Medicaid Accountability Act of 2023

This bill amends federal Medicaid law to exclude certain costs spent by State Medicaid Fraud Control Units (MFCUs) in Guam, the Northern Mariana Islands, and American Samoa from federal payment limits. Specifically, it ensures that if these territories qualify for a payment under a specific Medicaid funding provision for a calendar quarter, their MFCU expenditures won't count toward the federal funding cap for that period. The change directly affects these three U.S. territories' Medicaid programs by providing additional flexibility in how fraud prevention costs are accounted for in federal funding calculations. This is a procedural adjustment to existing Medicaid financing rules, not a new benefit or service.