Rethinking Medicaid Program Integrity: Eliminating Duplication and Investing in Effective, High-Value Tools
Article Publication Date
Summary
Medicaid program integrity is among the highest priorities of the nation’s Medicaid Directors and is a key component of every initiative and program states conduct. Program integrity is about creating a culture where there are consistent incentives to provide better health outcomes within a context that avoids over-or underutilization of services. Directors seek to promote economy, efficiency, accountability, and integrity in the management and delivery of services.
Types/Tools
Populations
Sources
National Association of Medicaid Directors
Programs/Initiatives
States
Keywords
program integrity; incentives; Medicaid Eligibility Quality Control (MEQC); Medicaid Fraud Control Units (MFCUs); Medicaid Integrity Contractors (MIC); Medicaid Integrity Group (MIG) Reviews; Medicare‐Medicaid Data Match Program (Medi‐Medi); Payment Error Rate Measurement (PERM); Recovery Audit Contractors (RAC); Improve collaboration and communication between Medicare and Medicaid; Evaluate the return on investment and utility of existing program
integrity initiatives
integrity initiatives
Contact
The National Association for Medicaid Directors
(NAMD)
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Phone
202-403-8620