What's New
- October 1, 2026
- Medicare Advantage Organizations and Prescription Drug Plans Paid $72 Million During a 3-Year Period for Services Associated With Excluded Providers or Individuals Convicted of Certain Felonies
- 2026 MFCU Recertification Letters Update
- September 29, 2026
- Job Posting: Supervisory Attorney - Deputy Branch Chief (2 positions - closes 10/5/2026)
- September 28, 2026
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That UnitedHealthcare Benefits of Texas, Inc. (Contract H0609), Submitted to CMS
Enforcement Actions
- September 30, 2026
- Independence Blue Cross to Pay $22.5M to Resolve False Claims Act Allegations
- Pakistani Nationals residing in Bakersfield and Los Angeles County charged in a scheme to defraud Medicare
- Signal Diagnostics Agrees to Pay over $20M to Settle False Claims Act Allegations for Failing to Refund Overpayments to the HRSA Uninsured Program
- Illegal Alien from Honduras and Kansas Woman Plead Guilty to Fraudulently Seeking to Obtain Custody of an Unaccompanied Alien Child
