The North Carolina Department Of Health And Human Services (“Ncdhhs” Or... Tender

Procurement Summary

Country : USA

Summary : The North Carolina Department Of Health And Human Services (“Ncdhhs” Or “Department”), Division Of Health Benefits (“Dhb” Or “Nc Medicaid”), Through The Office Of Compliance And Progra...

Deadline : 08 May 2025

Other Information

Notice Type : Tender

TOT Ref.No.: 115442479

Document Ref. No. : Doc1480247003

Financier : Self Financed

Purchaser Ownership : Public

Tender Value : Refer Document

Purchaser's Detail

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Tender Details

The North Carolina Department Of Health And Human Services (“Ncdhhs” Or “Department”), Division Of Health Benefits (“Dhb” Or “Nc Medicaid”), Through The Office Of Compliance And Program Integrity (Ocpi) Seeks To Procure An Experienced And Qualified Partner To Serve As The Fraud, Waste, And Abuse (Fwa) Program Integrity Administrator. The Selected Offeror Shall Be Responsible For Administering Program Integrity Functions For (I) Prepayment Claims Reviews, (Ii) Post Payment Claims Reviews, (Iii) Data Analytics, (Iv) Medical Necessity Reviews, (V) Investigations, (Vi) Recovery Audit Contracts (Rac), And (Vii) Non-Rac Provider Auditing Activities.

30-2025-004-DHB Statewide Surveillance for Fraud, Waste and Abuse RFP

Comprehensive health services
Posted Date : 2/26/2025

Documents

 Tender Notice

30-2025-004-DHB-SSFWA-Issued-02262025-.pdf