Inspector General details rise in Medicaid eligibility complaints, flags pregnant‑woman claims and data cooperation plans

Summary

Kansas Inspector General Steve Anderson told the legislature the OIG processed 1,557 complaints in 2025 (1,352 tied to eligibility fraud) and described audits and criminal investigations into false-benefit claims; he urged closer data sharing with DCF and other agencies to detect cross‑program fraud.

Inspector General Steve Anderson told the Health and Human Services Committee that complaints about Medicaid eligibility fraud are rising and that his office is expanding audits and investigations.

“We processed 1,557 complaints in 2025, with 1,352 involving eligibility fraud,” Anderson said, adding that fraud investigations now increasingly touch multiple public-assistance programs. He described a recent push to share information with the Department for Children and Families and other agencies under a planned memorandum of understanding so documents, EBT information and other records can be exchanged.

The OIG chief described several ongoing audits and investigations he said have uncovered significant potential overpayments. Anderson said his office is reviewing a group of 62 cases of benefit claims filed by people aged 45 and older who listed pregnancy…

Inspector General details rise in Medicaid eligibility complaints, flags pregnant‑woman claims and data cooperation plans

Summary

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