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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Ohio Restores Medicaid Anti-Fraud Measures After Daily Wire Investigation
Ohio says it is immediately implementing anti-fraud measures in the home health sector, days after claiming it already had such measures, and after a Daily Wire report showed how the administration of Gov. Mike DeWine actually turned off previously-existing fraud protections. The about-face comes after Vice President JD Vance, who also hails from Ohio, announced on Wednesday that the federal government would be suspending the enrollment of any n…
DeWine announces new Ohio Medicaid fraud crackdown measures amid criticism from top GOP lawmakers
COLUMBUS, Ohio— Gov. Mike DeWine on Wednesday unveiled new measures to crack down on Medicaid fraud, including tighter oversight of home healthcare providers and increased scrutiny of providers flagged for suspicious activity.
Governor DeWine unveils new Medicaid fraud prevention measures - Peak of Ohio
Ohio Governor Mike DeWine on Wednesday announced several new initiatives aimed at strengthening Ohio’s efforts to prevent Medicaid fraud, waste, and abuse. “Ohio has long been a national leader in fighting Medicaid fraud. Ohio has one of the best Medicaid Fraud Control units in the […]
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