AIProgramIntegrityRFI

AIProgramIntegrityRFI@cms.hhs.gov serves as the primary point of contact for soliciting and evaluating technical requirements related to artificial intelligence program integrity initiatives under the Centers for Medicare & Medicaid Services. Though not formally designated as a contracting officer, this role plays a critical function in shaping acquisition strategy by defining scope, issuing Requests for Information, and guiding the development of requirements for AI-driven fraud detection, claims integrity, and data analytics systems. This position bridges technical subject matter expertise with procurement planning, ensuring that future solicitations align with federal AI governance standards and operational needs across Medicare and Medicaid programs. Contractor relationships are currently in the early-stage definition phase, with no awarded contracts yet established. However, the role consistently engages with industry stakeholders through RFI processes to identify capable vendors with proven capabilities in AI model development, secure data processing, and regulatory-compliant algorithmic auditing. The focus is on building a diverse pipeline of qualified contractors capable of delivering transparent, explainable, and auditable AI solutions that meet federal standards for bias mitigation and data privacy. This office does not currently utilize any socioeconomic set-asides, with all opportunities open to full and open competition. The approach reflects a priority on technical capability and compliance over socioeconomic categorization, though participation by small businesses remains welcome under unrestricted solicitations. The emphasis is on merit-based selection grounded in demonstrable expertise in AI governance and healthcare data systems. The primary NAICS classification is 541519, Other Computer Related Services, reflecting a focus on AI development, machine learning operations, data labeling, and algorithmic validation services tailored to public health analytics. The technical domain centers on predictive modeling for fraud detection, real-time claims monitoring, and integrity analytics platforms that integrate with CMS’s existing infrastructure, requiring deep familiarity with HIPAA, NIST AI Risk Management Framework, and federal cloud security protocols.