Medicaid: Additional Actions Needed to Help Improve Provider and Beneficiary Fraud Controls. GAO-15-313

In this report released on May 29, 2015, the Government Accountability Office (GAO) analyzed steps taken by the Centers for Medicare & Medicaid Services (CMS) to control fraud, waste, and abuse in the Medicaid program. For this report, the GAO was asked to review beneficiary and provider enrollment-integrity efforts at selected states: Arizona, Florida, Michigan, and New Jersey. The report findings identify and analyze indicators of improper or potentially fraudulent payments in fiscal year 2011. The GAO examined the extent to which federal and state oversight policies, controls, and processes are in place to prevent and detect fraud and . . .