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Program Integrity

Protect taxpayer money by decreasing improper payments.


Optum® helps Medicaid agencies prevent, detect, investigate and recover improper payments throughout the claims cycle — from prepay to postpay. Our comprehensive program integrity suite is backed by experienced staff, saving Medicaid agencies millions of dollars each year.

What you can expect

Why Medicaid agencies can rely on us.


Advanced detection analytics

designed for Medicaid


Developed from 30 years

of program integrity expertise


Help identify and recover

billions each year

Explore our solution

Advanced Communication Engine

Prevent claim inefficiency and lower administrative costs.

Speak to an Optum representative today

Learn how we can partner with your state.