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<classification authority="sudocs">GA 1.13:T-HEHS-00-30</classification>
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 <subject>Health care programs</subject>
 <subject>Federal/state relations</subject>
 <subject>Fraud</subject>
 <subject>Health insurance cost control</subject>
 <subject>Program abuses</subject>
 <subject>Internal controls</subject>
 <subject>State-administered programs</subject>
 <identifier>Medicaid Program</identifier>
 <identifier>HHS Operation Restore Trust</identifier>
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 <title>Medicaid: Federal and State Leadership Needed to Control</title>
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<abstract>Medicaid fraud schemes cross state lines and enforcement jurisdictions,
engaging the different or competing priorities of federal, state, and
local agencies in efforts to investigate, prosecute, and enforce program
compliance. Essential components of an effective strategy with program
integrity include coordinating the efforts of the multiple players,
investing in preventive strategies, and dedicating adequate resources to
fraud control units. The Health Care Financing Administration, the
federal agency that runs Medicaid, established a fraud and abuse
national initiative in 1997 to bring together groups at the state level
to provide training, share information, and address common concerns.
Despite HCFA&apos;s efforts to facilitate the states&apos; activities, questions
remain about its role as a steward of Medicaid funds.</abstract>
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<note>Testimony</note>
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 <topic>Health care programs</topic>
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 <topic>Health insurance cost control</topic>
 <topic>Program abuses</topic>
 <topic>Internal controls</topic>
 <topic>State-administered programs</topic>
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