As Medicaid programs continue to grow in size, cost, and complexity, program integrity can no longer function as a standalone role—it must be built into the fabric of how programs operate daily.

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

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 Trump administration will require all states to launch audits of Medicaid providers following months of scandals involving hundreds of millions in fraud and waste in the program. Centers for ...

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 ...

In this article, we outline actionable strategies for strengthening one of the most essential administrative data ...

State modernizes quality assurance and expands tools to bolster program integrity and access to careIRVING, Texas, April 08, 2026 (GLOBE NEWSWIRE) -- Gainwell Technologies LLC today announced that New ...

Add Yahoo as a preferred source to see more of our stories on Google. A supporter wears an "I love Medicaid" button during a news conference held at Pioneer Park in Salt Lake City on May 6, 2025.

President Donald Trump’s administration has moved to shut down a long‑running Medicaid financing loophole that officials say allowed states to shift billions in costs onto federal taxpayers. The ...