Focused Program Integrity Review Reports by State or Territory

Focused Program Integrity Review Reports

CMS conducts focused reviews to assess the state’s program integrity oversight efforts of high-risk areas. These reviews specifically assess the state’s compliance with CMS regulatory requirements. A secondary objective of these reviews is to provide the state with feedback, technical assistance, and educational resources that may be used to enhance program integrity in the delivery of high-risk areas. At the conclusion of the reviews, CMS drafts a review report and reviews the state's feedback and consequently publishes the reports below.

State / Territory	Fiscal Year	Date of Report	Focus Area
State / Territory Wyoming	Fiscal Year 2023	Date of Report 2024-12-12	Focus Area Focused: Personal Care Services
State / Territory Minnesota	Fiscal Year 2023	Date of Report 2024-10-16	Focus Area Focused: Managed Care
State / Territory Illinois	Fiscal Year 2023	Date of Report 2024-07-01	Focus Area Focused: Managed Care
State / Territory Washington	Fiscal Year 2023	Date of Report 2024-05-29	Focus Area Focused: Managed Care
State / Territory North Carolina	Fiscal Year 2022	Date of Report 2024-03-13	Focus Area Focused: Personal Care Services
State / Territory Alaska	Fiscal Year 2022	Date of Report 2024-02-08	Focus Area Comprehensive
State / Territory South Dakota	Fiscal Year 2022	Date of Report 2023-10-10	Focus Area Focused: Personal Care Services
State / Territory Louisiana	Fiscal Year 2022	Date of Report 2023-10-10	Focus Area Focused: Managed Care
State / Territory Indiana	Fiscal Year 2022	Date of Report 2023-10-10	Focus Area Focused: Managed Care
State / Territory California	Fiscal Year 2022	Date of Report 2023-09-01	Focus Area Focused: Managed Care
State / Territory District of Columbia	Fiscal Year 2022	Date of Report 2023-08-01	Focus Area Focused: Managed Care
State / Territory New Hampshire	Fiscal Year 2022	Date of Report 2023-06-01	Focus Area Focused: Managed Care
State / Territory Mississippi	Fiscal Year 2022	Date of Report 2023-06-01	Focus Area Focused: Managed Care
State / Territory Colorado	Fiscal Year 2022	Date of Report 2023-05-17	Focus Area Focused: Managed Care
State / Territory Arizona	Fiscal Year 2022	Date of Report 2023-05-17	Focus Area Focused: Managed Care
State / Territory Hawaii	Fiscal Year 2022	Date of Report 2023-04-05	Focus Area Focused: Managed Care
State / Territory Nebraska	Fiscal Year 2022	Date of Report 2023-04-03	Focus Area Focused: Managed Care
State / Territory South Carolina	Fiscal Year 2021	Date of Report 2022-10-18	Focus Area Focused: Managed Care
State / Territory Virginia	Fiscal Year 2021	Date of Report 2022-10-17	Focus Area Focused: Managed Care
State / Territory Nevada	Fiscal Year 2021	Date of Report 2022-10-17	Focus Area Focused: Managed Care
State / Territory Maryland	Fiscal Year 2021	Date of Report 2022-10-17	Focus Area Focused: Managed Care
State / Territory Utah	Fiscal Year 2021	Date of Report 2022-06-01	Focus Area Focused: Managed Care
State / Territory Michigan	Fiscal Year 2021	Date of Report 2022-06-01	Focus Area Focused: Managed Care
State / Territory Wisconsin	Fiscal Year 2021	Date of Report 2022-05-01	Focus Area Focused: Managed Care
State / Territory Kentucky	Fiscal Year 2021	Date of Report 2022-05-01	Focus Area Focused: Managed Care
State / Territory Rhode Island	Fiscal Year 2021	Date of Report 2022-04-01	Focus Area Focused: Managed Care
State / Territory West Virginia	Fiscal Year 2021	Date of Report 2022-02-01	Focus Area Focused: Personal Care Services
State / Territory Iowa	Fiscal Year 2021	Date of Report 2022-01-01	Focus Area Focused: Managed Care
State / Territory Alabama	Fiscal Year 2021	Date of Report 2021-12-01	Focus Area Focused: Personal Care Services
State / Territory New Jersey	Fiscal Year 2019	Date of Report 2020-03-02	Focus Area Focused: Managed Care
State / Territory Missouri	Fiscal Year 2019	Date of Report 2020-03-02	Focus Area Focused: Managed Care
State / Territory New Mexico	Fiscal Year 2019	Date of Report 2020-03-02	Focus Area Focused: Managed Care
State / Territory Vermont	Fiscal Year 2019	Date of Report 2020-03-01	Focus Area Focused: Managed Care
State / Territory New Jersey	Fiscal Year 2019	Date of Report 2020-03-01	Focus Area Focused: Managed Care
State / Territory Pennsylvania	Fiscal Year 2019	Date of Report 2020-02-01	Focus Area Focused: Managed Care
State / Territory Montana	Fiscal Year 2019	Date of Report 2020-02-01	Focus Area Focused: Personal Care Services
State / Territory Massachusetts	Fiscal Year 2019	Date of Report 2020-02-01	Focus Area Focused: Managed Care
State / Territory Maine	Fiscal Year 2019	Date of Report 2019-11-01	Focus Area Focused: Personal Care Services
State / Territory Connecticut	Fiscal Year 2019	Date of Report 2019-10-31	Focus Area Focused: Personal Care Services
State / Territory Ohio	Fiscal Year 2019	Date of Report 2019-10-01	Focus Area Focused: Managed Care
