jurisdictions: Part A/B Jurisdiction F includes: Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming - Part A/B Jurisdiction 8 includes: Michigan and Indiana - Part A/B Jurisdiction H includes: Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma and Texas. Response Information Responses to this notice, shall demonstrate capability to perform the following, assuming the workload volumes and performance standards stated below: Responses based upon anticipated teaming arrangements and Joint Ventures are acceptable. The capability of each team member (prime contractor and sub-contractors) shall be demonstrated relative to the anticipated functions/roles to be performed by each. Potential small businesses shall also include the business information outlined in the section below as part of their response. In accordance with CMS’s technical specifications, potential offerors must demonstrate its capability to receive, control, and pay Medicare claims from providers, suppliers and beneficiaries within its jurisdiction, as well as perform edits on these claims to determine whether the claims are complete and should be paid. Potential offerors must demonstrate capability to determine the need for locality-driven edits in their jurisdiction, as well as those included in the Standard and Supplemental systems, and to develop the logic for those local coverage determinations. An edit is logic within the Standard Claims Processing System, or Program Integrity Supplemental Edit Software, that selects certain claims, evaluates or compares information on the selected claims or other accessible source, and, depending on the evaluation, takes action on the claims, such as pay in full, pay in part, or suspend for manual review. 3. In accordance with CMS’s technical specifications, potential offerors must demonstrate capability to enroll Medicare providers (receive, process and make final determinations on initial provider enrollment applications) and execute the ongoing revalidation process for providers to maintain their Medicare billing privileges. 4. Potential offerors must demonstrate capability to calculate Medicare payment amounts and remit these payments to the appropriate party. 5. Potential offerors must also demonstrate capability to conduct a variety of Medicare provider and supplier outreach and response services, such as education on Medicare’s rules and regulations and billing procedures, and answering written inquiries. 6. Potential offerors must demonstrate capability to operate Medicare’s provider and supplier toll-free lines across the country to answer a wide-range of questions. 7. Potential offerors must demonstrate capability to conduct redeterminations on appeals of claims, respond to complex beneficiary inquiries referred from the Beneficiary Contact Centers, conduct Medical Review on selected claims, and conduct rigorous quality control on the millions of claims processed each year. 8. Potential offerors must demonstrate capability to utilize or interact with certain CMS-required payment schedules, systems, equipment and/or operational capabilities in the performance of its functions. 9. Potential offerors must demonstrate capability to coordinate activities with CMS, and also with a broad range of agencies at the federal, state and local levels of government, other CMS partners and Contractors, and a diverse range of stakeholders within the health care system of the United States. 10. Potential offerors must demonstrate capability of reviewing, accounting for, and adapting to and implementing up to five hundred Change Requests (CR) issued by CMS each year. This includes the ability to track the impact of the CRs on contract performance, from both cost and technical perspectives. 11. Potential offerors must demonstrate capability to obtain and/or maintain an Authority to Operate from CMS, and have policies, procedures and practices for fulfilling the Department of Health and Human Services (HHS) and CMS information security requirements as these policies and procedures will be extensively audited and validated through an annual review cycle. Refer to the referenced SOWs and the information below regarding Systems Access and Security Considerations. Jurisdiction Volumes The volume information provided below is for mission essential operational areas and not intended to represent every operational area of an A/B MAC contract. We have also included performance requirement level information for the specific operational area noted, for ease of reference. The full set of requirements and Performance Measures are provided in the attached documents. For each full year of the A/B MAC JF contract, the MAC is required to perform the following program requirements in the states noted: Jurisdiction F : Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming · Process approximately 14 million Part A (institutional provider) and 58 million Part B (practitioner and supplier) claims. · Process approximately 123,000 Medicare claims re-openings and 109,000 Medicare