On June 4, 2026, @CMSGov published several fact sheets related to the bidding and award procedures for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. Learn more: ow.ly/B7WV50Z9Fvt

Round 2028 DMEPOS bidding is coming into focus. CMS’s latest guidance highlights two critical areas: how suppliers structure licensure across locations and how they substantiate bids. My colleagues outline the key changes and what suppliers should be doing now to get ahead.…

Round 2028 DMEPOS bidding is taking shape, and CMS is clarifying the rules early. The ability to meet licensure requirements across multiple locations offers new flexibility, but bid scrutiny remains high. Suppliers that align entity structure, licensing, and documentation now…

Press release from OH State Rep Jennifer Gross: COLUMBUS, Ohio – The Medicaid program in Ohio is in full crisis mode. Our house is on fire, and we cannot afford to wait as billions in taxpayer dollars continue to be lost to fraud, waste, and abuse in a system that has grown unchecked for far too long. Recent audits, investigations, and Governor DeWine’s welcome but limited executive actions highlight the urgent need for decisive legislative intervention to protect Ohio families, honest providers, and our state budget. As Chairwoman of the House Medicaid Committee and a committed Republican leader on fiscal responsibility, I am calling for immediate action on key reforms to restore integrity to the program. “We must prioritize and advance three critical proposals in Ohio's War on Fraud legislative package, alongside making our Electronic Visit Verification (EVV) program truly ironclad,” said Rep. Jennifer Gross (R-West Chester). These include: (1) a temporary enrollment moratorium on new high-risk Medicaid providers in categories such as home health, hospice, DMEPOS, behavioral health/sober living, and non-emergency medical transportation; (2) mandatory payment suspension upon any credible allegation of fraud, with clear timelines and stronger referral requirements; and (3) a one-time statewide off-cycle revalidation sweep followed by annual revalidation for non-institutional providers. Strengthening EVV with “no match, no pay” hard edits, GPS verification, real-time monitoring, closed loopholes, and meaningful penalties will deliver immediate impact, deter bad actors, and generate savings that can be reinvested in truly needy Ohioans. I urge my colleagues to join me in introducing an omnibus Ohio Medicaid Program Integrity and Fraud Prevention Act without delay. The fire is burning now—let’s put it out together. @lukerosiak @ACTBrigitte @MehekCooke @JDVance @Paragon_Inst @TheFGA @OHRGOPCaucus

Dr. Oz names 5 states in fraud crackdown as Trump admin targets Medicaid abuse | Ashley DiMella, Fox News Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz is zeroing in on five states as the Trump administration escalates its crackdown on fraud, waste, and abuse, he told Fox News Digital. "We've written letters to Minnesota, California, a letter to Florida because we're worried about the durable medical equipment fraud, New York, Maine, and there are more coming," Oz told Fox News Digital in a Zoom interview, adding that his concern expands to all 50 states, as well. Oz has escalated federal pressure on states to tighten anti-fraud enforcement following Minnesota’s $250 million "Feeding Our Future" scheme. CMS is leaving no stone unturned, he said, looking at programs such as Medicaid and hospices also revealing foreign influence in the fraud scheme. "We know the Cuban government seems to be implicated in some issues in South Florida, where you have twice as many durable medical equipment suppliers selling wheelchairs and knee braces than McDonald's," said Oz. The anti-fraud task force, led by Vice President JD Vance, announced in February that durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers will be targeted through a nationwide moratorium. "The Vice President's task force continues to work closely with Dr. Oz and CMS to track down and root out fraud," said a Vance spokesperson to Fox News Digital. "The task force is committed to ensuring that American tax dollars are used for the benefit of the American people, and will continue to successfully do exactly that." Oz said that he suspects a lot of foreign governments are involved in the fraud schemes taking place across the country targeting specific areas. "We have evidence that foreign nationals certainly are involved in a lot of this fraud. There's a Russian mafia presence in Los Angeles. There's Chinese mafia presence, for example, in Flushing Queens [New York,]" Oz said. Four hundred hospices in Los Angeles were suspended after officials flagged an unusually high concentration of providers in the area. The programs, designed for people in the final six months of their life, had very high survival rates – where in some cases everyone survived. "We also began to notice that there were some folks who were probably not honorable doctors who were designated to supervise patients in multiple hospices," said Oz. "A lot of hospitals had foreigners that owned them, or they were able to cheat by keeping the numbers of their membership low enough that they don't have to actually report their outcomes." Oz said the auditor of California informed Gov. Gavin Newsom of hospice fraud evidence in 2022. "The fact that we can suspend more than 400 hospices from getting paid in just a few weeks highlights the reality that no one was watching the till for the last several years," said Oz. Fox News Digital reached out to Newsom's office for additional comment. "In 2021, Governor Gavin Newsom signed legislation placing a moratorium on new hospice licenses – a policy that remains in effect today, preventing bad actors from entering the system while strengthening oversight of existing providers," a spokesperson for Newsom previously told the New York Post of hospice fraud in the state. Oz recently put all 50 states on notice ordering governors to identify and remove noncompliant Medicaid providers. Oz gave governors and state Medicaid leaders 10 business days in April to tell CMS whether they will commit to conducting a swift "revalidation" of high-risk Medicaid providers and provide a proposed timetable, alongside a separate 30-day deadline for a broader provider-revalidation strategy, escalating federal pressure on states to tighten anti-fraud enforcement. "We can audit states that don't want to comply with the revalidation request," said Oz. "Let’s revalidate, which means double check that everyone is providing services within Medicaid, especially for these high-risk services where these are the things your family would normally do for you," he said. Oz pointed to examples of autism babysitters, non-emergency transport to clinics, and services such as carrying and delivering groceries that may fall outside of Medicaid scope, possibly revealing fraud. "Like what do these people actually have as credentials to allow them to be able to this? And so we asked this question of all the states and all 50 now are charged within 10 days of telling us whether they want to work with us," he said. Officials suspect the fraud costs Americans billions of dollars each year. "This is an important issue for Americans to recognize because the states run Medicaid, but the federal taxpayer foots the bill," said Oz. foxnews.com/politics/dr-oz-n…

