J.23 Government Provided Proposal Assumptions (002) Redline

J.23 GOVERNMENT PROVIDED PROPOSAL ASSUMPTIONS (GPPA)

CONTRACT AWARD

The Centers for Medicare & Medicaid Services (CMS) anticipates awarding the Part A and Part B Medicare Administrative Contractor (A/B MAC) contract for Jurisdiction 8 (J8) 8-12 months from receipt of proposals. J8 includes the states of Indiana and Michigan.

IMPLEMENTATION CUTOVER

Implementation Cutover
The Offeror shall use the information provided in this section when developing its proposed Contract Line Item Number (CLIN) 0001 costs associated with its Jurisdiction Implementation Project Plan. The Offeror shall assume that CMS will assign new Medicare workload identification numbers to the J8 Part A and Part B workloads, effective at cutover, consistent with Change Request (CR) 6259. At the implementation cutover, the outgoing MAC ceases Medicare operations and the incoming MAC begins to perform Medicare business functions (CLIN 0002) for that segment/jurisdiction. The following table considers each individual Customer Information Control System (CICS) Production region as an individual “segment.” Table 1 identifies all of the CICS Production regions in J8. In addition, the breakdown of User Acceptance Testing (UAT) regions for J8 mirrors the configuration (the same number and breakdown) of Production regions for J8.

For proposal purposes, the Offeror shall assume that CMS will support the build-out of new CICS production and UAT regions to mirror the configuration employed by the outgoing MAC as shown in Table 1, in order to support simulation testing and the conversion of claims history to the Offeror’s own claims history edit/audit taxonomy; further, the Offeror shall assume that CMS will arrange for necessary implementation support from the maintainers of the Fiscal Intermediary Standard System (FISS), Multi Carrier System (MCS), and Common Working File (CWF) systems as well as the Hybrid Cloud Data Center (HCDC) and the CWF host and other CMS systems. The Offerors shall not propose any change to the number or configuration of CICS production or CICS UAT regions for the Implementation period. Offerors may propose an alternative approach to Implementation period simulation testing and claims history build-out within the following parameters: Offerors must propose the build-out of new test and production CICS regions for every workload where they are not the incumbent. The Offeror may not propose an implementation approach that adjusts or reduces the need for four (4) CICS production and four (4) UAT regions.