Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
DHS outlines program-integrity push for Minnesota Medicaid, cites new tools and authority
Summary
Department of Human Services staff briefed the House Human Services Finance and Policy Committee on steps to prevent and detect Medicaid fraud, including prepayment review, data analytics, a public dashboard, anti-kickback criminal changes and licensing moratoria; DHS warned enforcement can risk service disruptions for vulnerable recipients.
The Minnesota Department of Human Services on Tuesday told the House Human Services Finance and Policy Committee it is moving to strengthen program integrity across Medicaid, combining prevention, detection and enforcement to limit improper payments and protect services for recipients.
For the record, Christy Grama, director of state government relations at DHS, told lawmakers ‘‘Medicaid is really a lifeline in Minnesota’’ and that the agency covers more than 1,000,000 recipients. She said strengthening program integrity protects children, seniors and people with disabilities who rely on Medicaid services.
DHS described a package of actions already taken and planned. Among measures the agency listed: designating 13–14 Medicaid service types as high risk; implementing prepayment review earlier this year to flag potentially improper claims; a large-scale disenrollment last October of roughly 100,000 individual providers and 761 agencies identified as inactive; and a set of executive and statutory…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
