Florida MCO Fraud Oversight Gap — $23.1B Through 8 Plans, No Public SIU Data

Author: Minnesota Medicaid Transparency Project | Last updated: June 9, 2026

Florida runs 66% of its $35B Medicaid budget through 8 MCOs — yet per-MCO fraud-detection staffing and case data are not publicly disclosed. CMS found persistent structural gaps in both its 2017 and 2025 Focused Program Integrity Reviews.

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

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.