Your blog White House Task Force to Eliminate Fraud: What Healthcare Providers Should Do Before an Audit Notice Arrives

On March 16, 2026, the President signed Executive Order 14395, "Establishing the Task Force to Eliminate Fraud." The order created a new interagency body within the Executive Office of the President to coordinate a national strategy against fraud, waste, and abuse in federal benefit programs, including programs that provide housing, food, cash assistance, and medical care.

Although the Executive Order covers many types of federal benefits, healthcare programs such as Medicare and Medicaid are among the largest federal benefit programs, and the Task Force's work has already been connected to several high-profile healthcare actions. CMS has stated that its Medicaid Fraud War Room was created in direct collaboration with the White House Task Force to Eliminate Fraud, and that its six-month national enrollment moratoria for hospices and home health agencies were implemented in coordination with the Vice President's anti-fraud task force. The Department of Justice also presented the 2026 National Health Care Fraud Takedown as part of the broader federal anti-fraud effort.

For healthcare providers, the most useful question is not whether they will be affected by a single Executive Order, but how the priorities it sets, including eligibility verification, pre-payment controls, provider revalidation, documentation requirements, data sharing, and audits, may shape the Medicare and Medicaid audit environment. This article explains what the White House Task Force to Eliminate Fraud is, what Executive Order 14395 requires, how it connects to recent healthcare program integrity actions, and what practical steps healthcare providers can take now, before an audit notice arrives.

What Is the White House Task Force to Eliminate Fraud?

Executive Order 14395 was signed on March 16, 2026, and published in the Federal Register on March 19, 2026, at 91 FR 13485. It establishes a Task Force to Eliminate Fraud within the Executive Office of the President.

Leadership

Under the order:

• The Vice President of the United States serves as Chairman of the Task Force.

• The Chairman of the Federal Trade Commission serves as Vice Chairman.

• The Assistant to the President for Homeland Security serves as Senior Advisor.

• The Chairman designates an Executive Director to manage day-to-day operations, reporting to the Vice Chairman.

The Executive Order states that the Task Force is subject to the President's direct supervision and control and must provide frequent updates to the President.

Member Agencies

The Task Force includes representatives from the Department of the Treasury, the Department of Justice, the Department of Agriculture, the Department of Labor, the Department of Health and Human Services, the Department of Housing and Urban Development, the Department of Education, the Department of Veterans Affairs, the Department of Homeland Security, the Small Business Administration, the Office of Management and Budget, and other agencies, inspectors general, or components as determined by the Chairman. The Task Force must also coordinate with the Homeland Security Council on matters related to law enforcement, public safety, national security, transnational crime, and organized criminal activity.

For healthcare providers, the inclusion of HHS is especially relevant, because HHS includes CMS, which administers Medicare and oversees Medicaid, and the HHS Office of Inspector General (HHS-OIG). The inclusion of DOJ is also important because of its role in health care fraud prosecutions and False Claims Act cases.

The Stated Purpose

Section 1 of the Executive Order describes the Administration's view that some states administering federally funded benefit programs have adopted practices such as self-certification of eligibility and have not instituted certain fraud controls. The order states that the Administration will use available resources and authorities to fight fraud, close loopholes, enforce eligibility rules, and protect benefits for eligible Americans. A Congressional Research Service (CRS) report on the Executive Order notes that the order attributes conditions for fraud to state-level practices such as allowing applicants to self-certify information and failing to verify eligibility.

The Nine Priorities of the Task Force

Section 3 of Executive Order 14395 directs the Task Force to coordinate and accelerate a comprehensive national strategy to stop fraud, waste, and abuse within federal benefit programs, including programs administered jointly with state, local, tribal, and territorial partners. The Task Force is to coordinate member agencies to:

1. Develop measures to improve eligibility verification processes and maximize enforcement of eligibility requirements.

2. Develop controls that operate before funds are obligated or disbursed to prevent improper payments, including determining when ongoing or potential fraud requires proactively pausing certain types of funding until controls can be established.

3. Evaluate indicators of fraud and high-risk vulnerabilities, including major fraud trends and cross-program and large-scale schemes, including the potential use of third-party contractors to improve fraud detection.

