SolicitationPosted Apr 15, 2026·Original deadline passed (Apr 22). See latest amendment for current deadline.

Plan Program Integrity Medicare Drug Integrity Contractor (PPI MEDIC)

Health and Human Services (all) · OFC OF ACQUISITION AND GRANTS MGMT

Stage
Open solicitation
NAICS
541990
Value
Not stated
Solicitation
260656J
Set-aside
SBA Certified Women-Owned Small Business (WOSB) Program Set-Aside (FAR 19.15)
PSC
R499
Place
0, MD, USA
Contact
Jennifer Kuhn (jennifer.kuhn@cms.hhs.gov)
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CSV Email

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Where this opportunity stands

Every notice posted under solicitation 260656J in this department, oldest first.

Early notice
  • Nov 6, 2025
    Sources Sought
    Open
  • Mar 18, 2026
    Pre-solicitation
    Open
Solicitation
  • Apr 3, 2026
    Solicitation
    Open
  • Apr 15, 2026 · this notice
    Solicitation
Award
  • Oct 1, 2026
    Award Notice
    EMENDATA LLC · $50.1M
    Open

Next steps for this stage

Standard steps for the notice type; not advice about this buyer.

  • Decide bid or no bid before the response deadline.
  • Look at the past winners for likely competitors and teaming partners.
  • Follow the opportunity to hear about amendments and the award.

What the notice says

***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) � … (show all)

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.

Who won similar work

54 award notices on SAM.gov in the last 24 months. Matched by: Same agency (Health and Human Services (all)), same product/service code (PSC) R499.

Single-winner award sizes (50): middle half $418K to $9.3M, median $2.3M; range $12K to $1.5B.

WinnerAwardsValueLast
Axle Informatics Rockville MD 20852 USA3$24.5MMay 22, 2025
RESEARCH TRIANGLE INSTITUTE Durham NC 27709 USA2$1.5BOct 5, 2026
CONCRETE GOALS, LLC2$5.7MAug 19, 2026
Axle Informatics, LLC2$4.2MDec 15, 2025
DRODEX INC2$2.9MApr 13, 2026
STRATEGIC INNOVATIVE SOLUTIONS LLC2$1.2MMar 17, 2026
Guidehouse Digital LLC1$154.0MOct 22, 2024
MEDICAL SCIENCE & COMPUTING, LLC1$105.0MOct 22, 2024
Multiple_Awards Bethesda MD USA1$100.0MDec 3, 2024
ICF INCORPORATED1$77.8MSep 30, 2026

Value counts new single-winner awards. "Shared" awards are multiple-award contracts that list every winner with the same total ceiling (same contract, or the same office, day and amount); that ceiling is not one company's win, so it is not added in. Contract modifications are not new awards and are not added in either. Revenue next to a ticker is the company's revenue over the latest 12 months in its SEC filings.

Latest awards

Competitive landscape

For the 8 most frequent past winners above. Lobbying is matched by the company's exact name or exact ticker; agencies are as named on the filings.

  • 0 of these past winners lobbied Health & Human Services, Dept of (HHS) since 2024 (0 filings)
  • 0 of their lobbyists list a past Health & Human Services, Dept of (HHS) job
  • No corporate PAC money from them to the overseeing committees since 2024
  • 0 foreign-agent (FARA) registrations
See who and the source records with Pro

Policy around it

Bills the past winners named while lobbying this agency's issues, rules from the department, and executive orders that name the agency, last 12 months.

  • 0 bills named on the past winners' lobbying filings
  • 253 rules from the department in the last 12 months
  • 0 executive orders naming the agency in the last 12 months
See who and the source records with Pro

Market

For past winners matched exactly to a listed company. Insider trades are open-market buys and sells (Form 4) in the last 90 days, shown as facts; our own study found insiders do not reliably buy ahead of awards. A sale marked 10b5-1 was made under a trading plan set up in advance.

  • 0 of the past winners are listed companies
  • 0 insider buys and 0 insider sells at them in the last 90 days
See who and the source records with Pro

Sources: SAM.gov notices and award notices; Senate LDA lobbying filings; FEC filings; FARA; Federal Register; congress.gov; SEC Form 4. Every row above links to its record.

Companies are matched to tickers by exact name, including the subsidiaries a company lists in its SEC filings. A company we could not match shows no market rows; that is a miss, not a finding.