Enforcement Actions

• Paul Lafferty and Lafferty Enterprises Were Excluded for Defaulting on Payment Obligations

  Nov. 6, 2024

  • CMP and Affirmative Exclusions

• Former Licensed Counselor Sentenced For Defrauding Medicaid

  Nov. 6, 2024

  • Criminal and Civil Actions

• HCD Intermediate Holdings Agreed to Pay $2 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Waived Copayments and Free Items

  Nov. 5, 2024

  • Fraud Self-Disclosures

• Jackson Purchase Medical Center Agreed to Pay $455,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Provided by an Unlicensed Individual

  Nov. 5, 2024

  • Fraud Self-Disclosures

• University of Texas Southwestern Medical Center Agreed to Pay $1.3 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims as Part of Clinical Trial Research

  Nov. 5, 2024

  • Fraud Self-Disclosures

• Macomb County Doctor And Pharmacist Agree To Pay $700,948 To Settle False Claims Act Allegations

  Nov. 4, 2024

  • Criminal and Civil Actions

• Rocky Hill Pharmacy And Its Owners Indicted For Conspiring To Submit False Pharmacy Claims, Making False Statements, And Aggravated Identity Theft

  Nov. 4, 2024

  • Criminal and Civil Actions

• North Texas Medical Center Pays $14.2 Million To Resolve Potential False Claims Act Liability For Self-Reported Violations Of Medicare Regs, Stark Law

  Nov. 4, 2024

  • Criminal and Civil Actions

• New England Doctor Pleads Guilty To Drug Distribution Conspiracy

  Nov. 4, 2024

  • Criminal and Civil Actions

• Dermatology Consultants Agreed to Pay $20,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Incident-to Services Without Proper Supervision

  Nov. 4, 2024

  • Fraud Self-Disclosures

• Attorney General Alan Wilson Announces Upstate Woman Charged With Stealing Thousands Of Dollars From Vulnerable Adult

  Nov. 4, 2024

  • State Enforcement Agencies

• St. Louis County Woman Accused Of $3 Million Home Health Care Fraud

  Nov. 1, 2024

  • Criminal and Civil Actions

• Lab Owner And Marketing Company Owner Both Found Guilty In Multi-Million Dollar Medicare And Medicaid Fraud Scheme

  Nov. 1, 2024

  • Criminal and Civil Actions

• Compound Ingredient Supplier Medisca Inc., To Pay $21.75M To Resolve Allegations Of False And Inflated Average Wholesale Prices For Ingredients Used In Compounded Prescriptions

  Nov. 1, 2024

  • Criminal and Civil Actions

• The New Mexico Department Of Justice Charges Former New Mexico State Police Officer With Medicaid Fraud, Identity Theft, And Practicing Medicine Without A License

  Nov. 1, 2024

  • State Enforcement Agencies

• Nashville Woman Indicted, Charged In TBI Medicaid Patient Abuse Case

  Nov. 1, 2024

  • State Enforcement Agencies

• Michael DePalma, MD and Virginia I-Spine Physicians Agreed to Pay $153,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Exceeded the Allowable Number of Services

  Oct. 31, 2024

  • CMP and Affirmative Exclusions

• Columbus Doctor, His Clinic Convicted of $1.5 Million Medicaid Scheme

  Oct. 31, 2024

  • State Enforcement Agencies

• Mercy Health Youngstown Agreed to Pay $69,000 for Allegedly Violating the Civil Monetary Penalties Law by Contracting with an Excluded Individual

  Oct. 30, 2024

  • Fraud Self-Disclosures

• Quincy-Based Physician Group To Pay $650,000 To Resolve Allegations Of False Billing To MassHealth

  Oct. 30, 2024

  • State Enforcement Agencies

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