Key Takeaways CMS and congressional leaders are increasing oversight of state Medicaid programs through off-cycle revalidation demands, fraud investigations and threats to defer federal Medicaid funding. Recent directives from CMS Administrator Dr. Mehmet Oz signal heightened expectations for state enforcement efforts. The increased scrutiny creates operational and financial risks for Medicaid providers, particularly those viewed as high risk or operating in targeted service areas. Medicaid providers should expect closer scrutiny of enrollment, billing and program participation as CMS and Congress increase pressure on states to strengthen Medicaid oversight. Providers should review revalidation procedures, enrollment records and documentation practices to help avoid payment disruptions or compliance issues. The federal government is increasing pressure on state Medicaid agencies to address potential fraud, waste and abuse through

Cody Pyke discusses her path to becoming a health care attorney, reflecting on the experiences, mentors and professional opportunities that shaped her career. She highlights the dynamic nature of health care work, emphasizing the importance of problem-solving, adaptability and developing strong relationships with clients and colleagues. Pyke also shares insights for younger attorneys, encouraging them to remain curious, seek out challenging experiences and build a broad foundation of skills early in their careers.