Ohio Department of Medicaid · June 18, 2026 · Primary source
Ohio Medicaid Suspends Additional High-Risk Providers Linked to Earlier Enforcement Action COLUMBUS, Ohio, The Ohio Department of Medicaid (ODM) has suspended payments to eight newly identified high-risk providers. June 18, 2026
Summary
The Ohio Department of Medicaid suspended payments to eight additional high-risk providers on June 18, 2026, all connected to at least one of the 49 providers suspended earlier in June under Governor DeWine's anti-fraud Executive Order. ODM cited coordinated or entity-related fraud schemes in home health, hospice, and waiver service spaces as the basis for the related-entity suspensions. The broader enforcement strategy includes a six-month moratorium on new provider enrollments in high-risk categories, more frequent revalidation of higher-risk providers, and accelerated implementation of GPS-based Electronic Visit Verification for in-home services.
What this may mean
Ohio Medicaid's Executive Order expressly authorizes suspension of entities related to already-suspended providers, and ODM is actively exercising that authority to pursue coordinated fraud schemes in home health, hospice, and waiver services. The six-month enrollment moratorium in high-risk categories directly restricts new provider entry into those service lines in Ohio Medicaid. Accelerated GPS-based EVV implementation creates new documentation and technology compliance obligations for in-home service providers billing Ohio Medicaid.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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