Minnesota Medicaid Spending Disparities by Race & Ethnicity

Author: Minnesota Medicaid Transparency Project | Last updated: March 15, 2026

Medicaid spending by ethnicity vs enrollment share across all provider types. Somali, Hmong, and Black enrollee disparity analysis.

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

Related Investigations: Structural Analysis

BACB Structural & Conflict of Interest Report: The Private Credentialer Gating U.S. Medicaid ABA (2026-05-21) — Six documented findings on the Behavior Analyst Certification Board — no statutory mandate, no licen...
BACB Findings Synthesis: 13 Documented Issues With the Private Credentialer That Gates U.S. Medicaid ABA (2026-05-18) — Consolidated synthesis of every BACB finding documented across medicaidoversight.org investigations....
BACB: The Private Gatekeeper — How a Colorado Nonprofit Controls U.S. Medicaid ABA Billing (2026-05-17) — The Behavior Analyst Certification Board (BACB) is a private 501(c)(3) with no government charter th...
The $29.5M Fee Machine: How BACB Monetized the Medicaid ABA Mandate (2026-05-18) — BACB revenue grew 14.5× in 12 years, tracking the Medicaid ABA expansion. A full reconstruction of t...
BACB Under the Microscope: 54 Federal Cases, a Rival Cert Body, and NCS Pearson's Shadow (2026-05-18) — A PACER review of 54 federal civil cases naming BACB reveals NCS Pearson as co-plaintiff in copyrigh...
The Disciplinary Black Hole: BACB Revocations and Minnesota Medicaid (2026-05-18) — BACB revokes credentials for ethics violations but has no obligation to notify Minnesota DHS or MCOs...

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.