United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2006-03-28 monographic deposited born digital 19 p. GA 1.13:GAO-06-578T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-06-578T P0b002ee18039f7a0 f:d06578t DGPO 2010-08-12 2011-03-24 GAOREPORTS-GAO-06-578T machine generated eng fdlp REPORT GAOREPORTS-GAO-06-578T GAO-06-578T Federal/state relations Fraud Health care programs Internal controls Medicaid Program abuses Program evaluation Program management Strategic planning Government agency oversight Medicaid Integrity Program Testimony A50157 Today's hearing concerns fraud, waste, and abuse control in Medicaid, a program that provides health care coverage for over 56 million eligible low-income people and is jointly financed by the federal government and the states. In fiscal year 2004, Medicaid had benefit payments of $287 billion, with a federal share of about $168 billion. The states are primarily responsible for ensuring appropriate Medicaid payments through provider enrollment screening, claims review, overpayment recovery, and case referral to law enforcement. At the federal level, the Centers for Medicare & Medicaid Services (CMS) is responsible for supporting and overseeing state fraud, waste, and abuse control activities. Congress requested information on how CMS and the states can better serve taxpayers and beneficiaries by reducing Medicaid fraud. This statement will focus on existing concerns about CMS's efforts to help states prevent and detect fraud, waste, and abuse; how provisions in recent legislation providing for a Medicaid Integrity Program will help CMS expand its current efforts; and challenges CMS needs to address as it implements new Medicaid Integrity Program efforts. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-06-578T/html/GAOREPORTS-GAO-06-578T.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-06-578T/pdf/GAOREPORTS-GAO-06-578T.pdf GAO-06-578T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-06-578T Testimony GAO-06-578T; Medicaid Integrity: Implementation of New Program Provides Opportunities for Federal Leadership to Combat Fraud and Abuse; Federal/state relations Fraud Health care programs Internal controls Medicaid Program abuses Program evaluation Program management Strategic planning Government agency oversight Medicaid Integrity Program Volume 116 Page 2350 116 Stat. 2350 Volume 120 Page 3 120 Stat. 3 Public Law 109-171