Healthcare Fraud Prevention Partnership Participation

This measure reports state participation in the Healthcare Fraud Prevention Partnership (HFPP) at any level in federal fiscal year (FFY) 2020. Participation can include involvement 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 government agencies, law enforcement, private health insurance plans, employer organizations, and anti-fraud organizations that seeks to identify and reduce fraud, waste, and abuse across the healthcare sector. To advance this effort, HFPP Partners regularly collaborate, share information and data, and conduct studies using a unique cross-payer dataset. Additionally, the HFPP’s broad membership provides a platform to discuss emerging healthcare issues. 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.