Multiple autism therapy centers have been connected to a $250 million federal fraud case. A federal child nutrition program enacted by the state of Minnesota was found to have been abused in 2022, with more than $240 million in federal child nutrition program funds being stolen for personal gain. New reporting by the Minnesota Reformer […]
Four substance use disorder (SUD) treatment facilities owned by Crossroads Treatment Centers have allegedly knowingly submitted false and fraudulent claims to Medicaid from 2016 to mid-2023. The company is now set to pay $863,934 in a civil settlement with the U.S. and the Commonwealth of Virginia. “Submitting false claims to Medicaid undermines the integrity of […]
The arrests of Done Global executives could not have come at a worse time for the industry. Granted, there is never a good time for such an event. It just so happens that, right now, the arrests of executives of the heavily scrutinized digital ADHD treatment provider could play heavily in how several unresolved industry […]
The behavioral health industry saw $98.4 million in Medicaid funding clawed back through civil and criminal actions in federal fiscal 2021, according to a new report released by the Office of Inspector General (OIG) of the Health and Human Services Department. In total, Medicaid Fraud Control Units (MFCUs) recovered about $1.7 billion — $856.6 million […]
A South Florida doctor has been convicted by a federal jury for fraudulent billing of approximately $110 million for addiction treatment services. Mark Agresti of Palm Beach was convicted of one count of conspiracy to commit health care fraud and wire fraud related to the billing, as well as 11 counts of health care fraud […]
CleanSlate Centers, which operates addiction treatment clinics across a number of states, has agreed to pay $4.5 million to Massachusetts’ Medicaid and Medicare programs over allegations it submitted fraudulent claims and performed unnecessary patient services beginning in the early 2010s. The Massachusetts’ Attorney General’s (AG) Office and the U.S. Attorney’s Office (USAO) negotiated the settlement […]
In an alleged scheme of massive proportions, two Florida brothers were convicted Thursday on federal charges of billing fraud at addiction treatment centers they operated. The ruling came from a South Florida jury after a seven-week trial, in which brothers Jonathan and Daniel Markovich were accused of fraudulently billing $112 million in services at two […]
Former executives of the South Bay Mental Health Center (SBMHC), headquartered in Massachusetts, and their private equity (PE) backers have settled a Medicaid fraud suit filed in 2018 by the Massachusetts Attorney General (AG) for a record $25 million. To date, this is the largest publicly disclosed government health care fraud settlement involving PE oversight […]
The former president and CEO of a California addiction treatment center was sentenced to 84 months in federal prison on charges of administering a fraudulent claim scheme, which cost the state more than $18.5 million. Richard Ciampa, of the Los Angeles suburb of Commerce, was also ordered to pay more than $17.6 million in restitution […]
A Delaware operator of community clinics has agreed to pay more than $15 million to settle allegations of federal fraud related to mental health services and substance use disorder (SUD) treatment, the U.S. Department of Justice (DOJ) announced Thursday. The settlement resolves two lawsuits against Connections Community Support Programs (CCSP) of WIlmington that were filed […]
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