Ohio Suspends 49 Home Health Providers for Billing Irregularities
The Ohio Department of Medicaid suspended payments to 49 home health providers on Thursday following identification of suspicious billing patterns. The action aligns with broader federal enforcement efforts targeting Medicaid-funded home-based care. The suspensions appear connected to a gubernatorial executive order, though implementation details were not specified in the announcement. Managed care organizations contracting with affected providers should review care continuity protocols and confirm any required network substitutions.
MCOs with delegated provider credentialing or network management responsibilities in Ohio must verify whether any suspended providers are in-network and ensure beneficiary access to compliant home health services during the payment suspension period.
LTSS · Managed Care
You might also like