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470 2965 2017-2025

Iowa 470 Medicaid 2017-2025 Form

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The Medicaid program serves more people than any other federal healthcare program. To ensure that Medicaid can continue serving the nation’s most vulnerable populations, corrupt providers must be kept out of the program. OIG’s July 2019 report found that Medicaid is still vulnerable to being defrauded by high-risk providers that were not properly screened by States. The Centers for Medicare & Medicaid Services provides guidance to States as to which types of providers are high-risk for fraud, waste, and abuse. The most effective way to combat Medicaid fraud and harm to beneficiaries is to keep bad actors out of the program to begin with. The Medicaid provider enrollment screening activities, which are required by the federal government do just that. These screening activities help States to identify bad actors and keep them out of the program. However, OIG’s past work found that States were struggling to implement provider enrollment screening activities, including finger

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