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Healthcare Fraud Prevention Partnership Participation

This measure reports state membership in the Healthcare Fraud Prevention Partnership (HFPP) at any level in federal fiscal year (FFY) 2018. Membership can include participation in cross-payer studies using state data, attendance at information-sharing events, or other activities. The HFPP is a voluntary, public/private partnership between the federal government, state and local agencies, law enforcement entities, private health insurance plans, employer organizations, and health care anti-fraud associations. The purpose of the HFPP is to foster a proactive approach to detect and prevent health care fraud through the voluntary sharing of data and information between the public and private sectors. The Centers for Medicare & Medicaid Services (CMS) encourages state participation in the HFPP, but states are not required to do so.

CMS and the states share joint responsibility for program integrity activities and safeguarding taxpayer dollars for Medicaid and the Children's Health Insurance Program (CHIP). CMS has identified this program integrity measure as part of its plan to reform Medicaid using the three pillars of flexibility, accountability, and integrity.