Top

Fraud Detection & Compliance Reporting

Active

State & Local

Response Deadline10/01/2026, 04:59:00 AM UTC

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

General Info

Agency

Massachusetts → EHS01 - EHSView Agency

NAICS

541618 - Other Management Consulting ServicesView NAICS

Place of Performance

Provider Network Quincy, MA, 02171, USA

Set-Aside

NONE

Documents

This scope was carved out of 26PMEHSACUTEHOSPITAL.

The full solicitation package (24 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

26PMEHSACUTEHOSPITAL: Rate Year 2026 Acute Hospital Request for Applications

AI Contract Breakdown

Uniform Contract Format

No contract breakdown available.

Cannot generate Contract Breakdown because no documents were found from this contract's source.

Timeline

PostedSep 4

subcontract

Response DeadlineOct 1

Submission deadline

Response Deadline

10/01/2026, 04:59:00 AM UTCin about 1 month

Ready to pursue this opportunity?

Start your free trial to track this contract, build proposals with AI assistance, and manage your pipeline.

Organization & Contact Information

AgencyMassachusetts → EHS01 - EHS

ContactsNo contacts available

OfficeN/A

Organization / Agency

Massachusetts → EHS01 - EHS

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

Monitor for Medicaid fraud, conduct internal reviews, and report findings to EOHHS within 10 days, with full cooperation with MFD and BSI.

Similar Contracts

Same NAICS industry code

NAICS: 541618

New

SLED

Economic Development Council Five Year Action Plan

Solicitation # BD-25-1463-TOOB1-TOOB0-132919

The Town of Oak Bluffs is seeking proposals from qualified consultants or firms to develop a practical five-year Economic Development Action Plan. Working through the Oak Bluffs Economic Development Council, the selected provider will collaborate with town officials, local businesses, residents, and regional partners to establish priority actions aimed at strengthening the local economy on a year-round basis. This solicitation, identified as BD-25-1463-TOOB1-TOOB0-132919, was posted on August 28, 2026, with a response deadline of September 25, 2026, by 7:00 PM. The project is managed by the Administrator's Office in Oak Bluffs, Massachusetts, with Debra Alley serving as the primary point of contact.

TOOB1 - Administrator's Office

POSTED

DEADLINE

RFP 2027 - 02 Economic Development Plan Update

Solicitation # 2027 - 02

The City of Woodstock, Georgia, is soliciting proposals from experienced firms to create a comprehensive, action-oriented Economic Development Plan designed to guide the city's growth and diversification over the next ten years. This evidence-based and community-informed plan must align with the City's Comprehensive Plan and provide a strategic framework for attracting new jobs, increasing commercial investment, and identifying future economic opportunities. This solicitation, identified as RFP 2027 - 02 under solicitation number PE-62853-NONST-2027-000000030, was posted on August 27, 2026. Interested parties must submit their responses by the deadline of September 29, 2026, at 3:30 PM. The primary point of contact for this project is Martyn Detz.

POSTED

DEADLINE

Request for Proposal for Strategic and Housing Navigation Consulting Services

Solicitation # RFP-2026-0001

The Housing Authority of the County of Santa Barbara is soliciting proposals under RFP-2026-0001 for a qualified consultant or firm to provide Strategic and Housing Navigation Consulting Services. The selected provider will collaborate with the agency to identify community housing needs, promote long-term stability, and develop permanent affordable housing solutions for program participants. Interested applicants must submit detailed proposals demonstrating their qualifications and experience by the deadline of September 17, 2026. The selection process will be based on specific evaluation criteria defined by the agency, with primary contact and inquiries directed to Sheree Aulman.

Housing Authority of Santa Barbara County

POSTED

DEADLINE

Small Business Subcontracting & Representation Support

ELECTRICAL DEVICES DIV

POSTED

DEADLINE

Cybersecurity Compliance and CMMC Assessment Support

ASC SUPPLIER OPER AE AND AF DIV

POSTED

DEADLINE

CMMC Level 2 Cybersecurity Compliance Support

ASC SUPPLIER OPER OEM DIVISION

POSTED

DEADLINE

Career and Transfer Solution

Solicitation # RFP 26-08-07

The Lone Star College System is seeking proposals for consulting services to support the design, architecture, development, and implementation of a career and transfer solution. This solicitation, identified as RFP 26-08-07, is managed by Pamela Johnson, Senior Manager of Procurement. The project aims to enhance the educational experience for a student body of over 80,000 across 24 locations in the greater Houston area. Interested bidders must submit their proposals electronically through the Lone Star College System eBid system. The deadline for submission is September 23, 2026, at 9:00 PM. All applicants are required to adhere to the specified special conditions and bid terms to be considered for this engagement.

