H.R. 10615 — Medicaid Integrity Improvement Act

This section requires State Medicaid fraud control units to annually audit a statistically valid sample of high-risk providers and suppliers, in coordination with the HHS Inspector General and State Medicaid agency, beginning one year after enactment. It requires the units to report overpayments identified and collected from such audits and permits certification if the unit submits and implements a corrective action plan. High-risk providers include those designated as high categorical risk or identified by abnormal billing patterns, ownership changes, or other risk factors.