• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • News
  • Topics
    • Common Sense
    • Congress
    • Debt
    • Government waste
    • Millenials
    • QuizCap
    • Taxes
  • Tools
    • Agencies
    • Memes That Matter
    • Research Library
    • Scavenger Hunt
  • Shop
  • What We’re About
  • Multimedia
  • What We’re About
  • Contact Us
  • Newsletter signup
  • Give to the Cause

GAO: Medicaid Program Integrity: CMS Should Build on Current Oversight Efforts by Further Enhancing Collaboration with States

April 1, 2017

Pursuit's Take

The Centers for Medicare & Medicaid Services reviews states’ efforts to reduce improper Medicaid payments, and encourages them to use collaborative audits—where CMS contractors and states work together to review the accuracy of payments made. Collaborative audits have identified substantial potential overpayments to providers, but barriers have limited their use. CMS encourages states to use collaborative audits, but states decide whether to pursue them. Several states reported positive collaborative audit experiences, while others cited barriers—such as staff burden or problems communicating with contractors—that prevented them from seeking audits or hindered the success of audits.

GAO also found that CMS lacks a systematic approach to collecting and communicating information about state practices to reduce Medicaid improper payments.

Read the full report Artboard 1

sidebar

sidebar-alt

Support Our Work

Federal agencies go largely unchecked, spending at will making use of inflated budgets. While some do very important work, we need to hold them accountable. You can do this by donating, emailing your legislator, or signing our petitions.

Donate Now

Sign Up for Pursuit Updates

Privacy Policy

Powered by the Foundation to Restore Accountability

Search
UNCOVER SOME GOVERNMENT WASTE?
share your opinion

Can you believe the US Government spends more money on it’s cable bill than on disaster relief?

NO! I’M FURIOUS! Eh, sounds right