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Audit Reveals $248M Medicaid Fraud for Deceased Enrollees

11/16/2025

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Summary

Story summary

The Office of Inspector General found states improperly paid $248.6 million in Medicaid funds to managed care organizations for deceased enrollees.
The audit cites failures to process death information and weak controls in the Medicaid managed-care system.
The OIG recommends recovering $41 million in unallowable payments and strengthening eligibility verification processes.
Secretary of Agriculture Brooke Rollins said SNAP faces fraud, including payments to deceased individuals, and that changes are expected.

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Story summary

The Office of Inspector General found states improperly paid $248.6 million in Medicaid funds to managed care organizations for deceased enrollees.
The audit cites failures to process death information and weak controls in the Medicaid managed-care system.
The OIG recommends recovering $41 million in unallowable payments and strengthening eligibility verification processes.
Secretary of Agriculture Brooke Rollins said SNAP faces fraud, including payments to deceased individuals, and that changes are expected.