New federal guidance aimed at placing tighter budget neutrality requirements on Medicaid Section 1115 waiver programs is ...
Medicaid program integrity efforts have been ramping up quickly, and last week we saw clear evidence of this trend when the ...
The buck stops here. We’ve got to clean up the system. With these words, Dr. Mehmet Oz, now at the helm of the Centers for Medicare and Medicaid Services (CMS), signaled a pivotal moment for Medicaid ...
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 government is right to focus on fraud, waste and abuse. But its oversight efforts should be targeted, data-driven and ...
North Dakota Health and Human Services is increasing oversight of some Medicaid providers this summer as part of a two-year ...
After placing both parents in hospice, former CMS integrity leader Dara Corrigan offers a firsthand look at hospice fraud, ...
Centers for Medicare & Medicaid Services head Dr. Mehmet Oz notified Minnesota that the department is deferring $91 million in Medicaid payments, citing systemic fraud risks and ongoing audits.
Medicaid is the joint federal-state health insurance program that provides medical coverage to almost five million low-income, elderly, disabled Floridians and children. Although the federal ...
As discussed in our prior Alert, on May 13, 2026, the Centers for Medicare & Medicaid Services (CMS) announced two nationwide, six-month moratoria ...
Governor Ron DeSantis announced a comprehensive Medicaid integrity initiative to strengthen oversight, prevent fraud, and ...
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