* * * Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program Notice for Proposed Rulemaking (CMS-2434-P) The Centers for Medicare & ...

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 Trump Administration continues its focus on rooting out fraud, waste, and abuse in federalprograms,includingMedicaid. In March 2026, President Trump issued an Executive Order establishing the Task ...

The Trump administration says its war on fraud applies to the entire country. But only blue states have had their Medicaid funding threatened or deferred, Democrats argued in a House subcommittee ...

Both chambers are in town for a jam-packed week before the Senate leaves for the July 4 recess. The main healthcare action this week remains focused on program integrity. The House Energy and Commerce ...

Gainwell Technologies LLC today announced Gainwell Provider Everywhere™, the nation’s first shared platform designed to help state Medicaid agencies securely share validated healthcare provider ...

CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...

Medicaid programs are in a period of heightened scrutiny, as states confront growing complexity in how these programs are administered and sustained. A recent Kaiser Family Foundation analysis ...

Serco Inc., a provider of professional, technology, engineering, and management solutions, announced today that the Company has been awarded a contract by the Centers for Medicare & Medicaid Services ...