• The "HELP STATES Act" amends title XIX of the Social Security Act to allow states to retain up to 25% of the federal share of Medicaid overpayment recoveries attributable to fraud
• States must use these retained funds specifically for program integrity activities, such as audits, investigations, data analysis, and improving IT systems for detecting and recovering improper payments
• States must report to the Secretary at least annually on how these retained funds were used

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