On May 13, 2026, Ohio Governor Mike DeWine announced new Medicaid fraud prevention initiatives focusing on home health and hospice providers from the Ohio Department of Medicaid (ODM).
Governor DeWine also issued an Executive Order on May 18, 2026, directing new emergency rules for multiple provider enrollment enforcement actions including revalidations of identified high-risk providers.
The move follows a nationwide moratorium by the Centers for Medicare and Medicaid Services (CMS) on new Medicare enrollment for hospices and home health agencies. As our colleagues have written, CMS will let each state decide “whether some form of home health provider moratorium is appropriate for their respective Medicaid and [Children’s Health Insurance Program (CHIP)], and the scope of such moratorium,” encouraging states to engage in this analysis.
What You Need to Know
- Moratorium on New…
CLICK HERE to read the FULL Ohio Toughens Medicaid Fraud Prevention with New Initiatives article.
Identity theft is the “foundational” fraud upon which many other crimes are built. It involves the unauthorized acquisition and use of a person’s personal identifying information (PII), such as an ID number, Social Security number, or passport details.
- How it works: Fraudsters obtain PII through data breaches, mail theft, or “social engineering” (tricking people into revealing details). Once they have this data, they can open new bank accounts, apply for credit cards or loans, and even receive medical treatment under your name.
- Synthetic Identity Fraud: A sophisticated variation where criminals combine real and fabricated information to create a completely new, “synthetic” person. This is particularly difficult to detect because there is no single victim to report the suspicious activity initially.