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AG Healey Settles with Mental Health Provider Over Alleged False Claims

Massachusetts AG Maura Healey and the DOJ reached a settlement with outpatient mental health company Pathways of Massachusetts, LLC (“Pathways”) and its former parent company Molina Healthcare, Inc. (“Molina”) to resolve allegations that Pathways submitted fraudulent claims to Massachusetts’ Medicaid program in violation of the federal and Massachusetts False Claims Acts.  The settlement further resolved…

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AG Healey Settles With Home Health Agency Over Purportedly Unauthorized Services

Massachusetts AG Maura Healey settled with home health agency Integrity Home Care Solutions, LLC, and its owners and officers (collectively, “Integrity”) to resolve alleged violations of MassHealth regulations. According to the AG’s office, Integrity allegedly failed to obtain physician authorization to confirm that services are medically necessary before submitting claims to MassHealth. Under the terms…

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California Enforcers Settle with Brookdale Senior Living

California AG Rob Bonta, together with a coalition of California District and City attorneys, announced a settlement with Brookdale Senior Living, Inc., the nation’s largest senior living operator, over allegations that Brookdale violated the state False Advertising Law and Unfair Competition Law by improperly discharging patients and misrepresenting the quality of care provided at its…

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Home Care Service Providers Accused of Cheating Medicaid

Massachusetts AG Maura Healey sued home health agency Prestige Health Care Services, Inc. and related individuals (collectively “Prestige Health”) over allegations that Prestige Health falsely billed the state’s Medicaid program in violation of the Massachusetts False Claims Act and the Medicaid False Claims statute.

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Private Equity Firm to Pay Almost $20 Million to Settle Allegations of Medicaid Fraud

Massachusetts AG Maura Healey reached a settlement with private equity firms H.I.G. Growth Partners, LLC and H.I.G. Capital, LLC (collectively “HIG”), and two former executives of a mental health facility operator, South Bay Mental Health Center, Inc. (“SBMHC”), to resolve allegations that they caused fraudulent claims to be submitted to the state’s Medicaid program, known as MassHealth, in violation of federal and state false claims acts.

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