2026年4月23日 美国东部时间上午10:24 / 福克斯新闻
官员查明约10亿美元资金去向不明后，州长们获10天时间核查供应商注册数据
作者：阿什利·J·迪梅拉 福克斯新闻
福克斯新闻独家报道： 美国医疗保险与医疗补助服务中心（CMS）署长穆罕默德·奥兹博士正警告各州领导人彻查猖獗的欺诈行为，并于周四致信要求他们在数日内立即采取行动，识别并移除不合规的医疗补助服务供应商。
“伪装成医疗服务供应商的腐败个人和组织每年都在骗取医疗补助计划和美国纳税人的数十亿美元资金，导致本应惠及的弱势群体——低收入老年人、儿童和残疾人——无法获得宝贵的资源。那些注册标准较为宽松的供应商类别……”奥兹在周四上午寄给全美50位州长的信件中写道，该信件已被福克斯新闻数字频道获取。
奥兹给州长们和州医疗补助部门负责人10个工作日的时间，告知CMS他们是否承诺快速对高风险医疗补助供应商开展“重新核查”，并提交拟议时间表；同时还设置了30天的最后期限，要求提交更广泛的供应商重新核查战略，此举加大了联邦政府对各州收紧反欺诈执法的压力。
瓦尔兹的明尼苏达州乱象或催生数十年来最严厉的欺诈改革
“伪装成医疗服务供应商的腐败个人和组织每年都在骗取医疗补助计划和美国纳税人的数十亿美元资金，”奥兹写道。（凯文·迪奇/盖蒂图片社）
奥兹表示，“必须立即采取行动，这十分紧迫。”
奥兹称：“我们在评估未来各州欺诈可能性时，将考虑未承诺提交重新核查计划的情况。”
各州还必须在30天内提交一份更广泛的两年期战略，概述他们将如何审查医疗服务供应商的合法性与合规性。
寄给50位州长的信件内容完全一致，福克斯新闻数字频道获取了寄往阿拉巴马州的信件副本。
卡罗琳·莱夫特警告：随着联邦政府聚焦明尼苏达州欺诈丑闻，“有人将会被戴上手铐”
奥兹写道：“尽管导致欺诈的因素复杂多样，需要采取综合应对措施，但对高风险供应商的重新核查流程将立即威慑犯罪分子继续实施欺诈计划，因为联邦和州政府将仔细审查供应商的资质，暂停或终止明显滥用职权的参与者参与该计划。”
特朗普政府一直对医疗补助欺诈问题尤为关注。（ pooled/福克斯新闻）
此次信件针对“存在浪费、欺诈、滥用和腐败高风险”的供应商，特别是那些“注册和 billing 要求较为宽松”的供应商，CMS 指示各州将任何未持有国家供应商标识符（NPI）的运营供应商纳入核查范围。
同时，奥兹还向每位州医疗补助部门负责人发送了第二封信，重申要求制定符合各州实际情况的重新核查战略。
JD·万斯牵头发起“反欺诈战争”，承诺铲除被非法移民“窃取”的纳税人资金
奥兹写道：“我们对全国趋势的分析强烈表明，老练的犯罪分子明知故犯，利用这些复杂系统谋取私利，给医疗补助计划带来了持续且日益严重的威胁。”
提案必须包含以下内容：非定期供应商重新核查的方法和时间表（重点关注高风险供应商和未持有国家供应商标识符的供应商）；衡量有效性和进展的指标（包括公开报告）；持续核查供应商信息的流程；确保按服务收费和管理式医疗系统中供应商数据的一致性和准确性的策略（包括对管理式医疗名录的监督）；以及与相关执法合作伙伴的协调。
2022年曝光的明尼苏达州2.5亿美元“喂养我们的未来”骗局近年来已引发多起定罪案件。（亚历克斯·王/盖蒂图片社；里克·克恩/Vox媒体盖蒂图片社）
医疗补助欺诈一直是特朗普政府关注的重点，此前明尼苏达州曝出大规模欺诈丑闻。
此次推动反欺诈行动之际，各界正对多起大型欺诈案件高度关注，其中包括明尼苏达州2.5亿美元的“喂养我们的未来”骗局。该骗局于2022年曝光后成为全国焦点，近年来已引发多起定罪案件。
点击此处下载福克斯新闻APP
今年由州政府委托开展的明尼苏达州医疗补助计划审查发现，该州14项高风险服务存在漏洞，并估计四年内可能有高达17亿美元的支付款项存在问题。这一调查结果加剧了联邦层面的审查和改革呼声。
CMS还正在考虑推迟部分州的医疗补助计划执行，包括加利福尼亚州、纽约州和缅因州，这预示着随着联邦和州官员在执法问题上产生分歧，可能会引发法律纠纷。
阿什利·J·迪梅拉为福克斯新闻数字频道报道政治新闻。
READ: Dr. Oz puts all 50 governors on notice over billions lost to Medicaid fraud
April 23, 2026 10:24am EDT / Fox News
Governors given 10 days to verify provider enrollment data after officials identified roughly $1B in unaccounted-for funds
By Ashley J. DiMella Fox News
FIRST ON FOX:Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz is putting state leaders on notice to root out rampant fraud, directing them in letters Thursday to take immediate action within days to identify and remove noncompliant Medicaid providers.
