# Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC)

Canonical: https://abierto.us/opportunities/260656j

- Solicitation number: 260656J
- Notice type: Solicitation (first published as sources sought)
- Status: Closed. Deadline was April 22, 2026 at 10:00 AM EDT
- Department: Department of Health and Human Services
- Agency: Centers for Medicare and Medicaid Services
- Contracting office: Ofc of Acquisition and Grants MGMT (75FCMC)
- NAICS: 541990 All Other Professional, Scientific, and Technical Services
- Product or service code: R499 Other Professional Services
- Set-aside: Women-owned small business set-aside
- Place of performance: 0, Maryland
- County: Baltimore County (FIPS 24005). https://abierto.us/counties/baltimore-county-md-24005
- First posted: November 6, 2025
- Last posted: April 15, 2026
- SAM.gov: https://sam.gov/workspace/contract/opp/5d27b49b99d94859af6691e8e6a5b17f/view

## Description

Amendment 1

75FCMC26R0041, Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC), is hereby amended as follows. All changes are identified in RED throughout the referenced documents: Exhibit E.1 – Solicitation Section L&M – Amendment 1: Page numbers have been added. Section L.2(b) – has been updated to extend the “Notice of Intent” submission date to April 17, 2026, by 10:00:00 AM, local time, Baltimore, MD.

Section L.3 – has been updated to extend the Phase 1 proposal received date to no later than April 22, 2026, 10:00:00 AM local time, Baltimore, MD. Section L.4(a) – has been updated to provide clarification that Volume III and IV are part of the Phase 2 submission. Section L.6 – the section title has been updated to provide clarification that Volume III is part of the Phase 2 submission. Section L.6(a) – has been updated to correct the business proposal volume reference from II to III.

Section L.6(a)(5) – has been updated to clarify that the accounting system determination will be made at the time of the Phase 2 proposal submission. Section L.6(a)(10) – has been updated to remove reference to “Teaming Arrangements”. Section L.7 - the section title has been updated to provide clarification that Volume IV is part of the Phase 2 submission. Section M.2 – has been updated to clarify eligibility requirements.

Section M.5 – has been updated to clarify that evaluations for Phase 1 and Phase 2 will be utilized in the “tradeoff” analysis to determine which proposal offers the best combination of technical capabilities and price to the Government.

**Section J:** Exhibit E.2 – PPI MEDIC Questions Submission Template has been replaced with Exhibit E.2 PPI MEDIC Questions Response - Amendment 1 and includes answers to questions that CMS determined to be necessary for proposal preparation. Exhibit E.8 – Business Proposal Template - Amendment 1- has been updated to removed text from row 152 that was unintentionally included in the template.

Exhibit E.8 – Business Proposal Template - Amendment 1- has been updated to provide clarification to Offeror’s that they should incorporate the costs associated with Task 1 in Attachment J.1 - PPI MEDIC - Statement of Work under Task 6 - Administrative Requirements. Attachment J.1 – PPI MEDIC – Statement of Work – Amendment 1 – Section 2.6 – Audits – has been updated to provide clarification on Remedy Action Plans (RAPs) and Corrective Action Plans (CAPs).

Attachment J.1 – PPI MEDIC – Statement of Work – Amendment 1 – Section 2.6.2 – Program Integrity (PI) Audits – has been updated to include "and/or", to ensure flexibility in audit location (i.e. virtual or onsite). Attachment J.1 – PPI MEDIC – Statement of Work – Amendment 1 – Section 3.1 – Incoming Transition Requirements– has been updated to include additional transition clarifications.

Attachment J.1 – PPI MEDIC – Statement of Work – Amendment 1 – Section 3.2 – Outgoing Transition Requirements– has been updated to include additional transition clarifications. Attachment J.1 – PPI MEDIC – Statement of Work – Amendment 1 – Appendix A- Deliverables Schedule– has been updated to include additional transition-out deliverables associated with SOW Section 3.2. Attachment J.1 – PPI MEDIC – Statement of Work – Amendment 1 – Appendix A- Deliverables Schedule– has been updated to renumber deliverables 19-32.

Original

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.

## Publications

- November 6, 2025: Sources sought, due November 24, 2025 at 1:00 PM EST. Notice 0baae921f14445bb8a0446194b40df5b. https://sam.gov/workspace/contract/opp/0baae921f14445bb8a0446194b40df5b/view
- March 18, 2026: Presolicitation. Notice 1408ce4b92364ea9a1ea348470000c28. https://sam.gov/workspace/contract/opp/1408ce4b92364ea9a1ea348470000c28/view
- April 3, 2026: Solicitation, due April 17, 2026 at 10:00 AM EDT. Notice 912baf6b387e4b5b926ea2c8d37eb6bf. https://sam.gov/workspace/contract/opp/912baf6b387e4b5b926ea2c8d37eb6bf/view
- April 15, 2026: Solicitation, due April 22, 2026 at 10:00 AM EDT. Notice 5d27b49b99d94859af6691e8e6a5b17f. https://sam.gov/workspace/contract/opp/5d27b49b99d94859af6691e8e6a5b17f/view

## Points of contact

- Jennifer Kuhn, jennifer.kuhn@cms.hhs.gov, 4107862299
- Kyle Patton, kyle.patton@cms.hhs.gov, 4107868714

---
Source: SAM.gov Contract Opportunities bulk extract. Confirm deadlines on SAM.gov before responding. Cite https://abierto.us/opportunities/260656j.