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Billing News · Thursday, May 14, 2026

Feds defer $1.3B in Medicaid funds to California over fraud suspicions

Federal officials are deferring $1.3 billion in Medicaid payments to California due to suspicions of fraud in the state's managed care program. The suspension, announced by HHS, follows investigations into questionable billing and eligibility practices among Medi-Cal managed care plans. California officials have disputed the action, calling it politically motivated. The withheld funds could strain the state's safety-net system and delay payments to Medicaid providers if the freeze extends. This signals a heightened federal focus on Medicaid program integrity under the current administration, with other states likely facing increased scrutiny.

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