In December 2011, CMS issued a request for proposal (RFP) to provide centralized Coordination of Benefits contractor (COBC) services and Medicare Secondary Payer Recovery contractor (MSPRC) services to CMS. This new contractor will be called the Medicare Secondary Integration Contractor (MSPIC). CMS hopes to streamline its data and debt collection services by merging these two contracts into one. The RFP responses are due to CMS on January 23, 2012. The contract will be for one base year with four one-year options, exercisable by CMS. There is no indication as to the expected award date of the contract.
Currently, Group Health Incorporated (GHI) is performing both the COBC and the MSPRC services. GHI has been CMS’ COBC contractor since 1999. GHI began as the MSPRC contractor on October 1, 2011 when the former MSPRC contract with Chickasaw Nation Industries, Inc. was not renewed.
One of the most interesting parts of the RFP notice is the “Statistics and Anticipated Workloads” exhibit which tells bidders to expect about 1.25 million non-group health recovery cases per year and about 206,000 call center inquiries per month.
We wrote a blog post on this topic in September 2011 and we will keep you informed as news develops.