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

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 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 ...

The Centers for Medicare & Medicaid Services (CMS) is rolling out major 2026 reforms affecting provider enrollment, ...

The Trump administration is putting all 50 states on notice.

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 ...

Add Yahoo as a preferred source to see more of our stories on Google. New York is about to get the Oz treatment. Medicaid czar Dr. Mehmet Oz is turning up the heat on Gov. Kathy Hochul, launching an ...

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 ...

The Trump administration has expanded its Medicaid fraud crackdown to all 50 states, directing each to submit a plan within 30 days to revalidate participating healthcare providers. The move follows ...

All U.S. states are currently participating in the Medicaid Audit program and any Medicaid delegated entity can be subject to an audit. This leaves little time for organizations to prepare and few are ...