4. Promote information and data sharing and coordination between state, local, tribal, and territorial governments and the federal government, and between benefit-providing agencies and law enforcement.

5. Disrupt and dismantle fraud networks and facilitators, including providers, contractors, other entities, and repeat cross-program offenders.

6. Investigate and disrupt the mechanisms through which fraud is committed, including any facilitation of fraud by government officials.

7. Prevent remittance transfers that involve the proceeds of federal benefits fraud.

8. Audit and ensure prospective compliance monitoring.

9. Analyze identifying information for all providers or retailers associated with the redemption of benefits and develop a process for recommending wide-scale revalidations or reauthorizations to deter fraudulent providers.

Several of these priorities are directly relevant to healthcare providers, especially pre-payment controls, provider revalidation, auditing and compliance monitoring, and data sharing between state Medicaid programs and federal agencies.

Required Agency Actions and Deadlines

Section 4 of the Executive Order sets out specific actions and timelines for member agencies:

• Within 30 days of the order, each member agency administering federal benefit programs was to identify the transactions and processes most susceptible to fraud and submit descriptions and suggested prevention measures. The order lists examples, including new enrollments, redeterminations, provider enrollments, eligibility self-attestation procedures, changes to payment destinations or payees, and transactions involving third-party intermediaries.

• Within 60 days, the Task Force was to coordinate member agency efforts to adopt, as appropriate, minimum anti-fraud requirements for those transactions and processes. Where federally funded processes are administered by states or other jurisdictions, the Task Force and member agencies are to address how those jurisdictions can demonstrate implementation of the anti-fraud requirements. The Task Force is also directed to examine and recommend ways that federal funds may be withheld from jurisdictions that do not have adequate anti-fraud requirements.

• Within 90 days, each Task Force member was to submit a measurable implementation plan concerning the measures identified or developed under the order.

Minimum Anti-Fraud Requirements

The Executive Order lists the types of anti-fraud requirements that may be adopted, including:

• Screening, proof of identity, and eligibility verification.

• Pre-payment integrity and risk controls, including affirmative documentation requirements concerning services provided.

• Information- and data-sharing processes, updated criteria, minimum integrity checks, cross-program risk indicators, and coordinated recovery and enforcement pathways.

• Appropriate use of providers, vendors, contractors, nonprofit organizations, intermediaries, and service organizations.

• Audit and remedial measures, including suspension, termination, repayment, exclusion, and debarment actions.

For healthcare providers, the phrases "provider enrollments," "pre-payment integrity and risk controls," "affirmative documentation requirements concerning services provided," "intermediaries," and "audit and remedial measures" are worth noting, because they describe areas where providers interact directly with Medicare and Medicaid program integrity systems.

The False Claims Act and Qui Tam Provisions

Section 6 of the Executive Order directs the Attorney General to take appropriate action to promote the meritorious pursuit by private persons of civil actions under 31 U.S.C. 3730 concerning fraud within federal benefit programs. Section 3730 is the part of the False Claims Act that allows private individuals, known as relators or whistleblowers, to file qui tam lawsuits on behalf of the United States.

In healthcare, qui tam cases are frequently filed by current or former employees, such as clinicians, billing staff, or administrators, who believe their employer submitted false claims. The Executive Order's emphasis on qui tam actions is a reminder that internal compliance concerns that go unaddressed can become external legal matters. A strong internal reporting and response culture gives organizations the opportunity to identify and correct problems early.

Related Federal Anti-Fraud Initiatives

The Task Force is part of a broader set of federal anti-fraud actions. Understanding these related initiatives helps providers see how the overall environment is changing.

The National Fraud Enforcement Division at DOJ

According to the CRS, on January 8, 2026, the White House announced a new National Fraud Enforcement Division within the Department of Justice. The CRS describes the division as responsible for enforcing federal criminal and civil laws against those who defraud federal programs and others, and for overseeing multi-district and multi-agency fraud investigations.

Executive Order 14390

The CRS also notes that on March 6, 2026, the President signed Executive Order 14390, "Combating Cybercrime, Fraud, and Predatory Schemes Against American Citizens," which focuses on fraud and cyber-enabled crime carried out by transnational criminal organizations.

