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Executing Payment Integrity Through Medicaid Managed Care

September 2026
Full report

Medicaid managed care organizations (MCOs) strengthen payment integrity through wide-ranging efforts to address fraud, waste, and abuse (FWA). A comprehensive approach prevents improper payments before they occur, recovers improper payments, and complements states’ FWA efforts.

Young Woman at Computer Analyzing Medical Billing Data

Payment integrity ensures that Medicaid funds are paid in the correct amount to the right care provider on behalf of the beneficiary for appropriate Medicaid-covered services. Elevance Health’s payment integrity framework includes a combination of front-end payment controls, provider engagement, advanced analytics, and targeted investigations, with activities tailored to the contractual and regulatory requirements of each state Medicaid program. Through this approach, Medicaid programs and their MCO partners can improve payment accuracy and reduce administrative burden while maintaining access for beneficiaries.

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Topics

  • Fraud, Waste, and Abuse in Medicaid
  • Payment Integrity at Elevance Health
  • Front-End Controls
  • Provider Education
  • Detection, Surveillance, and Investigations
  • Policy Considerations

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