2026-04-21 14:03:57 UTC / 路透社
美国医疗保险和医疗补助服务中心署长穆罕默德·奥兹在白宫简报会上发言，美国食品药品监督管理局局长马丁·马卡里和美国卫生与公众服务部部长小罗伯特·F·肯尼迪站在他身后，摄于美国华盛顿特区，2026年1月7日。… 购买授权，打开新标签页 查看更多
4月21日（路透社）——负责美国医疗保险和医疗补助医疗项目的机构负责人穆罕默德·奥兹周二表示，特朗普政府计划要求全美50个州重新核验所谓“高风险”领域的医疗补助服务提供商，以此作为打击欺诈行动的一部分。
奥兹在华盛顿特区的政客报医疗保健峰会上发言称，此次审计将于本周宣布，各州将被要求在30天内向医疗保险和医疗补助服务中心提交重新核验服务提供商的计划。
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奥兹表示，医疗保险和医疗补助服务中心正要求各州“确保合法的服务提供商正在提供你们付费购买的服务，并且操作方式合规”。“这些是无执照人员——往往在无人监管的环境中开展工作。你们必须开展额外层级的审计，以确保这项工作确实合法且有价值。”
他未就“高风险领域”的定义作出说明。
今年早些时候，美国在一次审计后暂停向明尼苏达州支付2.59亿美元的延期医疗补助款项，称该州出现了本应用于该州社会福利项目的联邦资金被盗问题。
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U.S. to ask states to revalidate “high-risk” Medicaid providers
2026-04-21 14:03:57 UTC / Reuters
U.S. Administrator of the Centers for Medicare and Medicaid Services Mehmet Oz speaks during a briefing at the White House, as U.S. Food and Drug Administration Commissioner Martin Makary and U.S. Secretary of Health and Human Services Robert F. Kennedy Jr. stand behind him, in Washington, D.C., U.S., January 7, 2026…. Purchase Licensing Rights, opens new tabRead more
April 21 (Reuters) – Mehmet Oz, who heads the agency that runs the U.S. Medicare and Medicaid healthcare programs, said on Tuesday the Trump administration plans to ask all 50 states to revalidate Medicaid providers in what he called “high-risk” areas as part of an effort to reduce fraud.
Oz, speaking at Politico’s Health Care Summit in Washington D.C., said that the audit will be announced this week and that the states will be asked to give the Centers for Medicare & Medicaid Services a plan to revalidate the providers over the next 30 days.
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CMS is asking states “to make sure that legitimate providers are providing services that you’re paying for, and doing it the right way,” Oz said. “These are non licensed individuals – often in unsupervised settings. You have to provide some additional level of audit to make sure that this is legitimately a valuable effort.”
He did not provide a definition of what he meant by high-risk areas.
Earlier this year, the U.S. paused the payment of $259 million of deferred Medicaid payments to Minnesota following an audit, saying the state allowed the theft of federal funds intended for social-welfare programs in the state.
Reporting by Michael Erman and Chris Prentice; Editing by Chizu Nomiyama
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