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Ohio Introduces New Medicaid Fraud Prevention Initiatives

The plan would pause new providers, add GPS verification and require faster revalidation after officials identified 87 providers for review.

  • On Wednesday, Governor Mike DeWine announced new Medicaid fraud prevention initiatives, including a six-month moratorium on new home-healthcare and hospice providers enrolling in the program serving approximately 3.2 million Ohioans.
  • DeWine defended Ohio's record, noting that since 2023 the state secured 481 convictions and recovered $78.4 million in taxpayer funds, while home healthcare saved more than $600 million in 2024 by avoiding institutional care.
  • The new measures include immediate payment suspensions for providers showing "red flags," mandatory GPS for Electronic Visit Verification providers, and emergency revalidation rules, with 87 providers already identified for additional review.
  • Ohio House Speaker Matt Huffman criticized the administration's delayed response, calling prior Medicaid leadership's execution "patently negligent," and promised legislation by June 10 to address the alleged fraud.
  • The initiatives follow reports alleging nearly 300 home healthcare companies in Franklin County billed more than $250 million with suspicious patterns, as Vice President JD Vance confirmed Ohio coordinates with the Trump Administration on fraud prevention.
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The Lima News broke the news in Cherokee County, United States on Wednesday, May 13, 2026.
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