Today I have two major announcements. The first, CMS is pausing more than a billion doll in federal Medicaid payments to California and to Minnesota because of suspected fraud and non compliance. That includes more than $867 million for California and over $200 million for Minnesota. If those states want that money, they need to provide documentation that these payments are legitimate. We use traditional financial verification. We used AI advanced analytics and other cutting edge tools to identify suspicious activity and potential fraud. (14:25–14:34)
CLAIM
Specifies the amounts of Medicaid payments being paused for California and Minnesota.
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