5 Key Facts about Medicaid Program Integrity – Fraud, Waste, Abuse and Improper Payments Elizabeth Hinton, Jessica Mathers, and Robin Rudowitz Published: Mar 18, 2025

https://www.kff.org/medicaid/issue-brief/5-key-facts-about-medicaid-program-integrity-fraud-waste-abuse-and-improper-payments/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz-9zYbUL9taPliSHjKFut7CVaJXpJ9LBx8yO0nXTuTIJ6zgVJc4rTYJKZnYVO-1v47JnqxQWAwkZdESCgjH8hqvrIP9NZQ&_hsmi=353003891&utm_content=353003891&utm_source=hs_email 5 Key Facts about Medicaid Program Integrity – Fraud, Waste, Abuse and Improper Payments As Congress considers reducing Medicaid spending to help pay for extending tax cuts, President Trump and some in Congress have suggested that savings could be achieved by addressing fraud, waste, and abuse. KFF's new brief examines what is known about fraud and abuse in Medicaid and ongoing state and federal actions to address program integrity. While often cited when discussing fraud, waste and abuse, “improper payments” or error rates are not a measure of fraud or abuse, and are often tied to missing documentation or administrative steps.