H.R. 10645 — SMART Act

This section requires the Secretary of Health and Human Services to make standardized data analytic technologies available to every state, beginning no later than 180 days after enactment, to identify and prevent fraud, waste, and abuse in Medicaid. The technologies must be interoperable with state claims processing, eligibility, and enrollment systems; enable states to review risk indicators, access datasets, use dashboards, receive multi-state alerts, and integrate outputs into existing program integrity work; and support state-specific analyses. The Secretary must also provide technical assistance and training and submit annual reports to Congress beginning one year after enactment that detail state access, utilization rates, and amounts of overpayments identified.