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Provider Audits

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 Contractors Procurement and Implementation Timeline - Provides procurement status for review & audit MICs. (Click on "Downloads" below.)

Medicaid Integrity Contractors Presentation - Provides information on the MICs and the national Medicaid provider audit program. (Click on "Downloads" below.)