H.R. 10645
SMART Act
Summary:
• The "SMART Act" requires the Secretary of Health and Human Services to make standardized data analytic technologies available to all states within 180 days to identify and prevent fraud, waste, and abuse under Medicaid.
• The technologies must be interoperable with existing Medicaid systems and give states capabilities including fraud alerts, access to analytic datasets, investigative dashboards, and the ability to generate state-level reports.
• The Secretary must submit annual reports to Congress detailing state access, utilization rates, and the number of fraud instances identified along with estimated overpayments collected.
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• The technologies must be interoperable with existing Medicaid systems and give states capabilities including fraud alerts, access to analytic datasets, investigative dashboards, and the ability to generate state-level reports.
• The Secretary must submit annual reports to Congress detailing state access, utilization rates, and the number of fraud instances identified along with estimated overpayments collected.
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