Indiana DOA RFP 26-86206 Medicaid Fraud & Abuse Detection System 2025
- Due
- Feb 20, 2026
- Deadline passed
- Posted
- Nov 19, 2025
- Contract term
- 4 years
- Primary contact
- Kevin March
The 30-second brief
This Request for Proposal (RFP) from the State of Indiana, on behalf of the Family and Social Services Administration (FSSA) and Office of Medicaid Policy and Planning (OMPP), seeks a vendor to provide a Medicaid Fraud and Abuse Detection System. The system will support efforts to detect, investigate, and deter fraud, waste, and abuse in the Medicaid program, including provider peer comparisons, case management, reporting, audits, investigations, prepayment review, overpayment recoveries, provider education, and managed care plan oversight.
Adherence to Requirements (Pass/Fail), Management Assessment/Quality (Business and Technical Proposal), Price, Buy Indiana Initiative, Minority Business Subcontractor Commitment, Women Business Subcontractor Commitment, Indiana Veteran Owned Small Business Subcontractor Commitment, Qualified State Agency Preference Scoring
Hear what Indiana State Department of Agriculture | State of Indiana plans next before it's posted.
Get alerts freeFree account · 30-second setup · No credit card
Summary
This Request for Proposal (RFP) from the State of Indiana, on behalf of the Family and Social Services Administration (FSSA) and Office of Medicaid Policy and Planning (OMPP), seeks a vendor to provide a Medicaid Fraud and Abuse Detection System.
The system will support efforts to detect, investigate, and deter fraud, waste, and abuse in the Medicaid program, including provider peer comparisons, case management, reporting, audits, investigations, prepayment review, overpayment recoveries, provider education, and managed care plan oversight.
EVALUATION CRITERIA
8- Adherence to Requirements (Pass/Fail)
- Management Assessment/Quality (Business and Technical Proposal)
- Price
- Buy Indiana Initiative
- Minority Business Subcontractor Commitment
- Women Business Subcontractor Commitment
- Indiana Veteran Owned Small Business Subcontractor Commitment
- Qualified State Agency Preference Scoring
REQUIRED ATTACHMENTS
20- Attachment A (MWBE Participation Plan Form)
- Attachment A1 (IVOSB Participation Plan Form)
- Attachment B (Sample Contract)
- Attachment B1 (IaaS Terms)
- Attachment B2 (PaaS Terms)
- Attachment B3 (SaaS Terms)
- Attachment C (Indiana Economic Impact Form)
- Attachment D (Cost Proposal Template)
- Attachment E (Business Proposal Template)
- Attachment F (Technical Proposal Template)
- Attachment G (Q&A Template)
- Attachment H (Reference Check Form)
- Attachment I (Pre-proposal Network Opportunities Form)
- Attachment J (Attestation Form)
- Attachment K (Scope of Work)
- Attachment L (Intent to Respond Form)
- Attachment M (IOT Cloud Provider Questionnaire)
- Attachment N (Resource Usage Matrix)
- Attachment O (HIPAA Business Associate Agreement)
- Attachment P (Bidders’ Library)
- Submit to
- Supplier Portal (link provided in document)
- Scope location
- Indiana
- Reported agency
- Indiana Department of Administration (IDOA) on behalf of Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP)
Questions about this RFP
How do I respond to this RFP from Indiana State Department of Agriculture | State of Indiana?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is February 20, 2026. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: Supplier Portal (link provided in document). For questions, contact Kevin March.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Indiana State Department of Agriculture | State of Indiana in IN, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.
What happens after the RFP submission deadline?
After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.
Can I ask questions about this solicitation before submitting?
Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is Kevin March. Questions and answers are typically shared with all prospective bidders.
Show 5 more questions
What are the evaluation criteria for this solicitation?
This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "Adherence to Requirements (Pass/Fail), Management Assessment/Quality (Business and Technical Proposal), Price, Buy Indiana Initiative, Minority Business Subcontractor Commitment, Women Business Subcon..." Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from Indiana State Department of Agriculture | State of Indiana?
All active and historical solicitations from Indiana State Department of Agriculture | State of Indiana are tracked and searchable. As a state agency, Indiana State Department of Agriculture | State of Indiana regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 4 years. Contract terms may include renewal options.
What documents are required to bid on this RFP?
Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. This solicitation specifically requires the following attachments: Attachment A (MWBE Participation Plan Form), Attachment A1 (IVOSB Participation Plan Form), Attachment B (Sample Contract), Attachment B1 (IaaS Terms), Attachment B2 (PaaS Terms), Attachment B3 (SaaS. Review the full document from Indiana State Department of Agriculture | State of Indiana for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Indiana. Review the full solicitation for detailed scope requirements.