Medicaid Fraud and Enforcement

The Trump administration's Centers for Medicare & Medicaid Services has acknowledged a "significant error" in data used to justify a federal fraud probe of New York's Medicaid program after falsely claiming roughly 5 million people received personal care services last year when the actual figure is about 450,000 — an error CMS says stemmed from misidentifying New York's use of a billing code and that it has since refined its methodology. New York officials and outside experts called the original claim patently false or "slapdash," saying the mistake could have been resolved easily, while CMS says the probe remains ongoing and continues to flag New York's higher per-beneficiary spending and large personal-care workforce.