Minnesota Reinstates Medicaid Payments to Thousands of Providers After May Anti-Fraud Cutoff
The Minnesota Department of Human Services is resuming Medicaid payments to most providers cut off in May 2025 during a mass anti-fraud action tied to a federal deadline. The state notified providers Wednesday that payments would be reinstated for those who appealed their terminations. The original cutoff affected thousands of care providers across the state. This reversal follows pushback from providers who were caught in the broad enforcement sweep and suggests the state's initial termination process may have been overly expansive.
Minnesota MCOs should prepare for provider network changes as thousands of previously terminated providers re-enter the network, requiring updates to provider directories, claims processing systems, and member communications.
Managed Care
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