Resource Library Assistant
Users being able to find information related to program participation.
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…
Medicare Part C/D Marketing Material Review
Expand the volume of materials reviewed while providing consistent insights into trends and issues with materials received.
QPP Admin Bot
This AI is to help with Code complexity.
CMS Labor Analysis Wizard (CLAW)
CLAW provides semi-automated analysis and insights into contractor-proposed labor for evaluation and negotiation purposes, enabling OAGM to make more informed procurement decision…
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.
Citation Analysis and Survey Assistant (CASA - Nursing Home Survey CMS 2567)
CASA enhances the efficiency and effectiveness of monitoring and reviewing nursing home surveys across the US. It enhances how the Quality, Safety, and Oversight Group (QSOG) and…
Independent Dispute Resolution (IDR) Eligibility Rules Engine
The current Independent Dispute Resolution (IDR) Technical Assistance (TA) process is very manual and time intensive which limits throughput. The rules engine should significantl…
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,…
Performance Metrics Database and Analytics (PMDA)
CCSQ Now Assist for Creator
Improve efficiencies regarding development withing the CCSQ ServiceNow program.
Docketscope Public Comment Processing
Docketscope is the platform used to triage public comments submitted on the OPPS/ASC and ESRD PPS proposed rules.
AI-Powered Meeting Notes for MAG Hearings and AIRC Sessions
The AI is intended to address process redundancy by streamlining repetitive tasks, reducing manual effort, and minimizing duplication across workflows. This allows teams to operat…
AI-Generated Pre-Briefs for MAG Hearings and AIRC Sessions
Utilize an AI system to compile structured pre-briefs for MAG Hearings and AIRC sessions.
Knowledge Management Solution for Appeal Case Workers
Utilize an AI solution to create a centralized, AI-enhanced Knowledge Management system to support case workers by providing quick access to relevant SOPs, policy guidance, workfl…
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…
T-MSIS Prima
T-MSIS program objectives, facilitates data driven decisions, and IT acceleration
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.