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Fraud Prevention Fraud Work Requirements Funding Provider Disenrollment Audits Fraud Detection Wisconsin Medicaid Auditing Corrective Action Plans Reimbursement Rates Data Analytics Eligibility Requirements Contract Management Claims Processing Policy Changes Fraud Enforcement Provider Payments Fraud Control Policy Violations Data Privacy Provider Oversight Policy Program Integrity Taxpayer Protection Immigration Status Enrollment Verification

7 ARTICLES

last wk.

Trump Administration Suspends Federal Funding for New York Medicaid Fraud Unit

HHS said low criminal conviction counts prompted the freeze, with funding restorable only if New York fixes the deficiencies the inspector general identified.

3 ARTICLES

3w ago

Minnesota Restores Payments to Thousands of Disenrolled Medicaid Providers

4 ARTICLES

4w ago

Minnesota Disenrolls 3,411 Medicaid Providers After Compressed Revalidation

12 ARTICLES

4w ago

Minnesota Disenrolls 3,411 Medicaid Providers After Fast Federal-Driven Revalidation

8 ARTICLES

2mo ago

CMS Defers Additional $91 Million in Minnesota Medicaid Funds Over Fraud Risks

9 ARTICLES

2mo ago

Nebraska Becomes First State to Enforce Medicaid Work Rules Early

3 ARTICLES

3mo ago

Minnesota Pushes Medicaid Revalidation After Judge Rejects Bid to Unfreeze $259 Million

4 ARTICLES

3mo ago

Minnesota Audit Flags $1.7 Billion in Medicaid Claims for Review, Finds $52 Million in Violations

12 ARTICLES

8mo ago

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

4 ARTICLES

9mo ago

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

5 ARTICLES

10mo ago

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

4 ARTICLES

11mo ago

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

Medicaid

Trump Administration Suspends Federal Funding for New York Medicaid Fraud Unit

Minnesota Restores Payments to Thousands of Disenrolled Medicaid Providers

Minnesota Disenrolls 3,411 Medicaid Providers After Compressed Revalidation

Minnesota Disenrolls 3,411 Medicaid Providers After Fast Federal-Driven Revalidation

CMS Defers Additional $91 Million in Minnesota Medicaid Funds Over Fraud Risks

Nebraska Becomes First State to Enforce Medicaid Work Rules Early

Minnesota Pushes Medicaid Revalidation After Judge Rejects Bid to Unfreeze $259 Million

Feds Approve Minnesota Medicaid Fix, Opening Door to Release of $243 Million

CMS Expands Medicaid Fraud Probe to Florida, First GOP-Led State Targeted

Minnesota DHS Launches Medicaid Fraud Fact-Check Site

Minnesota Audit Flags $1.7 Billion in Medicaid Claims for Review, Finds $52 Million in Violations

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

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

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