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Medicaid Integrity Program - Eligible Entity and Contracting Requirements for the Medicaid Integrity Audit Program (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) The Law Library

Medicaid Integrity Program - Eligible Entity and Contracting Requirements for the Medicaid Integrity Audit Program (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Integrity Program - Eligible Entity and Contracting Requirements for the Medicaid Integrity Audit Program (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 Section 1936 of the Social Security Act (the Act) (as added by section 6034 of the Deficit Reduction Act of 2005 (DRA) established the Medicaid Integrity Program to promote the integrity of the Medicaid program by requiring CMS to enter into contracts with eligible entities to: (1) Review the actions of individuals or entities furnishing items or services (whether on a fee-for-service, risk, or other basis) for which payment may be made under an approved State plan and/or any waiver of such plan approved under section 1115 of the Act; (2) audit claims for payment of items or services furnished, or administrative services rendered, under a State plan; (3) identify overpayments to individuals or entities receiving Federal funds; and (4) educate providers of services, managed care entities, beneficiaries, and other individuals with respect to payment integrity and quality of care. This book contains: - The complete text of the Medicaid Integrity Program - Eligible Entity and Contracting Requirements for the Medicaid Integrity Audit Program (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section