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Medicaid

Work Requirements Fraud Program Integrity Taxpayer Protection Immigration Status Enrollment Verification Fraud Prevention Fraud Detection Auditing Reimbursement Rates Eligibility Requirements Audits Contract Management

Walz Orders Optum Audit of 14 High-Risk Medicaid Services, With Pre-Payment Holds Up to 90 Days

The move pivots Minnesota to front-end claim screening to target organized billing fraud.

Minnesota DHS Halts Payments to 11 Integrated Community Supports Providers Over Credible Fraud Allegations

CMS Begins Monthly Checks of Medicaid and CHIP Citizenship Status, Sends First State Reports

States Rework Medicaid Waivers to Align With Trump’s Nationwide Work Mandate