PALM BEACH COUNTY, Fla. – Florida Gov. Ron DeSantis announced sweeping results on Tuesday from the state’s ongoing Medicaid fraud crackdown, citing more than 220 provider terminations, over $230 million in suspicious billing identified, and nearly $1 billion in projected savings tied to applied behavioral analysis services alone.
DeSantis made the announcement alongside Agency for Health Care Administration Secretary Shevaun Harris at the Health Care District of Palm Beach County.
The governor credited a multi-pronged approach, including a new technology-screening vendor, enhanced data analytics and a statewide provider revalidation effort, with producing what he called the opening results of a broader, long-term campaign.
“We’re not done,” DeSantis said. “AHCA will continue using enhanced data analytics, provider screening, site visits, and claims monitoring to identify suspicious activity and bad actors.”
The Agency for Health Care Administration, known as AHCA, launched a pilot program with a vendor called SentaLink to strengthen provider screening and flag potentially fraudulent payments before bad actors enter the program. The technology is designed to identify stolen identities, fake IDs, hidden ownership structures and other suspicious activity.
Harris said the SentaLink partnership has already flagged hundreds of providers, giving investigators a clearer path forward.
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