POSTED

DEADLINE

Quality Assurance & Compliance Monitoring

POSTED

DEADLINE

Technical Documentation and User Training Development

NASA Shared Services Center

POSTED

DEADLINE

Healthcare Data Mapping and Cross-Referencing Services

Office Of The Assistant Secretary For Administration (asa)

POSTED

DEADLINE

Cybersecurity Compliance and CMMC Assessment

ASC SUPPLIER OPER AE AND AF DIV

POSTED

DEADLINE

License and Permit Package Preparation

POSTED

DEADLINE

More opportunities from Massachusetts → EHS01 - EHS

Same awarding agency

NAICS: 624190

New

SLED

27EHSSSYIGRANTHTKA: Grant Application for the SSYI Human Trafficking Intervention Program

Solicitation # BD-27-1039-EHS01-EHS01-132905

The Executive Office of Health and Human Services is soliciting responses from qualified entities to implement the Safe and Successful Youth Initiative Human Trafficking Intervention Program. This solicitation, identified by number BD-27-1039-EHS01-EHS01-132905, is issued in accordance with 815 CMR 2.00 to establish a program focused on human trafficking intervention. The opportunity was posted on August 28, 2026, with a response deadline of October 9, 2026. The program will be performed in Boston, Massachusetts, under the administration of the EHS agency. Interested bidders should direct inquiries to the primary point of contact, Kerisotellia Akins.

Other Individual and Family Services

POSTED

DEADLINE

Compliance and Privacy ManagementThe contract requires comprehensive oversight of privacy, security, and data management obligations to ensure strict adherence to HIPAA, NIST 800-53, and Massachusetts General Law Chapter 66A. The contractor will serve as the primary point of contact for all compliance-related activities, responsible for monitoring, evaluating, and maintaining systems and processes that protect sensitive health and personal data. This role demands active engagement with regulatory frameworks governing data handling, risk mitigation, and incident response within a healthcare or public sector context. Performance is expected to be carried out in Boston, Massachusetts, with a response deadline of September 17, 2026. The contract is classified as a subcontract under NAICS code 541618, indicating it falls within the scope of management consulting services, specifically administrative management and general management consulting. The agency overseeing this procurement is EHS01 - EHS under the Massachusetts government, and the work will support compliance infrastructure critical to protecting state and patient data under both federal and state mandates.

Other Management Consulting Services

POSTED

DEADLINE

Fair Hearing Representation and Case DocumentationThe contractor is required to prepare comprehensive case files and provide independent legal representation at Premium Assistance fair hearings, ensuring all documentation is accurate, complete, and submitted in accordance with applicable regulations. This role demands a high degree of autonomy, as the contractor must operate independently from other key personnel to avoid conflicts of interest and maintain the integrity of the hearing process. The work is focused exclusively on fair hearing representation, requiring detailed knowledge of premium assistance programs and procedural fairness standards. Performance of all duties must occur in Boston, Massachusetts, with the zip code 02108 designated as the official place of performance. The contract is classified as a subcontract under NAICS code 541199, indicating it falls under other professional, scientific, and technical services. Responses to this solicitation are due by September 17, 2026, and the opportunity was posted on October 27, 2025, under the Massachusetts EHS01 agency. There is no set-aside designation specified, and the point of contact details are not provided in the data, but the official bid can be accessed through the provided Commbuys link.

All Other Legal Services

POSTED

DEADLINE

Quality Assurance and Compliance MonitoringThe contract titled Quality Assurance and Compliance Monitoring requires the performance of comprehensive quality assurance reviews across documentation, systems, processes, and customer service functions to ensure adherence to established standards and regulatory requirements. The contractor will act as the primary liaison between the state agency and the Executive Office of Health and Human Services to maintain audit readiness and uphold compliance assurance, ensuring all operational and procedural frameworks meet state and federal mandates. This work is critical to sustaining operational integrity and facilitating smooth inspections or audits by regulatory bodies. The contract is classified as a subcontract under NAICS code 541618, with a response deadline set for September 17, 2026, and the work is to be performed in Boston, Massachusetts, specifically at a location with the zip code 02108. The contracting entity is EHS01 - EHS under the Massachusetts government, and while no specific point of contact is listed, the solicitation is publicly accessible through the state’s procurement portal. The subcontract does not specify a set-aside type, and bidders are expected to deliver full-scope QA and compliance services aligned with the agency’s operational and regulatory objectives.

