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Program Integrity & Fraud, Waste, and Abuse (FWA) Analytics

Active

State & Local

Response Deadline11/04/2026, 04:00:00 PM UTC

Contract Overview

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

General Info

Agency

State of Rhode Island

NAICS

541611 - Administrative Management and General Management Consulting Services

Place of Performance

RI, USA

Set-Aside

NONE

Documents

This scope was carved out of QLV27007040.

The full solicitation package (5 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Fully Integrated Dual Eligible Special Needs Plan Program (FIDE-SNP)

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Timeline

PostedOct 2

subcontract

Response DeadlineNov 4

Submission deadline

Response Deadline

11/04/2026, 04:00:00 PM UTCin about 1 month

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Organization & Contact Information

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AgencyState of Rhode Island

ContactsNo contacts available

OfficeN/A

Organization / AgencyState of Rhode Island

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs data analytics and investigative oversight to prevent Medicaid fraud, waste, and abuse for prime contractors on EOHHS FIDE-SNP program projects. Operates a program integrity unit, analyzes claims and provider patterns, and manages corrective action plans. Requires expertise in 42 CFR § 438.224 and 42 CFR § 438.242. Delivers FWA reports, investigative findings, and compliance logs.

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