Who We Are
The Program Integrity Division is responsible for:
Guarding against fraud, abuse and deliberate misuse of Medicaid benefits by individual providers and recipients;
Ensuring Medicaid recipients receive necessary medical care at a level of quality available to the general population;
Assuring provider and recipient compliance with federal and state Medicaid rules and regulations.
Please check the CMS website Payment Error Rate Measurement provider web page for helpful education materials, FAQs and updates.
The Centers for Medicare and Medicaid Services Center for Program Integrity offers education and training on its Medicaid Program Integrity web page.