Fact Check: CMS announced late last month that it was reviewing some state’s Medicaid enrollees to ensure federal funds have not been used to pay for coverage for people with 'unsatisfactory immigration status.'

Published June 13, 2025
VERDICT
True

# Fact Check: CMS Reviewing Medicaid Enrollees with Unsatisfactory Immigration Status ## What We Know The Centers for Medicare & Medicaid Services (C...

Fact Check: CMS Reviewing Medicaid Enrollees with Unsatisfactory Immigration Status

What We Know

The Centers for Medicare & Medicaid Services (CMS) recently announced an initiative to increase oversight on state Medicaid programs. This initiative aims to ensure that federal funds are not being misused to cover health care for individuals with "unsatisfactory immigration status" (CMS Increasing Oversight on States Illegally Using Federal ...). Under federal law, Medicaid funding is generally restricted to emergency medical services for noncitizens who would otherwise be eligible for Medicaid, but some states have reportedly exceeded these boundaries (CMS Increasing Oversight on States Illegally Using Federal ...).

CMS Administrator Dr. Mehmet Oz emphasized that "Medicaid is not, and cannot be, a backdoor pathway to subsidize open borders," indicating a strict enforcement of eligibility rules (CMS Increasing Oversight on States Illegally Using Federal ...). The agency plans to conduct focused evaluations of state Medicaid spending reports and review financial management systems to identify improper spending (CMS Increasing Oversight on States Illegally Using Federal ...).

Analysis

The claim that CMS is reviewing Medicaid enrollees to ensure federal funds are not used for those with unsatisfactory immigration status is supported by the announcement made by CMS. The agency's focus on compliance with federal law and its commitment to preventing misuse of federal funds is clearly articulated in their communications (CMS Increasing Oversight on States Illegally Using Federal ...).

However, the reliability of the sources is strong, as they originate from CMS, a federal agency responsible for overseeing Medicaid and Medicare programs. The statements made by CMS officials, including Dr. Oz, are official communications and reflect the agency's current policies and enforcement actions (CMS Increasing Oversight on States Illegally Using Federal ...).

While the announcement aligns with previous federal policies aimed at restricting Medicaid benefits based on immigration status, it is essential to note that the interpretation and implementation of these policies can vary by state. Therefore, while CMS is taking steps to enforce these rules, the actual impact may differ depending on state actions and compliance (Centers for Medicare and Medicaid Services | HHS.gov).

Conclusion

The claim that CMS is reviewing Medicaid enrollees to ensure federal funds are not used for individuals with unsatisfactory immigration status is True. The announcement from CMS confirms their commitment to enforcing federal eligibility requirements and preventing misuse of Medicaid funds. The agency's actions reflect a broader policy to ensure that Medicaid serves only those who are legally eligible under federal law.

Sources

  1. CMS Increasing Oversight on States Illegally Using Federal ...
  2. Centers for Medicare and Medicaid Services | HHS.gov
  3. Streamlining Medicaid; Medicare Savings Program ...
  4. Streamlining the Medicaid, Children's Health Insurance ...

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