Provider Enrollment and Oversight

The Provider Enrollment and Oversight Indefinite Delivery/Indefinite Quantity (IDIQ) contract, awarded by the Centers for Medicare and Medicaid Services (CMS), is designed to support comprehensive provider enrollment and screening activities across Medicare and Medicaid programs. The contract aims to detect, prevent, and proactively deter fraud, waste, and abuse through a variety of specialized services. With a shared ceiling of $2 billion and an ordering period through August 16, 2025, the vehicle enables CMS to procure targeted contractor support for complex provider management and oversight tasks.

Task orders under this IDIQ consistently focus on critical provider enrollment functions, with typical values ranging from approximately $4 million to $42 million and performance periods spanning 4-7 years. Key task order scopes include provider screening, enrollment assessments, legal action reviews, background checks, site verifications, and ownership validations across Medicare and Medicaid programs. Prime contractors frequently winning awards include Koniag Services (an Alaskan Native Corporation), Novitas Solutions, Palmetto GBA, Deloitte Consulting, and several small businesses like A P Ventures and Visual Connections. Most task orders are competitively awarded without specific set-aside designations, though some leverage small business, HUBZone, and 8(a) program qualifications. Performance locations typically cover both Eastern and Western United States regions, with work primarily conducted to support federal healthcare administrative functions.