Key Issues and Opportunities: Implementing the New Medicaid Integrity Program

Publication Date: July 2006

Publisher: Henry J. Kaiser Family Foundation

Author(s):

Research Area: Health

Type: Report

Coverage: United States

Abstract:

The Deficit Reduction Act of 2005 created a new Medicaid Integrity Program to increase the government's capacity to prevent, detect and address fraud and abuse in the Medicaid program. The new initiative represents the most significant single, dedicated investment the federal government has made in ensuring the integrity of the Medicaid program and offers an opportunity to ensure the efficient administration of the program and promote sound stewardship of state and federal resources.

The Kaiser Commission on Medicaid and the Uninsured convened a meeting of experts in early May to discuss issues and opportunities created by the new integrity initiative. This new report discusses six key issues identified by the group of experts as facing the federal government and states as development and implementation of the Medicaid Integrity Program begins.