Announcing a pause on more than $1 billion in Medicaid funding to Minnesota and California last month, Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz accused state officials of being too lax about fraud, citing, among other things, the results of a provider verification process in Minnesota and the rapid growth of a California home care program. But he left out important context in both cases.
Oz said at the July 21 press conference that Minnesota disenrolled 3,000 healthcare providers “who historically could send bills willy-nilly,” calling into question whether their previous claims were legitimate. Many of those providers, however, have said they were disenrolled in error as the state rushed to meet a federally imposed deadline. Most providers have appealed, and hundreds have been reinstated. The agency that runs Minnesota’s Medicaid program has said the verification process “was not a fraud determination.”


















