Medicare Drug Integrity Contractor Program by Health and Human Services
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The Department of Health and Human Services is procuring a contractor for the Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC) to oversee Medicare Parts C and D programs. The contractor will perform data analysis, audits, and program integrity oversight to combat fraud, waste, and abuse within these Medicare programs.
Scope & Requirements
The contractor will provide oversight of Medicare Parts C and D programs, including conducting audits and data analysis to ensure program integrity.
Attachments (17)
Contract Details
- Estimated Value
- est. $100K – $5MSimilar 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. Jennifer Kuhn Alternative
Point of Contact Kyle Patton Contracting (No Street Address
2) BALTIMORE, MD 21244 USA to this opportunity. Solicitation - 75FCMC26R0041.pdf J.1 - PPI MEDIC- Statement of Work.docx J.2 - Contractor,Offeror COI Submission Template.docx E.1 - Soliciation Sections L & M.docx E.2 - PPI MEDIC
Questions Submission Template.xlsx E.3 - Assumptions.docx E.4 - Past Performance Questionnaire.docx E.5 - Responsibility Questionnaire.docx E.6 - Prime Proposal Checklist.docx E.7 - Consent to Subcontract.docx E.8 - Business Proposal Template.xlsx E.9 - 508 Checklist Instructions.docx E.10 E.11 - CMS 508 Webapps Checklist.xlsx E.13 - CMS 508 Excel Checklist.xlsx E.12 - CMS 508 Word Checklist.xlsx E.14
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