@nickshirleyy I believe you may have found a "trainer" or two! Here's some information I found that I hope will be helpful. The phone number is publicly listed as the contact number for Like Family Home Health Care, Inc., a home health agency. 🌟Alina Davidovna Saghumyan: Listed as CEO and a principal of the corporation. Other Affiliations: ➡️Listed as owner/contact for 5 Star Hospice (or related hospice operations) at the same Burbank address. Employer records describe it as a small hospice entity (1–4 employees) with her as the point of contact. ➡️Involved in 1st Choice Consulting (or Certified Healthcare Consultants), offering consulting services for home health, hospice, DMEPOS, private duty, and related certifications. This includes policy & procedure manuals, mock surveys, training, and remote/onsite consulting across numerous U.S. states. Contact email: 1stchoicehhc.consulting@gmail.com; phone: 424-522-2191. The businesses focus on Medicare/Medicaid-related home health and hospice services, including consulting to help other providers with certification and compliance. 🌟Linda Yegiazaryan: Serves as Director and Secretary Other Affiliations: ➡️She works as a real estate agent/realtor affiliated with Coldwell Banker Real Estate in the Los Angeles Metropolitan Area (Glendale, CA 91201 listings). Her LinkedIn describes her as a "self-made successful entrepreneur" with a background that includes a Bachelor of Political Science degree from California State University-Los Angeles (or similar). She has been listed in realtor directories for the Glendale area. ➡️CEO and authorized official for 365 Hospice (NPI #1144804758), a community-based hospice care provider. ➡️CEO for Improve Hospice (another NPI-linked hospice entity in Burbank). ➡️Registered Agent and key figure in LA 1st Step Consultants (or Certified Healthcare Consultants / 1st Step HHC Consulting) at 269 W. Alameda Ave, Unit B, Burbank, CA 91502. This consulting business offers services for home health, hospice, DMEPOS, private duty, pharmacy, and related certifications across nearly all U.S. states. Services include policy & procedure manuals, mock surveys, training events, onsite/remote consulting. Associated contacts: Phone 818-333-6119; email 1ststephhc.consulting@gmail.com (or similar variations like 1stchoicehhc.consulting@gmail.com in related listings). ✴️Her healthcare businesses focus on Medicare/Medicaid-compliant home health and hospice operations and consulting to help providers with certification and compliance.

AAPD is deeply concerned about last Thursday's Centers for Medicare & Medicaid Services (CMS) announcement addressing Medicaid and Medicare provider fraud. CMS’ decision to withhold quarterly Medicaid funding from Minnesota due to pending fraud investigations will harm disabled Minnesotans and could set a dangerous precedent.  Provider fraud can be a serious issue. But the solution cannot come at the expense of the Medicaid recipients who rely on these funds for their survival and independence. Taking away Medicaid funding will directly harm the people these programs exist to serve. We would also like to address the six-month moratorium on certifications for new providers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). We’ve seen a lot of discussion about this and we want to make this very clear. People on Medicare right now will NOT lose access to the equipment they need. Existing providers and coverage will remain in place. Policies that are supposed to prevent fraud at the provider level should never harm Medicare or Medicaid recipients. AAPD will be sharing resources over the coming weeks to help the disability community understand how this change may affect them. IDs: 3 images of white text on a blue background saying the information in the post.

