The bill would require states to assess fraud risks in their Medicaid programs at least once a year. Assessments would cover state plans and waivers, including fee-for-service care, managed care, and eligibility and enrollment systems. States would rank key risks, estimate possible improper spending, review existing safeguards, and identify gaps in data sharing and oversight. Within 90 days of each assessment, states would need to create a corrective action plan with measurable results and deadlines. States would report findings and progress to the Secretary of Health and Human Services each year. The Secretary would issue assessment guidelines and send Congress annual reports on findings, trends, and state actions.
The bill sets new assessment, corrective action, and reporting duties for states that run Medicaid programs. It does not describe changes to who can receive Medicaid or what services are covered.
The bill does not specify costs or funding.
No publicly available information.
No publicly available information.