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County says fraud investigations neted nearly $1.2M in cost savings in 2025; collection pause affected 2024 recoveries
Summary
Fraud and collections staff reported steady referral volumes and rising cost-savings from stopping improper payments; county cited a 2024 pause on medical-assistance collections that led to write-offs and said recent policy changes resumed collection activity in July 2025.
Jeff Moingan, operations manager, presented fraud referrals and collection outcomes and said staff identified steady referral counts and increasing cost-savings from program stops and overpayment claims. He said fraud referrals were roughly 410 in 2023, 369 in 2024 and 408 in 2025 (state fiscal reporting). On cost-savings from stopping payments, Jeff cited roughly $610,000 in 2023, $811,000 in 2024 and nearly $1.2 million in 2025 as a measure of taxpayer savings from stopping ineligible payments.
Moingan explained that a state-level pause on medical-assistance overpayment collections in 2024 led the county to write off a portion of receivables (over $800,000 cited in the presentation) and that a change in July 2025 lifted that pause, enabling more aggressive collection activity going forward. He said certain fraud-investigation resources are grant-funded and that estate-recovery and overpayment recoveries are variable by program; the county typically retains a smaller share of recovered funds and will continue to pursue recoveries while weighing policy and equity considerations.
