KARE 11 Investigates: Pausing All Payments to Catch Fraud on the Front End
Governor Walz halts payments to 14 Medicaid services amid fraud allegations affecting about 1,600 providers and orders a third-party audit to protect vulnerable Minnesotans.
- On Wednesday, Oct. 29, Governor Tim Walz ordered a third-party audit of billing for 14 Medicaid services and paused payments for up to 90 days.
- Following a wave of fraud charges and scrutiny, KARE 11 Investigates reported on questionable billing linked to alleged fraud in state programs, prompting DHS actions.
- The Human Services Department designated 14 Medicaid services as high-risk, listing Early Intensive Developmental and Behavioral Intervention services for autism, Nonemergency Medical Transportation, and Housing Stabilization Services , which will close Friday.
- Approximately 1,600 providers will be affected by the shutdown while Department of Human Services plans to redesign and relaunch HSS with stronger fraud prevention and oversight.
- The state contracted Optum, a health services and technology company owned by UnitedHealth, to analyze Medicaid fee-for-service claims and flag questionable billing, with DHS verifying flags and referring suspected fraud to the DHS Office of Inspector General using funding approved in the 2025 legislative session.
26 Articles
26 Articles
Families of vulnerable Minnesotans worry about Medicaid payment pause amid fraud investigation
The governor's office said payments for these programs will be paused up to 90 days as claims undergo review to flag potential issues, such as missing documentation and unusually high billing patterns.
Walz announces audit of '14 high-risk Medicaid services,' pauses payments due to suspected fraud
Share This StoryMinnesota Gov. Tim Walz announced Wednesday that he has ordered a “third-party audit of billing for 14 high-risk Medicaid services” amid widespread fraud in state government. The governor’s office said the Minnesota Department of Human Services (DHS) has contracted with Optum, which will analyze Medicaid fee-for-service claims data and flag potential issues for DHS review. Optum’s analytics will identify irregularities such as mi…
Walz pauses payments for 14 ‘high-risk’ Medicaid programs
Gov. Tim Walz announced Wednesday that his administration is pausing all payments for 14 Medicaid services for up to 90 days until a third-party audit is complete. Walz’s move comes after fraud schemes in Minnesota public programs have gamed state…
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