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 ...

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 ...

California has seen hundreds of hospice “takedowns” and Medicare payment suspensions targeting what the Centers for Medicare & Medicaid Services ...

CMS require states audit Medicaid providers with plans due in 30 days to strengthen fraud detection and program integrity nationwide.

States scramble submit Medicaid revalidation plans to CMS by May 23 as part of a federal effort to audit high-risk providers and reduce fraud.

CMS finalized a rule this week that ends what it called a healthcare‑related 'financing gimmick,' marking one of the most sweeping Medicaid program‑integrity actions in years. CMS said some states set ...

Vermont and the 49 other states have been asked to respond to the federal inquiry on their plans to recertify Medicaid providers, especially “high risk” providers.

IRVING, Texas, April 08, 2026 (GLOBE NEWSWIRE) -- Gainwell Technologies LLC today announced that New Mexico has deployed a comprehensive suite of the Health Management Systems, Inc. (HMS) program ...

Mehmet Oz, the Centers for Medicare & Medicaid Services administrator, is ordering all states to step up their efforts to crack down on Medicaid fraud. The Trump administration says there’s a big ...

Several Republican-led states are starting to craft Medicaid work requirement policies for next year that are more stringent ...