DrOzCMS
@DrOzCMS • 91,528 subscribers
Official X account for the @CMSGov Administrator, Dr. Mehmet Oz
Shorts
Videos
You’ve probably heard the news by now: Minnesota fraudsters stole over $1 billion from Medicaid. And you deserve an explanation. Our staff at CMS told me they’ve never seen anything like this in Medicaid — and everyone from Gov. Tim Walz on down needs to be investigated, because they’ve been asleep at the wheel. Based on what we know now, this is a clear dereliction of duty. First, the facts: In recent years, Minnesota Medicaid launched several new programs, including Housing Stabilization Services, which helped disabled homeless individuals, and Early Intensive Developmental and Behavioral Intervention, which reimbursed therapy costs for families with autistic children. Some bad actors in Minnesota’s Somali community decided to game the system. And when they got away with it, they decided to go bigger. The housing program was supposed to cost $2.6 million dollars annually. Last year, it paid out over $100 million. The autism program ballooned from $3 million in 2018 to nearly $400 million in 2023. These scammers used stolen taxpayer money to buy flashy cars, purchase overseas real estate, and offer kickbacks to parents who enrolled their kids at fake autism treatment centers. Some of it may have even made its way to the Somalian terrorist group Al-Shebab. So why didn’t Walz stop them? That’s simple: because he went all-in on identity politics. Somalis are a huge voting bloc, and the state’s leaders were afraid that “forcefully tackling this issue might cause political backlash.” That’s not me saying that. It’s a Somali-American fraud investigator who talked to The New York Times. Somali scammers get rich off the programs Gov. Walz was supposed to be managing. Minnesota politicians get elected with Somali votes and keep the money flowing. This isn’t just fraud: it’s political patronage at public expense. When Minnesota told CMS about the problem last year, they assured us they’d handle it. By summer, it was obvious they couldn’t — or wouldn’t. So, we stepped in and shut down the worst program: housing. We also froze provider enrollment in a few of the most abused programs. So where do we go from here? To restore the integrity of the Medicaid program, Minnesota must: 1. Provide CMS with weekly updates on how the state is stopping fraud. 2. Freeze enrollment of all high-risk providers for 6 months. 3. Confirm all providers in place are legitimate or remove them. 4. Send CMS a corrective action plan of how these will prevent this from happening again. If we’re unsatisfied with the state’s plans or cooperation, we’ll stop paying the federal share of these programs. The message to Walz is clear: either fix this in 60 days or start looking under your couch for spare change, because we’re done footing the bill for your incompetence. With CMS on the case, these scammers and their bureaucratic enablers have nowhere left to hide. The vulnerable Americans who depend on these programs — and the taxpayers who fund them — deserve the truth.
DrOzCMS15,744,210 次观看 • 6 个月前
The defrauding of our health care programs has been going on for a long time — and it escalated during COVID. The era of defrauding taxpayers is over. President Donald Trump and VP Vance’s White House Task Force to Eliminate Fraud are putting a stop to the fraud and holding bad actors accountable.
DrOzCMS31,619 次观看 • 1 天前
Today, CMS notified Governor Walz and the state of Minnesota that we are deferring an additional $91 million in federal Medicaid funding. This follows a pattern we can’t ignore. From the “Learing Center” scandal to the recent DOJ action involving childcare centers, Minnesota’s Medicaid program has shown serious vulnerabilities to fraud. These are not isolated breakdowns—they point to systemic issues that must be addressed. Here’s the reality: the federal government funds roughly half of Medicaid. That gives CMS both the authority and the responsibility to ensure those dollars are spent legally and appropriately. When they’re not, we act. Earlier this year, after auditing Q4 FY2025 billing, we deferred over $250 million. Of the $91 million deferred: • $76 million is tied to 14 service categories highly vulnerable to fraud • $14 million involves program integrity concerns, including payments for ineligible individuals We’re giving Governor Walz as much support as we can to turn this around. However, we cannot and will not pay bad bills so we’re asking for more information from Minnesota to verify these bills. CMS will continue using every tool available to protect Medicaid’s integrity—because this program must serve the most vulnerable Americans, while honoring the trust of taxpayers. More updates to come. As always, I’m grateful to Vice President JD Vance’s leadership as CMS plays its part in the whole-of-government effort to root out fraud.
