Reports & Guidance

Reports & Guidance

Find resources to help you understand the ins and outs of CMS’ program integrity efforts, and read the annual reports that we submit to Congress about our center and our programs.

Reports to Congress

Medicare and Medicaid Integrity Programs
Read the annual reports of CMS' efforts, through the Center for Program Integrity, to combat fraud, waste and abuse of the Medicare, Medicaid and Marketplace programs.

Open Payments Program
Read annual overviews of the Open Payments program and payments reported by applicable manufacturers and group purchasing organizations to physicians and teaching hospitals.

 

Medicaid Program Integrity Reports

Comprehensive Medicaid Integrity Plan, FY 2014 – FY 2018 (PDF)
Explore the 5-year, comprehensive plan for ensuring the integrity of the Medicaid program by combatting fraud, waste and abuse.

State Program Integrity Review Reports, 2007 – 2019
State program integrity (PI) review reports, and respective follow-up review reports, provide CMS' assessment of the effectiveness of States' Medicaid PI efforts, including compliance with Federal statutory & regulatory requirements.

 

Other Program Integrity Reports

Fraud Prevention System Return on Investment, 2015 (PDF)
A one-time high-level summary of the Fraud Prevention System (FPS) savings and return on investment. The FPS helps identify and prevent inappropriate payments.

 

Stay Up to Date with CPI

Connect with CPI as we host or attend various events throughout the year, join our mailing list to stay informed on Program Integrity news, or find the most appropriate vehicle to report suspected fraud, waste, or abuse.

Page Last Modified:
12/06/2019 05:43 PM