Unified Program Integrity Contract (UPIC)

The Centers for Medicare & Medicaid Services awarded this Master IDIQ on May 10, 2016, to consolidate Medicare and Medicaid program integrity functions across multiple prior contracts. The vehicle's ordering period closed on May 9, 2026—ordering is no longer available. The $2.5 billion shared ceiling remains the vehicle's outer bound.

Work under UPIC centers on fraud, waste, and abuse detection and prevention across the Medicare and Medicaid continuum. Task orders have been awarded for regional jurisdictional coverage (Northeastern, Midwestern, Southwestern, and Southeastern), strategic medical review and supplemental medical review contractor services to lower improper payment rates, and investigations under the Medicare Drug Integrity Contractor (MEDIC) program. All seven awarded task orders carry cost-plus fixed-fee or cost-plus award-fee pricing.

CMS has awarded seven task orders since May 2016, with ordering activity front-loaded: two orders in 2016, three in 2017, and two in 2018. The most recent task order was issued on September 13, 2018. No new orders have been placed for roughly seven years, signaling the vehicle has effectively concluded its ordering lifecycle despite the formal closure date in mid-2026.

Qlarant Integrity Solutions LLC dominates with three orders valued at $701.4 million in combined potential value. Safeguard Services LLC holds two orders worth $538.8 million. Noridian Healthcare Solutions, LLC and Coventbridge USA Inc. each hold one order, valued at $411.1 million and $275 million respectively. All task orders are unrestricted—no set-aside designations apply. CMS is the sole customer agency across all seven orders.

The combined potential value of awarded task orders totals $1.93 billion, with $1.43 billion obligated to date (74% of potential value). Task-order ceilings range from approximately $219 million to $411 million. Most orders carry ultimate completion dates between mid-2026 and mid-2028, indicating substantial ongoing performance despite the vehicle's closed ordering status.

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.