Fraud, Waste, and Abuse System

The North Dakota Department of Human Services is conducting a non-binding Request for Information to gather insights from experienced suppliers on developing a comprehensive fraud, waste, and abuse detection system for Medicaid. The process involves scheduling virtual, one-on-one strategy discussions with interested vendors to refine system requirements, integration approaches, and cost structures, with the goal of informing a future formal solicitation. The anticipated contract size ranges from five to fifteen million dollars, focusing on system functionalities such as automated fraud detection, case management, financial reporting, and interoperability with existing Medicaid management platforms, all adhering to healthcare standards like HL7 and FHIR. The current RFI does not incorporate any contractual clauses, evaluation criteria, or specific delivery, inspection, or certification requirements. It explicitly states that participation is optional, with no contract awards or binding obligations resulting from this process. Suppliers are instructed to RSVP via email by September 10, 2025, to schedule their virtual discussion, which will be held after the deadline, with no formal proposals or documentation submissions required. The process emphasizes a focus on key personnel identification, system integration approaches, and cost estimation, but leaves detailed contractual, security, or administrative terms to be defined in subsequent solicitations. The agency’s primary contact for this initiative is Angela Scherbenske, and all communications must be directed to her.