claims re-determinations (1st level appeals). PERFORMANCE REQUIREMENTS: - Claims processing is successful when claims are paid with acceptable accuracy as evidenced by a contractor-specific Comprehensive Error Rate Testing (CERT) error rate not to exceed the Government Performance Results Act (GPRA) national paid claims error rate goal for the year (The goal for each year is published in the Report on Improper Medicare Fee-for-Service Payments. www.cms.hhs.gov/cert ). - Clean claims are processed timely when 95% of the Part A and Part B of A claims processed in the Fiscal Intermediary Standard System (FISS) are processed within the claims payment floor and ceiling specified in the Internet Only Manuals (IOM) Pub. 100-04, Chapter 1, §80.2.1.1 and §80.2.1.2. The contractor must meet this standard on a monthly basis. - Clean claims are processed timely when 95% of the Part B claims processed in the Medical Claims System (MCS) are processed within the claims payment floor and ceiling specified in IOM Pub. 100-04, Chapter 1, §80.2.1.1 and §80.2.1.2. The contractor must meet this standard on a monthly basis. - Other-Than-Clean claims are processed timely when 100% of the claims are processed within 45 days of the receipt (IOM Pub. 100-04, Chapter 1, §80.3.3). The contractor must meet this standard on a monthly basis. - Reopening: Where appropriate, the Contractor shall reopen an initial determination or a redetermination to review a decision in accordance with 42 Code of Federal Regulations (CFR) 405.980 and Internet Only Manual (IOM) 100-4, Chapter 34. - Reopening Decisions: The Contractor shall issue its revised determination or decision to the parties to the initial determination or redetermination in accordance with 42 CFR 405.982. - Redetermination Requests: The Contractor shall process requests for redetermination of Medicare initial claims determinations in accordance with 42 CFR 405.940-958 and IOM 100-4, Chapter 29, section 310. - Conduct and Notice of the Redetermination: Contractors shall prepare notice of the redetermination in accordance with 42 CFR 405.956 and IOM 100-4, Chapter 29, section 310. Contractors shall process and mail all redeterminations within 60 calendar days of the date the Contractor receives a timely filed request for redetermination. - Appeal Decision Effectuation: The Contractor shall take all necessary payment actions on all levels of appeal (redeterminations, reconsiderations, ALJ decisions, Medicare Appeals Council reviews, and decisions issued in the federal district court). Payment should be made timely, and in accordance with instructions in IOM, 100-4, Chapter 29. · Timely, accurately, and effectively respond to more than1.7 million inquiries (telephone, written, electronic) from Medicare providers. PERFORMANCE REQUIREMENTS: - Electronic Correspondence Referral System Status Inquiries: Status inquiries are performed in accordance with IOM Pub.100-5, Chapter 5, §10.2 and 10.5 - Medicare Secondary Payer (MSP) Claims Inquiries: The Contractor shall respond to inquiries and correspondence from insurers and other interested parties (e.g., attorneys and/or beneficiaries, etc.) on MSP billing requirements to assist with resolving claims inquiries accurately, timely, and responsively in accordance with IOM Pub. 100-05, Chapter 5, Section 10 and IOM Pub. 100-09, Chapter 6, Section 60. Contractors are expected to meet a 95% accuracy and timeliness standard. Note: Responses can include adjustments, offsets, and redeterminations. - Inquiries Specific to Debt Collection Efforts for Providers, Physicians and other Suppliers: Inquiries specific to debt collection efforts are successful when 95% of all provider, physician and other supplier MSP inquiries shall be acknowledged or responded to within 45 days of receipt, absent IOM instructions to the contrary. - Responses to Congressional Inquiries: Congressional written inquiries are timely when 100% are answered within 10 business days, including any that may be received from a CMS RO. For those Congressional inquiries that cannot be answered in final within 10 business days, the Contractor shall issue an interim response within 10 business days explaining the reason for the delay. Any interim responses sent to Congressional inquiries shall count toward the Contractor’s overall allowance of no more than 5% of interim responses for the universe of written inquiries. - Telephone Inquiries - Quality: Of all telephone calls monitored for the quarter, the percentage of calls scoring as “Achieves Expectations” or higher for Knowledge Skills and Customer Skills and scoring as “Pass” for Adherence to Privacy Act using the Quality Call Monitoring tool shall be no less than 93% (cumulative for the quarter). - Telephone Inquiries – Call Completion Rate: The provider contact center shall complete at least 95% of incoming calls on an Interactive Voice Response (IVR)-only line, 80% of incoming calls on a CSR-only line, and 80% of incoming calls on an IVR/CSR combined line as measured on a quarterly