New York Medicaid Fraud Enforcement Draws Scrutiny as Federal Audit Nears ...

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 ...

* * * 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 & ...

The Trump administration is ramping up efforts to end Medicaid fraud and blue states are under scrutiny. Here's what you need ...

The Centers for Medicare & Medicaid Services (CMS) has announced a nationwide, six-month Medicare enrollment moratoria for new hospices and ...

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 ...

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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 ...

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 ...

As federal officials intensify scrutiny of Medicaid-funded home-based care, Ohio has become the latest state to take aggressive enforcement action against ...

CMS agency is recruiting engineers, cybersecurity specialists and data scientists while expanding its use of AI tools to identify fraudulent payments.