HHS awards $13.5M contract to C2C Innovative Solutions for Medicare/Medicaid program support

Contract Overview

Contract Amount: $13,475,358 ($13.5M)

Contractor: C2C Innovative Solutions, Inc.

Awarding Agency: Department of Health and Human Services

Start Date: 2026-01-01

End Date: 2026-12-31

Contract Duration: 364 days

Daily Burn Rate: $37.0K/day

Competition Type: FULL AND OPEN COMPETITION

Number of Offers Received: 1

Pricing Type: FIRM FIXED PRICE

Sector: Other

Official Description: THE QUALIFIED INDEPENDENT CONTRACTOR (QIC) PERFORMS ALL OF THE TASKS ASSOCIATED WITH SUPPORT OF THE MEDICARE, MEDICAID, AND CHILDREN'S HEALTH INSURANCE PROGRAM BENEFITS IMPROVEMENT AND PROTECTION ACT OF 2000 (BIPA), PUBLIC LAW 106-554, SUBTITLE C - C

Place of Performance

Location: JACKSONVILLE, DUVAL County, FLORIDA, 32202

State: Florida Government Spending

Plain-Language Summary

Department of Health and Human Services obligated $13.5 million to C2C INNOVATIVE SOLUTIONS, INC. for work described as: THE QUALIFIED INDEPENDENT CONTRACTOR (QIC) PERFORMS ALL OF THE TASKS ASSOCIATED WITH SUPPORT OF THE MEDICARE, MEDICAID, AND CHILDREN'S HEALTH INSURANCE PROGRAM BENEFITS IMPROVEMENT AND PROTECTION ACT OF 2000 (BIPA), PUBLIC LAW 106-554, SUBTITLE C - C Key points: 1. Contract focuses on critical legislative mandates for Medicare, Medicaid, and CHIP. 2. Administrative Management and General Management Consulting Services are key to program integrity. 3. Firm Fixed Price contract type suggests predictable costs for the government. 4. Delivery Order structure allows for phased execution and potential flexibility. 5. Contract duration of one year indicates a focused scope of work. 6. Performance is geographically concentrated in Florida. 7. No small business set-aside, suggesting a focus on large prime contractors.

Value Assessment

Rating: good

The contract value of $13.5 million for a one-year period for administrative management and general management consulting services appears reasonable given the scope of supporting major federal health programs like Medicare, Medicaid, and CHIP. Benchmarking against similar contracts for legislative support and program integrity initiatives would provide a more precise value assessment. The firm fixed-price structure helps control costs, but the specific deliverables and their complexity are crucial for a definitive value-for-money judgment.

Cost Per Unit: N/A

Competition Analysis

Competition Level: full-and-open

This contract was awarded under full and open competition, indicating that multiple bidders likely had the opportunity to submit proposals. The specific number of bidders is not provided, but this competitive approach generally fosters price discovery and encourages contractors to offer their best value. The agency's decision to use full and open competition suggests confidence in the market's ability to provide qualified vendors for these complex administrative support services.

Taxpayer Impact: Full and open competition is beneficial for taxpayers as it typically leads to more competitive pricing and a wider range of innovative solutions, ultimately maximizing the value of federal spending.

Public Impact

Beneficiaries of Medicare, Medicaid, and the Children's Health Insurance Program will experience continued support and integrity in benefits administration. The contract ensures the implementation and adherence to Public Law 106-554, Subtitle C, related to benefits improvement and protection. Services are delivered to the Centers for Medicare and Medicaid Services (CMS), a key agency within HHS. The primary geographic impact is within the operational scope of CMS, with specific performance noted in Florida. The contract supports federal administrative functions, indirectly impacting the healthcare sector's administrative workforce.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Potential for scope creep if legislative mandates evolve significantly during the contract period.
Reliance on a single contractor for critical administrative functions could pose a risk if performance issues arise.
The effectiveness of the consulting services is dependent on the contractor's ability to interpret and implement complex legislation.

Positive Signals

Awarded under full and open competition, suggesting a robust selection process.
Firm Fixed Price contract type provides cost certainty for the government.
The contractor, C2C Innovative Solutions, Inc., is tasked with supporting vital federal health programs, indicating a level of trust and capability.
The contract duration is clearly defined, allowing for focused management and evaluation.

Sector Analysis

This contract falls within the Administrative Management and General Management Consulting Services sector (NAICS 541611). This sector is vital for government operations, providing expertise in areas such as policy implementation, program management, and operational efficiency. The market size for government consulting services is substantial, with significant spending allocated annually to support federal agencies in achieving their missions. This specific contract aligns with broader government efforts to ensure the effective administration and integrity of major healthcare programs.

Small Business Impact

The data indicates that this contract was not set aside for small businesses (ss: false, sb: false). This suggests that the requirement was likely fulfilled by a large prime contractor, potentially C2C Innovative Solutions, Inc. There is no explicit information regarding subcontracting plans for small businesses. Without a small business set-aside or specific subcontracting goals, the direct impact on the small business ecosystem for this particular award may be limited, though larger prime contractors often engage small businesses in their supply chains.