basis. - Telephone Inquiries – Average Speed of Answer: The provider contact center shall maintain an average speed of answer of 60 seconds or less when measured on a quarterly basis. - Written Inquiry Responses – Timeliness: All (100%) written provider general inquiries shall be responded to within 45 business days of receipt with either a final response or an interim response; and no more than 5% of the universe of written responses to provider inquiries shall be interim responses. · Timely and accurately process more than 116,000 provider enrollment actions (various types of providers and enrollment actions). PERFORMANCE REQUIREMENTS: - Process Initial and Revalidation Enrollment Applications (Paper): The contractor shall process all initial and revalidation CMS-855 Applications in accordance with all of the instructions found in the timeliness standards in Pub. 100-08, Chapter 15. - Process Initial and Revalidation Enrollment Applications (Paper): The applications described in C.5.5.1 of this SOW will be considered accurately processed when 98%of applications are processed in accordance with all of the instructions in IOM Pub. 100-08, Chapter 15. - Process Initial and Revalidation Enrollment Applications (Web-based): The Contractor shall process all initial web-based enrollment applications in accordance with all of the instructions found in the timeliness standards in Pub. 100-08, Chapter 15. - Process Changes, Updates, Reassignments or Corrections: Paper applications described in C.5.5.2 of this SOW shall be processed in accordance with all the instructions found in the timeliness standards in Pub. 100-08, Chapter 15. - Process Changes, Updates, Reassignments or Corrections: Web-based applications described in C.5.5.2 of this SOW shall be processed in accordance with all of the instructions found in the timeliness standards in Pub. 100-08, Chapter 15. - Process Changes, Updates, Reassignments or Corrections: The applications described in C.5.5.2 of this SOW will be considered accurately processed when 98% of applications are processed in accordance with all of the instructions in IOM Pub. 100-08, with the exception of the timeliness standards identified in C.5.5.2 of the SOW. - Revocations/Deactivations: The Contractor shall process 100% of all revocation actions in accordance with the revocation instructions in IOM Pub. 100-08. - Revocations/ Deactivations: The Contractor shall deactivate Medicare billing privileges in accordance with the deactivation instructions in IOM Pub. 100-08. - Provider Enrollment Appeals: The Contractor shall process 100% of all provider enrollment appeals in full accordance with all appeals instructions in IOM Pub. 100-08. - · Timely and accurately receive, analyze, desk review and settle (or tentatively settle) several thousand provider cost reports. PERFORMANCE REQUIREMENTS: - Cost Report Acceptance: Cost report acceptance is timely if it is completed within 30 days from the receipt date of the provider’s cost report. - Cost Report Acceptance: Cost report reminder letters are timely when a CMS review indicates that they are performed in accordance with IOM Pub. 100-06, Chapter 8, §10.3. - Cost Report Acceptance: Suspension/reduction of a provider’s payments due to untimely filing of a cost report is accurate when a CMS review indicates they are performed in accordance with IOM Pub. 100-06, Chapter 8, §10.2. - Cost Report Acceptance: Suspension/reduction of a provider’s payments due to a rejected cost report is accurate when a CMS review indicates they are performed in accordance with IOM Pub. 100-06, Chapter 8, §10.2. - Tentative Settlements: Tentative settlements are timely when they are completed within 60 days of the acceptance of the provider’s cost report. - Tentative Settlements: Tentative settlements are accurate when a CMS review indicates that they are performed in accordance with IOM Pub. 100-06, Chapter 8, §10.5. - Tentative Settlements: Cost to Charge Ratios are calculated accurately when a CMS review indicates that they are in compliance with IOM Pub. 100-04, Chapter 3, §20.1.2.1, 140.26, 150.24 and 190.7.2.2, IOM Pub. 100-04, Chapter 4, §10.7.2, and IOM Pub. 100-06, Chapter 8, §10.5. - Desk Reviews / Provider Permanent Files: A provider’s permanent file is considered properly maintained when a CMS review indicates that it is maintained in accordance with CMS Pub- 100-06, Chapter 100, § 130. - Audits of Home Office Cost Statements: Audited home office cost statements are properly distributed to servicing contractors if the designated home office contractor accurately distributes the audited home office cost statement and audit adjustments to all servicing contractors at the completion of the audit in accordance with IOM Pub. 100-06, Chapter 8, §120.5. - Final Settlement: Cost reports that do not require an audit are settled timely when the NPR is issued within 12 months of the acceptance of a cost report. - Final Settlement: Cost reports are settled accurately when CMS review determines compliance with