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 ...

Assisted living operators that provide Medicaid home- and community-based services to their residents could be front and center in a new federal initiative aimed at clamping down on healthcare fraud.

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

As previously reported by Sheppard, the Centers for Medicare & Medicaid Services (“CMS”) has announced several program integrity actions to combat health care fraud. Among these actions was the ...

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

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 ...

Amber Nigam is CEO and cofounder of basys.ai, a Harvard-based company streamlining prior authorization for health plans with agentic AI. Fraud, waste and abuse (FWA) has historically been addressed at ...