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January 20, 2017

ZPICs Transitioning to UPICs-UPIC Northeastern Awarded to SafeGuard Services, LLC

CMS has awarded the Northeastern Unified Program Integrity Contractor (UPIC) jurisdiction to SafeGuard Services, LLC, a wholly owned subsidiary of HPE. The UPIC statement of work combines and integrates the functions of the former Unified Program Integrity Contractor (UPIC), Unified Program Integrity Contractor (UPIC) and Medicaid Integrity Contractor (MIC) contracts into a single contract. UPIC Northeastern Jurisdiction is scheduled to be fully operational on February 1, 2017.

Under this award, SafeGuard Services will perform fraud, waste and abuse detection and prevention activities for Medicare and Medicaid claims processed within the Northeastern Jurisdiction. This covers the states of Connecticut, Delaware, Maine, Massachusetts, Maryland, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont and Washington DC.

SafeGuard Services will focus on analysis of managed care encounter and fee-for-service claims data, and coordination with appropriate partners for referral and resolution of identified issues for Medicare and Medicaid programs. SafeGuard’s specific work will include lead screening; investigation; medical review; remedy implementation; and collaboration with CMS, federal, state and local government, law enforcement, and other CMS partners and contractors.

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