Minnesota Medicaid Fraud Risk by County (87 Counties)

Name: Minnesota Medicaid Fraud Risk by County (87 Counties)
Creator: Minnesota Medicaid Transparency Project
Published: 2026-03-14
License: https://creativecommons.org/licenses/by/4.0/

Author: Minnesota Medicaid Transparency Project | Last updated: March 10, 2026

Fraud risk scores for all 87 counties — Hennepin County, Ramsey County, and metro vs rural. Spending growth, utilization outliers, and oversight gaps.

County Fraud Risk Index

Composite fraud risk scores for all 87 Minnesota counties, calculated using spending growth velocity, utilization outliers (autism/EIDBI and PCA rates), provider density, and population factors.

Top 15 counties by composite fraud risk score
County	Population	Autism Rate	PCA Rate	Risk Score
Hennepin	1,300,000	10.5	10.77	N/A
Olmsted	165,000	11.5	7.27	N/A
Ramsey	550,000	10.5	10.91	N/A
Anoka	370,000	10.5	7.03	N/A
St. Louis	200,000	9	8.5	N/A
Stearns	165,000	9	7.88	N/A
Dakota	450,000	10.5	6.22	N/A
Aitkin	35,000	7.5	6.29	N/A
Becker	35,000	7.5	6.29	N/A
Beltrami	35,000	7.5	6.29	N/A
Benton	35,000	7.5	6.29	N/A
Big Stone	35,000	7.5	6.29	N/A
Blue Earth	35,000	7.5	6.29	N/A
Brown	35,000	7.5	6.29	N/A
Carlton	35,000	7.5	6.29	N/A

Part of the Minnesota Medicaid Transparency Project — an independent, data-driven investigation of $23 billion in annual Medicaid spending across 87 counties.

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Key Topics

Minnesota Medicaid Fraud — Medicaid fraud in Minnesota — $400M+ prosecuted since 2005, 14 high-risk programs, 87 county oversight gaps, and zero centralized fraud dete...
Medicaid Spending Minnesota — How Minnesota spends $23B on Medicaid — per-enrollee costs, disability spending (#1 nationally), program growth, and managed care payments.
Medicaid Oversight Minnesota — How Minnesota oversees $23B in Medicaid — DHS oversight structure, audit failures, workforce gaps, and the 37:1 expansion-to-oversight ratio...
Medicaid Fraud Cases Minnesota — Prosecuted Medicaid fraud cases in Minnesota — Feeding Our Future, PCA fraud, EIDBI billing schemes, 245D provider abuse, and settlement out...
Which States Have Most Medicaid Fraud — How Minnesota compares on Medicaid fraud risk — per-enrollee spending rankings, oversight gaps, and systemic vulnerability factors by state.