Trump Administration Freezes Over $1 Billion in Medicaid Funds

The Trump administration has halted more than $1 billion in federal Medicaid payments to California and Minnesota. The move is part of an effort to investigate questionable claims and prevent fraud in the Medicaid program.
The Trump administration is halting more than $1 billion in federal Medicaid payments to California and Minnesota. According to federal health officials, the payments will be deferred until the states take more steps to investigate questionable claims. The Centers for Medicare and Medicaid Services said it's deferring about $867.5 million in Medicaid payments to California and $199 million to Minnesota after financial reviews turned up unsupported claims for in-home care and other services.
The Department of Health and Human Services said it also will expand its authority to remove bad actors from federal health programs and possibly bar them from returning. CMS reviewed California's claims for certain in-home care programs after identifying spending growth that exceeded national trends and other claims officials said require more documentation. The agency also cited Medicaid claims in 14 service areas in Minnesota that it said require additional documentation, including expenditures linked to providers who had been flagged through program integrity reviews.
CMS Administrator Mehmet Oz said the moves would safeguard federal taxpayer dollars. However, Minnesota state officials told Axios the administration has been cooperating with a federal inquiry and called the move unexplained, 'unprecedented and punitive.'
Go Deeper
How much money is being frozen?
The Trump administration is halting more than $1 billion in federal Medicaid payments, with $867.5 million being deferred to California and $199 million to Minnesota.
Why is the money being frozen?
The money is being frozen due to questionable claims and to prevent fraud in the Medicaid program. Financial reviews turned up unsupported claims for in-home care and other services.
What steps will the states need to take to receive the funds?
The states will need to take more steps to investigate questionable claims and provide additional documentation for certain Medicaid claims.
How will the Department of Health and Human Services expand its authority?
The Department of Health and Human Services will expand its authority to remove bad actors from federal health programs and possibly bar them from returning.
Is this the first time the Trump administration has taken action against Medicaid fraud?
No, in May, CMS announced it would defer $1.3 billion in Medicaid funds to California, and also imposed a six-month moratorium on enrolling new hospice and home health providers in Medicare.
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