Feedback Analysis Solution (FAS)
Speeds up the manual and time-consuming process of analyzing public comments on frequently posted regulations.gov and FDMS dockets by employing advanced natural language processin…
IT System Utilization Optimization
(Marketplace) The FFE application usage patterns vary and are dependent on differing environment usage periods. CMS resources are currently manually scaled, not allowing immediate…
Risk Adjustment Outlier Analysis
The risk adjustment (RA) program spreads the financial risk borne by Issuers due to offering a variety of plans meeting the need of the diverse population. RA payments are distrib…
Agent/Broker Fraud Analysis (ABCQI)
(Marketplace) Agents and brokers support the consumer enrollment and eligibility process. Because of this, they have learned the intricate details of the Federally-facilitated Exc…
CCSQ ServiceNow AI Search
The AI Search index stores data from ServiceNow AI Platform® records or external sources and makes that data available for users to search in multiple applications. Search query f…
Help Desk Responses
(Marketplace) The Division of Issuer Management and Operations has talked with their contractor, LMI, about using an AI tool for the Help Desk contract.
Chatbot within Hub
(Other) Currently the following help support activities are handle by a human: - Personalized FAQ?s - Clarify questions with schema and onboarding, etc. - Handle "Where is 'My fil…
CCSQ Now Assist for CSM
CCSQ Now Assist for CSM (Customer Service Management) is a product inside ServiceNow (SaaS). It integrates Gen AI with CSM, and uses Now LLM (ServiceNow native Large Language Mod…
AI Workspace
Hosted development env with access to AI tooling, including LLMs for use in early stage exploration.
Review Regulatory Comments
(Marketplace) Public comment analysis in the Letter to Issuers (LTI) and Notice of Benefits and Payment Parameters (NBPP) to streamline review of comments.
Improved Data Quality Checks
(Marketplace) Improve consumer experience by providing an asynchronous (not at the same time) solution to detect and provide near real time feedback via outreach to the consumer,…
CCSQ Now Assist for Creator
Improve efficiencies regarding development withing the CCSQ ServiceNow program.
iVeri-Fi (Test)
In October 2024, Serco will begin utilizing iVeri-Fi, (a decision service platform) to perform automated processing of remote identity proofing (RIDP) verification tasks. These t…
CMS Chat
Workforce productivity and operational efficiency
Artificial Intelligence Use Case Pilot in Medical Review on Medicare Fee-For-Service (FFS) Improper Payment Measurement (Comprehensive Error Rate Testing Program) Data
OFM is hoping to leverage cutting-edge AI technology to potentially introduce new efficiencies and accuracy in the Comprehensive Error Rate Testing (CERT) medical review process…
Content Analysis POC
Content analysis POC for the automated analysis of qualitative data including comments, complaints, stakeholder interviews, surveys, etc.
Enterprise Architecture LLM for CMS Regulatory Content
Enhance the Enterprise Architecture (EA) Knowledgebase by creating a centralized, searchable repository of CMS regulatory knowledge, and make complex regulatory information availa…
Health Plan Management System - Complaint Tracking Analysis
Support the analysis of MA and Part D beneficiary complaints data.
Knowledge Management Solution
This AI-driven system addresses a critical challenge in government operations - preserving institutional knowledge.
ASSIST Tool
This tool focuses on strategic alignment and mission effectiveness across the team.
Executive Order Gap Analysis Tool
A specialized compliance and analysis solution that analyzes Executive Orders and program impact.
AI Code Assistance – WETG GitHub CoPilot Proof-of-Concept
Coding assistance
AI Search in Google Vertex (discovery)
Improved search
AI in Slack
Improved Slack