Ohio Suspends Payments to 49 Home Health Providers Over Fraud Concerns
The Ohio Department of Medicaid suspended payments to 49 home health providers effective Thursday following identification of suspicious billing patterns. The action is part of a broader federal crackdown on Medicaid-funded home-based care fraud. The suspensions are immediate and providers remain under investigation. This enforcement wave reflects heightened scrutiny of home health billing practices across state Medicaid programs, with potential implications for network adequacy and managed care organization oversight of home health subcontractors.
Medicaid MCOs contracting with home health providers in Ohio must verify network provider credentials and billing compliance, as payment suspensions create immediate access gaps and trigger state network adequacy reviews.
LTSS · Managed Care
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