Gov. Ron DeSantis Says Crackdown on Medicaid Fraud Saved Florida $230 Million
State officials said more than 150 fraud referrals and payment restrictions on 250 providers are part of a wider effort to curb Medicaid waste.
- On Tuesday, Governor Ron DeSantis announced that Florida terminated more than 220 Medicaid providers for fraud, waste, or abuse, projecting nearly $1 billion in savings by reducing spending on Applied Behavior Analysis services.
- The Agency for Health Care Administration shifted its strategy from identifying fraud after payments to preventing improper billing before spending occurs, implementing stricter screening and data tracking since January to uncover suspicious activity.
- Investigators conducted more than 400 site visits, resulting in more than 150 referrals to the Florida Attorney General and payment restrictions on more than 260 providers, some of whom billed for impossible 24-hour service schedules.
- AHCA Secretary Shevaun Harris emphasized that the crackdown targets bad actors rather than patients, noting that families can contact the agency or their managed care plan to secure replacement providers when services are disrupted.
- DeSantis described the enforcement actions as only the "opening salvo," anticipating additional results in the coming years as the state continues intensified monitoring of suspicious billing patterns across the Medicaid system.
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Chronicle Online
Florida PhoenixDeSantis boasts about Medicaid fraud crackdown efforts
Gov. Ron DeSantis appeared in West Palm Beach Tuesday to announce the results of the state’s Medicaid fraud and abuse crackdown efforts, including more than 150 referrals to the state attorney general’s Medicaid fraud unit to investigate and potentially prosecute.
Governor DeSantis announces results of Florida’s Medicaid integrity initiative
More than 220 providers were terminated from Florida Medicaid for fraud, waste, or abuse, and more than 150 referrals were made to the Attorney General's office The post Governor DeSantis announces results of Florida’s Medicaid integrity initiative appeared first on Alachua Chronicle.
DeSantis says Medicaid crackdown cut projected ABA spending by nearly $1 billion
WEST PALM BEACH, Fla. — Gov. Ron DeSantis on Tuesday announced results from Florida’s Medicaid integrity initiative, saying the state has shifted away from identifying fraud after payments go out to preventing improper payments before taxpayer dollars are spent. The Agency for Health Care Administration has conducted more than 400 provider site visits since January, with particular attention… The post DeSantis says Medicaid crackdown cut project…
Gov. Ron DeSantis says crackdown on Medicaid fraud saved Florida $230 million
FORT LAUDERDALE, Fla. — A state-focused crackdown on Medicaid fraud has uncovered “bad actors” and saved Florida as much as $230 million, Gov. Ron DeSantis said Tuesday. DeSantis said his administration has attacked Medicaid fraud by expanding the state’s use…
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