CMS Seeks Industry Input on Future Fraud-Prevention RFP

The Centers for Medicare and Medicaid Services (CMS) is seeking industry input through a request for information (RFI) to inform future fraud, waste, and abuse prevention work. The agency is asking vendors to address 26 questions about potential approaches and contract structures. Responses are due November 4, 2026, giving interested companies a near-term opportunity to share technical and acquisition perspectives before CMS defines a future procurement. The RFI itself is not a contract award or a request for proposals (RFP).

CMS expects to use the feedback to develop a future RFP focused on detecting fraud earlier across several workflows: provider, beneficiary, Medicaid, and managed care. That breadth suggests a future requirement may need to connect information and processes across multiple parts of the healthcare program rather than address a single isolated use case. The source identifies potential roles for artificial intelligence (AI), data analytics, and identity-assurance tools, while leaving the eventual solution design and contract structure open to industry input.

For contractors, the RFI is a chance to explain how their capabilities could support earlier identification of suspicious activity and how those capabilities might be integrated into CMS-related workflows. Respondents can also recommend workable contract structures, which may help the agency frame the scope and delivery approach for the subsequent RFP. Companies should distinguish demonstrable capabilities from proposed concepts and explain how their recommendations apply across the provider, beneficiary, Medicaid, and managed-care areas named by CMS. The stated deadline makes timely submission important for firms seeking to influence acquisition planning.

The extracted industry information names GDIT and CLEAR among the entities represented, but it does not establish that either company has received an award, submitted a response, or been selected for a future role. The opportunity may also be relevant to firms developing analytics, AI, or identity-assurance solutions. Because the provided source material does not specify contract value, period of performance, a release date for the RFP, or detailed evaluation criteria, vendors should avoid treating those elements as settled. The practical near-term signal is the RFI deadline and CMS’s stated intention to use responses in shaping a future solicitation.

• Agency: CMS is seeking industry input on future fraud, waste, and abuse prevention work.
• Response deadline: Answers to the 26-question RFI are due November 4, 2026.
• Acquisition status: This is an information-gathering opportunity, not an award or an active RFP.
• Planned next step: CMS expects to use responses to develop a future RFP.
• Workflow scope: The anticipated effort spans provider, beneficiary, Medicaid, and managed-care workflows.
• Technology areas: CMS cites potential use of AI, data analytics, and identity-assurance tools.
• Industry response opportunity: Vendors can describe relevant capabilities and recommend workable contract structures.
• Companies identified in the extracted information: GDIT and CLEAR; no award or selection is reported.
• Unspecified details: The provided information does not state a contract value, performance period, RFP release date, or evaluation criteria.