Florida AHCA Six-Month Moratorium on DME Medicaid Enrollment

JD Supra Healthcare

Published March 30th, 2026

Detected March 31st, 2026

Summary

Florida's Agency for Healthcare Administration (AHCA) has implemented a six-month moratorium on new Durable Medical Equipment (DME) provider Medicaid enrollment, effective March 20, 2026. The moratorium applies statewide to all 67 Florida counties and targets new applications only; applications received before the effective date continue processing. Exemptions include pharmacies, hospitals, and entities furnishing DME as a secondary function. This action follows a similar federal CMS moratorium and targets fraud prevention in a state identified as high-risk for DME-related fraud.

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What changed

Florida's AHCA has enacted a six-month moratorium on new DME provider enrollment under Florida Medicaid, effective March 20, 2026. The moratorium applies to all 67 Florida counties and affects only new enrollment applications filed after the effective date—existing providers may continue operations. Pharmacies, hospitals, and entities providing DME as a secondary service are explicitly exempted. This state action follows a parallel federal CMS moratorium and reflects heightened enforcement focus on DME-related fraud in Florida.

DME providers seeking Medicaid enrollment in Florida must suspend applications for six months. Entities currently in the enrollment pipeline with applications received before March 20, 2026 will continue through normal processing. Organizations whose primary business is not DME (pharmacies, hospitals) should confirm their exemption status. All DME providers should review current operations and future expansion plans against this enrollment restriction. The moratorium runs for six months from the March 20, 2026 effective date.

What to do next

Suspend any new DME Medicaid enrollment applications until the moratorium period ends
Verify exemption status if pharmacy, hospital, or DME provided as secondary service
Review current DME operations and expansion plans against the six-month enrollment restriction

Source document (simplified)

March 30, 2026

Moratorium on New DME Medicaid Provider Enrollment in Florida

Michael Gennett, Deja Williams, J. Everett Wilson, Marisa Rodriguez Wilson Polsinelli + Follow Contact LinkedIn Facebook X Send Embed

Key Takeaways:

Florida’s Agency for Healthcare Administration (AHCA) has implemented a six-month moratorium on the enrollment of new Durable Medical Equipment (DME) providers, effective March 20, 2026.
The moratorium applies statewide and affects all new DME provider applications submitted after the effective date. Applications submitted prior to March 20 will continue to be processed.
Pharmacies, hospitals and providers furnishing DME as a secondary service are not subject to the moratorium and may continue with enrollment.
This action follows a similar federal moratorium from the Centers for Medicare & Medicaid Services (CMS) aimed at curbing fraud and protecting taxpayer resources, as Florida has been identified as a high-risk area for DME-related fraud. Effective March 20, 2026, Florida’s AHCA has implemented a statewide moratorium on the enrollment of new DME providers.

This six-month moratorium applies to all 67 Florida counties and only affects new DME provider enrollment applications filed after March 20, 2026. Applications received before this date will continue to be reviewed.

The moratorium does not impact existing DME providers, pharmacies, hospitals or entities that supply DME as a secondary function; these organizations may continue enrollment or operations as usual. For purposes of the moratorium, DME providers are entities whose primary function is furnishing medical equipment or supplies directly to patients or other providers, including via mail order.

Florida’s moratorium follows a similar federal CMS moratorium and reflects ongoing efforts to prevent fraud and ensure program integrity in Florida, a state that has seen heightened enforcement in this area.

We encourage you to review your current operations and future plans in light of this change.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.
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