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Section 1936 of the Social Security Act obligates the Centers for Medicare & Medicaid Services (CMS) to procure contractors to audit Medicaid claims and identify overpayments. To fulfill this statutory requirement, the Medicaid Integrity Program (MIP) has procured Audit Medicaid Integrity Contractors (Audit MICs) to conduct provider audits throughout the country. Medicaid Integrity Program Provider Audit Fact Sheet - provides information on the national Medicaid audit program to identify overpayments and to decrease the payment of inappropriate Medicaid claims. (Click on "Downloads" below.) Medicaid Integrity Program A to Z - provides information on the establishment of CMS' national Medicaid provider audit program, as well as, CMS' efforts to provide effective support and assistance to States in their efforts to combat provider fraud, waste and abuse. (Click on "Downloads" below.) Medicaid Integrity Contractors Procurement and Implementation Timeline - provides procurement status for review & audit MICs. (Click on "Downloads" below.)
Page Last Modified: 12/21/2009 12:00:00 AM
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