States would get access to tools that flag possible Medicaid fraud

Federal officials would make tools available to detect Medicaid fraud, waste, and abuse. The tools would work with each state's Medicaid claims and enrollment systems. Federal officials would provide training and help using the tools. Officials would flag risks involving providers and other participants in multiple states' Medicaid programs or multiple federal health programs. The tools would have to be available within 180 days after the bill becomes law.

Federal health officials would send Congress reports on the Medicaid tools. Reports would count states with access and describe each state's use and barriers to access or use. Reports would count possible fraud, waste, and abuse cases found through the tools and estimate related overpayments found and recovered. The first report would be due within one year after the bill becomes law, with reports required each year afterward.