Search
Medicaid Monitor
Thursday, November 12, 2026 · Updated 5:36 PM MT · 46 stories today
Medicaid Monitor Pro
Thu, Nov 12 · 46 stories todayPRO
← All stories
State Policy · MNNovember 11, 2026

CMS Disallows Minnesota $112 Million in Medicaid Reimbursements

CMS denied Minnesota more than $112 million in Medicaid reimbursements for the quarter ended Sept. 30, 2025, MPR News reported Nov. 10. The disallowance stems from a $259 million deferral CMS issued in February over high-risk services billed from July through September 2025, and a preliminary state review found CMS rejected claims over administrative documentation gaps such as missing signatures, sign-offs, dates and addresses. Minnesota, which sued CMS and HHS over the frozen funds in March, is questioning how CMS selected 330 claims out of more than 6 million filed and how it calculated the final figure; officials say CMS has not responded to repeated information requests. CMS has deferred $550 million in Minnesota Medicaid funds since February, with two additional freezes totaling $350 million still pending, and the state has 60 days to appeal.

Why it mattersMinnesota's Department of Human Services may need to claw back payments from providers already reimbursed for the disputed claims if the disallowance stands, and other state Medicaid agencies may watch the appeal as a test of how CMS selects and justifies high-risk claims denials.

Finance

Read the full article at beckershospitalreview.com →
Share this briefing

You might also like

← All stories

Get the daily briefing.