Investigations Medicare Drug Integrity Contractor

4.2.2.2 - Investigations Medicare Drug Integrity Contractor (Rev. 11032; Issued: 09-30-21; Effective: 10-12-21; Implementation: 11-10-21) The Investigations Medicare Drug Integrity Contractor (I-MEDIC) is a task order under the UPIC Umbrella Statement of Work (USOW). The primary purpose of the I-MEDIC is to investigate Medicare Parts C and D prescriber, pharmacy, and beneficiary suspected FWA, develop investigations thoroughly and in a timely manner, and take immediate action to ensure that the Medicare Trust Fund is protected. The I-MEDIC shall coordinate with staff from the Centers for Medicare & Medicaid Services (CMS), CMS contractors, and other stakeholders as needed and as directed by the CMS Contracting Officer’s Representative (COR), in collaboration with Business Function Leads (BFLs) to perform this program integrity work.