Public Consulting Group (PCG) is proud to support the National Association for Medicaid Program Integrity (NAMPI) Conference which brings together Medicaid program integrity professionals for meaningful networking, insightful discussions, and collaborative learning.
Join Our Session
Are you ready for the Big Beautiful Bill? Assessing Program Readiness with People, Policies, and Tools
Unsure about what the One Big Beautiful Bill Act means for your Medicaid Program? In this interactive session, Public Consulting Group will review some of upcoming regulatory changes and will model how our practical gap analysis framework rooted in People, Policies, and Technology solutions can help states proactively identify, address, and prevent risks and challenges stemming from policy or operational changes. Following this overview, attendees will collaborate to apply this framework to anticipated Medicaid Program Integrity challenges stemming from the OBBBA and learn from each other how to prepare for new Program Integrity regulatory requirements and capitalize on the opportunities ahead.
- Monday, August 25th, 2025
- 11:30 AM -12:30 PM | Room: Majestic F on Ballroom Level 2
Visit Booth #27!
- Meet our subject matter experts and demo AssuranceCR, PCG’s Managed Care Oversight solution
- Discover what fraud, waste, and abuse prevention could mean for you
- Enter our raffle for a chance to win a Yeti 12 Soft Cooler!
- Pick up a sweet treat from a local bakery
Our Services and Support
PCG can help your state identify Fraud, Waste, and Abuse, meet federal requirements and guidance, and maximize program savings. Our solutions include:
- Program Integrity Managed Support Services
Through expert staffing, proven processes, and data-driven oversight, PCG offers scalable, end-to-end support to help Medicaid agencies prevent, detect, and resolve fraud, waste, and abuse. - Preventative Program Integrity Pre-Payment Analytics
PCG’s pre-payment analytics approach leverages real-time data analysis and advanced algorithms to identify and stop fraudulent or suspect Medicaid claims before payment, saving states time, money, and resources. - Managed Care Oversight — AssuranceCR
Our Managed Care Oversight team works across the U.S. implementing AssuranceCR, a comprehensive solution that integrates data analytics, federal and state compliance, and continuous program improvement to meet state goals. - Eligibility Auditor
Eligibility Auditor is a configurable Software as a Service (SaaS) platform that streamlines and automates Medicaid and the Supplemental Nutrition Assistance Program (SNAP) eligibility quality assurance (QA) and audit processes, Medicaid Eligibility Quality Control (MEQC), payment error rate measurement (PERM), and presumptive eligibility activities and reporting. - PCGOne: Concurrent Enrollment Detection
PCG’s health and human services (HHS) enterprise-wide data hub is connected to enrollment data from every state’s Medicaid Managed Care plans and can help states detect whether Medicaid members are enrolled in other state Medicaid Programs at any time. - Investigator CWMS
CWMS is a powerful investigative case management system that transforms how agencies handle fraud and eligibility investigations streamlining workflows, automating cost savings calculations, and enabling real-time collaboration across teams. With intuitive design and configurable tools, it empowers staff to resolve cases faster, reduce errors, and deliver measurable impact with less effort.
