A federal judge has vacated several key components of a controversial 2025 program integrity rule for the Affordable Care Act ...

Initiative includes more frequent revalidations, enhanced monitoring, and greater collaboration with the Office of Inspector ...

As discussed in our prior Alert, on May 13, 2026, the Centers for Medicare & Medicaid Services (CMS) announced two nationwide, six-month moratoria ...

On February 25, 2026, the Centers for Medicare & Medicaid Services (“CMS”) announced several program integrity actions impacting Medicaid funding and Medicare supplier enrollment, along with a request ...

Medicaid program integrity efforts have been ramping up quickly, and last week we saw clear evidence of this trend when the ...

Permanent rulemaking would replace IPAY 2026–2028 guidance, enabling predictable annual negotiations of up to 20 drugs and defined manufacturer agreement and renegotiation requirements. Formularies ...

New federal guidance aimed at placing tighter budget neutrality requirements on Medicaid Section 1115 waiver programs is ...