Other Management Consulting Services

POSTED

DEADLINE

Reporting and Performance AnalyticsThe contract titled Reporting and Performance Analytics seeks a subcontractor to develop and deliver structured performance reports including BARS and Claims Lifecycle analyses, integrated with SLA tracking and KPI dashboards to enable effective agency oversight and informed decision-making. The work is focused on creating actionable data visualizations and reporting tools that support performance monitoring and accountability within the Massachusetts EHS01 agency, with all deliverables required to meet defined operational standards and timelines. The solicitation was posted on October 27, 2025, with a response deadline of September 17, 2026, and falls under NAICS code 541910 for Other Scientific and Technical Consulting Services. Performance is to be carried out in Boston, Massachusetts, with a zip code of 02108. This is a subcontract opportunity with no set-aside designation, and while no point of contact is listed, interested parties must submit proposals through the specified online portal before the deadline to be considered.

Marketing Research and Public Opinion Polling

POSTED

DEADLINE

Data Management and Integrity ServicesThe contract titled Data Management and Integrity Services requires the contractor to ensure the accuracy and integrity of data within claims systems by performing comprehensive data cleansing, validating critical identifiers such as Social Security Numbers, and maintaining compliance with EOHHS formatting standards. All activities must result in error-free data that meets state-specific regulatory requirements, with a focus on consistent, high-quality data across all operational systems. The work is to be performed in Boston, Massachusetts, under the oversight of the EHS01 agency, with strict adherence to industry-recognized practices for data governance and system integrity. The contract is classified as a subcontract with a NAICS code of 518210 and was posted on October 27, 2025, with a response deadline of September 17, 2026. There is no set-aside designation specified, and the place of performance is clearly identified as Boston with a zip code of 02108. Although no point of contact is listed, the bidding process is conducted through the Commbuys platform, and interested parties must submit proposals by the stated deadline to be considered for award. All deliverables must align with the mandated compliance framework and support the ongoing reliability of critical health and human services data systems.

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services

POSTED

DEADLINE

Claims Recovery and Third-Party Liability Investigation ServicesThe contract seeks a subcontractor to perform investigations aimed at identifying and recovering payments from third-party insurers for healthcare costs paid by state programs. This includes tracing insurance coverage, verifying liability of third-party payers, and executing the recovery of claims to ensure state funds are properly reimbursed. Activities will involve detailed administrative and legal processes to pinpoint responsible insurers, confirm their obligation to pay, and pursue collection on eligible claims arising from medical services provided under state-funded programs. Performance is expected to be centered in Boston, Massachusetts, with all work tied to the state’s efforts to recover funds from private insurers, workers’ compensation carriers, and other liable entities. The contract falls under NAICS code 541611, indicating it involves administrative management and general management consulting services related to claims recovery operations. The solicitation was posted on October 27, 2025, with responses due by September 17, 2026, and is structured as a subcontract under the Massachusetts EHS01 agency, requiring the contractor to support the state’s financial integrity and cost containment objectives in healthcare spending.

Administrative Management and General Management Consulting Services

POSTED

DEADLINE

26EHSKWTPLIIRFR: RFR for Third Party Liability Health Insurance Investigations and Recovery Claims

Solicitation # BD-26-1039-EHS01-ASHWA-122275

The Executive Office of Health and Human Services (EOHHS) in Massachusetts is soliciting proposals for third party liability health insurance investigations and claims recovery services. The selected vendor will be responsible for claims recovery, data management, and reporting, with a specific focus on achieving service level agreement targets such as billing 14 million dollars in claims per month. Performance is measured through monthly and quarterly reports, including BARS and Claims Lifecycle data, and must adhere to strict privacy and security standards including HIPAA, NIST 800-53, and M.G.L. c. 66A. The contract utilizes a best-value award methodology, evaluating programmatic responses based on comprehensiveness, feasibility, and effectiveness alongside cost reasonableness. Compensation is structured as a combination of fixed monthly fees for investigations and a percentage of estimated savings for recoveries. Key personnel requirements include a Project Manager, Program Lead, Quality Assurance lead, Fair Hearing Coordinator, and Compliance Manager, all of whom must possess at least three years of relevant experience. Proposals must be submitted electronically via COMMBUYS by September 17, 2026, and must strictly follow specified formatting and tabbed organizational requirements.

POSTED

DEADLINE

Information Security & Data Protection Compliance

Computer Systems Design Services

POSTED

DEADLINE

Behavioral Health Crisis Management Services

Psychiatric and Substance Abuse Hospitals

POSTED

DEADLINE

Patient Safety & Serious Reportable Event (SRE) Monitoring

Offices of All Other Miscellaneous Health Practitioners

POSTED

DEADLINE

Clinical Quality Reporting & Data Submission Services

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services

POSTED

12 months ago

DEADLINE

in about 1 month

View Details