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Medicaid Agencies Made Millions in Unallowable Capitation Payments to Managed Care Organizations on Behalf of Deceased Enrollees

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What's New

December 23, 2025
Medicaid Agencies Made Millions in Unallowable Capitation Payments to Managed Care Organizations on Behalf of Deceased Enrollees A-04-23-09010
The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2024 in Accordance With Federal Requirements OAS-25-04-058
December 22, 2025
Illinois Made Unallowable Managed Care Capitation Payments on Behalf of Incarcerated Medicaid Enrollees A-05-24-00019
Nine of Thirty Selected Assisted Living Facilities Did Not Comply With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments A-02-23-01012
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Enforcement Actions

December 22, 2025; U.S. Department of Justice
CEO of Health Care Software Company Sentenced for $1B Fraud Conspiracy
December 22, 2025; U.S. Attorney's Office, Southern District of New York
U.S. Attorney Announces $6.8 Million Settlement With New York-Presbyterian Hudson Valley Hospital For Paying Kickbacks To A Westchester Oncology Practice In Order To Obtain Referrals
December 19, 2025; U.S. Attorney's Office, District of New Jersey
New Jersey Business Owner Sentenced to 87 Months for $172 Million Fraud and Money Laundering Scheme
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