明尼苏达州的一项审计发现,由于政策不明确,主要在自闭症服务方面,出现了17亿美元的不当医疗补助付款,导致新的保障措施和支付延误。 A Minnesota audit found $1.7 billion in improper Medicaid payments due to unclear policies, mostly in autism services, prompting new safeguards and payment delays.

2022年1月至2025年10月,在明尼苏达州14个高风险服务机构发生17亿美元的不当支付,其中10亿美元用于早期自闭症干预方案。 A state-commissioned audit by Optum found that unclear or vague Medicaid policies may have led to $1.7 billion in improper payments across 14 high-risk services in Minnesota from January 2022 to October 2025, with $1 billion tied to early autism intervention programs. 对94亿美元索赔的审查表明,90%以上的早期密集发展行为干预索赔不符合规则,尽管没有证实存在欺诈行为。 The review of $9.4 billion in claims flagged over 90% of early intensive developmental behavioral intervention claims as inconsistent with rules, though no fraud was confirmed. 国家正在实施一个AI-动力预付支付制度,并加强监督,包括要求供应商发放许可,同时暂时推迟支付,干扰护理工作。 The state is implementing an AI-powered prepayment system and strengthening oversight, including requiring provider licensure, while temporarily delaying payments, disrupting care. 调查结果是230万美元合同的一部分,目的是提高政策清晰度和防止今后发生损失。 The findings are part of a $2.3 million contract to improve policy clarity and prevent future losses.