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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.

Report to Congress

Annual Report to Congress on the Medicare and Medicaid Integrity Programs: October 1, 2015 through September 30, 2016.

An annual report of CMS’ efforts, through the Center for Program Integrity, to combat fraud, waste and abuse of the Medicare, Medicaid and Marketplace programs.

Report to Congress

Annual Report to Congress on the Medicare and Medicaid Integrity Programs: October 1, 2014 through September 30, 2015.

An annual report of CMS’ efforts, through the Center for Program Integrity, to combat fraud, waste and abuse of the Medicare, Medicaid and Marketplace programs.

Report to Congress

Fraud Prevention System Return on Investment Report to Congress: January 1, 2015 to December 31, 2015.

An annual report that measures the return on investment (ROI) of CPI’s Fraud Prevention System (FPS), which helps identify and prevent inappropriate payments.

Report to Congress

Open Payments Program Report to Congress: Program Year 2016.

This report provides an overview of the program's fourth reporting year, and supplies aggregated information about data reported by applicable manufacturers and group purchasing organizations per program requirements.

Report to Congress

Open Payments Program Report to Congress: Program Year 2015.

This report provides an overview of the program's third reporting year, and supplies aggregated information about data reported by applicable manufacturers and group purchasing organizations per program requirements.

State Medicaid Program Integrity Review Reports

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.

Comprehensive Medicaid Integrity Plan

FY 2014 - FY 2018

A document that outlines the 5-year, comprehensive plan for ensuring the integrity of the Medicaid program by combatting fraud, waste and abuse.

CONNECT WITH US

Connect with CPI as we host or attend various events throughout the year, join the conversation on Twitter around subjects that matter to all of us, or find the most appropriate vehicle to report suspected fraud, waste or abuse.

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