News · Audits and enforcement

Florida Medicaid reports more than 400 site visits focused on ABA, adult day care and equipment providers

· Reported by Florida Phoenix, via States Newsroom

What was reported

The Florida Phoenix, republished by States Newsroom on October 6, 2026, reported on the state's Medicaid fraud enforcement. According to the article, Florida's Agency for Health Care Administration has made more than 400 onsite provider visits focused on durable medical equipment, adult day care and ABA, referred more than 150 matters to the Attorney General's Medicaid fraud unit, restricted or suspended payments to more than 260 providers suspected of fraud, and terminated 220 providers since the start of the year. These numbers cover Medicaid providers generally. The article does not break them out for ABA.

ABA under managed care

The article says Florida moved ABA delivery to state contracted managed care plans in 2025. It reports that some ABA providers were dropped from plan networks and others chose to stop treating Medicaid clients, and that families and providers have complained of service interruptions since the switch.

What officials said

The agency's secretary, Shevaun Harris, said the agency is making more site visits and that investigators will not leave if providers fail to produce requested records. She also said the agency requires Medicaid providers to verify their credentials and identities, and that managed care plans have staff who help families find new providers. The governor, Ron DeSantis, blamed providers rather than the agency for interrupted ABA services.

What we have not verified

We have not seen the agency's own release or data. The article does not say how many of the site visits, referrals, suspensions or terminations involved ABA providers.

Why it matters to an operator

Analysis: The statement that investigators will not leave without the records they requested means a site visit is a records exercise. A clinic that can match each billed unit to a session note, a supervision record and a credential on file can meet it, and one that cannot is where payment suspensions begin.

If a site visit reached your practice, the compliance audit assesses your documentation and structure before anyone asks, with a prioritized fix list, alongside your counsel. If you have already received an audit or records request, call your counsel first.

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This brief rests on the reporting linked above and is labeled accordingly. Dossiers on this site are read to primary sources. Education only; nothing here is legal advice.

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