Medicaid Fraud and Abuse Detection System
Federal opportunity from Family & Social Svcs Admin. Place of performance: IN. Response deadline: Feb 20, 2026.
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Point of Contact
Agency & Office
Description
RFP 26-86206 The State is looking to procure a contract to provide a fraud and abuse detection system for Indiana Medicaid claims. The Contractor selected as a result of this RFP will perform several key maintenance and support services in service of the State’s efforts to detect, investigate, measure and deter fraud, waste and abuse in the Medicaid program.
Files
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BidPulsar Analysis
A practical, capture-style breakdown of fit, requirements, risks, and next steps.
The Family & Social Services Administration is seeking proposals for a comprehensive Medicaid Fraud and Abuse Detection System through RFP 26-86206, with responses due by February 20, 2026. The selected contractor will provide critical maintenance and support services to help detect, investigate, measure, and deter fraud in Indiana's Medicaid program. This initiative is essential for safeguarding public funds and ensuring the integrity of Medicaid services.
The buyer aims to procure a robust fraud and abuse detection system to enhance the effectiveness of monitoring Indiana Medicaid claims and to support efforts in detecting and preventing fraudulent activities.
- Develop and implement a fraud detection system
- Provide ongoing maintenance and support services
- Conduct training for state staff on the new system
- Assist in the investigation and measurement of fraud cases
- Report regularly on fraud detection outcomes
- Technical proposal detailing system capabilities
- Management plan for project execution
- Cost estimate and pricing strategy
- References from similar projects
- Compliance with state regulations
Source coverage notes
Some notices publish limited source detail. Confirm these points before final bid/no-bid decisions.
- Details on specific functionalities required for the detection system
- Information on existing systems currently in use
- Clarification on the evaluation criteria for proposals
- Specific budget constraints or funding limits
- Translation of RFP requirements into measurable deliverables
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