Medicaid

Arizona Agencies Face Lawsuit Over Sober Living Crisis and Medicaid Fraud, Impacting Vulnerable People’s Lives

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PHOENIX – A civil lawsuit has been filed in Arizona in connection with the state’s sober living crisis and massive Medicaid fraud. The lawsuit alleges that the Arizona Health Care Cost Containment System (AHCCCS) and the Arizona Department of Health Services are responsible for the deaths of two individuals, Carson Leslie and Fernando Largo. The lawsuit claims that AHCCCS failed to oversee billing by behavioral health providers and that the Department of Health Services awarded licenses to providers without requiring liability insurance. The fraud scheme involved billing AHCCCS, which provides Medicaid coverage, for substance abuse … Read more

Philadelphia Man Convicted of Medicaid Fraud After Falsely Claiming Home Care for Hospitalized Patient

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HARRISBURG, Pa. – A Philadelphia man has been convicted of Medicaid fraud and related crimes after falsely claiming to have provided home care for his mother-in-law. The fraudulent activities resulted in the Medicaid program paying over $4,200 for services that were never rendered. The verdict was delivered by a Montgomery County jury following two days of testimony regarding the defendant, Felipe L. Santos, and his deceitful actions between October 2020 and May 2021. Santos, 30, was found guilty of four counts of Medicaid fraud, four counts of tampering with public records, and theft by deception, … Read more