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DeSantis Announces Medicaid Fraud Crackdown With SentiLink Pilot

By Drooid · Oct 9, 2026, 1:06 AM UTC · How we work

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Synthetic Provider Detection

Governor Ron DeSantis announced new Medicaid fraud-prevention actions in downtown West Palm Beach on Tuesday, October 6, 2026.
The plan adds a pilot partnership with SentiLink to verify provider identities and detect synthetic or concealed business ownerships.
State auditors flagged billing anomalies such as claims filed continuously without weekends and services billed for over 24 hours in a single day.
AHCA also broadened analytics and tightened screening of high-risk providers.

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Provider Overbilling Crackdown

Governor Ron DeSantis announced new Medicaid fraud-prevention actions in downtown West Palm Beach on Tuesday, October 6, 2026.
The crackdown targets individual providers, stressing accountability for overbilling clearly rather than blaming systemic failures.
More than 220 providers were terminated and faced over 1,000 adverse enrollment decisions.
ABA therapy spending fell to $2.88 billion, and the agency completed 400+ site visits since January 2026.

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Synthetic Provider Detection

Governor Ron DeSantis announced new Medicaid fraud-prevention actions in downtown West Palm Beach on Tuesday, October 6, 2026.
The plan adds a pilot partnership with SentiLink to verify provider identities and detect synthetic or concealed business ownerships.
State auditors flagged billing anomalies such as claims filed continuously without weekends and services billed for over 24 hours in a single day.
AHCA also broadened analytics and tightened screening of high-risk providers.

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