A federal judge faulted the state Medicaid program in a strongly worded order, ruling the program had improperly denied 2,000 out-of-network emergency claims submitted by a nonprofit health care provider that treated indigent children.U.S. District Judge Keith Ellison ruled last week that the state … Read More
COLUMBUS — A state proposal to require working poor adults on Ohio’s expanded Medicaid rolls to pay more toward their health care or risk losing coverage was rejected Friday by the federal government.The Healthy Ohio Plan would have charged Medicaid … Read More
An Ohio man who is the son of a former Iranian prince and is said to be worth millions of dollars has been living off government assistance for the last two years.Ali Pascal Mahvi lives in an 8,000 square foot … Read More
Sept. 7, 2016 /PRNewswire/ — Leveraging its unparalleled expertise and experience working with Medicaid dental programs, management of the Maryland Health Smiles Dental Program (Maryland Healthy Smiles) has been successfully transitioned to Scion Dental, part of the SKYGEN USA family … Read More
Nevada Attorney General Adam Paul Laxalt announced that Mamie Ree Hubbard-Washington, 73, of Las Vegas, was sentenced for Medicaid fraud. The fraud was committed between April and August 2012. Eighth Judicial District Court Judge Michelle Leavitt sentenced Hubbard-Washington to one … Read More
KIMT News 3 – Gary Holland recently needed some work done on his teeth, but he’s on Medicaid and ran into some problems. “Once you get registered with Medicaid you almost can’t switch doctors and your dentist and I called … Read More
A former Seymour dentist faces felony charges related to an investigation into the false billing of the state’s Medicaid program for dental treatments he allegedly did not perform on patients, a Marion County official reports. Dr. James Judd, 69, has … Read More
A pediatric dental provider with practices in Milford and West Haven will pay more than $1.3 million to the state and federal government to resolve allegations that he submitted false claims to Connecticut’s Medicaid program for x-ray services that did … Read More
May 17, 2016 – A company that manages dental benefits for the state children’s health insurance program is fighting the release of records it says contain “trade secrets.” Managed Care of North America (MCNA) sued the Florida Healthy Kids Corp. after it … Read More
A controversial whistle-blowing investigator for the state Office of Medicaid Inspector General has been reinstated by a labor arbitrator who says higher-ups at the agency placed him on paid suspension in 2012, and then forgot about him. A few months … Read More
Health care realities for Georgia’s at-risk children often resemble something out of Dickens. And it’s not always just the abjectly poor who suffer, but also those who fall into the gaps between those eligible for public assistance and those whose … Read More
The irony of Barb Lewis’ situation is that if she wasn’t so poor, she wouldn’t risk losing what little she has. The Iowa City woman, who is among the 13 percent of Iowans who live in poverty, discovered this year that … Read More
Three hospitals in New York’s Mount Sinai Health System will pay $2.95 million to settle Medicaid fraud charges for taking two years to repay more than $844,000 of improper billings that had been flagged by a whistleblower, authorities said on … Read More
SALT LAKE CITY (AP) A recent Utah state audit has revealed that Medicaid money was used to pay for a small number of ineligible controlled-substance prescriptions. The Salt Lake Tribune reports (http://bit.ly/2b6sFjH ) that the Auditor’s Office found several problems … Read More
A Swanton woman has been convicted of Medicaid fraud and ordered to serve prison time after she submitted false time sheets claiming three employees had provided personal care services to her children. Karen Tucker pleaded guilty and was convicted of four counts of Medicaid … Read More
This week, Pennsylvania’s Department of Human Services expects to award Medicaid contracts worth more than $7 billion annually that cover almost 421,000 low-income, disabled adults. But the contracts were scheduled to be awarded in June, raising questions about why state … Read More
LITTLE ROCK – Arkansas Attorney General Leslie Rutledge today announced the conviction of eastern Arkansans for Medicaid fraud. Andrea Jefferson of Crittenden County pleaded guilty in Pulaski County District Court. She has been ordered to pay $470 in restitution to … Read More
Computer giant Hewlett Packard Enterprises has entered into a $215 million contract with the state of Kansas to upgrade a Medicaid computer system that tracks patient claims payments to providers. According to a recent news release from the California-based company, … Read More
The state of Colorado could have to pay back more than $38 million it received in bonuses from the federal government for enrolling more children in Medicaid, after an audit concluded the state received money for kids who didn’t qualify.The audit was conducted by … Read More
A Baker woman accused of defrauding Louisiana to the tune of $1 million-plus in a Medicaid fraud scheme has been sentenced to five years in prison. Even though 38-year-old Chanda Hall pleaded guilty in April to a racketeering charge, The … Read More
