Medicaid Cracks Down on Schemes to Bilk Program, Verma Announces

The federal government is proposing a new rule to strengthen the fiscal integrity and oversight of the Medicaid program in several areas cited by watchdog agencies as being vulnerable to financial irregularity.

The proposed Medicaid Fiscal Accountability Rule would seek greater transparency and accountability in Medicaid fee-for-service provider payments; disproportionate share hospital payments; Medicaid program financing; supplemental payments; and health care-related taxes and provider-related donations.

Medicaid Administrator Seema Verma announced the proposed rule in a wide-ranging Nov. 12 speech at the National Association of Medicaid Directors in Washington, D.C. She focused much of her outrage on the ...