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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



Related Files
Medicaid Integrity Program A to Z (Adobe PDF File)
CMS Medicaid Integrity Group - Medicaid Integrity Contractors (Adobe PDF File)
Medicaid Integrity Program Provider Audits (Adobe PDF File)