Medicaid Fraud Control
Medicaid is a joint federal and state government health insurance program that helps provide medical coverage for people with low incomes and limited resources. Medicaid is basical...
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Medicaid is a joint federal and state government health insurance program that helps provide medical coverage for people with low incomes and limited resources. Medicaid is basical...
A paper by Mark Shepard and Jacob Wallace (2026) has a great overview of the Medicaid managed care program. The first question one may have is, how does Medicaid managed care diffe...
The Justice Department’s (DOJ) 2026 National Health Care Fraud Takedown will understandably be read by many health care organizations as another Medicare fraud announcement. The he...
Get informed about the Medicaid eligibility criteria and rules that can affect families planning for long-term care options. The post Medicaid Myths Uncovered: What Families Need t...
CMS has issued an interim final rule that implements new work requirements for adults on Medicaid.The new statutory requirement will apply to adults who are aged 19 to 64, not preg...
On June 22, 2026, the Wisconsin Department of Health Services Medicaid Advisory Committee (MAC) met on the following agenda: 12:30 PM Meeting Call to Order 12:45 PM Agenda & Ma...
State Medicaid agencies are concerned that many sick and disabled enrollees will lose their coverage because the Trump administration is narrowing the definition of who is “medical...
For a majority of Medicare and Medicaid recipients, the government program is paying a private health insurance company to provide the service from a private firm. In the Spring 20...
States must rethink how program integrity is designed and delivered by focusing on four key priorities that enable oversight to scale alongside these programs. The post Modernizing...
One state just cut ties — at least temporarily — with nearly two-thirds of the Medicaid service providers it was reviewing in a quest to protect programs against fraud and keep fed...
Por Tami Luhby, CNN Millones de estadounidenses enfermos podrían tener más dificultades para conservar —o incluso para inscribirse— en la cobertura de Medicaid después de que, en e...
The Trump administration was touting its cuts to Medicaid, saying it was going after fraud—despite the fact that the "fraud" consisted of billing issues, not actual fraud.Trump adm...
The Trump administration has proposed a "sweeping crackdown" on Medicaid payments that it says have significantly inflated costs in the program.
The number of older adults using Medicaid and Medicare to access certain assisted living services continues to grow, but access remains an uneven barrier for connecting older adult...
TRENTON – The Assembly this afternoon passed A-5324, which requires employers to pay a fee for employees, or dependents of employees, who receive health benefits coverage through t...
State Medicaid agencies are concerned that many sick and disabled enrollees will lose their coverage because the Trump administration is narrowing the definition of who is “medical...
For many of Medicaid’s highest-need members, the problem isn’t that services don’t exist. It’s that the system can’t consistently reach the people who need those services most. The...
WEDNESDAY, June 3, 2026 — The Trump administration has published new rules on who can qualify for Medicaid coverage, including requirements that many recipients work or attend sch...
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