Gov. DeSantis Announces Medicaid Fraud Prevention Plan in Palm Beach County
AHCA will partner with CentiLink and restrict new enrollment for high-risk providers after investigators found more than a dozen fake Medicaid entities.
- On Friday, Governor Ron DeSantis and Florida Agency for Health Care Administration Secretary Shevaun Harris announced the Medicaid Integrity Initiative in West Palm Beach to identify fraud among health care providers before taxpayer money is lost.
- State officials are abandoning the 'pay and chase' model, where fraudulent claims were investigated only after payment. The agency has terminated or denied enrollment to more than 3,200 providers over the past two years.
- AHCA is partnering with fraud-detection company SentiLink to flag synthetic identities and hidden ownership structures before enrollment. The state also imposed enrollment moratoriums on high-risk categories, including durable medical equipment suppliers and adult day care providers.
- Every active Medicaid provider must revalidate credentials within 12 to 24 months or face removal from the program. The crackdown aligns with federal guidelines from the Centers for Medicare & Medicaid Services under the Trump Administration.
- Fiscal responsibility frames the initiative, with DeSantis noting four straight years of state budget reductions. He criticized Republican Party of Florida debate qualification criteria as "counterproductive" for the 2026 gubernatorial primary.
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DeSantis announces Medicaid fraud crackdown, criticizes GOP debate criteria
WEST PALM BEACH, Fla. — Gov. Ron DeSantis on Friday announced a series of new measures aimed at combating Medicaid fraud in Florida, while also weighing in on a growing dispute over Republican gubernatorial primary debates. Speaking alongside Florida Agency for Health Care Administration Secretary Shevaun Harris, DeSantis unveiled enhanced provider screening requirements, new enrollment… The post DeSantis announces Medicaid fraud crackdown, crit…
Florida Freezes Certain Medicaid Enrollments In Major New Fraud Crackdown - Tampa Free Press
Florida is launching a widespread crackdown on Medicaid fraud. Governor Ron DeSantis announced a new integrity initiative today designed to stop scams before they happen and keep taxpayer money focused on eligible residents. The initiative rolls out several immediate changes, including a pause on accepting new enrollments for specific high-risk health care businesses. Durable medical […] Florida Freezes Certain Medicaid Enrollments In Major New …
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