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Texas AG Settles for $40 Million Over Medicaid Fraud Allegations

Texas AG Ken Paxon announced a settlement with Molina Healthcare of Texas, Inc. and Molina Healthcare, Inc. (collectively, “Molina”), to resolve allegations of Medicaid fraud. The AG’s office claims Molina violated the Texas Health Care Program Fraud Prevention Act (THFPA) by failing to timely assess Medicaid beneficiaries for required services and concealing its non-compliance from…

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Multistate Coalition Settles False Claims Allegations with Precision Diagnostics

A multistate coalition of 44 AGs and the U.S. Department of Justice settled with Precision Toxicology, LLC d/b/a Precision Diagnostics, Inc. (Precision) to resolve allegations that it made false claims to multiple federal healthcare programs in violation of state and federal false claims and anti-kickback laws. According to the settlement, Precision allegedly had a policy…

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$1.45 Million Settlement is a Bitter Pill to Swallow

North Carolina AG Josh Stein settled with Med First Immediate Care and Family Practice, P.A. to resolve False Claims Act allegations that the clinic operated as a “pill mill” for opioid prescriptions. According to the AG’s office, Med First allegedly filed false claims with Medicare and Medicaid for unnecessary testing, office visits that did not…

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Texas OAG Reaches $42.7 Million Settlement over Alleged Medicaid Fraud

The Texas OAG settled with six subsidiaries of Takeda Pharmaceutical Co. to resolve allegations that the companies committed Medicaid fraud in violation of the Texas Medicaid Fraud Prevention Act (TMFPA). According to the AG’s office, the settlement addresses alleged TMFPA violations raised by a whistleblower in a qui tam lawsuit. The lawsuit alleged that the…

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Medi-Cal Fraud Settlements Net $68 Million

California AG Rob Bonta, in partnership with the DOJ, settled with four health care providers to resolve allegations that they violated state and federal False Claims Acts through the submission of fraudulent claims to Medi-Cal, California’s Medicaid program. According to AG Bonta, the allegedly fraudulent submissions were part of a scheme to wrongfully retain federal…

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