Medicare Drug Integrity Oversight and Fraud Prevention Services
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The Department of Health and Human Services is contracting for the Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC) to provide oversight of the Medicare Parts C and D programs, ensuring the protection of the Medicare Trust Fund. Key requirements include data analysis, audits, and reviews of Medicare Advantage Organizations, as well as outreach and education related to fraud, waste, and abuse efforts.
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Verify on SAM.govContract Details
- Contract Vehiclei
- WOSB
- Estimated Value
- est. $792K – $29.1MSimilar contracts award $30K – $634K (median $144K, 29,454 awards)Above typical range
- NAICS Codes
- Place of Performance
- BALTIMORE, MD, USA
- Set-Asides
- WOSB
Qualifications & Eligibility
- Set-Aside Category
- WOSB
Agency & Contact
Contracting Organization
- Agency
- HEALTH AND HUMAN SERVICES, DEPARTMENT OF
- Sub-Agency
- CENTERS FOR MEDICARE AND MEDICAID SERVICES
Point of Contact
Key Dates
Description
The PPI MEDIC serves as a national contractor responsible for providing oversight of the Medicare Parts C and D programs to ensure the protection of the Medicare Trust Fund. CMS seeks to contract with an external entity to support CMS audits and program integrity oversight activities related to fraud, waste, and abuse efforts within the Medicare Parts C and D programs. Its tasks include data analysis, audits and reviews of Medicare Advantage Organizations (MAOs), including Medicare Advantage Prescription Drug (MA-PD) plan sponsors and Prescription Drug Plan (PDP) sponsors, as well as outreach, education, and referrals to law enforcement. All responsible sources may submit a quotation, bid, or proposal, as appropriate, which will be considered by the agency. Jennifer Kuhn Alternative
Point of Contact Kyle Patton Contracting (No Street Address
2) BALTIMORE, MD 21244 USA to this opportunity.
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