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# DOJ pays $400M to Alaska Native Tribal Health Consortium over unpaid overhead costs
- URL: https://members.americanhealthintel.com/2026-07-22-regulator/
- Published: 2026-07-22T09:53:36.000Z
- Updated: 2026-07-22T09:53:36.000Z
- Description: Plus: OIG audit finds Colorado's EVV system missed $45.7M in improper personal-care payments. The day's rules, money, and enforcement, sourced and tiered below.
- Author: American Health Intel

Plus: OIG audit finds Colorado's EVV system missed $45.7M in improper personal-care payments. The day's rules, money, and enforcement, sourced and tiered below.

| American Health Intel Rules · Money · Medicine · Decoded daily The Regulator Wednesday, July 22, 2026 DOJ pays $400M to Alaska Native Tribal Health Consortium over unpaid overhead costs Plus: OIG audit finds Colorado's EVV system missed $45.7M in improper personal-care payments. The day's rules, money, and enforcement, sourced and tiered below. ![](https://americanhealthintel.com/email/pulse-divider.png) Enforcement Confidence: High The federal government agreed to pay $400 million to the Alaska Native Tribal Health Consortium, the nonprofit health system serving Alaska Native people statewide, after years of shortchanging it on overhead costs. DOJ settled a 2021 lawsuit over unpaid contract support costs under the Indian Self-Determination Act. The deal follows a 2024 Supreme Court ruling requiring such payments, giving other tribal health systems a clearer path to claim their own. Why it matters This is a big federal payout that closes a decade-long dispute, and it signals other tribal health systems now have a clearer path to recover their own unpaid costs following the 2024 Supreme Court ruling. Sources: [Adn](https://www.adn.com/business-economy/2026/07/21/anthc-to-get-400-million-settlement-from-feds-over-unpaid-healthcare-costs/?ref=members.americanhealthintel.com) · [Alaskasnewssource](https://www.alaskasnewssource.com/2026/07/22/alaska-native-health-consortium-secures-400m-doj-settlement/?ref=members.americanhealthintel.com) Report Confidence: High A federal audit found Colorado's Medicaid program, the government health coverage for low-income residents, let millions of dollars in improper personal-care payments slip through its own fraud-detection system. OIG wants Colorado to refund $8 million in federal Medicaid funds now and is questioning another $45.7 million, after finding the state didn't verify home care visits in its electronic tracking system before billing the feds. Why it matters This shows a state's fraud detection system missed millions in improper home care billing, a reminder that EVV compliance gaps can persist years after the technology became mandatory. Sources: [HHS OIG](https://oig.hhs.gov/reports/all/2026/colorado-could-improve-its-electronic-visit-verification-system-and-claimed-federal-medicaid-reimbursement-for-millions-of-dollars-in-personal-care-services-that-did-not-comply-with-federal-and-state-requirements/?ref=members.americanhealthintel.com) Also today OIG finds Novitas improperly paid $19.5M for nursing home Part B services, 60.7% error rate [Read](https://americanhealthintel.com/editions/2026-07-22-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#novitas-part-b-nursing-home-audit) OIG finds Medicaid MCO fraud-referral deadlines range from 1 to 270 days across states [Read](https://americanhealthintel.com/editions/2026-07-22-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#oig-medicaid-mco-fraud-referral-timeframes) Court keeps 8 provisions of the 2027 ACA marketplace payment rule frozen [Read](https://americanhealthintel.com/editions/2026-07-22-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#columbus-v-kennedy-aca-marketplace-rule-stay) 202Records$16.5BEnforcement7Deadlines72Rules [Read this issue + the trackers](https://americanhealthintel.com/editions/2026-07-22-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) Pick your field on the site and every story tells you what it means for you. Reply to this email and tell us what you want covered. We read everything. We show our work. We score our own calls. [Track record](https://americanhealthintel.com/ledger/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [Calendar](https://americanhealthintel.com/calendar/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [Enforcement](https://americanhealthintel.com/enforcement/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [X](https://x.com/amhealthintel?ref=members.americanhealthintel.com) · [LinkedIn](https://www.linkedin.com/company/american-health-intel?ref=members.americanhealthintel.com) News and analysis, not legal, medical, coding, or investment advice.You subscribed at americanhealthintel.com · [Unsubscribe](%%{unsubscribe%5Furl}%%) |
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