CMS require states audit Medicaid providers with plans due in 30 days to strengthen fraud detection and program integrity nationwide.

On February 25, 2026, the Centers for Medicare & Medicaid Services (“CMS”) announced several program integrity actions impacting Medicaid funding and Medicare supplier enrollment, along with a request ...

The Trump administration has expanded its Medicaid fraud crackdown to all 50 states, directing each to submit a plan within 30 days to revalidate participating healthcare providers. The move follows ...

As previously reported by Sheppard, the Centers for Medicare & Medicaid Services (“CMS”) has announced several program integrity actions to combat health care fraud. Among these actions was the ...

The Centers for Medicare & Medicaid Services (CMS) is rolling out major 2026 reforms affecting provider enrollment, credentialing, payment systems, and Medicaid eligibility rules. Changes include ...

As Congress continues to debate next steps on the Affordable Care Act's (ACA's) enhanced subsidies, insurers are urging legislators to consider an extension with additional program integrity measures ...

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 ...