Rethinking Medicaid Program Integrity: Eliminating Duplication and Investing in Effective, High-Value Tools

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Article Publication Date: 
3/1/2012
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.
Topics: 
Quality; Medicaid
Types/Tools: 
Reports; State Medicaid Director's letters
Populations: 
N/A
Sources: 
National Association of Medicaid Directors
Programs/Initiatives: 
N/A
States: 
All States/Territories
Keywords: 
Eligibility
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

Contact

The National Association for Medicaid Directors (NAMD)
Phone: 
202-403-8620

Short URL: http://www.advancingstates.org/node/53078