MIC - Medicaid Integrity Contractor

The Medicaid Integrity Program was created in 2006 by the Deficit Reduction Act as a comprehensive federal strategy to prevent and reduce provider fraud, waste, and abuse. Audit Medicaid Integrity Contractors are entities with which CMS has contracted to conduct post-payment audits of Medicaid providers to identify overpayments and decrease the payment of inappropriate Medicaid claims. Any Medicaid provider may be audited, including fee-for-service providers, institutional and non-institutional, as well as managed care entities.