CMS has issued additional guidance to state Medicaid directors on implementing the provision of the Deficit Reduction Act that requires providers that receive more than $5 million annually in Medicaid payments to develop and disseminate written policies for employees and contractors on how to detect and report Medicaid fraud. The guidance includes answers to 71 frequently asked questions about the federal False Claims Act, including how entities within a health system are evaluated regarding the $5 million annual threshold, how the threshold amount is calculated, and clarification of the definition of a contractor.
