CMS is issuing preliminary guidance to states on the implementation of new federal payment limits for state directed payments (SDPs) in Medicaid managed care.

The buck stops here. We’ve got to clean up the system. With these words, Dr. Mehmet Oz, now at the helm of the Centers for Medicare and Medicaid Services (CMS), signaled a pivotal moment for Medicaid ...

WASHINGTON – The Centers for Medicare and Medicaid Services (CMS), under the new administration, has made combating fraud, ...

CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...

Trump administration expands efforts to prevent illegal immigrants from receiving public health benefits through a new initiative that establishes monthly verification.

The Department of Health and Human Services released its final rule for the Medicaid Recovery Audit Contractor program last month, and it is expected to save taxpayers roughly $2.1 billion over the ...

A constant refrain from the Trump administration about rooting out fraud, waste and abuse isn’t just about budget cuts. For nursing homes, it may signal increasing audit risk and a rise in burdensome ...

Despite the late Justice Louis Brandeis's famous praise of the American political system for helping courageous states serve as "laboratories of democracy," the Centers for Medicare & Medicaid ...

The additional red tape could save money, but may harm patient access and quality of care. Stakeholders are urging the CMS to ...

Publisher's note: This material was paid for by Maximus and provided by Maximus. The views expressed by the author are their own. This material is not part of Health Affairs Forefront; it has not been ...

The Trump administration is taking its immigration crackdown to the health care safety net, launching Medicaid spending ...