A federal judge has vacated several key components of a controversial 2025 program integrity rule for the Affordable Care Act ...

Medicaid program integrity efforts have been ramping up quickly, and last week we saw clear evidence of this trend when the ...

The government is right to focus on fraud, waste and abuse. But its oversight efforts should be targeted, data-driven and ...

As discussed in our prior Alert, on May 13, 2026, the Centers for Medicare & Medicaid Services (CMS) announced two nationwide, six-month moratoria ...

* * * Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program Notice for Proposed Rulemaking (CMS-2434-P) The Centers for Medicare & ...

North Dakota Health and Human Services is increasing oversight of some Medicaid providers this summer as part of a two-year ...

The US Centers for Medicare & Medicaid Services (CMS) finalized important changes to the Medicare provider and supplier enrollment regulations, including adding marriage and family therapists (MFTs) ...

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New federal guidance aimed at placing tighter budget neutrality requirements on Medicaid Section 1115 waiver programs is ...