Gainwell Technologies LLC today announced that New Mexico has deployed a comprehensive suite of the Health Management Systems, Inc. (HMS) program integrity and quality assurance capabilities to ...

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 ...

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 site aims to correct false claims and exaggerated figures about Medicaid fraud. The fact-check page is part of the state’s broader Medicaid program integrity website, which includes additional ...

Minnesota plans to centralize Medicaid eligibility determinations under DHS, moving away from the current county-based system ...

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 ...

Gov. Maura Healey is responding to a federal probe into Medicaid fraud in Massachusetts as Tuesday marks the deadline for her to turn over information requested by the House Energy & Commerce ...

Add Yahoo as a preferred source to see more of our stories on Google. New York's Medicaid program is being thoroughly examined by Centers for Medicare and Medicaid Services (CMS) Administrator Dr.

Kentucky's House Bill 2 could introduce new work requirements and copays for thousands of Medicaid recipients. Here's what to know.