明尼苏达州人类服务部取消了3411名医疗补助提供者的资格
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St. Paul, Minnesota. The Department of Human Services completed a five-month revalidation on May 31 of 5,583 high-risk Medicaid providers across 13 programs, approving 2,061 providers and notifying 3,411 that they would be disenrolled as part of an effort to prevent the federal government from withholding up to $2 billion in federal Medicaid funds. This week DHS said most disenrollments resulted from incomplete paperwork, failed site visits, or failed background checks; 59 providers were referred for potential fraud investigation and dozens were referred to the Office of Inspector General. Disenrolled providers have a 60-day appeal window, and several reported disrupted revenue and plans to seek immediate reinstatement.
Prepared by Lauren Mitchell and reviewed by editorial team.
Timeline of Events
- 一月：州和联邦当局冻结了 13 个高风险医疗补助计划的新注册。
- 一月至五月：明尼苏达州卫生部对 5,583 名指定的、高风险的医疗服务提供者进行了为期五个月的重新验证。
- 5 月 31 日：卫生部完成审查；2,061 名医疗服务提供者获得批准，3,411 名被告知解除注册。
- 六月初：卫生部报告称，大多数解除注册的原因是文书工作或验证失败；59 名医疗服务提供者被转介进行欺诈审查。
- 完成后：已解除注册的医疗服务提供者获得 60 天的上诉窗口期；一些案件被移交给监察长办公室。
Why This Matters to You
明尼苏达州卫生部正在加强对医疗补助服务提供者的监管。如果您参加了 13 个高风险项目之一，这可能会影响您的医疗保健。请与您的服务提供者联系，以确保他们仍在注册。如果不是，请开始寻找新的服务提供者。
The Bottom Line
国土安全部正努力阻止可能损失的 20 亿美元联邦资金。大多数取消资格是由于文书工作或核实问题，而非欺诈。被取消资格的供应商可在 60 天内提出上诉。如果您认识参加高风险医疗补助计划的人，值得转发。
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通过重新验证和有针对性的注销，明尼苏达州政府和联邦资助者降低了感知到的欺诈风险，并保护了高达 20 亿美元的联邦医疗补助资金，从而受益。
包括小型非营利组织和私人供应商在内的已退订的提供者，以及依赖其服务的医疗补助接受者，在收到大规模退订通知后，面临潜在的收入损失和医疗服务中断。
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