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 ...

In this article, we outline actionable strategies for strengthening one of the most essential administrative data assets—encounter data—and explain how improving this resource can unlock the ...

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

The Trump administration is widening its Medicaid fraud crackdown to Florida, with CMS sending a letter March 17 to Gov. Ron DeSantis and other state leaders that requests information on how the state ...

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 ...

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 ...

MINNEAPOLIS (FOX 9) - The Minnesota Department of Human Services has launched a fact-checking website aimed at addressing what officials describe as misleading and false claims about Medicaid fraud in ...

Add Yahoo as a preferred source to see more of our stories on Google. A supporter wears an "I love Medicaid" button during a news conference held at Pioneer Park in Salt Lake City on May 6, 2025.

Kentucky's House Bill 2 could introduce new work requirements and copays for thousands of Medicaid recipients. Here's what to know.