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The numbers were staggering…years worth of sensitive data about every Medicare and Medicaid recipient ex- changed with hundreds of partner organizations with zero tolerance for security breaches. This posed a significant challenge for the Centers for Medicare & Medicaid Ser- vices (CMS) in attempting to comply with the regulatory requirements of OMB M-06-16 and FIPS 140-2. In addition to changing regulations, public pressure for privacy meant new internal agency directives coupled with heightened concern from program members.

CMS also needed to address the support issues with its partners who may not have the expertise or skill set necessary to manage the installation. Recognizing its own resource limitations and time constraints, CMS wanted experience and commitment from a vendor who could bridge the gaps.

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