This Solicitation opportunity from Georgia was posted on May 11, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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OIG Medicaid Fraud, Waste, and Abuse

Closed

41900-DCH0000142State & Local

Submission Closed05/25/2026, 10:00:00 PM UTC

Contract Overview

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

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NAICS: 518210

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Department Of Transportation

POSTED

1 day ago

DEADLINE

in 3 months

AI Contract Overview

The Georgia Department of Community Health (DCH) is seeking qualified vendors to provide an advanced fraud, waste, and abuse (FWA) detection and prevention system for its Medicaid program. This initiative aims to enhance program integrity across both fee-for-service and managed care systems covering over two million individuals, including participants in the PeachCare for Kids® program. The department currently relies on its Office of Inspector General’s program integrity units but is looking to modernize and expand these efforts with a solution that incorporates cutting-edge technologies such as artificial intelligence and cloud-based analytics. The sought-after solution should be capable of identifying unusual billing patterns, supporting both prepayment and post-payment reviews for improper payment recovery, verifying recipient eligibility, and improving pharmacy lock-in monitoring to prevent medication overuse. Additionally, it must provide real-time integration with DCH’s data warehouse to enable rapid investigations and coordination with law enforcement when necessary. There is also potential for local staff augmentation to support the department's operational needs. The solicitation, identified as 41900-DCH0000142, was posted with a response deadline of May 25, 2026, and interested parties are encouraged to contact Timothy Anderson for more information.

General Info

Georgia DCH seeks AI-based Medicaid fraud detection system, covering 2M+ individuals, deadline May 25, 2026.

Agency

Georgia → Department of Community Health

NAICS

518210 - Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services

Place of Performance

GA, USA

Set-Aside

NONE

Documents

DCH OIG Medicaid Fraud, Waste, and Abuse eRFI 41900-DCH0000142

rfi

High

Attachment B Agency Overview Document - Georgia DCH Medicaid Programs

agency-overview

Low

Sample Trade Secret Status Affidavit Template for Georgia Solicitation

trade-secret-affidavit

Low

Supplier Q and A Template for RFX 41900-DCH0000142 OIG Medicaid Fraud, Waste and Abuse

q-and-a

Low

AI Contract Breakdown

Uniform Contract Format

Timeline

PhaseClosed

PostedMay 11

Solicitation

Response DeadlineMay 25

Deadline has passed

Submission Closed

05/25/2026, 10:00:00 PM UTC

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Organization & Contact Information

AgencyGeorgia → Department of Community Health

Contacts1 person available

OfficeN/A

Organization / AgencyGeorgia → Department of Community Health

Office AddressN/A

Contacts

Timothy Anderson

contact@example.gov

+1 (555) 000-0000

Full Description

The Georgia Department of Community Health (DCH) is issuing this Request for Information (RFI) to identify qualified vendors capable of providing a comprehensive fraud, waste, and abuse (FWA) detection and prevention solution for the Georgia Medicaid program. DCH seeks to gather market intelligence on available technologies, methodologies, and service models that can strengthen program integrity across both its fee-for-service (FFS) and managed care delivery systems.
DCH administers Medicaid benefits to approximately 1.5 million managed care members and 591,000 fee-for-service members across Georgia, in addition to overseeing the PeachCare for Kids® program. As stewards of public funds, DCH is committed to protecting the fiscal integrity of these programs by detecting and deterring fraudulent, wasteful, and abusive billing practices among providers and recipients alike. The Office of Inspector General (OIG) currently performs program integrity functions through its Intake and Data Analytics, Review and Investigations, and Pharmacy Lock-In sub-units; however, DCH seeks to augment and modernize these capabilities through the acquisition of an advanced, technology-driven solution.
Specifically, DCH intends to procure a solution that leverages artificial intelligence, cloud-based data analytics, and subject matter expertise to: (1) detect aberrant provider billing trends and patterns of fraud, waste, and abuse in both FFS and managed care; (2) support prepayment and post-payment review functions to identify and recover improper payments; (3) verify recipient residency and eligibility to prevent duplicate enrollment across states; (4) enhance pharmacy lock-in monitoring to prevent overutilization; and (5) provide real-time access to DCH¿s internal data warehouse for rapid investigation and potential referral to law enforcement. The solution may also include a local staff augmentation component to ensure DCH maintains sufficient program integrity capacity as its Medicai