ST. PAUL, Minn. — The state has launched a new system to intercept fraudulent Medicaid claims. Prepayment on claims will go through additional screening, said state Deputy Health Commissioner John Connolly. The snew ystem has taken three months to develop, he said. This came in the wake of reports of massive fraud — perhaps as much as $9 billion, according Republicans who have made it a campaign issue against the Democratic Walz administration. The new system, Connolly said, is complex. Advanced data analytics and artificial intelligence are used to check billing against policy and procedure, he said: “Our goal is to win back trust by making Minnesota a national leader and program integrity.” Any past activity that looks suspicious will be investigated and referred to law enforcement, he said. Connolly said the public can expect periodic updates over the next nine months as the system kicks in: Transparency is a goal.
Connolly. State deputy heatlth commissioner and Medicaid director.
Verbatim
Connolly: “Right now,Minnesota is doing more than any other state when it comes to minimizing the risk of fraud, hardening our systems against bad actors, aggressively investigating suspected fraud, waste,and abuse, and referring cases to law enforcement when we find wrongdoing,”