Medicaid Program Integrity: Tracking State-Specific and Nationwide Federal Action Published: Jun 25, 2026

https://www.kff.org/medicaid/medicaid-program-integrity-tracking-state-specific-and-nationwide-federal-action/ The Trump Administration and Congress continue to focus on rooting out fraud, waste, and abuse in federal programs, including Medicaid. Those efforts include 50-state initiatives and targeted actions that focus on issues in specific states. Given the quickly evolving Medicaid program integrity landscape, this page tracks emerging developments in the federal government’s approach to program integrity in Medicaid, along with the implications of those actions for different states. For more detailed analyses and context, see ‘Related Resources’ in Section 2.