Medicaid

Arizona Accused in $2.8 Billion Medicaid Fraud Case, Native American Communities Severely Impacted

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WINDOW ROCK, Ariz. — In a landmark legal challenge, the state of Arizona is accused of complicity in one of the largest Medicaid fraud schemes known to the U.S., involving the exploitation of Native American populations through corrupt addiction treatment providers. Filed in Maricopa County Superior Court, the lawsuit seeks justice and hefty damages for the aggrieved parties, including survivors and estates of the deceased who were subjected to misleading and harmful practices in scam sober living homes and behavioral healthcare facilities. Leading the case are attorneys John B. Brewer and Dane L. Wood from … Read more

Arizona Faces Scrutiny Over $15 Billion Medicaid Spending Amid Contract Award Controversies

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PHOENIX, Ariz. — Concerns are mounting in Arizona following findings by an administrative law judge, who flagged multiple issues in the way the state manages and allocates $15 billion in taxpayer funds intended for Medicaid services. The judge highlighted profound deficiencies in the state’s contracting process with healthcare providers, sparking a broader investigation into potential mismanagement and conflicts of interest under Gov. Katie Hobbs’ administration. State Sen. T.J. Shope, a Republican, has become increasingly vocal about his concerns regarding these alleged missteps. The Arizona Health Care Cost Containment System, the agency responsible for overseeing Medicaid … Read more

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