According to CoinMeta, federal reviews have found that 90% of autism support services in Maine lack a reasonable basis. Dr. Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services (CMS), stated at an anti-fraud press conference in Philadelphia that investigators found that 90% of the services in Maine lacked proper justification. He pointed out that there were numerous instances in Maine's service billing and payments that could not be substantiated. The Trump administration has been urging states to strengthen supervision over Medicaid autism services and to review whether expenditures on a new therapy called “Applied Behavior Analysis” meet medical requirements.