Fraud.gov

In October 2026, the Department of the Treasury published a Federal Register notice describing a government-wide intake and referral portal at Fraud.gov for members of the public to report suspected waste, fraud, abuse, improper payments, and misuse of federal funds. Treasury stated that the collection supports implementation of Executive Order 14249 and Executive Order 14395.

Earlier Executive Orders

The White House fact sheet accompanying Executive Order 14395 also references earlier actions, including a March 2025 Executive Order on eliminating information silos to stop waste, fraud, and abuse, and a March 2025 Executive Order to improve the Treasury Department's ability to screen for improper payments and fraud.

How the Task Force Connects to Healthcare Program Integrity

Several healthcare program integrity actions in 2026 have been publicly linked to the Task Force.

The Medicaid Fraud War Room

CMS launched the Medicaid Fraud War Room in April 2026 and stated that it was created in direct collaboration with the White House Task Force to Eliminate Fraud. CMS describes the Task Force's role as providing executive-level leadership and goal setting, with CMS identifying the highest-risk providers through data analytics and coordinating the War Room, and HHS-OIG investigating fraud, issuing exclusions, and pursuing civil monetary penalties. CMS reported that in its first 88 days, the Medicaid Fraud War Room coordinated actions against 50 unique high-risk Medicaid providers representing approximately $203 million in Medicaid payments.

Hospice and Home Health Enrollment Moratoria

CMS announced a six-month nationwide moratorium on new Medicare enrollment for hospices and home health agencies, implemented in coordination with the Vice President's anti-fraud task force. CMS reported implementing the moratoria in May 2026. CMS stated that the moratoria apply to initial Medicare enrollment applications and certain changes in majority ownership, and that during the moratoria it would intensify targeted investigations, use advanced data analytics, and accelerate the removal of hospices and home health agencies suspected of fraud. CMS also described related actions, including payment suspensions for approximately 800 hospices and home health agencies in Los Angeles suspected of fraud, nationwide hospice site visits, heightened oversight of newly enrolled hospices in certain states, and a new publicly available hospice scoring system.

Providers should check CMS for the current status of these moratoria, as moratoria are time-limited and may be extended, modified, or lifted.

The 2026 National Health Care Fraud Takedown

On June 23, 2026, the Department of Justice announced the 2026 National Health Care Fraud Takedown, with charges against 455 defendants, including 90 doctors and other licensed medical professionals, in schemes involving more than $6.5 billion in alleged false claims. The Takedown included cases in 56 federal districts and 45 states and territories, with 50 state Medicaid Fraud Control Units participating. DOJ also reported that CMS suspended payments to 1,079 providers and revoked billing privileges for 1,403 providers.

Marketplace and Laboratory Actions

CMS has also connected other actions to the Task Force, including actions related to the Federal Health Insurance Marketplace and enforcement involving Medicare laboratory billing. CMS reported stopping more than $1.6 billion in potentially improper Medicare laboratory payments, including the revocation of 157 laboratory providers.

Open Questions and Limits

For a balanced understanding, providers should also be aware of the limits and open questions surrounding the Executive Order. The CRS report notes that:

• The order seeks to address well-known vulnerabilities, and stronger pre-payment controls, including eligibility verification, might reduce future fraud losses.

• It is not clear how effective the Task Force may be at improving data sharing among jurisdictions, which may depend on whether Congress provides statutory authority for certain programs.

• It is not clear how effective the Task Force may be in getting state, local, tribal, and territorial governments to enhance internal controls, as some jurisdictions may argue they lack funding to upgrade systems.

• The extent to which agencies may pause funding due to perceived fraud risk is unclear, and attempts to withhold appropriated funds already awarded to jurisdictions may face legal challenges.

The Executive Order itself states that it must be implemented consistent with applicable law and subject to available appropriations, and that it does not create enforceable rights. In practice, the specific requirements that affect healthcare providers will generally come through agency rules, CMS guidance, state Medicaid policy changes, and contractor activity, rather than from the Executive Order directly.

For context on the scale of the issue the Task Force aims to address, the CRS cites a Government Accountability Office estimate that federal agencies lose between $233 billion and $521 billion annually to fraud, and a U.S. Sentencing Commission finding that convictions for government benefits fraud increased 242 percent between 2020 and 2024.

