Medicare and Medicaid Fraud Prevention Act

This bill aims to strengthen provider screening requirements within the Medicaid program by amending Title XIX of the Social Security Act. It introduces a new mandate for states to conduct regular checks against the Death Master File for all enrolled providers and suppliers. Specifically, states will be required to perform this check during the initial enrollment or revalidation process, and subsequently, at least quarterly while the provider or supplier remains enrolled. The primary purpose of this additional screening is to identify and prevent payments to deceased individuals, thereby combating potential fraud and waste. These new screening requirements are set to take effect beginning January 1, 2027 .