ZPIC Zone 3 Bridge Contract

Services Procured: The ZPIC Zone 3 Bridge Contractor shall perform Program Integrity activities for Medicare claims processed within Zone 3 for the states of Minnesota, Wisconsin, Illinois, Indiana, Michigan, Ohio and Kentucky.

The contractor is responsible for promoting the integrity of the Medicare program by accomplishing the following objectives:

• Identifying, stop and prevent Medicare fraud, waste and abuse and refer instances of potential fraud, waste and abuse to the appropriate law enforcement agencies.

• Decreasing the submission of abusive and fraudulent Medicare claims.

• Recommending appropriate administrative action (e.g., payment suspension recommendations and CMPs) to CMS as necessary in accordance with Medicare laws and regulations to ensure that appropriate and accurate payments for services are made, which are consistent with all Medicare rules and regulations.

• Coordinateing potential fraud, waste and abuse with appropriate Medicare Entities (MEs).

This award was made under the authority of FAR 6.302-2, Unusual and Compelling Urgency. The justification supporting this approach is provided as an attachment.