Medicaid Integrity Improvement Act

This bill would require each state's Medicaid fraud control unit to audit a statistically valid sample of high-risk Medicaid providers and suppliers at least once a year, starting within one year after the law is enacted. The audits would be done in coordination with the federal Health and Human Services Inspector General and the state Medicaid agency to look for potential fraud, waste, and abuse. Units would have to include a summary of these audits in their annual reports, including how much in overpayments was found and collected or referred for collection. If a unit does not meet the audit requirement, the Secretary could still certify it if it submits and carries out a corrective action plan.

Full text and official record on Congress.gov

Sponsors

• John Joyce Republican sponsor
• 5 cosponsors