Justice Department Charges 19 over Alleged Fake Home Healthcare Shifts
Officials say 19 defendants billed Medicaid for home health care never provided, including aides who were jailed, hospitalized or working other jobs.
- On Tuesday, Pennsylvania officials announced criminal charges against 19 defendants involved in schemes defrauding the Medicaid program of more than $4 million in fraudulent claims.
- Attorney General Dave Sunday detailed a case involving home health aides Ashley Griffin and Yolanda Wright, who allegedly submitted nearly $1.5 million in fraudulent reimbursements for work not performed.
- National Fraud Enforcement Division Colin McDonald described schemes where aides billed Medicaid while patients were hospitalized, working other jobs, or in jail, citing over $400,000 in false claims.
- Officials announced the Northeast Strike Force is expanding into Philadelphia to further "root out the fraud" within the state, bringing together the DOJ's National Fraud Enforcement Division and federal prosecutors.
- These charges coincide with the Trump administration recently deferring more than $1 billion in Medicaid payments to Minnesota and California, pointing to suspected fraud and noncompliance as the reason.
38 Articles
38 Articles
19 Charged in $4 Million Philadelphia Medicare, Medicaid Fraud Scheme › American Greatness
Federal and Pennsylvania prosecutors have charged 19 defendants in connection with a $4 million scheme to defraud Medicare and Medicaid, the latest sign of the […] Source
DOJ ANNOUNCEMENT: Nineteen Charged in $4 Million Pennsylvania Medicaid Home Healthcare Fraud Scheme
Assistant AG Colin McDonald: Today, we are announcing criminal charges against 19 defendants for fraudulent home healthcare schemes that targeted Pennsylvania’s Medicaid program and resulted in over $4 million of fraud.
Federal and state officials highlight Medicaid fraud in Philadelphia
President Trump's administration has made it a priority to combat Medicaid billing fraud nationwide. In Philly, one case cited was an agency that billed $225,000 for services by a deceased aide.
New tools launched to stop Medicaid fraud
PHILADELPHIA, Pa. (WTAJ) — Federal and state officials announced a renewed effort Tuesday to combat Medicaid fraud, saying Pennsylvania has become a major focus as investigators work to stop fraudulent billing and protect access to care for vulnerable residents. Speaking in Philadelphia, Associate Deputy Attorney General Colin McDonald said the federal government is committed to [...]
Federal Sweep Charges 19 People and a Philadelphia Home Health Agency in $5.76M Medicaid Billing Fraud
Federal and state prosecutors announced charges on August 4 against 19 individuals and a Philadelphia-based home health care agency for allegedly defrauding Pennsylvania's Medicaid program out of roughly $5.76 million. U.S. Attorney David Metcalf said the indictments cover caregivers who submitted fabricated timesheets while imprisoned, employed elsewhere, already dead, or out of state on vacation. Family members also allegedly collected kickbac…
DOJ charges 19 in Medicaid fraud case as strike force tops $45 billion nationally
The Justice Department on Tuesday charged 19 defendants in alleged Philadelphia-area schemes that generated more than $4 million in fraudulent Medicare and Medicaid claims, while expanding its Northeast Health Care Fraud Strike Force into the city. The defendants include home health aides, Medicaid recipients, and owners and employees of home care companies, according to the DOJ’s announcement. Officials alleged that some billed Medicaid for ser…
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