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Medicaid Provider Screening Portal - Screening Rules for Selected Provider Types Part 7

  • 1st Place $1,200
  • 2nd Place $600
  • Reliability Bonus $240

Challenge Overview

Detailed Requirements

The United States Center for Medicaid Services ("CMS") is running a Challenge (a series of TopCoder contests) through the NASA Center of Excellence for Collaborative Innovation (CoECI) and TopCoder to develop a web-based portal to support provider enrollment and screening.  Medicaid is a healthcare program that is funded by the US federal government and by individual states.  It is operated by individual states.  The portal developed in this Challenge will allow medical service providers to register themselves in their individual state for compensation from the Medicaid program.  While this alone will provide a very welcome new procedure for providers, who must often fill out many paper forms today, the true goal of the portal will be to automatically screen potential providers for fraud risk before they are approved for Medicaid payments.  The portal will assign a potential level of risk to each registrant, and will do this by applying a suite of dynamic business rules.  Once a level of risk has been assigned, the registrant's application will be sent to the appropriate sub-system for additional screening and processing.

In this Conceptualization contest you are asked to enumerate only the screening rules for selected Provider Types.






TopCoder will compensate members with first and second place submissions. Initial payment for the winning member will be distributed in two installments. The first payment will be made at the closure of the approval phase. The second payment will be made at the completion of the support period.

Reliability Rating and Bonus

The reliability bonus for each particular project depends on the reliability rating at the moment of registration for that project. A participant with no previous projects is considered to have no reliability rating, and therefore gets no bonus.

Reliability bonus does not apply to Digital Run winnings. Since reliability rating is based on the past 15 projects, it can only have 15 discrete values.

Read more.

Competitor Restrictions

This competition requires a CCA


Standard 30 days support.


You must be a TopCoder member, at least 18 years of age, meeting all of the membership requirements. In addition, you must fit into one of the following categories.

If you reside in the United States, you must be either:
  • A US Citizen
  • A Lawful Permanent Resident of the US
  • A temporary resident, asylee, refugee of the U.S., or have a lawfully issued work authorization card permitting unrestricted employment in the U.S.
If you do not reside in the United States:
  • You must be authorized to perform services as an independent contractor.
    (Note: In most cases you will not need to do anything to become authorized)
  • Registrants:13
  • Submissions:2
  • Submission %:15.38%
  • Passed Screening:2
  • Passed %:100.00%
  • Average Initial Score:92.53
  • Average Final Score:93.98
Handle Date

Indemar 12.04.2012 12.09.2012 100.00 96.52 / 98.74 378.00
sampath01 12.04.2012 12.09.2012 100.00 88.53 / 89.21 162.00

Challenge Timelines

  • Posted On: 12/04/2012 02:33 PM EST
  • Register By: 12/06/2012 02:33 PM EST
  • Submit By: 12/09/2012 02:38 PM EST
  • Final Submission: 12/14/2012 03:10 AM EST

Review Style

  • Final Review: Community Review Board     
  • Approval: User Sign-Off     

Reviewer Score

Reviewer Score

Final Review

Community Review Board performs a thorough review based on scorecards.


Customer has final opportunity to sign-off on the delivered assets.


  • In order to register for this competition, please complete your profile at and check "I want to Compete on TopCoder" option.