7 Minnesota providers among 455 charged in nationwide $6.5B 'health care fraud takedown'

Key Points:

• Seven Minnesota providers have been charged in the nationwide "National Health Care Fraud Takedown," accused of fraudulently billing over $700,000 in Medicaid claims, as part of a DOJ operation charging 455 people across 45 states for allegedly false claims totaling more than $6.5 billion.
• The Minnesota Medicaid Fraud Control Unit (MFCU) is prosecuting local cases involving charges such as billing for services not provided, using false credentials, and submitting claims while providers or recipients were out of the country or deceased.
• Minnesota Attorney General Keith Ellison emphasized the importance of holding fraudsters accountable to protect taxpayer dollars meant for low-income residents and highlighted MFCU’s strong record with 340 convictions and $90 million recovered since 2019.
• The Minnesota Department of Human Services (DHS) reported that five providers were terminated from Medicaid and others were acted on by managed care organizations, with DHS stopping payments to 695 providers and making over 655 law enforcement referrals since January 2025.
• DHS Inspector General James Clark praised the collaborative efforts with law enforcement, noting ongoing actions to cut off fraudulent payments quickly and expecting further charges in the future as investigations continue.