Overview
- On March 3, Republican leaders of the House Energy and Commerce Committee requested records from 10 states — California, Colorado, Massachusetts, Maine, Nebraska, New York, Oregon, Pennsylvania, Vermont and Washington — to examine Medicaid fraud, waste and abuse.
- CMS Administrator Mehmet Oz separately pressed New York, sending a letter to Gov. Kathy Hochul and posting a video outlining concerns that included overall spending levels and the use of personal care assistants.
- Minnesota remains a focal point after CMS deferred roughly $259–$260 million in federal Medicaid reimbursements in February, prompting the state to sue the federal government.
- Maine submitted a nearly 50‑page response to CMS on March 6 after a denied extension request, as Gov. Janet Mills criticized the inquiry as politically motivated and warned the state could face federal funding withholding.
- The federal push includes DOJ’s new Division for National Fraud Enforcement, CMS’s CRUSH initiative and a six‑month moratorium on new DMEPOS supplier enrollments, with CRUSH RFI comments due March 30.