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Scanlon: Connecticut needs to address its Medicaid issue immediately

Scanlon: Connecticut needs to address its Medicaid issue immediately

Connecticut Faces Medicaid Funding Crisis Connecticut is grappling with a fiscal crisis, primarily due to rising Medicaid costs and significant cuts in federal funding, state Auditor Sean Scanlon warned on Monday. While he did not advocate for changing the state budget cap—which could hinder the General Assembly’s ability to tackle the Medicaid issue—Scanlon emphasized that […]

HHS Reports Somalia’s UN Ambassador Linked To Company Alleged Of Medicaid Fraud

HHS Reports Somalia’s UN Ambassador Linked To Company Alleged Of Medicaid Fraud

Somalia’s U.N. Diplomat Linked to Fraudulent Health Care Company On Monday, the Department of Health and Human Services (HHS) revealed that Somalia’s U.N. ambassador has connections to a U.S.-based health care firm under scrutiny for Medicaid fraud. In December, Deputy Secretary of Health Jim O’Neill kicked off a nationwide effort to combat fraud, highlighting how […]

Following the judge’s decision, HHS has the green light to start sharing certain Medicaid information with deportation officials.

Following the judge's decision, HHS has the green light to start sharing certain Medicaid information with deportation officials.

Federal Judge Allows Data Sharing with Immigration Authorities NEW YORK (AP) — A federal judge has ruled that states can start sharing the personal information of some Medicaid recipients with deportation authorities, effective Monday. This decision is a setback for the states that had filed a lawsuit over privacy issues. However, the judge’s ruling, issued […]

Iowa Medicaid cuts payments for speech therapy, putting local providers at risk.

Iowa Medicaid cuts payments for speech therapy, putting local providers at risk.

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Court permits Trump administration to reduce Medicaid funding to Planned Parenthood

Court permits Trump administration to reduce Medicaid funding to Planned Parenthood

Appeals Court Ruling on Medicaid Funding Cuts An appeals court has decided, as of Tuesday, that the Trump administration can implement a budget measure affecting Medicaid funding for family planning clinics that provide abortions in 22 states led by Democrats. This ruling from the U.S. Court of Appeals for the First Circuit overturns a previous […]

Minnesota daycare scam was significant, but New York’s Medicaid holds a true fortune

Minnesota daycare scam was significant, but New York's Medicaid holds a true fortune

Corruption Concerns with Medicaid in New York It’s not just about Minnesota, and it’s definitely more than just a nursery school issue. The biggest concern regarding government funding appears to be centered around Medicaid in blue states. New York, in particular, has become a focal point for allegations of corruption, with a staggering $120 billion […]

Minnesota introduces Medicaid fraud checks due to claimed $9 billion losses

Minnesota introduces Medicaid fraud checks due to claimed $9 billion losses

Minnesota officials are implementing a new verification step for payments from high-risk Medicaid programs, but a former law enforcement figure doubts this will make a significant difference. Since 2018, federal estimates suggest that Minnesota taxpayers have lost upwards of $9 billion to fraud. The Minnesota Department of Human Services (DHS) announced that this added verification […]

Optum starts Minnesota Medicaid audit focusing on 80,000 ‘high-risk’ claims

Optum starts Minnesota Medicaid audit focusing on 80,000 ‘high-risk’ claims

Minnesota DHS Initiates Enhanced Prepayment Review of Medicaid Services The Minnesota Department of Human Services (DHS) has started a more rigorous prepayment evaluation of the Medicaid services program, as announced by state officials on Monday. In this first phase, over 80,000 claims were submitted to Optum, which is part of UnitedHealth Group, according to John […]