Initiative includes more frequent revalidations, enhanced monitoring, and greater collaboration with the Office of Inspector ...

As Medicaid programs continue to grow in size, cost, and complexity, program integrity can no longer function as a standalone role—it must be built into the fabric of how programs operate daily.

Governor Ron DeSantis announced a comprehensive Medicaid integrity initiative to strengthen oversight, prevent fraud, and ...

WASHINGTON — Four state Medicaid bosses have agreed to appear before a House Energy and Commerce Subcommittee hearing on ...

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 Agency for Healthcare Administration is launching a pilot program that will lead to enhanced screenings of providers and ...

A federal judge has vacated several key components of a controversial 2025 program integrity rule for the Affordable Care Act ...

North Dakota Health and Human Services is increasing oversight of some Medicaid providers this summer as part of a two-year ...

The 340B rebate pilot model set to begin in January 2026 starkly presents the key tradeoff between program integrity and support for safety net providers and poses an important question: can the 340B ...

Gov. Kelly Armstrong recently announced North Dakota Health and Human Services (HHS) has launched a new strategy to strengthen oversight, prevent fraud and ensure the integrity of the North Dakota ...