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 ...

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 ...

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

In this article, we outline actionable strategies for strengthening one of the most essential administrative data ...

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 ...

Shireen Gandhi, temporary commissioner of the Minnesota Department of Human Services, speaks at a Dec. 12 news conference at the State Capitol as Gov. Tim Walz looks on. Credit: Matthew Blake for ...

President Donald Trump’s administration has moved to shut down a long‑running Medicaid financing loophole that officials say allowed states to shift billions in costs onto federal taxpayers. The ...

Since 1992, the 340B drug discount program has entitled certain federal grantee clinics and hospitals (called “covered entities”) to purchase outpatient drugs at substantial discounts. The discounted ...

Legislative auditors released a report on Thursday that had scathing findings for an office that’s been tasked with monitoring the state’s Medicaid program, saying it has “failed to provide effective ...