Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC)

Agency: HEALTH AND HUMAN SERVICES, DEPARTMENT OF
State: Maryland
Type of Government: Federal
FSC Category:
  • R - Professional, Administrative and Management Support Services
NAICS Category:
  • 541990 - All Other Professional, Scientific, and Technical Services
Set Aside: SBA Certified Women-Owned Small Business (WOSB) Program Set-Aside (FAR 19.15)
Posted Date: Apr 3, 2026
Due Date: Apr 17, 2026
Solicitation No: 260656J
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Description

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Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC)
Active
Contract Opportunity
Notice ID
260656J
Related Notice
260656J
Department/Ind. Agency
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Sub-tier
CENTERS FOR MEDICARE AND MEDICAID SERVICES
Office
OFC OF ACQUISITION AND GRANTS MGMT
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General Information
  • Contract Opportunity Type: Solicitation (Original)
  • Original Published Date: Apr 03, 2026 07:17 am EDT
  • Original Date Offers Due: Apr 17, 2026 10:00 am EDT
  • Inactive Policy: Manual
  • Original Inactive Date: May 01, 2026
  • Initiative:
    • None
Classification
  • Original Set Aside: SBA Certified Women-Owned Small Business (WOSB) Program Set-Aside (FAR 19.15)
  • Product Service Code: R499 - SUPPORT- PROFESSIONAL: OTHER
  • NAICS Code:
    • 541990 - All Other Professional, Scientific, and Technical Services
  • Place of Performance:
    , MD 21244
    USA
Description

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.


Attachments/Links
Contact Information
Contracting Office Address
  • 7500 SECURITY BLVD
  • BALTIMORE , MD 21244
  • USA
Primary Point of Contact
Secondary Point of Contact
History

Related Document

Nov 6, 2025[Sources Sought (Original)] Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC)
Mar 18, 2026[Presolicitation (Original)] Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC)
Apr 15, 2026[Solicitation (Updated)] Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC)
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