CMS Launches Software Challenge for Best Provider Integrity Program

The Centers for Medicare and Medicaid Services has a new information technology competition, seeking developers to build software to improve Medicaid provider integrity programs.


The Centers for Medicare and Medicaid Services has a new information technology competition, seeking developers to build software to improve Medicaid provider integrity programs.

“Specifically, the challenge is an innovative competition to develop a multi-state, multi-program provider screening software application which would be capable of risk scoring, credentialing validation, identity authentication and sanction checks, while lowering burden on providers and reducing administrative and infrastructure expenses for states and federal programs.

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Entrants would develop artifacts and components of applications that can be integrated into an open source solution, according to a notice published on May 29. “Based on our current assumptions, we estimate that the total prize amount for the competitions conducted as part of this challenge will fall between $500,000 and $600,000.”

More information is available here.

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