{
  "name": "program-integrity-mcp",
  "title": "HealthMesh · Program Integrity (OIG CIAs, enforcement actions, improper payment rates) MCP",
  "version": "0.1.2",
  "description": "Health care program integrity: HHS-OIG Corporate Integrity Agreements and other integrity agreements (bundled list with status, effective/expiration dates, settlement amounts, categories), live search of HHS-OIG enforcement actions (criminal and civil actions, CMPs and affirmative exclusions, state enforcement, self-disclosures) by keyword, type and date, and official improper payment rates for Medicare FFS (CERT, with FY2025 claim-type, error-category and service-type detail), Medicaid and CHIP (PERM, with FFS/managed care/eligibility components), Medicare Part C and Part D.",
  "healthmesh_domain": "Fraud, Waste & Abuse",
  "datasets": [
    "FWA-04",
    "FWA-05"
  ],
  "mcp_endpoint": "https://program-integrity.healthmesh.ai/mcp",
  "transport": "Streamable HTTP (stateless, JSON responses)",
  "authorization": "none",
  "auth_mode": "off",
  "docs": "https://github.com/HendrikK/healthmesh/tree/main/servers/program-integrity-mcp#readme",
  "contact": "hendrik.kleine@gmail.com",
  "data_source": {
    "name": "HHS-OIG integrity agreements (bundled) and enforcement actions (live); CMS CERT/PERM/Part C/Part D improper payment rates (bundled)",
    "url": "https://oig.hhs.gov/fraud/enforcement/",
    "license": "U.S. Government work (public)",
    "refresh": "Bundled snapshots with a weekly GitHub Actions check; enforcement actions live"
  },
  "tools": [
    {
      "name": "oig_search_cias",
      "title": "Search OIG Corporate Integrity Agreements",
      "description": "Searches HHS-OIG Corporate Integrity Agreements and other OIG integrity agreements (Integrity Agreements, heightened-scrutiny entries, state agency / tribal / recipient compliance agreements) from OIG's Browse CIAs list (bundled snapshot): entity name words, state, status (active by default), agreement type, category (Arrangement Review, Claims Review, Quality of Care, Other), subject tag words (e.g. 'prescription drug', 'hospitals'), effective-date range. Returns effective and expiration dates, duration, settlement amount, and the OIG page URL."
    },
    {
      "name": "oig_search_enforcement_actions",
      "title": "Search OIG enforcement actions (live)",
      "description": "Searches HHS-OIG Enforcement Actions live (oig.hhs.gov/fraud/enforcement): keyword full-text search, action type (criminal_and_civil | cmp_and_exclusions | state_enforcement | self_disclosure | cia_reportable_events | stipulated_penalties | emtala | covid_19, or OIG's facet values), date range, and an optional state (with a query: results are filtered to titles naming the state, scanning up to 5 OIG pages per call; without a query: the state name is the search text). Returns title, date, OIG type tags and URL, 20 per OIG page, newest first."
    },
    {
      "name": "cert_get_improper_payment_rate",
      "title": "Get improper payment rates (CERT / PERM / Part C / Part D)",
      "description": "Returns official CMS improper payment rates and amounts by fiscal (reporting) year: medicare_ffs (CERT, FY2015-2025, with 95% CI; FY2025 detail by claim type, error category (no documentation, insufficient documentation, medical necessity, incorrect coding, other), clinical setting, and by service type with service_type search; error-category rates by year FY1996-2025), medicaid and chip (PERM FY2020-2025 with FFS, managed care and eligibility component rates), part_c and part_d (FY2016-2025 gross and net). Omit fiscal_year for the full trend."
    },
    {
      "name": "program_integrity_describe_dataset",
      "title": "Describe the program integrity sources",
      "description": "Describes the bundled OIG integrity-agreement snapshot and CMS improper payment tables (years per program, counts), the live OIG enforcement-actions source and its type facets, and refresh."
    }
  ]
}