NAMD Details Ways To Ensure Medicaid Managed Care Program Integrity

As more Medicaid beneficiaries are enrolled in managed care plans, the National Association of Medicaid Directors is urging CMS to focus on four overarching program-integrity areas: provider enrollment; data reporting; compliance; and benefits' coordination. Streamlining processes and offering guidance to states in these areas requires the agency to work closely with state Medicaid programs and highlight some of the most innovative and efficient state practices, NAMD says in a letter to CMS. "As states work to enhance their policies and...