US EditionHealth Leaders Launch ‘Minnesota Revalidate’ to Combat Medicaid Fraud
Minnesota aims to review 5,800 high-risk Medicaid providers by May to detect fraud and ensure qualifications, using 168 state employees for site visits, officials said.
- On Monday, state health leaders launched 'Minnesota Revalidate' to combat Medicaid fraud by revalidating more than 5,800 providers with inspections starting this month and ending in May.
- Facing a Dec. 31 deadline, Minnesota responded to federal pressure with a revised plan, after the CMS threatened to withhold $2 billion in funding following a Dec. 5 letter.
- Training begins this month as DHS plans to recruit 168 of 40,000 state employees to conduct site visits in all 87 counties, reviewing provider documentation and owners' background studies.
- The appeal means the DHS appeal paused CMS's withholding, so federal funding remains during the appeal, while Housing Stabilization Services closed and inactive providers were disenrolled.
- Uncertainty remains over criminal prosecutions after resignations including First Assistant U.S. Attorney Joe Thompson on Jan. 13, while officials call the effort an 'unprecedented' scale and plan pre-payment audit expansion to managed care organizations.
24 Articles
24 Articles
Minnesota Department of Human Services to combat fraud with unannounced visits to providers
MINNESOTA (KVRR) — The Minnesota Department of Human Services announces plans to reevaluate Medicaid providers in the state in the coming weeks to combat fraud. “Minnesota Revalidate” will look at the more than 5,800 Medicaid providers in 13 high-risk programs by the end of May. Providers will be expected to provide documentation and be evaluated on their background. D-H-S will also be conducting unannounced onsite screenings of providers, which…
Minnesota to inspect 5,800 Medicaid providers; asking for state workers from other departments to help
ST. PAUL, Minn. – The Minnesota Department of Human Services announced they will begin a “massive statewide push to ensure Medicaid providers in 13 high-risk services have the qualifications required by law.” The Minnesota Department of Human Services is putting out a call across all state agencies asking them to transfer 168 qualified workers to help. They must revalidate more than 5,800 Medicaid providers by this summer. It is part of the stat…
Unannounced visits to see major expansion in MN’s anti-Medicaid fraud push
The Minnesota Department of Human Services on Monday announced a new push to scrutinize providers in state-run Medicaid programs at high risk for fraud, including a significant expansion of unannounced site visits. Human Services’ plan to significantly expand on-site validations comes as federal officials threaten to cut off Medicaid funding amid accusations of significant, widespread fraud in programs administered by the agency. The state is cu…
Grand Rapids Herald-Review
Minnesota Human Services is recruiting 168 state employees to combat fraud through site checks
The Minnesota Department of Human Services announced Monday that it’s recruiting 168 people from the state government’s 40,000 employees to help the agency conduct unannounced site checks of Medicaid providers in order to combat fraud. The site checks are part…
Duluth News Tribune
Minnesota will revalidate nearly 6,000 Medicaid service providers by summer, officials say
ST. PAUL — Over the next four months, Minnesota officials say they will visit and revalidate every Medicaid service provider within the 13 provider categories considered high-risk for fraud, waste and abuse. The “unprecedented” effort to revalidate more than 5,800 providers — from behavioral intervention providers for youth with autism to adult day services — will involve recruiting 168 current state employees to conduct site visits, said John C…
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