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 ...

Last week, federal agents suspended 447 hospices and 23 home health agencies in the greater Los Angeles area over allegations of Medicare fraud totaling ...

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 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 Trump administration has ordered all 50 states to submit plans within 30 days to revalidate Medicaid providers, escalating anti-fraud efforts previously focused on select states. CMS Administrator ...

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 ...

Since 1992, the 340B drug discount program has entitled certain federal grantee clinics and hospitals (called “covered entities”) to purchase outpatient drugs at substantial discounts. The discounted ...