Medicare payment policy as defined in the Medicare Provider Reimbursement Manuals. - Final Settlement: Cost reports that are audited shall have an NPR and final adjustment report issued within 60 days of the exit conference or 60 days after the adjustments are finalized if the exit conference is waived. - Final Settlement: Outlier reconciliations are considered accurate when a CMS review indicates that they are in compliance with IOM Pub. 100-04, Chapter 3, §20.1.2.5, 140.2.4.4, 150.26 and 190.7.2.3, and IOM Pub. 100-04, Chapter 4, §10.7.2.4. - Cost Report Reopenings: Revised NPRs are timely when they are issued within 180 days of receipt of all information and documentation necessary to resolve the reopening issue. - Cost Report Reopenings: Revised NPRs are accurate when a CMS review determines compliance with IOM Pub. 100-06, Chapter 8, §100. - Cost Report Reopenings: Notices or denials of cost report reopenings are accurate when a CMS review determines compliance with IOM Pub. 100-06, Chapter 8, §100. - Cost Report Reopenings: Cost report reopenings are accurate when CMS review determines compliance with Medicare payment policy as defined in the Medicare Provider Reimbursement Manuals. - Appeals: Provider Reimbursement Review Board cases resolved by mediation or administrative resolution are considered accurate when A CMS review indicates the issues are resolved in accordance with Medicare reimbursement principles. - Exception Requests: Tax Equity and Fiscal Responsibility Act (TEFRA): Target Limits are timely when applications are processed to completion within 75 days after receipt by the Contractor or returned to the hospital as incomplete within 60 days of receipt. - Exception Requests: Tax Equity and Fiscal Responsibility Act: Target Limits are accurate when they comply with TEFRA payment policy. - System for Tracking Audit and Reimbursement System (STAR): STAR database is maintained accurately and timely when a CMS review indicates that it is in compliance with the STAR manual. · Timely and accurately conduct more than 61,000 clinical medical records reviews to determine medical necessity for Medicare claims. PERFORMANCE REQUIREMENT: - Medical Review: Medical Review is successful when claims are paid with acceptable accuracy as evidenced by a contractor-specific Comprehensive Error Rate Testing (CERT) error rate not to exceed the Government Performance Results Act (GPRA) national paid claims error rate goal for the year (The goal for each year is published in the Report on Improper Medicare Fee-for-Service Payments. www.cms.hhs.gov/cert). - For each full year of the JH and J8 A/B MAC contracts, the MAC is required to perform the same SOW program requirements at the level of the stated Performance Requirements. The volumes specific to J8 and JH are provided below: Jurisdiction 8: Michigan and Indiana · Process approximately 13 million Part A (institutional provider) and 56 million Part B (practitioner and supplier) claims. · Process approximately 81,000 Medicare claims re-openings and 134,000 Medicare claims re-determinations (1st level appeals). · Timely, accurately, and effectively respond to more than one million inquiries (telephone, written, electronic) from Medicare providers. · Timely and accurately process more than 86,000 provider enrollment actions (various types of providers and enrollment actions). · Timely and accurately receive, analyze, desk review and settle (or tentatively settle) several thousand provider cost reports. · Timely and accurately conduct more than 62,000 clinical medical records reviews to determine medical necessity for Medicare claims. Jurisdiction H : Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma and Texas. · Process approximately 25 million Part A (institutional provider) and 131 million Part B (practitioner and supplier) claims. · Process approximately 3 million Medicare claims re-openings and 241,000 Medicare claims redeterminations (1st level appeals). · Timely, accurately, and effectively respond to more than two million inquiries (telephone, written, electronic) from Medicare providers. · Timely and accurately process more than 198,000 provider enrollment actions (various types of providers and enrollment actions). · Timely and accurately receive, analyze, desk review and settle (or tentatively settle) several thousand provider cost reports. · Timely and accurately conduct more than 166,000 clinical medical records reviews to determine medical necessity for Medicare claims. Systems Access and Security Considerations A/B MAC contractors access/use numerous CMS Medicare FFS systems to perform Medicare program functions. The contractor will not only access/read data in these CMS systems; the contractor will also (as specified by its SOW, the Medicare program manuals, and in CMS technical direction letters) create, revise, update, store, and archive Medicare program data, including Protected Health Information (PHI) and Personally-Identifiable Information (PII) on Medicare beneficiaries, Medicare