OIG Enforcement Actions: Provider Self-Disclosure and CIA Event Settlements · July 20, 2026 · Primary source
First Care Ohio Agreed to Pay $122,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims for Ambulance Services
Summary
First Care Ohio, LLC, a Cincinnati ambulance provider, entered into a $122,192.22 settlement with OIG on July 20, 2026, after self-disclosing that it submitted claims to federal health care programs for ambulance services performed by an EMT whose driver's license had been previously suspended. OIG treated the suspended license as rendering the EMT unqualified, making those claims false under the Civil Monetary Penalties Law. The self-disclosure was made under OIG's fraud self-disclosure protocol, not a CIA.
What this may mean
The settlement establishes that ambulance providers face CMP liability when they bill federal health care programs for services rendered by personnel who lack the required state credentials, including a valid driver's license, even if the clinical certification is otherwise current. The $122,192.22 amount reflects OIG's calculation of single damages for the affected claims. The action puts ambulance and emergency medical service companies on notice that credential and licensure verification must extend to operational requirements such as driving credentials, not only clinical licenses.
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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