What This Means for Healthcare Providers

Taken together, the Executive Order and related actions point to several trends that healthcare providers can reasonably expect to continue:

• More emphasis on verifying provider identity, ownership, and eligibility at enrollment and revalidation.

• More pre-payment controls, including pre-payment review and payment suspensions.

• Stronger expectations for documentation that affirmatively supports each service billed.

• More data sharing between state Medicaid agencies, CMS, HHS-OIG, DOJ, and other federal agencies.

• Closer scrutiny of third-party intermediaries, such as billing companies, marketers, staffing agencies, and management services organizations.

• More attention to changes in payment destinations, such as bank account changes, and changes in ownership.

• Continued use of exclusions, revocations, repayment demands, and other remedial measures.

• Continued encouragement of whistleblower reporting under the False Claims Act.

None of these trends means that a particular provider is under suspicion. They do mean that the time to prepare is before a records request, site visit, or payment suspension notice arrives.

What Healthcare Providers Should Do Before an Audit Notice Arrives

The following steps are practical, widely recognized compliance measures that align with the priorities described in Executive Order 14395 and with official guidance from CMS and HHS-OIG.

1. Confirm Your Enrollment and Ownership Information Is Accurate

Because the Executive Order emphasizes provider enrollments, revalidation, and analysis of provider identifying information, providers should review their enrollment records carefully.

• Review your Medicare enrollment in the Provider Enrollment, Chain, and Ownership System (PECOS), including owners, managing employees, practice locations, and authorized and delegated officials.

• Confirm that bank account and payment information is accurate, and establish internal controls for any change to payment destinations.

• Review your enrollment with each state Medicaid program and Medicaid managed care organization.

• Track revalidation deadlines and respond promptly to revalidation notices.

• Report changes of ownership and other reportable changes within required timeframes.

• If you plan a new location, acquisition, or ownership change in a service area subject to an enrollment moratorium, confirm the current CMS rules before proceeding.

2. Prepare for Site Visits

CMS and its contractors conduct site visits to verify that providers are operational and meet enrollment requirements, and CMS has described nationwide hospice site visits as part of its recent actions.

• Make sure your physical location matches your enrollment records.

• Post required signage and maintain regular operating hours consistent with your enrollment.

• Train front-desk staff on how to receive a site visitor, verify credentials, and notify leadership.

• Keep key documents, such as licenses, accreditation, and staffing information, readily available.

3. Strengthen Documentation That Affirmatively Supports Each Service

The Executive Order refers to "affirmative documentation requirements concerning services provided." Regardless of how that phrase is implemented in specific programs, complete documentation has always been the foundation of a successful audit response.

• Make sure every claim is supported by documentation showing that the service was ordered, medically necessary, provided as billed, and accurately coded.

• Confirm that orders, certifications, plans of care, visit notes, and signatures meet Medicare and Medicaid requirements for your provider type.

• For services that require proof of delivery, such as DME, maintain delivery documentation.

• For home and community-based services and personal care, review whether your state requires electronic visit verification and make sure records are complete.

• Audit electronic health record templates to make sure documentation reflects individualized care.

4. Verify Patient Identity and Eligibility

Because eligibility verification is a central Task Force priority, providers should make sure their intake process confirms patient identity and coverage.

• Verify insurance eligibility at intake and at regular intervals for ongoing services.

• Confirm patient identity using appropriate documentation consistent with privacy rules.

• Train staff to recognize signs of identity misuse, such as patients who cannot confirm services or demographic information that does not match records.

• Monitor for claims submitted under your NPI that your organization did not submit.

5. Screen Your Workforce, Contractors, and Vendors

The Executive Order emphasizes exclusion and debarment as remedial measures and focuses on fraud networks and facilitators.

• Screen all employees, contractors, and vendors against the HHS-OIG List of Excluded Individuals and Entities before hiring and regularly afterward.

• Screen against SAM.gov and all applicable state Medicaid exclusion lists.

• Document every screening and have a clear process for responding to a match.

6. Review Third-Party Intermediaries and Vendors

The Executive Order specifically mentions transactions involving third-party intermediaries and the appropriate use of providers, vendors, contractors, intermediaries, and service organizations.

• Inventory all billing companies, coding vendors, marketing firms, staffing agencies, telehealth platforms, and management services organizations you work with.

