Medicaid Fraud and Abuse and Detection SystemBid Documents

The Indiana Family and Social Services Administration (FSSA) is issuing a solicitation (RFP 25-83592) to select a qualified respondent capable of delivering a comprehensive Medicaid Fraud and Abuse Detection System. The primary goal is to procure a high-quality system that enhances the state's ability to identify and prevent fraudulent activities within Medicaid operations. The contract, classified under a SLED (State, Local, Education, and Development) procurement, is expected to have a total value ranging from five million to twenty million dollars, with performance to be conducted within the state of Indiana. The solicitation emphasizes a balanced evaluation process focusing on technical approach, relevant experience and past performance, and cost, with no predetermined weightings, indicating a trade-off basis for award decisions. Key requirements include strict security clearances for contractors and key personnel, given the sensitive nature of Medicaid data, and the designation of personnel with specialized expertise in fraud detection and Medicaid systems. The contract also provides options for system upgrades and additional modules, allowing flexibility for future enhancements at the state's discretion. Additionally, contractors must disclose any organizational conflicts of interest and develop mitigation strategies to ensure impartiality and integrity in project execution. The performance period is not explicitly specified, but the procurement process underscores the importance of technical innovation, proven experience, and cost-effectiveness in selecting the most suitable provider to meet the state's Medicaid fraud detection needs.