CMS must increase its oversight of Medicaid managed care programs by requiring states to audit payments to and by managed care organizations, according to a Government Accountability Office report. In ...

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Workload data used by CMS to oversee Zone Program Integrity Contractors has been inaccurate and inconsistent, and this has led to several ZPIC reporting errors and inconsistencies within information ...

Minnesota state officials have begun systematically removing inactive providers from the Medicaid program, starting with ...

There are significant deficiencies in the Medicaid program's ability to detect and prevent fraud, waste and abuse, according to a report from the Government Accountability Office, which outlines key ...

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) announced a new oversight initiative aimed at ensuring that enrollees in Medicaid and the Children’s Health Insurance Program ...

Minnesota DHS announces a freeze on enrolments for new providers in 13 Medicaid service categories prone to fraud, aiming to ...

BALTIMORE, Maryland, Nov. 15-- The U.S. Department of Health and Human Services' Centers for Medicare and Medicaid Services issued the following news release: The Centers for Medicare & Medicaid ...