California's Largest-Ever Medi-Cal Hospice Fraud Takedown — $267M State + $50M Federal Indictments Signal Enforcement Posture Shift

California DHCS and DOJ announced the largest-ever Medi-Cal hospice fraud takedown: 14 fraudulent hospice providers, $267M in improper claims, plus a parallel US Attorney (Central District) federal indictment of 8 defendants for $50M. No FQHCs named, but the signal matters: transnational criminal networks used stolen patient identities to enroll people in Medi-Cal — meaning FQHCs may see duplicate/fraudulent enrollees that trigger downstream eligibility disputes. DHCS is now investigating 300+ hospices. The House Oversight Committee has demanded documents from Gov. Newsom on hospice oversight. FQHCs should expect heightened DHCS audit activity and re-verify Medi-Cal eligibility at the point of service for 2026.