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# DOJ opens permanent fraud strike-force office in Philadelphia
- URL: https://members.americanhealthintel.com/2026-08-05-regulator/
- Published: 2026-08-05T10:02:16.000Z
- Updated: 2026-08-05T10:02:16.000Z
- Description: Plus: CMS releases autism therapy billing oversight toolkit for states. The day's rules, money, and enforcement, sourced and tiered below.
- Author: American Health Intel

Plus: CMS releases autism therapy billing oversight toolkit for states. The day's rules, money, and enforcement, sourced and tiered below.

| American Health Intel Rules · Money · Medicine · Decoded daily The Regulator Wednesday, August 5, 2026 DOJ opens permanent fraud strike-force office in Philadelphia Plus: CMS releases autism therapy billing oversight toolkit for states. The day's rules, money, and enforcement, sourced and tiered below. ![](https://americanhealthintel.com/email/pulse-divider.png) Record The Justice Department just opened a permanent fraud-fighting office inside Philadelphia's federal prosecutor's headquarters, and its first case already charges 19 people in home-care Medicaid schemes. Prosecutors say the schemes billed Pennsylvania Medicaid $5.76 million, including an aide who kept billing while incarcerated. The strike-force model has now prosecuted 6,200+ people who billed $45 billion nationally. Record The Medicare and Medicaid agency just told states to tighten billing oversight of autism therapy, the behavioral treatment covered for children on Medicaid, after spending on it exploded 421 percent since 2021. That growth outpaced the rise in diagnosed children served by 6 to 1\. HHS Secretary Robert F. Kennedy Jr. says the new playbook targets "fraud schemes that exploit children with autism," not eligibility itself. Also today No Surprises Act arbitration fee drops from $115 to $15 [Read](https://americanhealthintel.com/editions/2026-08-05-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#no-surprises-act-idr-fee-cut-final-rule) FDA-linked anesthetic recall triggers surgical kit corrections [Read](https://americanhealthintel.com/editions/2026-08-05-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#fda-bupivacaine-convenience-kit-correction) Missouri weighs $1B Medicaid penalty risk against MCO overhead [Read](https://americanhealthintel.com/editions/2026-08-05-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition#missouri-medicaid-mco-overhead-debate) 374Records$31.6BEnforcement17Deadlines110Rules [Read this issue + the trackers](https://americanhealthintel.com/editions/2026-08-05-regulator/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) Pick your field on the site and every story tells you what it means for you. Reply to this email and tell us what you want covered. We read everything. We show our work. We score our own calls. [Track record](https://americanhealthintel.com/ledger/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [Calendar](https://americanhealthintel.com/calendar/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [Enforcement](https://americanhealthintel.com/enforcement/?utm%5Fsource=newsletter&utm%5Fmedium=email&utm%5Fcampaign=edition) · [X](https://x.com/amhealthintel?ref=members.americanhealthintel.com) · [LinkedIn](https://www.linkedin.com/company/american-health-intel?ref=members.americanhealthintel.com) News and analysis, not legal, medical, coding, or investment advice.You subscribed at americanhealthintel.com · [Unsubscribe](%%{unsubscribe%5Furl}%%) |
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