The Centers for Medicare & Medicaid Services (CMS) has proposed a new set of quality measures for Medicaid home- and ...

CMS require states audit Medicaid providers with plans due in 30 days to strengthen fraud detection and program integrity nationwide.

CMS Administrator Mehmet Oz, M.D., on Tuesday previewed the agency's next steps in its effort to root out fraud, waste and ...

Assisted living operators that provide Medicaid home- and community-based services to their residents could be front and center in a new federal initiative aimed at clamping down on healthcare fraud.

The Trump administration has been heavily focused on combating purported fraud in federal health care programs.

The Centers for Medicare & Medicaid Services (CMS) submitted a regulation to the Office of Management and Budget (OMB) that could upend Medicaid provider tax program financing. The regulation is ...

The proposal threatens states’ ability to fund state supplemental payment programs for Medicaid, which providers rely on as a boost for revenues. Provider taxes have been around in some form since the ...

The CMS 2026 Prior Authorization Rule, effective January 2026, mandates payers in Medicare Advantage, Medicaid, CHIP, and ACA markets to adopt FHIR-based APIs, electronic prior authorization, and ...

Providers on Wednesday embraced the Centers for Medicare & Medicaid Services’ decision to extend the deadline for its mandatory nursing home revalidation program, citing a significant increase in ...

The Centers for Medicare and Medicaid Services (CMS) proposed new limits on how states use provider taxes to finance their share of Medicaid, The proposed rule, which is expected to affect seven ...

CareSource, Ohio's largest Medicaid managed care organization, is beginning to take back money from payments it made to ...

Medicare Part B covers many common services that seniors don't know are covered. Find out which ones to make sure you're ...