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CMS's Medicaid Integrity Program and Comprehensive Medicaid Integrity Plan aim to reduce improper payments through audits and analytics
of the Social Security Act lets certain states retain older, more restrictive Medicaid eligibility rules for people who are aged, blind or disabled; authoritative guidance on how that group is reviewe...
State attorneys general from multiple states sued to stop a November 2025 – agreement that would give access to Medicaid enrollee data, winning preliminary injunctions in some courts and forcing judic...
in federal health programs have historically expanded the scope and number of review activities—adding contractors and new postpayment and investigative tools—while persistent measurement and data-use...
is a 1986 federal statute that requires to medically screen and stabilize anyone who presents with an emergency condition regardless of ability to pay, insurance or immigration status . In response to...