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