Federal Medicaid Deferral Hits California’s Home-Health Program in Largest-Ever Move

TL;DR
The Trump administration is suspending about $1.1 billion in California’s Medicaid home-health program (IHSS) over fraud concerns—a claim California says has little supporting evidence and attributes to growth in caseloads and wages. The action could disrupt services for hundreds of thousands of seniors and people with disabilities, and an additional $200 million in administrative claims is also being withheld. California emphasizes safeguards and oversight, while advocates warn of harm amid a broader fraud crackdown and a related six‑month hospice enrollment moratorium, with no clear timeline for funds to be released.
- Trump officials hit California with ‘largest ever’ freeze on Medicaid funds CalMatters
- US freezes Medicare enrollments for new home healthcare and hospice providers Reuters
- White House cuts $1.3 billion in Medicaid payments to California Politico
- Vance to States: Address Fraud or Lose Federal Medicaid Funding WSJ
- Trump administration defers $1.3 billion in Medicaid payments to California amid fraud investigation CNN
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