Procurement of Fraud Case Management System (CMS)

The Department of Health and Aged Care is seeking to procure a new off-the-shelf Fraud CMS to enhance its fraud management capabilities. The new CMS should ensure compliance with the Australian Government Investigations Standards (AGIS), improve efficiency, accuracy, and reporting capabilities, and streamline processes.

The Department of Health and Aged Care is looking to procure a new off-the-shelf Fraud CMS to replace the existing outdated and incompatible systems. The new CMS will support the department's efforts in managing fraud cases from detection and intelligence gathering through assessment, investigation, and prosecution, ensuring consistent and effective fraud management across the department.

The primary objectives are to improve the department's fraud management capabilities, ensure compliance with AGIS, and address inefficiencies and risks associated with the current systems. The new CMS will streamline fraud case management processes from detection through investigation to prosecution.

Expected outcomes include enhanced fraud intelligence capabilities, improved statistical and workflow status reporting, more efficient workflows for fraud allegations, advanced data capabilities for fraud prevention strategies, and better resource allocation.

The system's performance will be evaluated and monitored based on its ability to enhance fraud management capabilities, ensure compliance with AGIS, and improve operational efficiency. Regular audits and performance reviews will be conducted to ensure the system meets the department's needs.

The procurement and implementation of the new CMS are expected to be completed by the 2024-2025 financial year, with ongoing support and maintenance provided annually. Specific milestones and deadlines will be established in the project plan.

The system will support comprehensive reporting capabilities, including real-time data access, customisable reports, and automated reporting features. Regular progress reports will be required to ensure transparency and accountability.