Tag: eligibility fraud

At the end of the Public Health Emergency, states will need a system to easily and confidently review their current Medicaid rolls to confirm eligibility.

A recent survey of government benefit agencies shows an increased need for fraud detection technology to prevent eligibility fraud. Only 26 percent of respondents currently use fraud detection technology, and 57 percent cite false income reporting as the leading cause of fraud. Insufficient resources and difficulty integrating multiple data sources were the greatest challenges in preventing eligibility fraud.