This contract expires in 110 days (Feb 14, 2027).

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FIRM FIXED PRICE

COTIVITI GOV SERVICES, LLC - HEALTH COVERAGE VERIFICATION (HCV), FOR AUTOMATED VERIFICATION OF CRITICAL DATA SUPPLIED BY CONSUMERS DURING INTERACTIONS WITH CMS ON VARIOUS EXCHANGE PROGRAMS.

PIID: 75FCMC23F0014
Signed Date: Feb 10, 2026Effective Date: Feb 15, 2023End Date: Closes in 110 days
Award $
$42.6M
Vendor
COTIVITI GOV SERVICES, LLC
NAICS
541219
Signed Date
Feb 10, 2026

Key Details

Dollars Obligated
$42.6M
Base & All Options
Awarding Sub-Agency
Centers for Medicare and Medicaid Services
Product Service Code
R703 - SUPPORT- MANAGEMENT: ACCOUNTING
Extent Competed
FULL AND OPEN COMPETITION
Number of Offers
2
Place of Performance
WINDSOR MILL, MD, 212441850, CD-MD-02

Description

HEALTH COVERAGE VERIFICATION (HCV), FOR AUTOMATED VERIFICATION OF CRITICAL DATA SUPPLIED BY CONSUMERS DURING INTERACTIONS WITH CMS ON VARIOUS EXCHANGE PROGRAMS.

Context & Analysis

On Feb 10, 2026, Department of Health and Human Services obligated $42,608,976.19 to COTIVITI GOV SERVICES, LLC for health coverage verification (hcv), for automated verification of critical data supplied by consumers during interactions with cms on various exchange programs.. The award is classified under NAICS 541219 — OTHER ACCOUNTING SERVICES and issued as a firm fixed price contract. Competition extent: full and open competition with 2 offers received. Performance is located in WINDSOR MILL, MD. The contract is scheduled through Feb 14, 2027 — approximately 4 months remaining. This award is one of several similar procurements from Department of Health and Human Services under NAICS 541219 — related awards are listed below.

Market context

Recompete outlook
Ends Feb 14, 2027, in 4 months. Recompete signal as of Oct 18, 2026: 83/100, combining time to the end date, the incumbent's history with this agency, whether the award was competed, and its size.
Competition
Competed, with 2 offers. 90% of 39 awards in this market (Department of Health and Human Services awards in NAICS 541219 over the last 3 years) were competed; median 4 offers.
Award size
At $42.6M, this award is larger than 19 in 20 of the 35 priced Department of Health and Human Services awards in NAICS 541219 over the last 3 years (median $365K).
Incumbent at this agency
COTIVITI GOV SERVICES, LLC has 5 other awards from Department of Health and Human Services, totalling $76.8M, in 2026.
Largest vendors in this market

By obligations, Department of Health and Human Services awards in NAICS 541219 over the last 3 years.

Computed from USAspending award data on Oct 18, 2026.

Contractor Information

UEI: MQL5DMJGJJL5
CAGE Code: 3KWS9
Location: SOUTH JORDAN, UT
View Full Record on USASpending.gov

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