{"id":236760,"date":"2026-06-24T19:02:00","date_gmt":"2026-06-24T23:02:00","guid":{"rendered":"https:\/\/testing.news-you-need.com\/index.php\/2026\/06\/24\/indiana-looks-to-artificial-intelligence-to-root-out-medicaid-fraud\/"},"modified":"2026-06-25T00:30:27","modified_gmt":"2026-06-25T04:30:27","slug":"indiana-looks-to-artificial-intelligence-to-root-out-medicaid-fraud","status":"publish","type":"post","link":"https:\/\/testing.news-you-need.com\/index.php\/2026\/06\/24\/indiana-looks-to-artificial-intelligence-to-root-out-medicaid-fraud\/","title":{"rendered":"Indiana looks to artificial intelligence to root out Medicaid fraud"},"content":{"rendered":"<p><a href=\"https:\/\/www.wrtv.com\/news\/wrtv-investigates\/indiana-looks-to-artificial-intelligence-to-root-out-medicaid-fraud\">Indiana looks to artificial intelligence to root out Medicaid fraud<\/a><\/p>\n<p><a href=\"https:\/\/www.wrtv.com\/news\/wrtv-investigates\/indiana-looks-to-artificial-intelligence-to-root-out-medicaid-fraud\">https:\/\/www.wrtv.com\/news\/wrtv-investigates\/indiana-looks-to-artificial-intelligence-to-root-out-medicaid-fraud<\/a><\/p>\n<p>Publish Date: <a href=\"publish_date]\">2026-06-24 19:02:00<\/a><\/p>\n<p>Source Domain: <a href=\"www.wrtv.com\">www.wrtv.com<\/a><\/p>\n<ul>\n<li>\n<p><strong>Pilot Program for AI in Medicaid Fraud Prevention<\/strong>: Indiana is launching a 90-day pilot program with CMS and Texas-based Oracle to test if AI can help identify and prevent Medicaid fraud.<\/p>\n<\/li>\n<li>\n<p><strong>Focus on Waste, Fraud, and Abuse<\/strong>: The goal is to ensure every dollar of Medicaid funding is used correctly and make Medicaid programs more sustainable.<\/p>\n<\/li>\n<li>\n<p><strong>Real-Time AI Functionality<\/strong>: AI will analyze billing patterns in real-time, flagging suspicious claims and creating case packages ready for investigation before payments are processed.<\/p>\n<\/li>\n<li>\n<p><strong>Data Privacy and Restrictions<\/strong>: Oracle will remove personal and protected health information from the data it processes, with strict requirements on information storage and a ban on sharing data with external parties.<\/p>\n<\/li>\n<li>\n<p><strong>Expanded Oversight and Staff Increase<\/strong>: The state has recently increased medicaid oversight with added audits and new staff to handle more eligibility checks.<\/p>\n<\/li>\n<li>\n<p><strong>AI\u2019s Role and Limits<\/strong>: The AI is intended to support regulators, not replace them, and won\u2019t initiate regulatory actions on its own.<\/p>\n<\/li>\n<li>\n<p><strong>Future Expansion and Evaluation<\/strong>: The pilot will assess the challenges of the model and consider its use in other states; CMS will review a report after the trial to guide future strategies.<\/p>\n<\/li>\n<li>\n<p><strong>State\u2019s Investment in Medicaid<\/strong>: Indiana\u2019s Medicaid appropriations have significantly increased over the decade, with new measures under the Braun Administration to address this growth.<\/p>\n<\/li>\n<\/ul>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Indiana looks to artificial intelligence to root out Medicaid fraud https:\/\/www.wrtv.com\/news\/wrtv-investigates\/indiana-looks-to-artificial-intelligence-to-root-out-medicaid-fraud Publish Date: 2026-06-24 19:02:00&#8230;<\/p>\n","protected":false},"author":1,"featured_media":236761,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/ewscripps.brightspotcdn.com\/dims4\/default\/dffd603\/2147483647\/strip\/true\/crop\/1920x1008+0+36\/resize\/1200x630!\/quality\/90\/?url=http%3A%2F%2Fewscripps-brightspot.s3.amazonaws.com%2F34%2F51%2Fa1faa5f147fca93cef8e1f5f5ff2%2F99091760-c586-459b-9a94-5fba7037989a.jpg","fifu_image_alt":"","footnotes":""},"categories":[14],"tags":[20],"class_list":["post-236760","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artificial-intelligence","tag-artificial-intelligence"],"_links":{"self":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/236760"}],"collection":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/comments?post=236760"}],"version-history":[{"count":1,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/236760\/revisions"}],"predecessor-version":[{"id":236762,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/posts\/236760\/revisions\/236762"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/media\/236761"}],"wp:attachment":[{"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/media?parent=236760"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/categories?post=236760"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/testing.news-you-need.com\/index.php\/wp-json\/wp\/v2\/tags?post=236760"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}