2025 enforcement data: • $1.5B blocked in DMEPOS claims • 122,658 claims denied (medical necessity) • 5,586 suppliers revoked CMS has launched the CRUSH initiative and opened rulemaking input through March 20, 2026. Implications for providers: • Increased pre-payment scrutiny • Higher documentation thresholds • Potential cash flow volatility Fraud control is moving upstream. Operational readiness will matter. 🔗 Submit your comments here by March 20, 2026: federalregister.gov/d/2026-0… #HealthcareCompliance #Medicare #RevenueCycle

Centers for Medicare & Medicaid Services (CMS) is shifting Medicare and Medicaid program integrity from post-payment recovery (“pay and chase”) to AI-enabled pre-payment claims risk scoring. FY2025 metrics: • $5.7B suspicious payments blocked • $259.5M suspended (Minnesota) • Nationwide moratorium on new DMEPOS suppliers Operational shift: retrospective audit → predictive, real-time payment control. 🔗 cms.gov/newsroom/press-relea… #HealthPolicy #ProgramIntegrity

CMS is blocking new enrollments for DMEPOS suppliers. The primary goal of the moratorium is to stop fraudulent actors without disrupting care for legitimate beneficiaries. How would this translate into a hospital closing?

Once again the Canadian didn’t do her research on why. She also didn’t tell you all the facts which are below. So use caution with this poster. The primary reason given by Oz and the administration is to combat widespread fraud, waste, and abuse in the DMEPOS sector, which has been a longstanding hotspot for fraudulent billing schemes (e.g., fake suppliers, unnecessary equipment claims, and scams costing billions in taxpayer dollars). Oz described the fraud as so rampant that “it’s easier to open one of these suppliers than to open a bank account,” and stated the goal is a proactive “padlock the cookie jar” approach to prevent new bad actors from entering the program. This builds on CMS already stopping over $1.5 billion in suspected fraudulent DMEPOS billing in the prior year. Important clarifications: • It does not stop current suppliers from delivering equipment or affect patients’ access through existing providers. • It applies only to certain supplier types (e.g., medical supply companies focused on DMEPOS, those with specialized personnel like respiratory therapists or orthotists), not general pharmacies or hospitals.

probably the made up fraud they’ve come up with is specific to dmepos

CMS’ fraud crackdown slaps temp moratorium on initial Medicare enrollment/change of ownership for certain DMEPOS suppliers /doesn’t apply to Medicaid public-inspection.federalreg…

fighting to get basic services that were prescribed by a doctor once a month and relatively on time (read: no more than 30 days delay) out of a major DMEPOS supplier took *daily* effort and unspeakable emotional strain. literally unspeakable I wish I could get across how much it

Fucking great. DMEPOS suppliers are corrupt as fuck. customer support is non-existent. and our government’s solution is to protect their racket. it will never get better until patients can actually choose a supplier that’s offering a more reliable service than Byram or Edgepark

I am not MAGA, but I don’t just spew lies without research. This WILL NOT affect current registered DME providers ( companies that provide the DME’s, NOT THE PATIENT). This means, any NEW company filing with state or goverment, will not be able to be approved for 6 months as they ascertain validity and ensure there is no fraud with a new providing company. Any company currently licensed, currently providing DME to patients will not be affected. This does not mean denying these items to patients who need them. Existing enrolled suppliers (thousands across the country) can continue providing and billing for them without interruption. • It’s not a blanket “denial” for six months; it’s a temporary freeze on adding new suppliers to the Medicare roster to allow time for fraud investigations and reforms. • Separately, there’s a deferral of about $259 million in federal Medicaid funds specifically to Minnesota for potentially fraudulent claims in areas like personal care and home-based services, but this isn’t tied to the DMEPOS moratorium and doesn’t directly block access to the listed devices.

It definitely does! It affects people like me who wear colostomy bags bc they’re considered as DMEPOS! This is going to affect so many vulnerable people.

🚨 New pharmacy DMEPOS compliance standards: CMS accreditation changes you need to know! CMS has begun rolling out new DMEPOS accreditation requirements as of Jan. 1. Join Sandra Canally, RN, founder and CEO of the Compliance Team, as she breaks down the final rule, explains what it means for pharmacy DMEPOS providers, and shares strategies to succeed in this new compliance environment. 💻 Register now: us06web.zoom.us/webinar/regi… Presented by the Compliance Team.

As a physician and nurse, @RepMMM has firsthand knowledge of how valuable it is for Medicare beneficiaries to have reliable access to durable medical equipment, prosthetics, orthotics, and supplies. Her legislation, the DMEPOS Relief Act of 2025, works to ensure seniors and individuals with disabilities can continue receiving the equipment and supplies they need.

CQRC supports CMS’s work to strengthen program integrity and promote market-based, patient-centered policies. We urge CMS to ensure future rounds of competitive bidding for DMEPOS achieve these goals without risking access for patients: bit.ly/47KFw7D #CompetitiveBidding