WASHINGTON, D.C. – Wednesday, Congressman Peter Roskam (IL-06) demanded answers from the Centers for Medicare and Medicaid Services about the agency’s goals for Medi-Medi, the Medicare and Medicaid Data Match Program that seeks to share information about fraudulent providers between state-run Medicaid and federally-run Medicare. Currently only 10 states participate, leaving the door open for criminals who have defrauded one entity to continue fleecing the other.
“My home state of Illinois just paid out $12 million to people who are dead," Roskam said in the hearing. "…If only 10 states are participating and we’re losing $75 billion a year according to the FBI, doesn’t it follow that if we had every state participating this gets better? And don’t you play a key role in whether every state participates or not?”
Roskam introduced the bipartisan, bicameral PRIME Act which demands that the Health and Human Services Secretary develop a plan to incentivize states to participate in Medi-Medi, along with other common sense reforms to combat Medicare fraud and abuse.