Unified Program Integrity Contract (UPIC)

Active Master IDIQ Awarded

Federal agency
Awardees
7
Task orders
7
Obligated
$1,868,499,472

Vehicle facts

Opportunity
  • HHSM5002015RFP0122 Solicitation number
Agency
Combined task order value
  • $1,869,878,864 Current, with exercised options
  • $2,010,177,184 Potential, with all options
Last date to order 96% complete
Shared ceiling 75% used
$2,500,000,000.00

IDV award and task order details come from SAM.gov/FPDS.

About this vehicle

The Centers for Medicare & Medicaid Services awarded a Master IDIQ, the Unified Program Integrity Contract (UPIC), to consolidate Medicare and Medicaid program integrity work, with orders placeable through May 9, 2027 under a $2.5 billion shared ceiling. All seven task orders were awarded with no set-aside, and four primes hold orders.

The vehicle was awarded May 10, 2016, and about six months and one week of ordering authority remain. The last task order was awarded September 13, 2018, so no orders have been placed in more than eight years. Orders per year were two in 2016, three in 2017, and two in 2018. Of the $1.97 billion combined potential value, $1.83 billion (93%) is obligated.

Task orders cover five jurisdictional UPIC efforts (Western, South-Western, South-Eastern, North-Eastern, and Midwestern), the Investigations Medicare Drug Integrity Contractor (Investigations MEDIC) order, and a Strategic Medical Review Contractor (SMRC) order aimed at lowering improper payment rates. Five orders are cost-plus award fee and two are cost-plus fixed fee.

Qlarant Integrity Solutions LLC leads with three orders and $705 million combined potential value, followed by Safeguard Services LLC with two orders and $538.8 million, Noridian Healthcare Solutions, LLC with one order and $411.1 million, and Coventbridge (USA) LLC with one order and $319.8 million. Award activity is concentrated among these four firms. CMS is the sole customer, placing 100% of orders.

Task-order ceiling values range from $216.2 million (Investigations MEDIC) to $411.1 million (SMRC). The SMRC order is the largest, with $407.4 million obligated. Completion dates range from October 31, 2026 (North-Eastern) to September 14, 2028 (Investigations MEDIC).

Description

The Centers for Medicare & Medicaid Services (CMS) has awarded a Master IDIQ for the Unified Program Integrity Contract (UPIC). The UPIC combines and integrates existing CMS program integrity functions carried out by multiple contractors and contracts into a single vehicle to improve its capacity to swiftly anticipate and adapt to the ever changing and dynamic nature of those involved in health care fraud, waste, and abuse across the Medicare and Medicaid program integrity continuum.

IDV awards

Latest task orders

Top awardees by obligations

Rank Awardee Obligated Share
1 Qlarant Integrity Solutions LLC $611,273,872 33%
2 Safeguard Services LLC $529,973,504 28%
3 Noridian Healthcare Solutions, LLC $407,443,552 22%
4 Coventbridge (USA) LLC $319,808,544 17%

Top funding agencies by obligations

Rank Funding agency Obligated Share
1 Department of Health and Human Services $1,868,499,472 100%

Obligations by fiscal year

Fiscal year Obligated
FY2027 To date $35,425,268
FY2026 $253,881,158
FY2025 $225,600,490
FY2024 $182,757,931
FY2023 $212,370,472
FY2022 $201,559,999
FY2021 $213,965,360
FY2020 $176,545,982
FY2019 $175,386,611
FY2018 $96,661,134
FY2017 $82,951,606
FY2016 $11,393,414
Show all 12

Quick answers

What is the UPIC contract vehicle?

Unified Program Integrity Contract (UPIC) is an indefinite delivery, indefinite quantity (IDIQ) contract vehicle run by Centers for Medicare and Medicaid Services (Department of Health and Human Services), awarded on May 10, 2016.

Which companies hold UPIC?

7 companies hold UPIC's IDV awards, one each. The latest went to Noridian Healthcare Solutions, LLC on May 17, 2016. The awardees whose task orders obligated the most are Qlarant Integrity Solutions LLC, Safeguard Services LLC and Noridian Healthcare Solutions, LLC.

How much has been spent through UPIC?

7 task orders have been placed under UPIC, obligating $1,868,499,472. Their combined current value, with exercised options, is $1,869,878,864.

What is the shared ceiling of UPIC?

UPIC's shared ceiling is $2,500,000,000; its task orders have used 75% of it.

Which agencies use UPIC the most?

The departments whose task orders under UPIC obligated the most are Department of Health and Human Services ($1,868,499,472).

How much was obligated through UPIC in fiscal year 2025?

Task orders under UPIC obligated $225,600,490 in fiscal year 2025.

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