• Federal and state authorities report investigating hospice and home health care fraud in California, primarily involving Medicare and Medicaid billing.

• A federal anti‑fraud task force, formed in mid‑March, is described as coordinating with the Centers for Medicare & Medicaid Services (CMS) to identify providers showing indicators of improper billing.

• According to figures cited, hundreds of hospice providers and several dozen home health agencies in California have had payments suspended while investigations are ongoing, involving an estimated hundreds of millions of dollars in suspended or questioned claims.

• A significant portion of the flagged providers are located in Los Angeles County, with authorities citing patterns such as unusually high billing volumes, shared addresses among many licensed hospices, and lack of evidence of active operations.

• Law enforcement actions mentioned include search warrants, arrests, and criminal charges against individuals accused of submitting fraudulent claims for hospice services that were allegedly unnecessary or not provided.

• Investigators allege some schemes involved:

  • Enrolling beneficiaries who did not meet hospice eligibility criteria
  • Billing for “phantom” patients or services
  • Using stolen or improperly obtained personal information
  • Operating multiple hospice entities from the same physical location

• California state officials and the state Department of Justice are reported to be conducting hundreds of active investigations, sometimes in coordination with federal agencies such as the FBI and CMS.

• State audits and prior investigations had previously flagged weaknesses in licensing oversight, including multiple providers sharing addresses, insufficient inspections, and limited enforcement capacity.

• Proposed or mandated regulatory reforms discussed include:

  • Enhanced background checks for hospice operators
  • Restrictions on multiple hospice licenses at a single address
  • Increased on‑site inspections
  • Stronger pre‑licensing verification requirements

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