The Deficit Reduction Act of 2005 provided the resources to establish the Medicaid Integrity Program (MIP), the first national strategy in the 40-year history of the Medicaid program to promote the ...

The State of Indiana today announced a groundbreaking partnership with the Centers for Medicare & Medicaid Services (CMS) and Oracle to pilot ...

* * * Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program Notice for Proposed Rulemaking (CMS-2434-P) The Centers for Medicare & ...

On February 25, 2026, the Centers for Medicare & Medicaid Services (“CMS”) announced several program integrity actions impacting Medicaid funding and Medicare supplier enrollment, along with a request ...

The Trump Administration continues its focus on rooting out fraud, waste, and abuse in federalprograms,includingMedicaid. In March 2026, President Trump issued an Executive Order establishing the Task ...

CMS must increase its oversight of Medicaid managed care programs by requiring states to audit payments to and by managed care organizations, according to a Government Accountability Office report. In ...

Designed with direct input from clients, Gainwell Provider Everywhere supports compliance with CMS revalidation requirements, strengthens program integrity, and reduces administrative burden for provi ...

Gov. Joe Lombardo on Thursday voiced support for recent federal efforts to strengthen Medicaid program integrity and outlined Nevada’s actions to combat provider fraud and protect taxpayer dollars.

Medicaid is the joint federal-state health insurance program that provides medical coverage to almost five million low-income, elderly, disabled Floridians and children. Although the federal ...

In the CY 2027 Hospital Outpatient Prospective Payment System (OPPS) Proposed Rule, the Centers for Medicare and Medicaid Services (CMS) ...