Summary

Description

State program integrity reviews play a critical role in how CMS provides effective support and assistance to states in their efforts to combat provider fraud and abuse. The reviews are comprehensive, including examinations of provider enrollment, provider disclosures, program integrity, managed care and the states relationships with the Medicaid Fraud Control Unit (MFCU). The Program Integrity Review Annual Summary reports each include a compendium of data collected from comprehensive integrity reviews for which final reports have been issued. Each Program Integrity Review Annual Summary reports title identifies the federal fiscal year reviews included in the report. The report includes information about effective practices, areas of vulnerability and areas of non-compliance. The Medicaid Integrity Group will publish this report annually in its efforts to provide effective support and assistance to the states.