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Nursing Home Settles With AG James Over Allegations of Fraudulent Medicare Charges

New York AG Letitia James, together with the DOJ, announced settlements with Saratoga Center for Rehabilitation and Skilled Nursing Care, a former 257-bed nursing home, and its owners, unlicensed operator, and landlord (together, “Saratoga Center”) over allegations that the nursing home submitted reimbursement claims for substandard and worthless services to the state’s Medicaid program while…

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Regional Home Care Must Pay $2.5 Million for Alleged MassHealth Overcharges

Massachusetts AG Andrea Joy Campbell settled with Regional Home Care, Inc., a medical equipment supplier and service provider, to resolve allegations that the company’s billing and debt collection practices violated the state’s consumer protection law and regulations promulgated by the AG’s office and MassHealth, the state’s Medicaid program. According to the AG’s office, Regional Home…

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Centene to Pay $215 Million to California over Medicaid Overbilling Allegations

California AG Rob Bonta settled with pharmacy benefit manager (PBM) Centene Corporation and its subsidiaries in connection with alleged overcharges by Centene to California’s Medi-Cal program. AG Bonta alleges that Centene overcharged the Medi-Cal system by reporting inflated prescription drug costs. In particular, he alleges that Centene leveraged its PBM contracts to save its managed…

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Online Pharmacy Start-up Settles with AG Bonta for $15 Million over Alleged Medi-Cal Fraud

California AG Rob Bonta settled with Hey Favor, Inc. and affiliated and predecessor entities that previously conducted business as “The Pill Club” for allegedly violating the California False Claims Act by knowingly presenting false claims to Medi-Cal—California’s Medicaid program—for prescriptions that were written and dispensed in a manner that failed to comply with California law.…

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Iowa Settles with Centene for $44.4 Million over Medicaid Overbilling Allegations

Iowa AG Tom Miller announced a settlement with managed care company Centene Corp. in connection with allegations that the company, which operated as Iowa Total Care in the state, overbilled Iowa’s Medicaid program for pharmacy benefits and services.

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