Title VI. Transparency and Program Integrity

Enhanced Medicare and Medicaid Program Integrity Provisions

The Act imposes tough new penalties to prevent waste, fraud and abuse in the Medicare and Medicaid program. Medicare administrative contractors will be held liable for payments to excluded providers.

New conditions of participation in Medicare will be imposed on community mental health centers to ensure they are providing necessary and high quality care;

Increases funding for the Health Care Fraud and Abuse Control Fund by $250 million over the next decade;

Streamlines procedures to conduct Medicare prepayment reviews to facilitate additional reviews designed to reduce fraud and abuse.

Continue to Additional Medicaid Program Integrity Provisions


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