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.  (To view this document and its annual updates, see the links in the Downloads section below).

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

The DRA requires that the CMIP be revised in five-year cycles. 

For additional information on the Medicaid Integrity Program, please click on the Related Links below.”