HHS Awards $29.8M for Site Verification in Eastern US to Palmetto GBA, LLC

Contract Overview

Contract Amount: $29,777,479 ($29.8M)

Contractor: Palmetto GBA, LLC

Awarding Agency: Department of Health and Human Services

Start Date: 2020-08-19

End Date: 2026-03-07

Contract Duration: 2,026 days

Daily Burn Rate: $14.7K/day

Competition Type: FULL AND OPEN COMPETITION

Number of Offers Received: 6

Pricing Type: FIRM FIXED PRICE

Sector: Healthcare

Official Description: THE CONTRACTOR WILL BE RESPONSIBLE FOR PERFORMING SITE VERIFICATION IN THE EASTERN UNITED STATES OF AMERICA.

Place of Performance

Location: COLUMBIA, RICHLAND County, SOUTH CAROLINA, 29202

State: South Carolina Government Spending

Plain-Language Summary

Department of Health and Human Services obligated $29.8 million to PALMETTO GBA, LLC for work described as: THE CONTRACTOR WILL BE RESPONSIBLE FOR PERFORMING SITE VERIFICATION IN THE EASTERN UNITED STATES OF AMERICA. Key points: 1. Contract awarded via full and open competition, suggesting market availability of services. 2. The contract value of $29.8M over approximately 5.7 years indicates a significant investment. 3. Primary risk lies in the contractor's ability to execute site verification effectively across a large geographic area. 4. The 'All Other Professional, Scientific, and Technical Services' sector is broad, making direct benchmarking challenging.

Value Assessment

Rating: good

The contract value of $29.8M for site verification services appears reasonable given the 5.7-year duration and broad geographic scope. Benchmarking is difficult without specific service details, but the firm fixed-price structure provides cost certainty.

Cost Per Unit: N/A

Competition Analysis

Competition Level: full-and-open

The contract was awarded under full and open competition, indicating that multiple vendors were likely considered. This method generally promotes competitive pricing and ensures the government receives fair market value.

Taxpayer Impact: The competitive award process aims to ensure taxpayer funds are used efficiently for necessary services.

Public Impact

Ensures accuracy of healthcare provider locations and operational status. Supports CMS oversight of healthcare programs and beneficiary protection. Potential impact on healthcare provider onboarding and compliance processes.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Positive Signals

Sector Analysis

This contract falls under 'All Other Professional, Scientific, and Technical Services,' a broad category. Spending in this area can vary widely based on specific needs, but site verification is a critical function for regulatory bodies like CMS.

Small Business Impact

The data does not indicate specific set-asides for small businesses. Given the nature of the contract and the prime contractor, it's possible that subcontracting opportunities may exist, but this is not explicitly stated.

Oversight & Accountability

Oversight will be crucial to ensure Palmetto GBA, LLC meets the rigorous requirements of site verification across the Eastern United States. CMS will need robust performance metrics and regular reviews.

Related Government Programs

Risk Flags

Tags

all-other-professional-scientific-and-te, department-of-health-and-human-services, sc, delivery-order, 10m-plus

Frequently Asked Questions

What is this federal contract paying for?

Department of Health and Human Services awarded $29.8 million to PALMETTO GBA, LLC. THE CONTRACTOR WILL BE RESPONSIBLE FOR PERFORMING SITE VERIFICATION IN THE EASTERN UNITED STATES OF AMERICA.

Who is the contractor on this award?

The obligated recipient is PALMETTO GBA, LLC.

Which agency awarded this contract?

Awarding agency: Department of Health and Human Services (Centers for Medicare and Medicaid Services).

What is the total obligated amount?

The obligated amount is $29.8 million.

What is the period of performance?

Start: 2020-08-19. End: 2026-03-07.

What specific criteria are used to define successful site verification, and how are these measured?

Successful site verification likely involves confirming the physical location, operational status, and adherence to regulatory standards of healthcare facilities. Metrics may include the percentage of sites verified accurately, timeliness of reports, and compliance with established protocols. CMS would define these criteria in the contract's Statement of Work.

What are the potential risks if site verification is not performed accurately or comprehensively?

Inaccurate or incomplete site verification could lead to fraudulent healthcare providers operating within Medicare and Medicaid, potentially resulting in improper payments and risks to beneficiary safety. It could also hinder CMS's ability to maintain an accurate provider directory and enforce program integrity.

How does this contract contribute to the overall effectiveness of CMS's program integrity efforts?

This contract is vital for CMS's program integrity by ensuring that only legitimate and properly operating healthcare entities are enrolled in and reimbursed by Medicare and Medicaid. Accurate site verification acts as a foundational control against fraud, waste, and abuse.

Industry Classification

NAICS: Professional, Scientific, and Technical ServicesOther Professional, Scientific, and Technical ServicesAll Other Professional, Scientific, and Technical Services

Product/Service Code: SUPPORT SVCS (PROF, ADMIN, MGMT)PROFESSIONAL SERVICES

Competition & Pricing

Extent Competed: FULL AND OPEN COMPETITION

Solicitation Procedures: SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY

Offers Received: 6

Pricing Type: FIRM FIXED PRICE (J)

Evaluated Preference: NONE

Contractor Details

Address: 17 TECHNOLOGY CIR, COLUMBIA, SC, 29203

Business Categories: Category Business, Limited Liability Corporation, Not Designated a Small Business, Partnership or Limited Liability Partnership, Special Designations, U.S.-Owned Business

Financial Breakdown

Contract Ceiling: $29,782,479

Exercised Options: $29,777,479

Current Obligation: $29,777,479

Actual Outlays: $25,303,501

Contract Characteristics

Multi-Year Contract: Yes

Commercial Item: COMMERCIAL PRODUCTS/SERVICES PROCEDURES NOT USED

Cost or Pricing Data: YES

Parent Contract

Parent Award PIID: 75FCMC20D0021

IDV Type: IDC

Timeline

Start Date: 2020-08-19

Current End Date: 2026-03-07

Potential End Date: 2026-03-07 00:00:00

Last Modified: 2026-02-27

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