Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC)

The Centers for Medicare and Medicaid Services (CMS) Office of Acquisition and Grants Management issued this pre-solicitation notice for the Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC). Identified as solicitation number 260656J, the PPI MEDIC serves as a national contractor providing oversight of Medicare Parts C and D programs to protect the Medicare Trust Fund. The selected entity will support CMS audits and program integrity oversight activities targeting fraud, waste, and abuse. Specific tasks include conducting data analysis, performing audits and reviews of Medicare Advantage Organizations (MAOs), Medicare Advantage Prescription Drug (MA-PD) plan sponsors, and Prescription Drug Plan (PDP) sponsors, and managing outreach, education, and law enforcement referrals.

This requirement is designated as a WOSB (Women-Owned Small Business) set-aside. It is classified under NAICS code 541990, All Other Professional, Scientific, and Technical Services, and PSC code R499, SUPPORT- PROFESSIONAL: OTHER. Work will be performed in St James, Maryland, with Jennifer Kuhn serving as the point of contact. All responsible sources may submit a quotation, bid, or proposal for consideration by the agency.