Comprehensive Medicaid Integrity Plan-CMIP
Under the provisions of the Deficit Reduction Act (DRA) of 2005, Congress directed CMS to establish the Medicaid Integrity Program (MIP). In doing so, it dramatically increased the resources available to CMS to combat fraud, waste and abuse in the Medicaid program. The DRA provides that a five-year Comprehensive Medicaid Integrity Plan (CMIP) be written to guide MIP development and operations.
The plan details the two major operational requirements of the MIP:
- to use the contractors to review provider activities, audit claims, identify overpayments, and conduct provider education; and,
- provide effective support and assistance to states in their efforts to combat provider fraud and abuse