Medicaid integrity programs

Medicaid integrity programs are initiatives designed to ensure that Medicaid, a health coverage program for low-income individuals, is used properly and efficiently. These programs detect and prevent fraud, waste, and abuse by reviewing claims, monitoring provider practices, and enforcing regulations. Their goal is to protect taxpayer funds, ensure beneficiaries receive appropriate care, and maintain the program's integrity. They often involve audits, data analysis, and collaboration among federal and state agencies to identify suspicious activities and take corrective actions. Overall, they help keep Medicaid sustainable and trustworthy.