• Confirm that each relationship has a written agreement that requires compliance with federal and state program rules and gives you audit and record access rights.

• Review marketing and referral arrangements for compliance with the federal Anti-Kickback Statute and, where applicable, the physician self-referral law, with help from qualified legal counsel.

• Monitor vendor performance through regular audits.

7. Conduct Internal Audits and Monitor Billing Data

The Task Force priorities include auditing and prospective compliance monitoring, and federal agencies increasingly use data analytics to identify outliers.

• Conduct regular internal audits of high-risk and high-volume services.

• Consider an independent external audit at least periodically.

• Use comparative data available to your provider type, such as CMS's Program for Evaluating Payment Patterns Electronic Report (PEPPER), to identify areas where you may appear to be an outlier.

• Investigate and document the reasons for significant changes in billing volume, case mix, or referral sources.

8. Have an Overpayment Process

If an internal audit identifies an overpayment, providers must act. Under 42 CFR 401.305, Medicare providers must report and return identified overpayments. CMS amended this rule effective January 1, 2025, to allow the 60-day deadline to be suspended for up to 180 days while the provider conducts a timely, good-faith investigation to identify related overpayments.

• Maintain a written overpayment policy.

• Track each potential overpayment from discovery to resolution.

• Understand state Medicaid overpayment rules, which can differ from Medicare.

• With legal counsel, evaluate whether a voluntary disclosure, such as through the HHS-OIG Health Care Fraud Self-Disclosure Protocol or the CMS Voluntary Self-Referral Disclosure Protocol, is appropriate.

9. Build an Internal Reporting and Response Culture

Given the Executive Order's emphasis on qui tam actions, internal reporting is especially important.

• Maintain an anonymous hotline or other confidential reporting option.

• Adopt and enforce a clear non-retaliation policy.

• Investigate every concern promptly, document the outcome, and communicate with the reporter when appropriate.

• Make sure leadership and the governing body receive regular compliance reports.

10. Create an Audit Response Plan Now

The time to design an audit response plan is before you need one.

• Designate an audit response coordinator and a backup.

• Make sure all staff know to forward letters from Medicare Administrative Contractors, Unified Program Integrity Contractors, Recovery Audit Contractors, the Supplemental Medical Review Contractor, CERT or PERM contractors, HHS-OIG, state Medicaid agencies, Medicaid Fraud Control Units, or law enforcement immediately.

• Maintain a central log of requests and deadlines.

• Establish a quality review process for records before they are submitted.

• Keep copies of everything submitted and proof of delivery.

• Know when to involve legal counsel, such as when you receive a payment suspension notice, a UPIC request, a subpoena, a civil investigative demand, or any contact from law enforcement.

11. Understand Payment Suspension, Revocation, and Appeal Rights

Pre-payment controls and remedial measures are central to the Task Force's approach, so providers should understand their rights.

• Medicare payment suspension rules are in 42 CFR 405.371 and 405.372, and the opportunity to submit a rebuttal statement is in 42 CFR 405.374.

• Medicaid payment suspension rules for credible allegations of fraud are in 42 CFR 455.23.

• Medicare revocation rules are in 42 CFR 424.535, with appeal rights that generally begin with reconsideration.

• The Medicare fee-for-service claim appeal process has five levels: redetermination, reconsideration, Administrative Law Judge hearing, Medicare Appeals Council review, and federal district court review.

12. Plan for Cash Flow Disruption

Because pre-payment controls and payment suspensions can affect cash flow quickly, providers should consider financial contingency planning, such as maintaining reserves and understanding how a suspension or pre-payment review would affect operations.

13. Train Leadership and Staff

• Provide compliance training at hire and at least annually.

• Include role-specific training on documentation, coding, enrollment, and intake.

• Brief leadership and owners on current federal enforcement priorities, including the Task Force, the Medicaid Fraud War Room, and recent CMS actions.

14. Stay Informed

The requirements that flow from the Task Force are likely to change over time through agency guidance and rules.

• Monitor CMS newsroom announcements, CMS program integrity reports, HHS-OIG publications, and your state Medicaid agency's provider notices.

• Watch for updates to Medicare and Medicaid enrollment requirements, documentation requirements, and moratoria.