DrOzCMS927,417 次观看 • 1 个月前
Buckle up for this one. Based on our initial set of audits, more than $1B of federal taxpayer dollars were being spent on funding Medicaid for illegal immigrants. And my team is getting it back. Some want to deny that illegal immigrants are receiving Medicaid. Others insist it’s illegal for Medicaid to cover illegal immigrants. And others accurately point out that hospitals can provide emergency services to illegal immigrants under the program. We can all agree on this: rooting out fraud, waste, and abuse is essential to protecting this program for the most vulnerable. It’s also one of the Trump Administration’s top priorities. Let me lay down the facts: The truth is that federal law is supposed to prohibit federal Medicaid dollars broadly from being used to cover illegal immigrants. It does permit states to use Medicaid dollars for emergency treatment, regardless of patients’ citizenship or immigration status. States can also legally build Medicaid programs for illegal immigrants using their own state tax dollars, so long as no federal tax dollars are used. But that didn’t stop Democrats from going even further by breaking federal law to give illegal immigrants federal Medicaid dollars meant for American citizens. Earlier this year, the CMS team began auditing state Medicaid programs to ensure they were following the law and not spending any federal tax dollars on illegal immigrants outside of emergency Medicaid. What we found was shocking. In a preliminary review of 6 states, we found those states improperly using federal tax dollars for their allegedly state-funded program and providing coverage to individuals, including some with criminal records of murder and assault. Those states are: CA - $1,310,032,549 DC - $2,114,628 IL - $29,778,645 WA - $2,367,194 CO - $1,506,743 OR - $5,404,368 We notified the states, and many have begun refunding the money. But what if we had never asked? Whether willful or not, the states’ conduct highlights a terrifying reality: American taxpayers have been footing the bill for illegal immigrants’ Medicaid coverage, despite many Democrats and the media insisting otherwise. Democrats are demanding the repeal of the President’s Working Families Tax Cuts legislation in order for their votes to reopen the government. This law wisely strengthened our ability to limit federal dollars from being spent on health care for illegal immigrants. Until Democrats explicitly drop that demand, they’re blatantly holding the government hostage over giving Medicaid to illegal immigrants.
DrOzCMS2,912,733 次观看 • 7 个月前
2:27
Sensitive content
This media may contain sensitive content.
When fraud becomes a business model, taxpayers lose. In Queens, NY, sham adult day cares have turned Medicaid into a cash machine for bad actors — all while putting the people these programs are meant to serve at risk. A message to those defrauding the American people: We’re coming after you.
DrOzCMS61,179 次观看 • 8 天前
CMS is rolling out an enhanced and accelerated Medicare Advantage contract auditing strategy to catch any cases of fraud, waste or abuse that have been hiding in the program for far too long. We are actively reviewing claims to ensure the government is being accurately billed for Medicare patient treatments, and suspect billions of $ will be recovered through this initiative:
DrOzCMS2,644,736 次观看 • 1 年前
Health care in rural America is collapsing. Communities are losing their lifelines and being forced to drive for hours for care. Thanks to President Donald J. Trump and the One Big Beautiful Bill, we're able to change that with the Rural Health Transformation Program. With $50 billion, we're giving rural America a health system built for rural reality, not the afterthought of urban leftovers.
DrOzCMS1,275,678 次观看 • 8 个月前
Three major announcements for health care in Ohio: 1️⃣ Suspending 49 Ohio home healthcare providers who've been identified as high-risk to the Medicaid program 2️⃣ Granted a 6-month moratorium for all new home healthcare services and hospices in Ohio 3️⃣ CMSGov and Ohio to launch a state-specific Medicaid fraud war room and arming all states with information on high-risk providers The American taxpayer will be protected and fraudsters will be found and charged.
DrOzCMS26,097 次观看 • 6 天前
Yesterday's White House Task Force to Eliminate Fraud announcement in Minnesota on 15 indictments for $90 million worth of Medicaid fraud was just the beginning. Stopping the health care fraud isn’t just about justice, it’s also about ensuring critical programs are there for you and your children if needed.
DrOzCMS77,112 次观看 • 19 天前
