Signal Tiers and Evidence Bases — Minnesota Medicaid Transparency Project

Author: Minnesota Medicaid Transparency Project | Last updated: September 26, 2026

How this project tiers its fraud signals and what each kind of evidence can support. Covers the three referral tiers, the five evidence bases, why adjudicated actions are reported in the past tense with an as-of date, why a missing licence record is not a finding that a provider is unlicensed, and how identity is proved per record.

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.