Streamlined Technology Acquisition Resources for Services (STARS) III IDIQ

As part of the Vetshare Services joint venture, Palmetto GBA was awarded the STARS III IDIQ. This indefinite delivery/indefinite quantity contract provides federal agencies with customized information technology (IT) services and IT services-based solutions.

National Government Services (NGS) Jurisdiction 6 A/B MAC (J6)

Under this recently awarded subcontract, Palmetto GBA provides the Advanced Communication Engine (ACE) product and services in support of NGS’s administration of J6. ACE delivers SMART messaging alerts to providers via front-end Electronic Data Interchange (EDI) claim rejection or informational messaging any time billing compliance errors or educational items are identified with their claim submissions.

Optum, Inc. Molecular Coding and Content

Palmetto GBA partnered with Optum to make the DEX™ molecular solutions commercially available. Health plans can now adopt (through the Optum product suite) the Z-Code identifiers and DEX coverage policies in a simplified and streamlined process. DEX helps reduce costs, increase efficiency and improve quality of care by connecting commercial and government payers with accurately identified molecular tests and test assessments to improve policy determination management.

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Implementation Contractor (CBIC)

As incumbent, Palmetto GBA was again awarded the CBIC contract to assist CMS in administering the DMEPOS Competitive Bidding Program. The contract includes a Blanket Purchase Agreement and three task orders and extends through 2026. 

The DMEPOS Competitive Bidding Program has been an essential tool to help Medicare set market-based payment rates for certain DMEPOS items, save money for Medicare beneficiaries and taxpayers, and limit fraud, waste, and abuse in the Medicare program. The program has saved billions of dollars since implementation while ensuring access to quality items and services.

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Electronic Health Record (EHR) Support

As a subcontractor to JBS International, Palmetto GBA was awarded the NIDDK Electronic Health Record (EHR) Support procurement contract. Through this agreement, we will provide subject matter expertise and educational content regarding coverage, reimbursement and related topics. The NIDDK is an institute within the National Institute of Health.

Medicare Part D Coverage Gap Discount Program (CGDP) Third-Party Administrator (TPA)

As incumbent, Palmetto GBA was awarded the TPA contract for the Medicare Part D CGDP. The contract includes development, testing, implementation, operation, maintenance and customer service necessary to meet the needs of CMS, pharmaceutical manufacturers, Part D sponsors and contracted CMS personnel involved with the operation and administration of the Medicare Coverage Gap Discount Program. Palmetto GBA was originally awarded the stand-alone contract in 2012, with this new contract continuing through 2026.

Translator and Multi-Carrier System Desk Top (MCSDT) Support for Medicare Integrated Systems Testing (MIST)

In a subcontractor role to Sparksoft, Palmetto GBA was awarded the Translator and Multi-Carrier System Desk Top Support for MIST contract. We will provide EDI-related technical support and infrastructure to support the MIST contract. Palmetto GBA will maintain these environments to support quarterly release testing, regression testing and off-quarter testing of CMS standard systems.