Documentary record · ADMINISTRATIVE PROGRAM-INTEGRITY ACTION

CMS bars 11 medical-equipment suppliers from Medicare Advantage and Part D payment over suspected fraudulent billing

PRECLUSION LIST — PAYMENT BAR

Event date

September 8, 2026

Jurisdiction

United States

Issuing body

Centers for Medicare & Medicaid Services

Action type

ADMINISTRATIVE PROGRAM-INTEGRITY ACTION

Lifecycle state

PRECLUSION LIST — PAYMENT BAR

Verification date

15 September 2026

An administrative action placing 11 DMEPOS suppliers on the Preclusion List, which bars Medicare Advantage (Part C) and Part D payment. It is not a criminal charge and not a finding that the full amount was paid or proven fraudulent.

What this establishes

  • CMS identified 11 suppliers linked to more than $3.4 billion in suspected fraudulent billing in 2025 and 2026.
  • CMS’s stated warning signs: no claims before 2025, improper billing practices, billing for beneficiaries already deceased, and equipment beneficiaries never requested or received.
  • Four of the suppliers had already been revoked from Original Medicare and had begun billing Medicare Advantage plans.

What this does not establish

  • Criminal charges, convictions or civil judgments against any supplier.
  • That $3.4 billion was paid out; CMS describes the figure as suspected billing.

Why it matters

Suppliers removed from one Medicare payment channel can move to another. The action shows the preclusion tool reaching into Medicare Advantage and Part D, and it shows why enforcement figures must carry their own qualifiers.

Primary source

Register: the record store · record id cms-dmepos-preclusion-2026-09-08.