IN - Medicaid Fraud and Abuse Detection System-July2025
Identity & commercials
source facts| Jurisdiction | Indiana |
| Jurisdiction type | state |
| Agency | State of Indiana FSSA (RFP 25-83592, Fraud and Abuse Detection System / FADS) |
| System | Medicaid Fraud and Abuse Detection System (EH-FAD) |
| Domain | Medicaid / Program Integrity |
| Bid date | July 2025 |
| Basis | bid |
| Total contract value | $19,314,772 |
| DDI value | $2,739,653 |
| M&O value | $15,839,140 |
| DDI duration (months) | 8 |
| Total term (months) | Not available in source data |
| Total person-months | 190 |
| Effort basis | bid |
| Users | Not available in source data |
| Counties | Not available in source data |
| Prime | Not available in source data |
| Subcontractors | TSTCI, BCForward, aFit, Bravia |
| Hosting | Not available in source data |
Documents in the Drive folder
3 files · snapshot| File | Type | Modified |
|---|---|---|
| IN - Medicaid Fraud and Abuse Detection System-July2025 extractor source | pricing workbook | 2025-12-02 |
| DoNotUse_RFP_25-83592_-_Att._D_-_Cost_Proposal_Template_(Add._2).xlsx | pricing workbook | 2025-07-11 |
| IN - Medicaid Fraud and Abuse Detection System_10Jul25_V3.xlsx | pricing workbook | 2025-07-11 |
Staffing by role
28 roles| Role | Location | Person-months | Bill rate |
|---|---|---|---|
| Executive Sponsor / Account Manager | US | 4 | $120 |
| Indiana Director* | US | 8 | $150 |
| Team Leads - Audit Case Disposition/Prepayment Review* | US | 6 | $120 |
| Team Leads - Investigations/Algorithm Development* | US | 8 | $120 |
| Clinical Staff - RN level degree equivalent or higher* | US | 9 | $80 |
| Additional Clinical Experts - Licensed physicians, dentists, etc. | US | 0 | $110 |
| Medical Coders | US | 10 | $52 |
| Fraud Examiners | US | 7 | $86 |
| RHIA/RHIT Technicians | US | 7 | $80 |
| Functional Lead/SME | US | 8 | $125 |
| Training Lead | US | 5 | $110 |
| Training Materials Developer | US | 3 | $65 |
| Trainer | US | 4 | $95 |
| Business Analyst | US | 10 | $65 |
| Solution Architect | US | 8 | $127 |
| Development Lead | US | 6 | $96 |
| Developers | US | 27 | $82 |
| Website Developer | US | 6 | $79 |
| Reports Developer | US | 6 | $69 |
| UI/UX Designer | US | 4 | $85 |
| Testing Lead | US | 8 | $92 |
| Testers | US | 15 | $75 |
| Data Conversion Lead | US | 8 | $110 |
| Data Conversion Analyst | US | 6 | $74 |
| Integration Lead | US | 7 | $127 |
| Integration Developer | US | 6 | $97 |
| Cloud/Devops Engineer | US | 8 | $85 |
| Security Analyst | US | 5 | $128 |
Scope
modules, phases, deliverablesEvidence
where each figure came from| Source file | IN - Medicaid Fraud and Abuse Detection System-July2025 |
| Tab used | V4_Pricing Summary |
| Tabs in workbook | RFP Schedule, Partners, RFP Summary, Detailed Scope, Notes, QA Responses, Sheet35, Evaluation, Budget, Pricing Summary, Implementation Plan, V4_Pricing Summary, V4_Implementation Plan, V4_Software Pricing, Tools, V3_Pricing Summary, V3_Implementation Plan, V3_Software Pricing, RoleChanges, Breakup, V2_Pricing Summary, V2_Implementation Plan, V2_Software Pricing, V1_Pricing Summary, Software Pricing, V1_Implementation Plan, Milestones, Team Resourcing, Role Description, Cost Proposal, V1_Milestones, Training Calc, Implementation Plan V1, Format, Implementation Plan V0 - Deprec, Instructions, Cost Proposal Summary, Technology, Personnel, Year 1, Year 2, Year 3, Year 4, Year 5 (Optional), Year 6 (Optional), Instructions1 |
| File modified | 2025-12-02T05:39:01.243Z |
| Documents snapshot | propshop-archive/drive snapshot 2026-09-03 |
| Field | Confidence |
|---|---|
| 0 | m |
| 1 | e |
| 2 | d |
| 3 | i |
| 4 | u |
| 5 | m |
contract_term_monthscounties_or_officesduration_months_molicense_valuenon_opportunity_reasonprimesaas_valuethird_party_valueuser_countuser_count_note
This workbook is an earlier (July 2025) bid on the same underlying Indiana FSSA EH-FAD/Medicaid-Fraud opportunity that recurs as separate folders in this shard ('Jan 2025' info-only, 'Feb 2026' re-bid). It carries 4 competing 'Vn_Pricing Summary' revisions (V1-V4) plus an un-prefixed base 'Pricing Summary' whose figures ($7.21M, referencing 'CAI' and SaaS name 'EF-CW-PM') look like a stale copy from a different Cardinality template rather than this opportunity, since V1-V4 consistently reference this opportunity's actual subcontractors (TSTCI, BCForward, aFit/Sheath, Bravia). Chose V4 (highest version number, fully populated in cached export) as tab_used; V1 (24.76M) is a higher, earlier-negotiation number. V2/V3 'Pricing Summary' tabs exist but their 'Total to the state' row is blank in the cached export (data_only export did not carry a cached value there), so they could not be used. A separate 'DoNotUse_RFP_25-83592...xlsx' and a binary '...10Jul25_V3.xlsx' also exist in the folder but were excluded/not opened (DoNotUse rule; V3 binary superseded by the V4 tab inside the main Google Sheet). Roles/hours_basis_per_month=160 taken from 'V4_Implementation Plan' (28 roles, mix of Cardinality + 4 named subcontractors). total_person_months=190 is the sum of the 'Total FTE' column for those 28 roles (DDI-phase only). || SYNTHESIS SANITY: stated total_person_months=190.0 disagrees with the sum of role fte_months (209.0, +10.0%). Both are as-extracted; neither was overwritten. Treat effort for this opportunity as a range, not a point.