California Revokes 280+ Hospice Licenses in Multi-Agency Fraud Crackdown
Summary
California's CDPH, DHCS, and CDTFA conducted multi-agency compliance reviews at a Van Nuys hospice location, finding that only 19 of approximately 128 entities at the address are properly licensed to bill Medi-Cal, while 109 never received a California hospice license. Since the 2021 moratorium, California has revoked 280+ hospice licenses and placed 300+ more under investigation, representing among the most aggressive hospice enforcement actions in the nation.
What changed
California's multi-agency enforcement action against hospice fraud involved approximately 80 surveyors and investigators from CDPH, DHCS, and CDTFA conducting onsite compliance reviews at a Van Nuys location. Findings revealed that only 19 of roughly 128 entities at this address are currently licensed and eligible to bill Medi-Cal, while 109 entities attempting to use this address never received a California hospice license. Approximately 60% of hospice entities seeking licenses at this address were denied due to California's 2021 moratorium on new hospice licenses.
Healthcare providers offering hospice services in California should immediately verify their licensing status with CDPH and ensure their Medi-Cal billing practices are fully compliant with state requirements. Providers should review enrollment procedures and billing safeguards, as DHCS has strengthened verification requirements for hospice elections. The aggressive enforcement posture signals ongoing scrutiny of hospice providers, and entities should proactively audit their compliance programs to avoid license revocation or investigation.
What to do next
- Verify hospice license status with CDPH
- Ensure Medi-Cal billing compliance procedures are current
- Prepare for potential multi-agency compliance reviews
Penalties
280+ hospice licenses revoked; 300+ hospices under investigation
Archived snapshot
Apr 9, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
OFFICE OF COMMUNICATIONS
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Office of Communications
California Cracks Down on Hospice Fraud in Los Angeles, Debunks Viral Claims
April 8, 2026
NR26-014
What You Need to Know: California continues its multi-agency actions to protect Californians and taxpayer dollars from fraudulent or unsafe hospice activity. Yesterday, investigators from the California Department of Public Health (CDPH), California Department of Health Care Services (DHCS), and California Department of Tax and Fee Administration (CDTFA) conducted onsite compliance reviews in Los Angeles County.
LOS ANGELES – As part of ongoing efforts to protect patients and safeguard public health programs, approximately 80 surveyors and investigators from CDPH, DHCS, CDTFA, and partner agencies conducted compliance reviews at a Van Nuys location subject to “viral” videos regarding hospice care.
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State investigators conduct hospice compliance reviews in Los Angeles County on April 7, 2026, as part of California’s ongoing effort to protect patients and safeguard public programs from fraud. | | While online claims pointed to numerous hospices tied to potential fraud at this location, nearly 9 out of 10 entities that have utilized this address for their business cannot even bill the state-run Medi-Cal program for hospice care.
A review of state records tied to this location identified the following:
- Only 19 are currently licensed by the state and are eligible to bill Medi-Cal.
- 109 attempting to use this address have never been issued a California hospice license.
When some of the businesses sought to establish hospices, California stopped them. In 2021, California took decisive action to place a moratorium on new hospice licenses. The state’s prevention efforts worked: Upwards of 60 percent of hospice entities using the Van Nuys address were denied a license because of California’s moratorium. | |
Protecting the Hospice System: That hasn’t slowed enforcement. The state treats all reports of regulatory non-compliance, whether received in-person, through the mail, or online as complaints, from members of the public and is inspecting them under its purview as part of its everyday work to protect taxpayers, root out fraud, and increase the quality of hospice care.
“As part of our ongoing work, we are in Los Angeles County actively investigating hospice providers,” said CDPH Director and State Public Health Officer Dr. Erica Pan. “Protecting patients and safeguarding the integrity of our health care system remains our top priority, and we will continue to hold providers accountable.”
“DHCS is shoulder‑to‑shoulder with CDPH on this effort,” said DHCS Director Michelle Baass. “Whether our teams are in the field conducting reviews or verifying enrollment and billing, when we suspect fraud, we act. And when we determine there is a credible allegation of fraud, we refer cases to the California Department of Justice. Our shared commitment is protecting Medi‑Cal members, safeguarding taxpayer dollars, and ensuring hospice services are delivered safely, legally, and with integrity.”
“The Department of Tax and Fee Administration is happy to lend our expertise and support to our partner agencies to review concerns and verify compliance,” said CDTFA Director Trista Gonzalez. “Our focus is on ensuring businesses are operating within the law and that public funds are protected.”
Holding Bad Actors Accountable: Since Governor Newsom’s 2021 moratorium, California has revoked 280+ hospice licenses and placed 300 more under investigation — among the most aggressive enforcement actions in the nation. In addition to CDPH’s licensing enforcement, DHCS has strengthened hospice billing safeguards by requiring its own verification of hospice elections before any claim can process, using a DHCS‑issued indicator code that only appears after documentation is approved.
Under the Trump Administration, the Centers for Medicare & Medicaid Services (CMS) suspended implementation of the Hospice Special Focus Program, a federally required initiative designed to identify and increase scrutiny of poorly performing hospices. The program would have driven more frequent inspections and stronger federal enforcement.
CDPH licenses and oversees hospice providers and investigates complaints, and DHCS audits Medi-Cal billing. However, the federal government administers Medicare, which accounts for the vast majority of hospice spending, and they reimburse, monitor, and investigate federal Medicare payments. The state is not involved in Medicare billing or payment processing.
California welcomes continued partnership with CMS as the federal government advances its own hospice oversight efforts, and will continue to share information and coordinate where appropriate to support shared program integrity goals. California’s work to prevent and stop fraud and hold fraudsters accountable is ongoing, and further details regarding these ongoing investigations will remain confidential to protect the integrity of this critical law enforcement work.
See how California is fighting fraud in state programs at stopfraud.ca.gov, and view B-roll of hospice compliance reviews. For more information about the decisive actions California has taken in hospice fraud enforcement, please see the Governor’s March and January news releases.
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