Limited Source Justification (LSJ) - IPPT

The Center for Medicare & Medicaid Services, Center for Program Integrity's primary mission is to detect, deter and address instances of fraud in the Medicare and Medicaid programs. In 2021, CPI managed close to 4,000 national fraud investigations, resulting in savings of over $2 billion dollars to the Medicare Trust Fund, with the support of six contractors and 74 employees across the country. To ensure the aforementioned resources critical program integrity fraud investigation projects continue and align with CPI's mission, we procured development of a new Investigations Project Performance Tracker (IPPT) tool. The IPPT is scheduled for deployment in April 2022. However, there are a number of key functions that are pending development that are critical to ensuring the Agency's program integrity objectives are met. For example, we anticipate a 10% increase in payment suspensions, due to credible allegations of fraud, which would expand the current suspensions inventory to 800. CPI needs to efficiently and effectively track these administrative actions to ensure compliance with our priorities. The current tracking process is manual and inefficient as it is requires the use of spreadsheets in various formats. Moreover, management of these records occupies a one full time employee that could be dedicated to other value-added projects. CPI requires continued operations and support services for the IPPT application, which is built on the ServiceNow environment. The required sole source order will be for a period of 6 months which will allow for critical development and launch of the system to occur while concurrently recompeting the effort.