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CMS Awards Potential $2.5B Medicare, Medicaid Anti-Fraud Services Contract Vehicle

patient care health recordThe Centers for Medicare and Medicaid Services has awarded positions on a potential 10-year, $2.5 billion contract vehicle to seven companies for program integrity support services intended to help CMS and its partners identify instances of healthcare fraud, waste and abuse in Medicare and Medicaid.

CMS consolidated prior anti-waste and abuse services carried out by multiple contractors into the new Unified Program Integrity Contract program in an effort to anticipate and adapt to changes in healthcare fraud methods across the Medicare and Medicaid program continuum, according to a FedBizOpps summary.

The agency announced its selections of the contractors in a series of May posts to FedBizOpps and will award task orders for services across five geographic areas with multiple states as defined by CMS.

UPIC contractors will also coordinate activities with CMS and other agencies at the federal, state and local government levels; as well as other CMS partners and contractors.

Awardees include:

  • AdvanceMed
  • Health Integrity LLC
  • HMS Federal
  • Noridian Healthcare Solutions
  • Safeguard Services LLC
  • StrategicHealthSolutions LLC
  • TriCenturion

CMS awarded UPIC’s first task order to AdvanceMed for services in the contract vehicle’s Jurisdiction 1 area that encompasses Minnesota, Wisconsin, Illinois, Indiana, Michigan, Ohio, Kentucky, Iowa, Missouri, Nebraska and Kansas.

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