Dear Administrator Oz: The National Alliance for Care at Home (the Alliance) is writing to provide recommendations to support the Centers for Medicare & Medicaid Services’ (CMS) ongoing work on program integrity in the Medicaid program. The Alliance is the unified voice for providers delivering high-quality, person-centered healthcare to individuals, wherever they call home. Our members are providers of diAerent sizes and types—from small rural agencies to large national companies—including government-based providers, nonprofit organizations, systems-based entities, and public corporations. Our members, including over 1,500 providers representing 10,000 oAices and locations, serve over 4 million patients nationwide through a dedicated workforce of over 1 million employees, staA, and volunteers. The Alliance is dedicated to advancing policies that support care in the home for millions of Americans at all stages of life, individuals with disabilities, those with chronic and serious illnesses, and Americans at the end of life who depend on those supports.