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CMS ramps up Medicaid oversight over non-emergency care for undocumented immigrants

Officials say the move enacts a presidential order to protect taxpayer funds by targeting Medicaid spending on non-emergency services for non-citizens

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File photo: migrants gather for a rally at the U.S.-Mexico border.

Overview

  • Federal law limits Medicaid funding for non-citizens with unsatisfactory immigration status to emergency medical services only.
  • CMS Administrator Dr. Mehmet Oz warned that Medicaid cannot serve as a backdoor to subsidize open borders and called on states to uphold federal eligibility rules.
  • The agency will audit state spending reports, review financial management systems and assess eligibility policies to identify unlawful use of federal funds.
  • Any improper spending on non-emergency services for non-citizens will prompt recoupment of the federal share by the Health and Human Services Department.
  • The Congressional Budget Office estimated that emergency Medicaid services for undocumented immigrants cost taxpayers over $16.2 billion since President Biden took office.