Amends the Social Security Act to mandate annual audits by State Medicaid fraud control units.
The bill amends title XIX of the Social Security Act to require State Medicaid fraud control units to conduct annual audits of high-risk providers and suppliers. These audits aim to identify potential fraud, waste, and abuse within the Medicaid program. High-risk providers and suppliers are identified based on factors such as abnormal billing patterns, prior audits, payment anomalies, and ownership-related risks. The audits must be included in the annual report submitted to the Secretary of Health and Human Services, detailing the extent of overpayments identified and collected.
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