Command Palette

Search for a command to run...

News

The Trump administration has deferred more than $1 billion in federal Medicaid payments to California and Minnesota, escalating a fraud-focused review that state officials say is punitive and poorly explained. HHS said CMS is holding about $867.5 million for California and $199 million for Minnesota while the states provide additional documentation for claims it classifies as high risk.thehill

The move is a pause rather than a permanent cut, but it lands on top of earlier deferrals: $1.3 billion for California and hundreds of millions for Minnesota, by accounts from health-policy outlets and state-focused coverage.notus +1 HHS said California’s review centers partly on in-home care programs whose spending grew faster than national trends, while Minnesota’s involves 14 service areas and claims linked to providers flagged in program-integrity reviews.thehill

Federal officials framed the step as a shift toward stopping improper payments before they go out. HHS Secretary Robert F. Kennedy Jr. said states must show the services were legitimate, and CMS Administrator Mehmet Oz said the agency would no longer “chase down” misused money after payment.thehill The Guardian reported Kennedy also said officials used AI and advanced analytics to identify suspicious activity.dailynews

California and Minnesota officials pushed back, arguing CMS has not shown enough evidence to justify the amounts being withheld. Minnesota Medicaid director John Connolly said CMS had not provided data or an explanation for how the deferral was calculated, while California officials have argued that growth in home-based care reflects a deliberate effort to keep older and disabled residents out of costlier institutions.notus

The dispute is likely to sharpen a broader fight over federal Medicaid oversight. The Hill reported that officials described red flags including claims tied to deceased people and unusually large batches of patients, while critics said the administration’s public deferrals have so far fallen on Democratic-led states.cbsnews For Medicaid programs that rely on federal matching funds, even a temporary hold can force states to bridge cash gaps while they challenge the review or assemble the documentation CMS is demanding.notus