Minnesota Medicaid Audit Flags $1.7 Billion In Potentially Improper Payments

Minnesota Medicaid flagged an estimated $1.7 billion in potentially improper payments between January 2022 and October 2025, according to an addendum to Optum’s Program Integrity Vulnerability Assessment conducted for the Minnesota Department of Human Services (DHS). The findings identify payment vulnerabilities across 14 high-risk Medicaid service programs but do not represent confirmed determinations of fraud, waste, or abuse.

During 2025, DHS began investigating fraud allegations for 14 Medicaid services designated as high-risk based on programmatic vulnerabilities, evidence of fraudulent activity, or data analytics that revealed potentially suspicious patterns, claim anomalies, or outliers. On October 27, 2025 . . .