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 ...

On February 25, 2026, the Centers for Medicare & Medicaid Services (“CMS”) announced several program integrity actions impacting Medicaid funding and Medicare supplier enrollment, along with a request ...

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 ...

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 ...

Spurred by ongoing allegations of fraud in the State of Minnesota, where federal investigators have alleged upwards of $9 billion 1 in Medicaid-related fraud, waste and abuse, oversight of Medicaid ...

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 ...

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.