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They have weaponized fraud and corruption. The CMS team has never seen anything like this as an abject dereliction of duty, so we’ve made a very clear line in the sand.

24,492 görüntüleme • 8 ay önce •via X (Twitter)

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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.

Dr. Oz CMS

15,747,665 görüntüleme • 8 ay önce

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.

Dr. Oz CMS

929,658 görüntüleme • 3 ay önce