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 ...
Jeneen Iwugo, Acting Director for the Center for Program Integrity at CMS, discusses the potential of agentic automation to ...
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 Centers for Medicare & Medicaid Services today announced a six-month nationwide moratorium preventing enrollment of new ...
The acting director of CMS’s Center for Program Integrity said the agency has shifted away from what was previously a “very ...
California has seen hundreds of hospice “takedowns” and Medicare payment suspensions targeting what the Centers for Medicare & Medicaid Services ...
* * * 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 & ...
Ohio Governor Mike DeWine today announced that he is implementing several new fraud prevention initiatives to strengthen and build-upon long-standing efforts to fight fraud, waste, and abuse in the ...
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 ...
A six-month, federal moratoria on new Medicare enrollment for home health and hospice agencies has the potential to affect a growing percentage of senior living residents, but the action has the ...
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