Oversight & Accountability

Oversight for this contract would primarily reside with the Centers for Medicare and Medicaid Services (CMS) contracting officers and program managers. The firm fixed-price nature of the contract provides a degree of accountability by linking payment to deliverables. Transparency is facilitated through federal contract databases where award details are published. While no specific Inspector General jurisdiction is mentioned, the HHS Office of Inspector General (OIG) generally oversees programs and contracts within the department to ensure efficiency and prevent fraud, waste, and abuse.

Related Government Programs

Medicare Program
Medicaid Program
Children's Health Insurance Program (CHIP)
Benefits Improvement and Protection Act (BIPA)
Federal Health Program Administration
Management and Consulting Services

Risk Flags

Potential for performance issues impacting critical health programs.
Risk of scope changes due to evolving legislative requirements.
Dependence on contractor expertise for complex regulatory interpretation.

Frequently Asked Questions

What is this federal contract paying for?

Department of Health and Human Services awarded $13.5 million to C2C INNOVATIVE SOLUTIONS, INC.. THE QUALIFIED INDEPENDENT CONTRACTOR (QIC) PERFORMS ALL OF THE TASKS ASSOCIATED WITH SUPPORT OF THE MEDICARE, MEDICAID, AND CHILDREN'S HEALTH INSURANCE PROGRAM BENEFITS IMPROVEMENT AND PROTECTION ACT OF 2000 (BIPA), PUBLIC LAW 106-554, SUBTITLE C - C

Who is the contractor on this award?

The obligated recipient is C2C INNOVATIVE SOLUTIONS, INC..

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 $13.5 million.

What is the period of performance?

Start: 2026-01-01. End: 2026-12-31.

What is the track record of C2C Innovative Solutions, Inc. in supporting federal health programs?

Information regarding the specific track record of C2C Innovative Solutions, Inc. in supporting federal health programs, particularly Medicare, Medicaid, and CHIP, is not detailed in the provided data. A comprehensive assessment would require reviewing past performance evaluations, contract history with federal agencies, and any publicly available information on their experience with similar legislative mandates and administrative support functions. Understanding their past performance is crucial for evaluating their capability to successfully execute this current contract and ensure the integrity of the benefits programs they are tasked to support.

How does the $13.5 million contract value compare to similar federal contracts for legislative support and program integrity?

The $13.5 million contract value for a one-year period of support for Medicare, Medicaid, and CHIP legislative mandates is a significant investment. To benchmark its value, one would need to compare it against contracts awarded to other entities for similar services, such as program analysis, regulatory compliance, and administrative support for large-scale federal health initiatives. Factors such as the complexity of the legislation supported, the scope of services (e.g., policy analysis, operational guidance, stakeholder engagement), and the duration of the contract are critical for a fair comparison. Without specific comparable contract data, it is difficult to definitively state whether this represents excellent, good, or fair value for money.

What are the primary risks associated with this contract, and how are they being mitigated?

Primary risks associated with this contract include potential performance deficiencies by the contractor, changes in legislative requirements that could impact the scope of work, and the inherent complexity of managing large federal health programs. Mitigation strategies would typically involve robust contract oversight by CMS, clearly defined performance metrics and deliverables, and regular communication channels between the government and the contractor. The firm fixed-price structure also incentivizes the contractor to manage costs and performance effectively. However, the specific risk mitigation plans are not detailed in the provided data.

How effective is the firm fixed-price (FFP) contract type in ensuring value for money for these administrative services?

The Firm Fixed-Price (FFP) contract type is generally considered effective in ensuring value for money for administrative services when the scope of work is well-defined and unlikely to change significantly. It shifts the risk of cost overruns to the contractor, providing budget certainty for the government. For services like supporting legislative mandates for Medicare, Medicaid, and CHIP, an FFP contract incentivizes the contractor to perform efficiently to maximize profit. However, if unforeseen complexities arise or the legislative landscape shifts dramatically, the FFP structure might limit flexibility or lead to change orders, potentially increasing costs. The effectiveness hinges on the initial clarity and stability of the requirements.

What is the historical spending trend for similar administrative support contracts at CMS?

Historical spending trends for similar administrative support contracts at CMS are not provided in the current data. To analyze this, one would need to examine CMS's contracting history over several fiscal years, identifying contracts with similar objectives (e.g., legislative support, program integrity, policy implementation) and service categories (e.g., management consulting). This analysis would reveal whether spending in this area has been increasing, decreasing, or remaining stable, and how the current $13.5 million award fits within that historical context. Understanding these trends can inform future budget planning and procurement strategies.

Industry Classification

NAICS: Professional, Scientific, and Technical Services › Management, Scientific, and Technical Consulting Services › Administrative Management and General Management Consulting 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

Solicitation ID: 75FCMC26Q00050001

Offers Received: 1

Pricing Type: FIRM FIXED PRICE (J)

Evaluated Preference: NONE

Contractor Details

Address: 532 RIVERSIDE AVE, JACKSONVILLE, FL, 32202

Business Categories: Category Business, Corporate Entity Not Tax Exempt, Not Designated a Small Business, Special Designations, U.S.-Owned Business

Financial Breakdown

Contract Ceiling: $54,005,881

Exercised Options: $13,475,358

Current Obligation: $13,475,358

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES PROCEDURES NOT USED

Cost or Pricing Data: YES

Parent Contract

Parent Award PIID: HHSM500200400005I

IDV Type: IDC

Timeline