• Review your Medicare Administrative Contractor's website and newsletters for medical review topics affecting your services.

Frequently Asked Questions

Does Executive Order 14395 create new rules for healthcare providers?

The Executive Order itself directs federal agencies to coordinate and develop anti-fraud measures. It does not by itself rewrite Medicare or Medicaid regulations. Changes that directly affect providers generally come through agency rules, CMS guidance, state Medicaid policies, and contractor activity.

Who leads the Task Force to Eliminate Fraud?

The Vice President serves as Chairman, the Chairman of the Federal Trade Commission serves as Vice Chairman, and the Assistant to the President for Homeland Security serves as Senior Advisor.

Is the Task Force focused only on healthcare?

No. It covers federal benefit programs broadly, including housing, food, cash assistance, and medical care. Healthcare programs are a major area of focus because of their size.

How is the Task Force connected to Medicaid?

CMS has stated that the Medicaid Fraud War Room was created in direct collaboration with the Task Force, and the Executive Order emphasizes eligibility verification, data sharing, and anti-fraud requirements in programs administered jointly with states, which includes Medicaid.

What should a provider do first?

A practical first step is to review enrollment information, run a complete exclusion screening, conduct a focused internal audit of high-risk services, and confirm that an audit response plan is in place.

Does the Task Force mean more audits?

The Executive Order emphasizes auditing, compliance monitoring, pre-payment controls, and revalidation. While the number and type of audits for any specific provider will depend on many factors, providers should be prepared for continued and potentially increased program integrity activity.

Conclusion

The White House Task Force to Eliminate Fraud, established by Executive Order 14395, sets a federal priority on preventing fraud in benefit programs before payments are made. Its priorities, including eligibility verification, pre-payment controls, provider revalidation, documentation, data sharing, scrutiny of intermediaries, and audits, align closely with recent CMS and DOJ healthcare program integrity actions, such as the Medicaid Fraud War Room, the hospice and home health enrollment moratoria, and the 2026 National Health Care Fraud Takedown.

For healthcare providers, the most effective response is preparation. Accurate enrollment records, strong documentation, careful vendor oversight, regular internal audits, a clear overpayment process, a supportive internal reporting culture, and a tested audit response plan will help any organization respond confidently when an audit notice arrives, and in many cases will help prevent problems from developing in the first place.

How HealthBridge Can Help

HealthBridge is a healthcare management consulting firm that specializes in compliance, program integrity, and audit readiness for healthcare providers. We help organizations review enrollment and ownership records, strengthen documentation and billing practices, evaluate vendor and intermediary relationships, conduct internal audits, build overpayment and audit response processes, and stay current with changing federal and state requirements. If you would like help preparing your organization before an audit notice arrives, please get in touch with us. We will be happy to help you with this topic.

References

• The White House. Establishing the Task Force to Eliminate Fraud, Executive Order 14395 (March 16, 2026). https://www.whitehouse.gov/presidential-actions/2026/03/establishing-the-task-force-to-eliminate-fraud/

• The White House. Fact Sheet: President Donald J. Trump Establishes the Task Force to Eliminate Fraud (March 16, 2026). https://www.whitehouse.gov/fact-sheets/2026/03/fact-sheet-president-donald-j-trump-establishes-the-task-force-to-eliminate-fraud/

• Federal Register. Establishing the Task Force To Eliminate Fraud, 91 FR 13485 (March 19, 2026). https://www.federalregister.gov/documents/2026/03/19/2026-05497/establishing-the-task-force-to-eliminate-fraud

• U.S. Government Publishing Office, GovInfo. Executive Order 14395, Establishing the Task Force To Eliminate Fraud. https://www.govinfo.gov/app/details/DCPD-202600181

• Congressional Research Service. Executive Order 14395, "Establishing the Task Force to Eliminate Fraud," IF13229 (May 19, 2026). https://www.congress.gov/crs-product/IF13229

• Federal Register. Agency Information Collection Activities; Proposed Collection; Comment Request; Fraud.gov Tip Intake and Referral Form (October 22, 2026). https://www.federalregister.gov/documents/2026/10/22/2026-21578/agency-information-collection-activities-proposed-collection-comment-request-fraudgov-tip-intake-and

