Ohio Gov. Sets Plans to Crack Down on Home Care Fraud

Ohio Gov. John Kasich (R) is taking a bold new step in combating fraud in the home care industry: phasing out up to 13,000 independent providers who bill Medicaid for in-home care, The Columbus Dispatch reports.

The proposal, part of Kasich’s budget plan, aims to phase out thousands of providers over a four-year period through a two-step approach:

“No new independent providers would be allowed to bill Ohio Medicaid for home care services beginning in July 2016. And with few exceptions, only Ohio’s 800 Medicare-certified home health care agencies and other accredited agencies would be able to do so as of July 2019,” The Dispatch reports.

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Additionally, Kasich’s plan would authorize an “electronic visit verification” system, which could involve the use of GPS tracking, biometrics or staff call-ins to ensure visits occur in order to reduce fraud. Such a system would be implemented by July 2016.

If Kasich’s proposal gets the nod, it could save the state $9.5 million over the course of two years by preventing home care fraud.

To read the full Columbus Dispatch story, click here.

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Written by Emily Study