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State Policy·OH·July 6, 2026
Ohio Economists Split on Medicaid Fraud Prevention Bill Awaiting Governor Signature
Ohio's Senate Bill 315, passed by the General Assembly in June 2026, awaits Governor DeWine's signature. The legislation requires the Ohio Department of Medicaid to suspend payments under certain fraud-prevention circumstances and includes other anti-fraud measures. A panel of economists is divided on whether these provisions will effectively reduce Medicaid fraud. The bill's implementation timeline depends on the governor's action.
Why it matters for managed care
Ohio MCOs may face new payment suspension protocols and fraud detection requirements that could affect claims processing, provider network management, and delegated fraud prevention responsibilities under managed care contracts.
Managed Care · Finance
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