A federal judge has vacated several key components of a controversial 2025 program integrity rule for the Affordable Care Act ...
The Medicaid and CHIP Payment and Access Commission (MACPAC) released its June 2026 Report to Congress on Monday, offering ...
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 ...
State Representative Bob Peterson (R-Sabina) last week voted in support of a comprehensive legislative package aimed at fighting fraud, waste and abuse within Ohio’s Medicaid program with the goal of ...
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 ...
* * * 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 government is right to focus on fraud, waste and abuse. But its oversight efforts should be targeted, data-driven and ...
The US Centers for Medicare & Medicaid Services (CMS) finalized important changes to the Medicare provider and supplier enrollment regulations, including adding marriage and family therapists (MFTs) ...
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 ...
North Dakota Health and Human Services is increasing oversight of some Medicaid providers this summer as part of a two-year ...
Governor Ron DeSantis announced a comprehensive Medicaid integrity initiative to strengthen oversight, prevent fraud, and ...
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