State / Territory Tennessee	Fiscal Year 2019	Date of Report 2019-07-01	Focus Area Focused: Personal Care Services
State / Territory North Dakota	Fiscal Year 2019	Date of Report 2019-07-01	Focus Area Focused: Personal Care Services
State / Territory Delaware	Fiscal Year 2018	Date of Report 2019-01-31	Focus Area Focused: Personal Care Services
State / Territory Oklahoma	Fiscal Year 2018	Date of Report 2019-01-31	Focus Area Focused: Personal Care Services
State / Territory Texas	Fiscal Year 2018	Date of Report 2019-01-31	Focus Area Focused: Personal Care Services
State / Territory Minnesota	Fiscal Year 2018	Date of Report 2019-01-09	Focus Area Focused: Personal Care Services
State / Territory Idaho	Fiscal Year 2018	Date of Report 2019-01-08	Focus Area Focused: Managed Care
State / Territory Illinois	Fiscal Year 2018	Date of Report 2019-01-08	Focus Area Focused: Managed Care
State / Territory Washington	Fiscal Year 2018	Date of Report 2019-01-04	Focus Area Focused: Managed Care
State / Territory Kansas	Fiscal Year 2018	Date of Report 2019-01-01	Focus Area Focused: Managed Care
State / Territory Wyoming	Fiscal Year 2018	Date of Report 2018-12-03	Focus Area Focused: Personal Care Services
State / Territory Arkansas	Fiscal Year 2018	Date of Report 2018-12-03	Focus Area Focused: Personal Care Services
State / Territory Georgia	Fiscal Year 2018	Date of Report 2018-11-30	Focus Area Focused: Managed Care
State / Territory Oregon	Fiscal Year 2018	Date of Report 2018-11-01	Focus Area Focused: Managed Care
State / Territory New York	Fiscal Year 2017	Date of Report 2018-04-30	Focus Area Focused: Personal Care Services
State / Territory Mississippi	Fiscal Year 2017	Date of Report 2018-03-30	Focus Area Focused: Managed Care
State / Territory South Dakota	Fiscal Year 2017	Date of Report 2018-02-01	Focus Area Focused: Personal Care Services
State / Territory Florida	Fiscal Year 2017	Date of Report 2018-01-03	Focus Area Focused: Managed Care
State / Territory Iowa	Fiscal Year 2017	Date of Report 2018-01-01	Focus Area Focused: Personal Care Services
State / Territory Indiana	Fiscal Year 2017	Date of Report 2017-11-01	Focus Area Focused: Managed Care
State / Territory Colorado	Fiscal Year 2017	Date of Report 2017-10-02	Focus Area Focused: Managed Care
State / Territory District of Columbia	Fiscal Year 2017	Date of Report 2017-08-01	Focus Area Focused: Managed Care
State / Territory Louisiana	Fiscal Year 2017	Date of Report 2017-08-01	Focus Area Focused: Managed Care
State / Territory Arizona	Fiscal Year 2017	Date of Report 2017-07-28	Focus Area Focused: Managed Care
State / Territory Alabama	Fiscal Year 2016	Date of Report 2017-07-28	Focus Area Focused: Managed Care
State / Territory Utah	Fiscal Year 2016	Date of Report 2017-06-01	Focus Area Focused: Managed Care
State / Territory Rhode Island	Fiscal Year 2016	Date of Report 2017-06-01	Focus Area Focused: Managed Care
State / Territory West Virginia	Fiscal Year 2016	Date of Report 2017-06-01	Focus Area Focused: Managed Care
State / Territory Nebraska	Fiscal Year 2016	Date of Report 2017-06-01	Focus Area Focused: Managed Care
State / Territory South Carolina	Fiscal Year 2016	Date of Report 2017-06-01	Focus Area Focused: Managed Care
State / Territory New Hampshire	Fiscal Year 2016	Date of Report 2017-05-31	Focus Area Focused: Managed Care
State / Territory Kentucky	Fiscal Year 2016	Date of Report 2017-05-01	Focus Area Focused: Managed Care
State / Territory Maryland	Fiscal Year 2016	Date of Report 2017-03-07	Focus Area Focused: Managed Care
State / Territory Virginia	Fiscal Year 2016	Date of Report 2017-02-01	Focus Area Focused: Managed Care
State / Territory Texas	Fiscal Year 2015	Date of Report 2016-12-01	Focus Area Focused: Managed Care
State / Territory Vermont	Fiscal Year 2015	Date of Report 2016-10-04	Focus Area Focused: Managed Care
State / Territory Puerto Rico	Fiscal Year 2016	Date of Report 2016-08-02	Focus Area Focused: Managed Care
State / Territory Wisconsin	Fiscal Year 2015	Date of Report 2016-07-05	Focus Area Focused: Managed Care
State / Territory North Carolina	Fiscal Year 2015	Date of Report 2016-05-03	Focus Area Focused: Managed Care
State / Territory Missouri	Fiscal Year 2015	Date of Report 2016-05-03	Focus Area Focused: Managed Care
State / Territory Connecticut	Fiscal Year 2015	Date of Report 2016-05-03	Focus Area Focused: Personal Care Services
State / Territory Nevada	Fiscal Year 2015	Date of Report 2016-03-01	Focus Area Focused: Managed Care
State / Territory Pennsylvania	Fiscal Year 2015	Date of Report 2016-03-01	Focus Area Focused: Managed Care
State / Territory Delaware	Fiscal Year 2015	Date of Report 2016-02-16	Focus Area Focused: Managed Care
State / Territory Tennessee	Fiscal Year 2015	Date of Report 2015-12-31	Focus Area Focused: Managed Care

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01/15/2025 06:02 PM

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