Report: Poor policy language may have cost $1B across 14 Medicaid services in Minnesota

By: Alyssa Chen

Outlets: Minnesota Reformer

Published: February 7, 2026

Words: 890

Last Updated: 1 week, 2 days ago

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Poorly written or vague policies may have cost state-run Medicaid services $1 billion* in payments over nearly four years, a new state-commissioned report finds.

The report from Optum, a third party hired by the Minnesota Department of Human Services, also identified $52.3 million in Medicaid claims that did unambiguously violate clearly stated policy over that time, from January 2022 through October 2025. The report said that neither amount necessarily implies fraud, waste or abuse.

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