Healthcare Fraud Defense Program RFI
United States of America > HEALTH AND HUMAN SERVICES, DEPARTMENT OF > CENTERS FOR MEDICARE AND MEDICAID SERVICES > OFC OF ACQUISITION AND GRANTS MGMT
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Submission Instructions
Description
The Centers for Medicare & Medicaid Services is requesting information to help shape future fraud-defense contracts supporting Medicare and potentially Medicaid program integrity. The draft objectives contemplate contractor support for CMS-assigned investigations, claims and other data analysis, targeted prepayment and post-payment medical review, onsite investigative activities, interviews, evidence collection, investigative reporting, and coordination with federal, state, Medicare Administrative Contractor, and law-enforcement partners. Respondents are invited to provide innovative recommendations concerning the operating model, investigative and clinical capabilities, Medicaid program integrity, lead development and intake, analytics and artificial intelligence, information sharing, performance measurement, surge capacity, fixed-price contracting, competition, and organizational conflicts of interest. The response must use the buyer-provided fillable Attachment 3.2; vendors must complete entity information and may answer some or all questions, with a 4,000-character limit per question. This is an information-gathering notice only and will not result in an award.
Classification Codes
Smart Codes
Specifications
Timeline
Documents
| Title | Date Posted |
|---|---|
| 3.1 - Draft Fraud Defense Contracts Statement of Objectives.pdf | Oct 05, 2026 12:00 PM |
| 3.2 - Request for Information – Interested Vendor Response.pdf | Oct 05, 2026 12:00 PM |
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