CMS

Centers for Medicare & Medicaid Services

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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