Medicaid Integrity Improvement Act requires annual audits by State Medicaid fraud control units.

The Medicaid Integrity Improvement Act amends title XIX of the Social Security Act to mandate that State Medicaid fraud control units 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 are identified based on factors such as abnormal billing patterns, prior audits, and credible allegations of fraud. The audits must include a summary in the annual report submitted to the Secretary, detailing the extent of overpayments identified and collected.

Medicaid Integrity Improvement Act requires annual audits by State Medicaid fraud control units.

The Medicaid Integrity Improvement Act amends title XIX of the Social Security Act to mandate that State Medicaid fraud control units 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 are identified based on factors such as abnormal billing patterns, prior audits, and credible allegations of fraud. The audits must include a summary in the annual report submitted to the Secretary, detailing the extent of overpayments identified and collected.