Trump’s Math Behind Medicaid Fraud Claims Doesn’t Add Up—Literally

Mother Jones
by Julia Métraux
April 10, 2026
6 views
2 min read

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The Bottom Line

Trump administration officials miscounted millions of Medicaid recipients in New York, affecting fraud claims.

How This Affects You

The miscount occurred as Medicaid faces nearly $1 trillion in cuts, potentially impacting services for actual recipients.

AI Summary

An administration official admitted to the Associated Press that the Trump administration miscounted the number of people receiving home and community-based services in New York by millions. Centers for Medicare and Medicaid Services head Dr. Mehmet Oz claimed five million people received such care, but the actual number is around 450,000. This estimation error occurs as Medicaid faces significant cuts, including nearly $1 trillion passed by Congress last year. CMS deputy administrator Kimberly Brandt previously discussed using an "AI fraud war room" to detect alleged Medicare and Medicaid fraud, particularly in home and community-based services billing in New York and California. CMS spokesman Chris Krepich stated the agency is committed to ensuring analyses reflect state-specific billing practices and will work with New York to validate data.

What's Being Done

CMS deputy administrator Kimberly Brandt discussed using an "AI fraud war room," and CMS spokesman Chris Krepich stated the agency will work with New York to validate data.

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