Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC)
Pre-Solicitation Posted
This opportunity was awarded. See the award notice from , or the latest solicitation from .
- Solicitation number
- 260656J
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Responses due
- Not on record
- Set-aside
- Woman-Owned Small Business
Opportunity facts
- NAICS code
- 541990 All Other Professional, Scientific, and Technical Services
- PSC
- R499 Support- Professional: Other
- Place of performance
- Windsor Mill, Maryland 21244, United States
Notice details come from SAM.gov. Updated .
About this opportunity
The Centers for Medicare and Medicaid Services (CMS) is seeking an external contractor to serve as the Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC), a national entity responsible for providing oversight of the Medicare Parts C and D programs to protect the Medicare Trust Fund. The contractor will support CMS audits and program integrity oversight activities focused on identifying and addressing fraud, waste, and abuse within Medicare Advantage Organizations (MAOs), Medicare Advantage Prescription Drug (MA-PD) plan sponsors, and Prescription Drug Plan (PDP) sponsors. Key responsibilities include conducting data analysis, performing audits and reviews of plan sponsors, and providing outreach, education, and referrals to law enforcement agencies. The contract falls under NAICS category 541990 (All Other Professional, Scientific, and Technical Services) and PSC category R499 (Support – Professional: Other). While this pre-solicitation notice does not specify evaluation criteria or response deadlines, interested parties should monitor the opportunity for upcoming solicitation documents that will detail technical and cost evaluation factors and submission requirements.
This contract opportunity is designated as a set-aside for Woman-Owned Small Businesses (WOSB), restricting competition to businesses meeting this certification requirement. The pre-solicitation notice, posted on March 18, 2026, does not identify any current incumbent contractor or provide an explicit award value or budget range for the contract. The notice indicates that all responsible sources may submit quotations, bids, or proposals as appropriate, suggesting the final solicitation may allow for multiple contract vehicles or proposal formats. Additional details regarding contract duration, performance timelines, specific deliverables, and anticipated funding levels should be available when the formal solicitation is released. Interested WOSB contractors should maintain awareness of future updates to this opportunity through official federal contracting channels.
Notice text
The PPI MEDIC serves as a national contractor responsible for providing oversight of the Medicare Parts C and D programs to ensure the protection of the Medicare Trust Fund. CMS seeks to contract with an external entity to support CMS audits and program integrity oversight activities related to fraud, waste, and abuse efforts within the Medicare Parts C and D programs. Its tasks include data analysis, audits and reviews of Medicare Advantage Organizations (MAOs), including Medicare Advantage Prescription Drug (MA-PD) plan sponsors and Prescription Drug Plan (PDP) sponsors, as well as outreach, education, and referrals to law enforcement.
All responsible sources may submit a quotation, bid, or proposal, as appropriate, which will be considered by the agency.
Notice history
| Notice | Type | Posted |
|---|---|---|
| Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC) | Award Notice | |
| Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC) | Solicitation | |
| This notice | Pre-Solicitation | |
| Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC) | Pre-Solicitation |
Similar open opportunities
| Opportunity | Agency | Set-aside | Responses due |
|---|---|---|---|
| Request for Information - Fraud Defense Contracts | Centers for Medicare and Medicaid Services | No set-aside | |
| Request for Information - CMS' Qualified Independent Contractor (QIC) Program | Centers for Medicare and Medicaid Services | No set-aside |
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