Program Integrity Resource Library

Authorities

Iowa Medicaid Authority

CMS Focus Review

(to come)

CMS CPI Webpage

Center for Program Integrity (CPI), ensures CMS is paying the correct provider the correct amount for services covered under CMS programs. CPI works with states, providers, and stakeholders to ensure accurate billing and provider enrollment. CPI’s mission is to detect and combat fraud, waste, and abuse of the Medicare and Medicaid programs. For more information please go to https://www.cms.gov/About-CMS/Components/CPI.

Electronic Visit Verification

(to come)

State and Federal Regulations

Regulation Relevant Section Link
Iowa Law and Rules   https://www.legis.iowa.gov/lawhttps://www.legis.iowa.gov/law
Iowa Code

Title VI – Human Services (Ch. 216 – 255A)

Chapter 249A

https://www.legis.iowa.gov/law/statutory
Iowa Administrative Code

Human Services Department (441)

Chapters 46, 73, 76, 79

https://www.legis.iowa.gov/law/administrativeRules/agencies
Program Integrity 42 CFR Part 455 https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-455?toc=1