HealthExec November 12, 2019
CMS has proposed a new rule intended to increase oversight of the fiscal integrity of the Medicaid program. Specifically, the proposal would increase reporting on supplemental payments, clarify some Medicaid financing definitions and attempt to crack down on questionable financing mechanisms.
The proposal, Medicaid Fiscal Accountability Rule (MFAS), aims to boost transparency in financial arrangements and reduce impermissible payments. According to the agency, fraudulent payments or payments that don’t follow the rules are on the rise.
“We have seen a proliferation of payment arrangements that mask or circumvent the rules where shady recycling schemes drive up taxpayer costs and pervert the system,” CMS Administrator Seema Verma said in a statement. “Today’s rule proposal will shine a light on these practices,...