SCHUMER DEMANDS ANSWERS: NEW YORK’S MEDICAID PORTAL JUST TEMPORARILY SHUT DOWN AGAIN FOLLOWING TRUMP’S FUNDING FREEZE FIASCO LAST WEEK; SENATOR CALLS FOR FULL INVESTIGATION TO PROTECT NEARLY 7 MILLION NEW YORKERS FROM HEALTH CARE DISRUPTIONS
This Morning The Medicaid Portal And All U.S. Department Of Health & Human Services Websites Were Inoperable, Affecting Payments For Approximately 7 Million New Yorkers & Blocking New Yorkers From Receiving Reimbursements For Health Care Expenses
Today’s Shutdown Marks Second Time In Two Weeks NY Has Been Locked Out Of Payments With No Explanation; Following Trump’s Illegal Federal Funding Freeze, Schumer Says Enough Is Enough And NY-ers Deserve Answers On What Is Happening With Their Healthcare Coverage
Schumer: Continued Medicaid Portal Shutdowns – And Fed Funding Freeze – Create Panic, Confusion & Unnecessary Frustration
After access to NY’s Medicaid portal was rendered inoperable once again this morning for the second time following Trump’s funding freeze fiasco, U.S. Senator Chuck Schumer today demanded answers from the Trump administration’s U.S. Department of Health and Human Services (HHS) to explain why the federal platform responsible for disbursing Medicaid funds for NY and other state’s was shutdown. Despite OMB saying Medicaid would not be impacted by the freeze, every state across the country reported the payment system shutting down, temporarily jeopardizing payments needed for our doctors, rural clinics, community health centers, and hospitals and creating major concerns for the millions of New Yorkers who rely on this system.
Schumer said the unexplained shutdowns of the Medicaid portal demands a full investigation and immediate answers to ensure health care services can have the confidence they need to continue vital healthcare services.
“Following Trump’s funding freeze chaos, out of the blue and seemingly due to callousness and incompetence, the Medicaid Portal was inexplicably offline yet again today for the second time. Nearly 7 million New Yorkers were once again potentially left high and dry on healthcare. The repeated nationwide shutdown of the Medicaid payment system caused panic, confusion, and unnecessary frustration, especially following last week’s unexplained shutdown,” said Senator Schumer. “The federal government legally owes federal funding for New York State’s Medicaid program to provide reimbursement for health care costs for millions of fellow New Yorkers. Without it doctors and hospitals in New York can’t provide the care they need. The White House refused to clarify how their illegal federal funding freeze would impact Medicaid recipients and the shutdown of the portal both last week and today only intensifies people’s deep worry. I’m demanding HHS work with Congress to swiftly and transparently determine what caused the portal shutdown and how the administration can ensure a disruption like this doesn’t happen again. New Yorkers deserve nothing less.”
Schumer said the Medicaid portal shutdown is part of larger confusion surrounding President Trump’s executive order freezing all federal funding. Though the White House said the Medicaid program would “continue without pause,” Medicaid portals across the country temporarily stopped working. Though the portal was later restored, it again became inoperable for a few hours this morning. Schumer explained that continued shutdowns put reimbursement payments for millions of New Yorkers at risk and demanded answers to ensure a shutdown will not happen again.
Medicaid enrollment by region can be found below:
Region |
Medicaid Enrollment |
NYC |
4,036,284 |
Long Island |
679,724 |
Capital Region |
214,632 |
Western New York |
371,481 |
Rochester-Finger Lakes |
304,234 |
Central New York |
201,047 |
Southern Tier |
181,450 |
Hudson Valley |
678,375 |
North Country |
106,160 |
Mohawk Valley |
178,001 |
Schumer and Senate Finance Committee Ranking Member Wyden letter to Acting Secretary of the Department of Health and Human Services (HHS) Dorothy Fink sent prior to this morning’s shutdown can be found below:
Dear Acting Secretary Dorothy Fink:
We are writing to gain insight into the unlawful shutdown of the U.S. Department of Health and Human Services (HHS) Payment Management Services (PMS) portal. As you know, the PMS portal, in addition to being the platform for hundreds of other transactions between states and HHS, serves as an interface between state Medicaid agencies and the federal government for drawing down federal funds to cover care provided to Medicaid beneficiaries in each state. As the health insurance program serving 80 million Americans, Medicaid is a key lifeline for communities across this country. The unexplained shutdown of the Medicaid portal raised questions about the continuity of care for beneficiaries and the financial stability of the providers and health centers that provide essential health care services.
The Office of Management and Budget (OMB) memo (M-25-13) released on January 27 instructed federal agencies to temporarily pause grant, loan, and other financial assistance programs in response to President Trump’s Executive Orders directed at freezing federal funding. Alongside the memo, OMB circulated a spreadsheet of around 2,600 federal programs, including the “Medical Assistance Program” (i.e., Medicaid), and requested federal agencies submit information on whether they complied with the executive orders. During a White House briefing on the OMB memo, Karoline Leavitt, the White House press secretary, refused to clarify whether Medicaid was specifically implicated by the funding freeze, instead stating that she will “check back on that.” Following confusion and uncertainty about which programs were affected by the freeze, OMB released clarifications to the initial memo on January 28, stating “mandatory programs like Medicaid and SNAP will continue without pause.”
Despite this, all 56 state and territorial Medicaid programs were locked out of the PMS portal for hours, unable to access funding. Shortly after the OMB memo was circulated, the PMS portal had a red banner warning of “PAYMENT DELAYS.” It stated that “due to the Executive Orders regarding potentially unallowable grant payments,” PMS was taking additional steps to process payments that “will result in delays and/or rejections of payment.” Upon restoration of the PMS portal, some states are reporting slow and inefficient portal service, creating difficulties for providers across the country. Additionally, a red banner remains on the PMS portal, warning of truncated hours of operation - 5:00am - 4:00pm ET - “until a further notice.”
The lack of clarity on the cause of the portal shutdown creates concern that state partners cannot rely on the PMS portal. We request that HHS work to determine and disclose the cause of the portal shutdown and make necessary improvements to prevent future disruptions in the distribution of Medicaid funding.
Specifically, we request that you please provide answers to the following questions:
- Since Medicaid is exempt from the Executive Order on freezing federal funding according to a clarifying OMB memo, why were state Medicaid offices locked out of the HHS PMS portal for hours after posting of the initial OMB memo on the funding freeze?
- Since Medicaid is exempt from the funding freeze, what is the reason for the PMS portal’s truncated hours of operation? When will the PMS portal return to normal operating hours to ensure continuity of care for Medicaid beneficiaries?
- What is HHS doing to restore normal operating speed and functioning to the PMS portal to support the reimbursement process?
- The unexplained freeze to the PMS portal has worried state Medicaid programs that there will be delays and rejections in reimbursement claims. What is HHS doing to assure state Medicaid programs that, due to Medicaid’s exemption from the funding freeze, there will not be increases in delays or rejections of claims?
- How is HHS working to analyze the amount of time that each state Medicaid program was locked out of the PMS portal?
- How is HHS working to quickly process reimbursement claims that required prioritization during the period that state Medicaid programs were locked out of the PMS portal?
- How will HHS better interpret and coordinate implementation of Executive Orders to prevent another unnecessary freeze to the PMS portal?
- The White House has responded that the portal shutdown was due to an “outage.” If this is the case, what is HHS doing to support technical operations to prevent future shutdowns and slowdowns of the portal? What was the cause of the technical outage?
Thank you for your attention to this urgent matter. We request a response in 30 days, by March 3, 2025.
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