CMS contracts: Centers for Medicare and Medicaid Services
The Centers for Medicare and Medicaid Services, part of the Department of Health and Human Services, posts its contract opportunities on SAM.gov. Below are the ones open right now, what CMS buys, how much of its money goes to small businesses, and who wins its work.
- Open contracts now
- 2
- Contract spending, FY2026
- $7.7 billion
- Share to small businesses
- 22%
Open CMS contracts, due soonest
- Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Final Solicitation
Due in 28 daysNov 2, 2026
- Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Synopsis/Draft RFP / Presolicitation
✦ The Centers for Medicare and Medicaid Services (CMS) plans a full and open competition for a Medicare Administrative Contractor to process Medicare fee-for-service claims for…
Due in 28 daysNov 2, 2026
What CMS is buying right now
NAICS codes on CMS's open notices. Each notice's code sets the size standard for who counts as small.
| Code | Industry | Open now |
|---|---|---|
| 524114 | Direct Health and Medical Insurance Carriers | 2 |
CMS contract spending by year
| Fiscal year | Contract obligations |
|---|---|
| FY2024 | $8.4 billion |
| FY2025 | $7.9 billion |
| FY2026 | $7.7 billion |
| FY2027 (so far) | $-1 |
The federal fiscal year starts October 1, so FY2027 began October 1, 2026.
What CMS spends the most on
Industries with the most CMS contract dollars over the last three fiscal years:
| NAICS | Industry | Obligated |
|---|---|---|
| 541512 | Computer Systems Design Services | $5.4 billion |
| 524114 | Direct Health and Medical Insurance Carriers | $3.6 billion |
| 541511 | Custom Computer Programming Services | $2.4 billion |
| 541611 | Administrative Management and General Management Consulting Services | $2.3 billion |
| 561422 | Telemarketing Bureaus and Other Contact Centers | $2.2 billion |
| 541519 | Other Computer Related Services | $1.8 billion |
| 541618 | Other Management Consulting Services | $1.2 billion |
| 541720 | Research and Development in the Social Sciences and Humanities | $984.1 million |
Small business contracts at CMS
About 22% of CMS's contract dollars over the last three fiscal years went to small businesses. The government-wide goal is 23%.
Dollars awarded under each kind of set-aside in the same period:
- Small business: $2.3 billion
- 8(a): $729.7 million
- Service-disabled veteran-owned: $148.4 million
- HUBZone: $55.3 million
- Women-owned: $46 million
Set-asides on CMS's open notices right now:
- No set-aside (full and open): 2
See which set-asides you may qualify for with the free SBA certification screener.
Who wins CMS contracts
Companies with the most CMS contract dollars over the last three fiscal years, per USAspending.gov:
| Company | Obligated |
|---|---|
| Maximus Federal Services, Inc. | $2.4 billion |
| General Dynamics Information Technology, Inc. | $2 billion |
| Palmetto Gba, LLC | $893.3 million |
| Noridian Healthcare Solutions, LLC | $821.6 million |
| Wellpoint Federal Solutions, Inc. | $729.2 million |
| Novitas Solutions, Inc. | $715.9 million |
| Carahsoft Technology Corp | $628.5 million |
| Serco Inc | $627.5 million |
| Accenture Federal Services LLC | $580.1 million |
| Companion Data Services LLC | $535.6 million |
Large primes subcontract part of their work to small businesses. Look up any small business's registration with the free CAGE code and UEI lookup.
Where CMS's open work is
By place of performance, the most open CMS contracts are in Maryland.
- Maryland: 1 open
Frequently asked questions
How do I find CMS contract opportunities?
The Centers for Medicare and Medicaid Services posts its contract opportunities on SAM.gov, the free official site. 2 are open right now. You can search them here by NAICS code, set-aside and state, and set up a free email alert for new ones.
How much does CMS spend on contracts?
The Centers for Medicare and Medicaid Services obligated about $7.7 billion on contracts in fiscal year 2026, according to USAspending.gov. About 22% of its contract dollars over the last three fiscal years went to small businesses.
Who are CMS's biggest contractors?
Over the last three fiscal years, the companies with the most CMS contract dollars were Maximus Federal Services, Inc., General Dynamics Information Technology, Inc. and Palmetto Gba, LLC, per USAspending.gov. Smaller firms often work as their subcontractors.
Who do I talk to about small business contracts at CMS?
Federal law requires every agency with buying power to have an Office of Small and Disadvantaged Business Utilization (OSDBU), sometimes called the Office of Small Business Programs. Its staff help small businesses understand what the agency buys and how. Free counseling is also available from APEX Accelerators.
Keep going
- Contracts from other agencies
- How to find government contracts
- How to research an agency on USAspending.gov
- Free help from APEX Accelerators
FedReady is an independent company, not affiliated with the Centers for Medicare and Medicaid Services, SAM.gov or any government agency. Open-contract counts come from SAM.gov and update daily; spending figures come from USAspending.gov and cover contracts only.