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June 27, 2018

CMS Releases New Medicaid Program Integrity Initiatives

On June 26, 2018, CMS announced a new set of initiatives seeking to promote program integrity throughout the Medicaid program. The initiatives focus on strengthening the audit process, increasing oversight of state contracts with provide health plans, increasing oversight of beneficiary eligibility, and strengthening enforcement of state compliance with federal rules. This approach supports the Agency’s shift toward program integrity and accountability efforts, as part of a three-prong strategy outlined by CMS Administrator Seema Verma in November 2017.