• Centers for Medicare & Medicaid Services. Medicaid Fraud War Room Fast Facts. https://www.cms.gov/files/document/medicaid-fraud-war-room-fast-facts.pdf

• Centers for Medicare & Medicaid Services. CMS Medicaid Fraud War Room Stops More Than $203 Million in Improper Payments During First 88 Days. https://www.cms.gov/newsroom/press-releases/cms-medicaid-fraud-war-room-stops-more-203-million-improper-payments-during-first-88-days

• Centers for Medicare & Medicaid Services. CMS Announces Aggressive Nationwide Crackdown on Fraud with Six-Month Hospice and Home Health Agency Enrollment Moratoria. https://www.cms.gov/newsroom/press-releases/cms-announces-aggressive-nationwide-crackdown-fraud-six-month-hospice-home-health-agency-enrollment

• Centers for Medicare & Medicaid Services. Crushing Fraud: 2026 CMS Facts and Figures. https://www.cms.gov/files/document/cpi-quarterly-dashboard.pdf

• Centers for Medicare & Medicaid Services. CMS Prevents $1.6 Billion in Fraudulent Medicare Laboratory Payments. https://www.cms.gov/newsroom/press-releases/cms-prevents-1-6-billion-fraudulent-medicare-laboratory-payments

• Centers for Medicare & Medicaid Services. Program Integrity Pillars for Medicaid and the Children's Health Insurance Program (CHIP). https://www.cms.gov/medicare/medicare-medicaid-coordination/program-integrity-pillars-medicaid-childrens-health-insurance-program-chip

• Centers for Medicare & Medicaid Services, Center for Program Integrity. Crushing Fraud: Annual Report 2025. https://www.cms.gov/files/document/crushing-fraud-annual-report.pdf

• U.S. Department of Justice, Office of Public Affairs. National Health Care Fraud Takedown Results in 455 Defendants Charged in Connection with Over $6.5 Billion in Alleged Fraud (June 23, 2026). https://www.justice.gov/opa/pr/national-health-care-fraud-takedown-results-455-defendants-charged-connection-over-65

• U.S. Department of Health and Human Services, Office of Inspector General. 2026 National Health Care Fraud Takedown. https://oig.hhs.gov/newsroom/media-materials/2026-national-health-care-fraud-takedown/

• U.S. Department of Health and Human Services. CMS Testimony on Combatting Medicare and Medicaid Fraud (March 17, 2026). https://www.hhs.gov/about/agencies/asl/testimony/2026/03/17/cms-testimony-on-combatting-medicare-and-medicaid-fraud.html

• U.S. Department of Health and Human Services, Office of Inspector General. General Compliance Program Guidance. https://oig.hhs.gov/compliance/general-compliance-program-guidance/

• U.S. Department of Health and Human Services, Office of Inspector General. Health Care Fraud Self-Disclosure. https://oig.hhs.gov/compliance/self-disclosure-info/

• U.S. Department of Health and Human Services, Office of Inspector General. Exclusions Program and LEIE Database. https://oig.hhs.gov/exclusions/

• U.S. General Services Administration. System for Award Management. https://sam.gov/

• U.S. Code. 31 U.S.C. 3730, Civil Actions for False Claims. https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section3730&num=0&edition=prelim

• Electronic Code of Federal Regulations. 42 CFR 401.305, Requirements for Reporting and Returning of Overpayments. https://www.ecfr.gov/current/title-42/section-401.305

• Electronic Code of Federal Regulations. 42 CFR 405.371, Suspension, Offset, and Recoupment of Medicare Payments. https://www.ecfr.gov/current/title-42/section-405.371

• Electronic Code of Federal Regulations. 42 CFR 405.374, Opportunity for Rebuttal. https://www.ecfr.gov/current/title-42/section-405.374

• Electronic Code of Federal Regulations. 42 CFR 424.535, Revocation of Enrollment in the Medicare Program. https://www.ecfr.gov/current/title-42/section-424.535

• Electronic Code of Federal Regulations. 42 CFR 455.23, Suspension of Payments in Cases of Fraud. https://www.ecfr.gov/current/title-42/section-455.23

• Centers for Medicare & Medicaid Services. Original Medicare (Fee-for-Service) Appeals. https://www.cms.gov/medicare/appeals-grievances/fee-for-service