Tag

Medicaid Fraud

All articles tagged with #medicaid fraud

Ohio-Federal Partnership Targets $42 Million in Fraud, Launches Most Wanted Fraudsters List
justice1 month ago

Ohio-Federal Partnership Targets $42 Million in Fraud, Launches Most Wanted Fraudsters List

The Justice Department and Ohio officials announced a first-of-its-kind federal–state cooperation to detect and prosecute fraud, including a data-sharing agreement and charges against nine defendants for more than $42 million in schemes spanning healthcare, government programs, and consumer fraud; three defendants were detained with two more facing extradition for an additional $15 million in fraud, as the FBI launches the Most Wanted Fraudsters list and a Fraud Division–State Partnership Roundtable to strengthen enforcement.

Ohio fraud indictments spotlight nearly $60M in scheme across Medicaid, PPP
politics1 month ago

Ohio fraud indictments spotlight nearly $60M in scheme across Medicaid, PPP

Fourteen people in Ohio are charged with nearly $60 million in fraud across Medicaid, a romance scam, and fraudulent Paycheck Protection Program loans, announced at a Columbus-area news conference led by Acting U.S. Attorney General Todd Blanche. The indictments surface amid a partisan fight over Medicaid fraud and immigration, with Republicans highlighting enforcement and Democrats arguing the issue is being politicized.

Two Minnesota Clinic Owners Charged in $21 Million Medicaid Fraud Scheme
crime1 month ago

Two Minnesota Clinic Owners Charged in $21 Million Medicaid Fraud Scheme

Two Minnesota residents, Shamso Ahmed Hassan and Hanaan Mursal Yusuf, were arrested on conspiracy to commit health care fraud, eight counts of health care fraud, and two counts of money laundering after allegedly steering about $21.1 million from Medicaid through Smart Therapy Center LLC and Star Autism Center LLC between May 2020 and December 2024; the arrests were led by FBI with Homeland Security Investigations, and the suspects remain in federal custody.

Feds unveil $90M Minnesota Medicaid fraud indictments
politics1 month ago

Feds unveil $90M Minnesota Medicaid fraud indictments

Fifteen people were indicted on federal charges for schemes that drained more than $90 million from Minnesota’s Medicaid programs serving children, the homeless, and disabled residents, including a record autism-services fraud case; federal officials framed it as a major victory in a broader crackdown with expanded Medicaid strike force teams.

policy1 month ago

Minnesota Medicaid fraud indictment: 15 charged in $90 million autism services scheme

The Department of Justice indicted 15 Minnesotans for a $90 million Medicaid fraud scheme tied to autism services. CMS has withheld Medicaid payments over fraud concerns, and Minnesota plans to revalidate high‑risk providers as part of a broader crackdown, highlighting tensions between the Trump administration and state oversight of federal funds.

Fraud Crackdown Triggers $1.3B Deferral in California Medicaid Payments
politics2 months ago

Fraud Crackdown Triggers $1.3B Deferral in California Medicaid Payments

Vice President JD Vance announced a deferral of $1.3 billion in California Medicaid reimbursements over fraud concerns, as CMS Administrator Dr. Oz unveiled a six‑month moratorium on new hospice and home‑health enrollments amid alleged widespread fraud in the Los Angeles area. California officials pushed back, saying the moves target fraud rather than patient care, while the administration warned all states they could lose federal funding if they don’t aggressively prosecute fraud. The action fits a broader federal crackdown on healthcare fraud across states and programs like Medi‑Cal.

Feds Uncover Billions in Medicaid and Welfare Fraud Across Minnesota and Beyond
crime6 months ago

Feds Uncover Billions in Medicaid and Welfare Fraud Across Minnesota and Beyond

Federal prosecutors in Minnesota have announced new charges in a massive Medicaid fraud scheme involving billions of dollars, with defendants accused of billing for services not provided, using funds for personal luxury, and creating fake companies to claim millions in fraudulent Medicaid claims, highlighting the scale and impact of healthcare fraud in the state.

Minnesota Faces Major Housing Stabilization Fraud Scandal
crime9 months ago

Minnesota Faces Major Housing Stabilization Fraud Scandal

Eight individuals in Minnesota have been federally charged with wire fraud for orchestrating a large-scale scheme to defraud the state's Housing Stabilization Services Program, misappropriating millions of dollars intended for housing assistance to vulnerable populations, through inflated and fake claims, with some defendants personally profiting and funding lifestyles.

Federal Charges Unveiled in Minnesota Housing Stabilization Fraud
world10 months ago

Federal Charges Unveiled in Minnesota Housing Stabilization Fraud

Eight individuals and four companies in Minnesota face federal fraud charges for allegedly stealing over $8.4 million through Medicaid billing related to Housing Stabilization Services, which was intended to connect vulnerable adults with housing but was exploited for fraudulent billing, prompting investigations and calls for systemic reforms.

Multiple Indictments Unveiled in Medicaid Fraud Cases Across Arizona and Alaska
crime2 years ago

Multiple Indictments Unveiled in Medicaid Fraud Cases Across Arizona and Alaska

Three individuals, including an online biller and a behavioral health center employee, have been indicted on multiple felony charges for allegedly defrauding Arizona's Medicaid system and the American Indian Health Program out of over $115 million. The defendants face charges of conspiracy, illegal conducting an enterprise, and theft. The investigation was conducted by the Arizona Attorney General's Office, the U.S. Department of Health & Human Services - Office of Inspector General, and the AHCCCS Office of Inspector General.

"Arkansas Psychiatrist Faces Accusations of False Imprisonment and Medicaid Fraud"
healthcare3 years ago

"Arkansas Psychiatrist Faces Accusations of False Imprisonment and Medicaid Fraud"

Dr. Brian Hyatt, a prominent psychiatrist in Arkansas and chairman of the board that disciplines physicians, is under investigation for allegations of Medicaid fraud and false imprisonment. At least 25 former patients have sued Hyatt, claiming they were held against their will in his unit for days or weeks. Arkansas Attorney General Tim Griffin's office has accused Hyatt of running an insurance scam by billing Medicaid for patients he rarely saw. Hyatt's facility received massive Medicaid payouts, with claims significantly higher than other psychiatrists in the state. Hyatt has not been charged with a crime, but state and federal authorities are investigating the allegations.

Navajo tribe members homeless in Phoenix during sober home crackdown.
social-issues3 years ago

Navajo tribe members homeless in Phoenix during sober home crackdown.

Navajo law enforcement teams have made contact with over 270 Native Americans, mostly Navajo, who are living on the streets in the Phoenix area after the state cracked down on Medicaid fraud and suspended unlicensed sober living homes. Many tribal members accepted offers to stay in temporary housing or return home to their reservations. The Navajo Nation launched Operation Rainbow Bridge to help those affected by the closures of fraudulent sober living homes. Arizona officials believe hundreds of fake sober living homes are currently operating in the Phoenix area and other parts of the state.