
The Centers for Medicare and Medicaid Services is temporarily deferring approximately $867.5 million from California and $199 million from Minnesota, citing evidence of fraudulent billing. CMS Administrator Dr. Mehmet Oz said federal investigators used AI analytics and audits to uncover serious billing anomalies and high-risk claims in both states' Medicaid programs.
California's deferred funds account for the larger share of the total freeze. Minnesota faces a $199 million hold. The administration has not specified the exact nature of the anomalies or the timeline for resolving the deferrals.
The freeze marks an escalation in federal oversight of state Medicaid spending. CMS officials said the action is intended to protect taxpayer dollars while investigations continue. California and Minnesota have not yet issued formal responses to the payment halt.
Both states will need to address the identified irregularities before the funds can be released. The deferrals do not constitute a permanent loss of funding but require corrective action by state health agencies.
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