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Healthcare Provider Settles with Virginia AG for $3 Million to Resolve Fraudulent Medicare Billing Allegations

Virginia AG Jason Miyares reached a settlement with 1st Adult & Pediatrics Healthcare Services, Inc. to resolve allegations that the company violated the False Claims Act by submitting fraudulent billing to Virginia’s...more

Proposed HHS Rule Shining Light on Nursing Home Ownership Interests Meets AG Approval

A group of 18 AGs wrote a letter to officials at the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) in support of a proposed rule requiring disclosure of certain...more

The State AG Report - 4.6.2023

Here are curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: •Republican AGs Oppose Department of Energy’s Proposed Gas...more

Advanced Bionics Must Pay $12.6 Million to Settle Medicaid Fraud Allegations

Advanced Bionics Corporation—a manufacturer and distributor of cochlear implants—entered settlements with six AGs to resolve allegations that the company violated federal and state False Claims Acts by submitting fraudulent...more

Medical Equipment Manufacturer Pays Out $24 Million to States and Federal Government to Resolve Health Care Fraud Allegations

A bipartisan coalition of eight AGs and the federal government settled with Phillips RS North America LLC (formerly known as Respironics Inc.), a medical equipment manufacturer, to resolve allegations that the company...more

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...more

The State AG Report – 2.16.2023

Here are curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: •AGs Support EPA’s Efforts to Lower Oil and Gas Sector’s...more

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....more

The State AG Report – 2.9.2023

Here are curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: •AG James Settles over Sale of Unlawful Monitoring Software-...more

Centene to Pay Indiana $66.5 Million in Latest Medicaid Overbilling Settlement

Indiana AG Todd Rokita reached a settlement with pharmacy benefit manager (PBM) Centene Corporation and its subsidiaries (collectively, “Centene”) in connection with alleged overcharges by Centene to Indiana’s Medicaid...more

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...more

The State AG Report – 12.22.2022

Here are last week’s curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: Epic Games Pays $520 Million to FTC to Settle...more

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...more

12/23/2022  /  Fraud , Healthcare , Healthcare Fraud , Medicaid

The State AG Report – 12.8.2022

Here are this week’s curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: •AG James Inks Deal with Home Healthcare...more

Centene to Pay Oregon $17 Million over Medicaid Overbilling Allegations

Oregon AG Ellen Rosenblum and Insurance Commissioner Andrew Stolfi announced a $17 million settlement with health care company Centene Corporation in connection with alleged overcharges by the company to Oregon’s Medicaid...more

Physicians Group Services Fined by DOJ, Florida AG and HHS for Alleged False Urine Test Claims

Physicians Group Services, P.A. (PGS) has reached a settlement with the U.S. and Florida to resolve allegations that it submitted false or fraudulent claims to the Florida Medicaid Program....more

The State AG Report – 9/29/2022

Here are this week’s curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: •Democratic AGs Align Against Texas Abortion...more

AG Rokita Recovers $2.9 Million for Medicaid Overbilling

Indiana AG Todd Rokita announced a settlement with hospital network Parkview Health System, Inc. to resolve allegations that four hospitals in the network (collectively, “Parkview”) violated Indiana’s Medicaid False Claims...more

AG Healey Settles with Mental Health Provider Over Alleged False Claims

Massachusetts AG Maura Healey and the DOJ reached a settlement with outpatient mental health company Pathways of Massachusetts, LLC (“Pathways”) and its former parent company Molina Healthcare, Inc. (“Molina”) to resolve...more

Healthcare Provider Pays $2 Million to Settle Allegations of Performing Unnecessary Drug Tests

Nevada AG Aaron Ford and the U.S. DOJ reached a settlement with healthcare provider Lipshutz & Wills Medical Group, LLP d/b/a Monos Health (“Monos”) to resolve allegations that it improperly billed Medicaid, Medicare, and...more

Kansas Recovers $27.6 Million from Pharmacy Benefit Manager for Alleged Overbilling of Medicaid

Kansas AG Derek Schmidt reached a settlement with pharmacy benefit manager Centene Corp. and its subsidiaries (collectively “Centene”) to resolve allegations that it overbilled the state’s Medicaid program...more

The State AG Report - Volume 7, Issue 42

Here are last week’s curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: New York Attorney General Sets Enforcement...more

Private Equity Firm to Pay Almost $20 Million to Settle Allegations of Medicaid Fraud

Massachusetts AG Maura Healey reached a settlement with private equity firms H.I.G. Growth Partners, LLC and H.I.G. Capital, LLC (collectively “HIG”), and two former executives of a mental health facility operator, South Bay...more

Pharmacy Benefit Manager Agrees to Pay $15.2 Million to Settle Allegations of Arkansas Medicaid Overbilling

Arkansas AG Leslie Rutledge reached a settlement with Pharmacy Benefit Manager (“PBM”) Envolve Pharmacy Solutions (“Envolve”), its parent company Centene Corporation, and other Centene subsidiaries (collectively “Centene”) to...more

Psychotherapy Services Provider Nabbed For False Claims Submitted To Medicaid And Medicare

Georgia AG Chris Carr and the U.S. Department of Justice reached a settlement with psychotherapy services provider Carenow Services, LLC and its chief operating officer (collectively “Carenow”) to resolve allegations that...more

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