CMS Defers $1 Billion in Medicaid Payments and Expands Provider Exclusion Authority

CMS has deferred $1 billion in Medicaid payments as part of a federal crackdown on fraud, waste, and abuse in healthcare. The agency has also gained new authority to exclude providers from Medicaid participation. These actions represent a significant expansion of CMS enforcement powers affecting both providers and state Medicaid programs. The changes follow earlier federal commitments to intensify program integrity efforts across healthcare programs.

Managed Care · Finance