South Dakota has submitted a plan to federal officials to strengthen oversight of Medicaid providers and curb fraud, waste and abuse, state leaders said.
The Department of Social Services proposal, sent to the Centers for Medicare and Medicaid Services, expands provider risk categories and increases scrutiny for higher-risk groups through more frequent renewals, recertifications and occasional onsite visits.
Gov. Larry Rhoden said the plan exceeds federal requirements, while DSS Secretary Matt Althoff said it builds on existing safeguards to boost confidence in providers billing Medicaid.
The move follows a federal push for states to address emerging risks. South Dakota cited its low improper payment rates — 0% for Medicaid and 1.15% for CHIP in its latest audit — as evidence of strong oversight.
Comments