providers, primary and supplementary payers, and other entities. Some of the CMS systems that the JF, J8 and JH A/B MAC contractors will utilize (to access, create, revise, update, store and archive data) include, but are not limited to: • The Federal Intermediary Standard System (FISS) system for processing Medicare claims from institutional providers (e.g., hospitals, skilled nursing facilities, etc.). • The Medical Claims System (MCS) for processing Medicare claims from practitioners and suppliers. • The Common Working File system, for additional processing and authorization of all claim types. • The Common Edit Module (CEM), which the A/B MAC will integrate into its electronic claims receipt capability. • The Provider Enrollment Chain and Ownership System (PECOS) for processing Medicare provider enrollment applications, which also interfaces to numerous other systems in order to deliver its functionality. • The Healthcare Integrated General Ledger Accounting System (HIGLAS) to post and maintain Medicare accounts payable and receivable, and to support other fiscal and accounting functions. • The System for Tracking Audit and Reimbursement (STAR) system, to manage and control Medicare provider audit and reimbursement workload. • The Medicare Appeals System (MAS), to manage and control its claims appeals workload. • The Integrated Data Repository, to support the A/B MAC's data analytics responsibilities. • The Contractor Reporting of Operational and Workload Data (CROWD) system, for reporting of A/B MAC claims and other workload data, and other CMS reporting systems. CMS may create additional IT systems in the future to support the ongoing development of the Medicare FFS program, and the A/B MAC contractor may be required to develop processes and/or interfaces with such additional CMS systems to perform its duties (historically, these scenarios are one of many causes for SOW revisions post-award). In addition to serving as a user of numerous CMS systems, the A/B MAC contractor will itself provide additional IT systems and capabilities, particularly systems and capabilities to support its Medicare provider customer service program responsibilities, that will process and store PHI and PII. Generally, existing software will be modified or enhanced. These contractor-provided IT systems and capabilities (for instance, Medicare provider portals) must conform with CMS IT architecture and security requirements, and receive CMS approval before being put into production. Any Medicare data housed in contractor-furnished systems remain CMS program data. All MAC-provided IT is required to be compliant with Section 508. Due to their enormous responsibilities as custodians of Medicare data, Medicare law (at Section 1874A(e) of the Act) specifically applies the requirements of the Federal Information Security Management Act (FISMA) and related government-wide systems security requirements to the MACs. The Department and CMS have also applied many additional information security and critical infrastructure directives to the MACs, including Homeland Security Presidential Directive No. 12 (HSPD-12). Business Information 1. DUNS: 2. Company Name 3. Company Address 4. Do you have a Government approved accounting system? If so, please identify the agency that approved the system. 5. Type of Company (i.e., small business, 8(a), woman owned, veteran owned, etc.) as validated via the System for Award Management (SAM) via www.sam.gov. Registration via www. SAM.gov is a requirement for qualifying as a prime contractor with the CMS. Furthermore, the small business size standard for the north American Industry Classification System (NAICS) listed above will be applicable. 6. Company Point of Contact, Phone, and Email address. Teaming Arrangements All teaming arrangements should also include the above-cited information and certifications for each entity on the proposed team. Teaming arrangements are encouraged. Response Due Date Responses must be submitted electronically not later than 11:00 AM Eastern Standard Time, THURSDAY, January 5, 2017. Submissions should be sent to the Contracting Officer and Contract Specialist, contact information below. Capability statements will not be returned and will not be accepted after the due date. The maximum number of pages for submission is 10 pages. This Sources Sought Notice is for information and planning purposes only and is not to be construed as a commitment by the Government. This is not a pre-solicitation notice, solicitation or request for proposals and no contract will be awarded from this Notice. No reimbursement will be made for any costs associated with providing information in response to this Notice. Respondents will not be notified of the results of CMS’ review of any submission. Contact information Contracting Officer : Antoinette Hazelwood, e-mail Antoinette.Hazelwood@cms.hhs.gov, phone 410-786-1579 Contract Specialist : Tina Zanti, e-mail Tina.Zanti@cms.hhs.gov, phone 410-786-8414
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