HHS overpayments by program in 2025
Top 9 by overpayments in FY2025. Leading: Centers for Medicare & Medicaid Services (CMS) - Medicaid ($35.03B); Centers for Medicare & Medicaid Services (CMS) - Medicare Fee-for-Service (FFS) ($27.87B); Centers for Medicare & Medicaid Services (CMS) - Medicare Advantage (Part C) ($21.43B).
| Program | Overpayments |
|---|---|
| Centers for Medicare & Medicaid Services (CMS) - Medicaid | $35.03B |
| Centers for Medicare & Medicaid Services (CMS) - Medicare Fee-for-Service (FFS) | $27.87B |
| Centers for Medicare & Medicaid Services (CMS) - Medicare Advantage (Part C) | $21.43B |
| Centers for Medicare & Medicaid Services (CMS) - Medicare Prescription Drug Benefit (Part D) | $3.70B |
| Centers for Medicare & Medicaid Services (CMS) - Children's Health Insurance Program (CHIP) | $1.30B |
| Administration for Children and Families (ACF) - Child Care and Development Fund | $845.47M |
| Centers for Medicare & Medicaid Services (CMS) - Advance Premium Tax Credit (APTC) | $375.02M |
| Administration for Children and Families (ACF) - Foster Care Title IV-E | $66.30M |
| Administration for Children and Families (ACF) - Head Start | $2.69M |
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How to read this
- Improper payments are agencies' own estimates from samples (PaymentAccuracy.gov, OMB, under the Payment Integrity Information Act): payments that should not have been made or were the wrong amount, plus unknown payments the agency couldn't show were proper. They are not all losses (underpayments and documentation gaps count) and not fraud as such; only risk-susceptible programs are measured.
- Years are the fiscal year of the report; each estimate usually samples payments from an earlier 12 months. Programs join and leave the list, so totals across years compare different sets of programs.
- Overpayments = paid too much or to the wrong party: the part agencies try to recover.