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Medicaid Program Integrity Manual – Initial Release

The purpose of the Medicaid Program Integrity Manual is to
promote continuity and consistency of the Medicaid Integrity Program (MIP) by providing a
comprehensive guide to its overall operations. The manual will primarily serve as a reference
tool to assist State Medicaid officials, providers, health care organizations, the Centers for
Medicare & Medicaid Services (CMS) components, and other Federal agencies in the following:
1. Understanding the goals and objectives of the MIP;
2. Improving the communication and transparency of the MIP; and
3. Educating outside entities of the evolving functions of the MIP.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: September 23, 2011

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.