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Medicaid Monitor
Friday, November 6, 2026 · Updated 1:03 PM MT · 37 stories today
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Medicaid Monitor
Around the States / District of Columbia · 37 stories todayPRO
Around the States · District of Columbia

District of Columbia

2 stories this week from 2 sources

Limited coverage: our sources published fewer than three District of Columbia stories a week over the last 30 days. We are adding sources, so check back.

Top District of Columbia stories this week

US Attorney Charges Three in $14 Million DC Medicaid Fraud Scheme

A 10-count indictment unsealed in US District Court charges two executives of Quality Healthcare Services LLC and a community support worker with conspiring to bill DC Medicaid for mental health rehabilitative services for youth that were never provided or were billed at inflated rates, US Attorney Jeanine Ferris Pirro announced. From January 2022 through February 2025, the company billed DC Medicaid approximately $14 million for Mental Health Rehabilitation Services.

DC Office of the Inspector General (MFCU releases) Nov 5, 2026

DC Dentist Sentenced to Prison for Medicaid Fraud Scheme

In a client alert, Rivkin Radler LLP reports that Steven A. Price, a Washington, D.C. dentist, was sentenced to 24 months in prison and 36 months of supervised release after conviction in a scheme that defrauded D.C. Medicaid. He was also ordered to pay $3.4 million in restitution.

Medicaid MonitorNov 2, 2026

Latest

  1. Published Oct 29

    DC Health Launches Survey on Resident Health Care Access

    DC Health is inviting District residents to share their experiences accessing health care through a new survey, promoted via its Health Care Access Bureau homepage feature. The bureau oversees primary care and dental access initiatives, Health Professional Shortage Area designations, a provider loan repayment program, and the District's immunization program, which administers the federal Vaccines for Children program covering uninsured, underinsured, and Medicaid-enrolled children. The feature does not specify a survey deadline or indicate how results will be used. It functions primarily as an outreach and informational page describing ongoing bureau activities rather than announcing a new policy or funding action.

    Why it mattersResident feedback gathered through the survey could shape DC Health's primary care and dental workforce planning, including Medically Underserved Area designations that affect provider recruitment and Medicaid-serving safety-net capacity.

    Read at DC Health (DOH)
    DC Health (DOH)
  2. Published Oct 29

    DC Officials Testify on Medicaid, SNAP Work Requirement Rollout

    The DC Council's Committee on Health held a joint public oversight roundtable on October 29, 2026, examining the District's access system and implementation of SNAP and Medicaid work requirements. Wayne Turnage, Deputy Mayor for Health and Human Services and Director of the Department of Health Care Finance, testified before Chairperson Christina Henderson, accompanied by a DHCF presentation detailing implementation plans. The hearing addressed how DC is building eligibility and verification systems to administer new federal work requirement mandates for Medicaid and SNAP beneficiaries. No specific effective date or enrollment impact figures were included in the posted testimony materials.

    Why it mattersDC Medicaid beneficiaries and caseworkers need clarity on how work requirement verification will be built into the District's eligibility system before enforcement begins.

    Read at DHCF
    DHCF
  3. Published Oct 28

    Maryland Woman Indicted for $109,000 DC Medicaid Billing Fraud

    The US Attorney's Office for the District of Columbia announced the indictment of Camille Aba, a 32-year-old Maryland resident, on 18 counts of first-degree felony fraud, 18 counts of first-degree theft, and additional misdemeanor fraud and theft charges tied to fraudulent Medicaid billing. Aba worked as a community support worker for Family Wellness Center from 2022-2023, providing services to DC Medicaid beneficiaries. Investigators allege she submitted falsified claims and billing notes, including fabricating records about contact with a bus shooting suspect, and failed to provide services to numerous beneficiaries, causing the DC Department of Health Care Finance to pay out more than $109,000 for services never rendered. A felony status conference is set for December 16, 2026, with no trial date yet scheduled; she is presumed innocent pending trial.

    Why it mattersThe case underscores Medicaid agencies' and behavioral health providers' exposure to billing fraud by direct-service staff and the growing scrutiny of community support worker documentation practices.

    Read at DC Office of the Inspector General (MFCU releases)
    DC Office of the Inspector General (MFCU releases)
  4. Published Oct 28

    DC Medicaid Posts Recurring Eligibility and Training Meeting Archive

    The District of Columbia Department of Health Care Finance maintains a webpage hosting recordings and slides from its biweekly DHCF Eligibility Meetings and District Direct Training sessions for human services benefits. The page is an ongoing archive, continuously updated with new sessions, rather than a report of a single new policy action. Content spans sessions from late 2025 through October 2026, covering eligibility processes and use of the District Direct system. Caseworkers, eligibility workers, community partners, and enrollment assisters rely on these materials to stay current on DC Medicaid eligibility operations and system functionality.

    Why it mattersEligibility workers, navigators, and community partners handling DC Medicaid and human services enrollment need this archive to stay current on District Direct system procedures and eligibility policy updates.

    Read at DHCF
    DHCF
  5. Published Oct 28

    DC Launches Website, Campaign on Medicaid Work Requirements

    The District of Columbia's Department of Human Services and Department of Health Care Finance have launched a public awareness campaign and a new website, workrequirements.dc.gov, to help residents understand new federal work requirements for SNAP and Medicaid created by H.R. 1, the One Big Beautiful Bill Act. The site includes a combined pre-screening tool that lets residents check whether the new requirements apply to them. The effort targets current Medicaid and SNAP recipients who must now meet federally mandated work or activity requirements to retain benefits. DC officials frame the campaign as implementation support to help residents avoid losing coverage as the law's requirements take effect.

    Why it mattersDC Medicaid beneficiaries risk losing coverage if they fail to understand or document compliance with the new federal work requirements, making outreach and pre-screening tools critical to minimizing coverage loss.

    Read at Department of Human Services (eligibility)
    Department of Human Services (eligibility)
  6. Published Aug 7

    D.C. Budget Debate Centers on Using Opioid Settlement Funds for Existing Services

    Medicaid Monitor

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