“Corrupt individuals and organizations masquerading as health care providers are defrauding Medicaid, and American taxpayers, of billions of dollars each year, placing valuable resources out of reach for those the program was intended to serve: low-income senior citizens, children, and disabled individuals. Classes of providers with less rigorous enrollment standards…” Oz wrote in a letter, obtained by Fox News Digital, sent to each of the nation’s 50 governors on Thursday morning.
Oz has given governors and state Medicaid leaders 10 business days to tell CMS whether they will commit to conducting a swift “revalidation” of high-risk Medicaid providers and provide a proposed timetable, alongside a separate 30-day deadline for a broader provider-revalidation strategy, escalating federal pressure on states to tighten anti-fraud enforcement.
WALZ’S MINNESOTA MESS COULD SPARK THE TOUGHEST FRAUD REFORMS IN DECADES
“Corrupt individuals and organizations masquerading as health care providers are defrauding Medicaid, and American taxpayers, of billions of dollars each year,” wrote Oz.(Kevin Dietsch/Getty Images)
Oz said it is “urgent that action be taken immediately.”
“Failure to commit to the revalidation plan will be considered as we evaluate the likelihood of fraud in each state moving forward,” Oz stated.
States must also submit, within 30 days, a broader two-year strategy outlining how they will review healthcare providers for legitimacy and compliance.
The letters sent to the 50 governors all contained the same information directions, with Fox News Digital obtaining a copy sent to the state of Alabama.
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“While the factors contributing to fraud are multifaceted and require a comprehensive approach to address, a revalidation process for high-risk providers will immediately deter criminal actors from continuing their fraud schemes, as the federal and state governments closely review and scrutinize the qualifications of providers to suspend or terminate clearly abusive actors from the program,” Oz wrote.
Medicaid fraud has been of particular interest to the Trump administration.(Pool/Fox News)
The letters target providers at “high risk of waste, fraud, abuse, and corruption,” particularly those with “less rigorous enrollment and billing requirements,” with CMS directing states to include any provider operating without a National Provider Identifier.
A second letter was also sent to each state Medicaid director reiterating the call for a revalidation strategy tailored to each state.
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“Our analysis of national trends strongly suggests a persistent and growing Medicaid threat posed by sophisticated actors knowingly exploiting these complex systems for financial gain,” Oz wrote.
Proposals must include a methodology and timeline for off-cycle provider revalidation (with emphasis on high-risk providers and those without NPIs); metrics to measure effectiveness and progress (including public reporting); processes for ongoing verification of provider information; strategies to ensure consistency and accuracy of provider data across fee-for-service and managed care systems (including oversight of managed care directories); and coordination with relevant law enforcement partners.
In 2022, Minnesota’s $250 million “Feeding Our Future” scheme has led to a wave of convictions in recent years.(Alex Wong/Getty Images; Rick Kern/Getty Images for Vox Media)
Medicaid fraud has been of particular interest to the Trump administration given the massive fraud scandal that has unfolded in Minnesota.
The push comes amid heightened focus on large-scale fraud cases, including Minnesota’s $250 million “Feeding Our Future” scheme, which became a national flashpoint after surfacing in 2022 and has led to a wave of convictions in recent years.
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A separate state-commissioned review of Minnesota’s Medicaid program this year identified vulnerabilities across 14 high-risk services and estimated that up to $1.7 billion in payments over four years may have been improper — findings that have intensified federal scrutiny and calls for reform.
CMS is also weighing Medicaid deferrals in states, including California, New York and Maine, signaling potential legal battles as federal and state officials clash over enforcement.
Ashley J. DiMella reports on politics for Fox News Digital.
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