Centers for Medicare and Medicaid Services - Medicaid Integrity
Program information for providers
Background (From CMS)
The Deficit Reduction Act of 2005 created the Medicaid Integrity Program
(MIP) in section 1936 of the Social Security Act (the Act), and
dramatically increased the Federal government’s role and
responsibility in combating Medicaid fraud, waste and abuse. Section
1936 of the Act requires the Centers for Medicare & Medicaid
Services (CMS) to contract with eligible entities to review and audit
Medicaid claims, to identify overpayments, and provide education on
program integrity issues. Additionally, the Act requires CMS to provide
effective support and assistance to States to combat Medicaid provider
fraud and abuse.
The following documents for providers are from
CMS
|