CMS

Centers for Medicare & Medicaid Services

Updated August 2026 — forecast trends cross-checked against agency and SAM.gov sources.

Manages Medicare, Medicaid, and healthcare programs. Major buyer of healthcare IT, claims processing, and compliance systems.

FY2026 Budget

$900B+ (healthcare benefits, program administration)

OSDBU Contact

Office of Small and Disadvantaged Business Utilization - osdbuprograms@cms.hhs.gov

2026 Trend

Healthcare interoperability standards, fraud detection systems, Medicaid expansion IT, telehealth integration

Top NAICS Codes for CMS

These industry classifications represent the largest procurement focus areas.

541511

541512

621610

541611

622110

Typical Procurement Areas & Recompetes

1

Healthcare claims processing systems

2

Fraud detection and prevention systems

3

Healthcare provider IT services

4

Medicaid/Medicare system upgrades

Procurement Focus & Strategy

  • Healthcare compliance and security (HIPAA) essential
  • Multi-year contracts for system modernization
  • Provider relationship management important
  • Scale and performance critical (millions of beneficiaries)

Forecast Strategy for Contractors

CMS controls largest federal healthcare spend. Excellent for healthcare IT firms. Compliance requirements significant but healthcare expertise = competitive moat. Telehealth growth = expanding opportunities.

How to Use This Forecast

  1. Monitor updates. CMS updates their forecast quarterly. Check back every 3 months for new opportunities.
  2. Match your NAICS. Focus on recompetes and opportunities in your primary NAICS codes (listed above).
  3. Research past winners. Use WinBidIQ's USAspending data to find who won the last contract. Model your proposal after them.
  4. Contact early. Reach out to Office of Small and Disadvantaged Business Utilization - osdbuprograms@cms.hhs.gov (their small business contact) 6-12 months before RFP release to ask questions and register.
  5. Prepare the proposal early. Start writing 60-90 days before RFP release. When RFP drops, you're 80% done.

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Frequently Asked Questions

What is the Centers for Medicare & Medicaid Services procurement forecast for FY2026?

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Centers for Medicare & Medicaid Services (CMS) has a FY2026 budget of $900B+ (healthcare benefits, program administration). The procurement trend for 2026 is: Healthcare interoperability standards, fraud detection systems, Medicaid expansion IT, telehealth integration. Key NAICS codes active at this agency include 541511, 541512, 621610.

How can small businesses access CMS forecast data?

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Centers for Medicare & Medicaid Services publishes its procurement forecast through SAM.gov, USASpending.gov, and agency-specific forecast portals. Contact the OSDBU at Office of Small and Disadvantaged Business Utilization - osdbuprograms@cms.hhs.gov to request upcoming acquisition forecasts directly. Many agencies publish annual small business forecasts 6-12 months in advance of RFP release.

What types of contracts does CMS forecast for small businesses?

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Centers for Medicare & Medicaid Services forecasts set-aside competitions for: Healthcare claims processing systems; Fraud detection and prevention systems; Healthcare provider IT services. These include both new requirements and recompetes of existing contracts. Monitoring recompetes is the most reliable way to find upcoming opportunities at this agency.

What NAICS codes should I focus on for CMS contracts?

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The highest-volume NAICS codes at Centers for Medicare & Medicaid Services are: 541511, 541512, 621610, 541611, 622110. Register these in your SAM.gov profile and set up SAM.gov email alerts filtered by these codes and CMS as the awarding agency to receive daily notifications of new solicitations.

How far in advance does CMS post contract forecasts?

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Most federal agencies, including Centers for Medicare & Medicaid Services, post procurement forecasts 6-12 months before RFP release. Follow the OSDBU (Office of Small and Disadvantaged Business Utilization - osdbuprograms@cms.hhs.gov) and subscribe to industry day announcements. Engaging with the agency pre-RFP — through RFI responses, capability statement submissions, and industry days — significantly increases your probability of win when the solicitation drops.