HARTFORD — A state court has ordered a Winsted dentist to pay $717,046 in restitution and fines for bilking the state’s Medicaid program, including using unlicensed assistants to provide pediatric dental cleanings and fluoride treatments. http://rep-am.com/news/local/974243.txt Republican American
A woman has been sentenced to three years in prison for Medicaid fraud. Delphine Lucas, 50, pleaded guilty to one felony count of vendor fraud on July 7, according to a statement from Illinois State Police. She has since been … Read More
LITTLE ROCK (KATV) — Arkansas Attorney General Leslie Rutledge announced the sentence of a Johnson County woman who pleaded guilty to Medicaid fraud. Sherry Wommack, 46, was sentenced to three years of probation and ordered to pay a $600 fine, … Read More
TULSA, Okla. (AP) — A former Oklahoma oral surgeon whose filthy clinics led to thousands of patients being tested for HIV and hepatitis was sentenced Thursday to six months’ house arrest for fraudulently billing Medicaid for anesthesia services that were … Read More
LITTLE ROCK, Ark. (July 12, 2016) – Arkansas Attorney General Leslie Rutledge today announced the conviction of a Crittenden County woman for Medicaid fraud. Lacasha Perry pleaded guilty in Pulaski County District Court. Perry will pay a fine of $2,916. She … Read More
JEFFERSON CITY, Mo. (KMOV.com) – A personal care attendant will serve five years probation and be ordered to pay back $25,000 to Missouri’s Medicaid Program. Yvonne Conly was originally sentenced to serve three concurrent prison sentences of five years, following her … Read More
A Chickasaw County nurse is headed to prison for one year after pleading guilty to Medicaid fraud, Mississippi Attorney General Jim Hood announced Tuesday. Cheryl Renee Hamblet, 42, of Houston, appeared before Choctaw County Circuit Court Judge Joseph H. Loper … Read More
The New Jersey Office of the State Comptroller, Medicaid Fraud Division, did not always suspend Medicaid payments to providers with credible allegations of fraud in accordance with the Affordable Care Act. Of the 49 providers with credible allegations of fraud … Read More
WHY WE DID THIS STUDY OIG administers the Medicaid Fraud Control Unit (MFCU or Unit) grant awards, annually recertifies the Units, and oversees the Units’ performance in accordance with the requirements of the grant. As part of this oversight, OIG … Read More
From October 1, 2009, through September 30, 2012, the Washington State Health Care Authority (State agency) claimed $117,000 in unallowable Federal Medicaid reimbursement for dental services. The unallowable payments consisted of (1) duplicate payments, (2) payments for services that were … Read More
The prosecution and defense in the case of Dr. Howard S. Schneider, 78, each hired medical experts to diagnose Schneider, who has pleaded not guilty to those charges and one count of scheme to defraud. Schneider’s trial was set to … Read More
PHILLIPS COUNTY, Ark. – A Phillips County woman was arrested on Wednesday on suspicion of Medicaid fraud, according to Attorney General Leslie Rutledge. Jacqueline Young, 36, surrendered to the Phillips County Sheriff’s Office and was later released on her own recognizance, … Read More
PULASKI COUNTY (KATV) — A 36-year-old Heber Springs woman was given three years of probation and order to pay a fine and restitution for Medicaid fraud. Arkansas Attorney General Leslie Rutledge announced Thursday that Jessica Eddy pleaded guilty to Medicaid … Read More
Jacksonville, FL — He has “severe mental deficits” and a “lack of memory” which makes him unable to stand trial.That’s why the lawyers for a former Southside pediatric dentist accused of hurting patients want him ruled incompetent by a judge.WOKV … Read More
An Avoca man faces 10 years in prison for allegedly sending fraudulent billing claims to Medicaid. Darren Washington, 52, worked as a service provider for Healthy Homes Family Services. From January 2015 to May 2015 while working for Healthy Homes, … Read More
CRITTENDEN COUNTY (KATV) — Two Crittenden County women have been arrested on charges of Medicaid fraud.Arkansas Attorney General Leslie Rutledge announced the arrests Wednesday by the Attorney General’s Medicaid Fraud Control Unit.36-year-old Pamela Pollard, of Marion, and 38-year-old Lacasha Perry, … Read More
ROCKFORD (WIFR) – A Rockford woman pleads guilty to felony fraud after Illinois State Police say she was being paid by Medicaid for services she wasn’t actually providing. 59-year-old Lucinda Germann was arrested after an investigation revealed she was submitting … Read More
CLEVELAND, Ohio – A Cleveland dentist allegedly billed Medicaid for fillings on patients with dentures and other work not performed; now he’s charged with health care fraud, Ohio’s U.S. Attorney announced Monday.Robert Rouzaud, 59, allegedly billed for an excessive number … Read More
BATON ROUGE – Attorney General Jeff Landry announced five people were arrested on defrauding the Medicaid program following investigations by his Medicaid Fraud Control Unit (MFCU).“Fraudulent claims to the Medicaid program will be investigated, and the scammers will be arrested,” said … Read More
ALBANY – Amongst the surplus vehicle, highway equipment, and miscellaneous property to be auctioned Wednesday morning by the New York State Office of General Services is a 2012 Porsche Cayenne SUV. The Porsche, with approximately 14,850 miles on its odometer, … Read More
