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Ohio Gov. DeWine signs executive order aimed at Medicaid fraud

Ohio Gov. DeWine signs executive order aimed at Medicaid fraud

COLUMBUS, Ohio – Ohio Gov. Mike DeWine has signed Executive Order 2026-01D to allow the Ohio Department of Medicaid (ODM) to implement emergency rules to require more frequent revalidation of providers identified as higher-risk for committing fraud. 

Additionally, DeWine sent a letter to the Centers for Medicare & Medicaid Services (CMS) on May 1 committing Ohio to partnering with the Trump Administration and using a more stringent revalidation process to better prevent fraud.

Under the authority of Ohio Revised Code Sections 5164.02. 5164.32, 5164.33, ODM will immediately amend Ohio Administrative Code rules to:

  • Permit Ohio Medicaid to terminate the provider agreements of Medicaid providers that have not provided Medicaid services or billed the Medicaid program in more than one year
  • Require Medicaid providers that are at a higher risk for committing fraud to revalidate enrollment more frequently to confirm compliance with Medicaid program rules
  • Allow Ohio Medicaid to require certain Medicaid providers to recredential as determined necessary by the Medicaid Director
  • Permit the denial of a provider enrollment application when a federally approved moratorium is in effect, even if the enrollment application was received but not approved before the moratorium began.

Related: Florida also issues moratorium on new DME providers.

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