Medicaid Fraud Prevention Act requires states to conduct annual fraud risk assessments under Medicaid.

The Medicaid Fraud Prevention Act amends title XIX of the Social Security Act to mandate that states conduct annual fraud risk assessments under the Medicaid program. These assessments must identify and rank significant fraud, waste, and abuse vulnerabilities. States must implement corrective action plans with measurable outcomes and deadlines to address identified vulnerabilities. The Secretary of Health and Human Services will establish guidelines for these assessments, which should use existing federal and state program integrity data.

Medicaid Fraud Prevention Act requires states to conduct annual fraud risk assessments under Medicaid.

The Medicaid Fraud Prevention Act amends title XIX of the Social Security Act to mandate that states conduct annual fraud risk assessments under the Medicaid program. These assessments must identify and rank significant fraud, waste, and abuse vulnerabilities. States must implement corrective action plans with measurable outcomes and deadlines to address identified vulnerabilities. The Secretary of Health and Human Services will establish guidelines for these assessments, which should use existing federal and state program integrity data.