Medicaid Law
 
Mateel Environmental Justice Foundation v. Office of Environmental Health Harzard Asse

In 1989, the predecessor to respondent Office of Environmental Health Hazard
Assessment (OEHHA), the lead agency charged with implementing California’s Safe
Drinking Water and Toxic Enforcement Act (Proposition 65) (Health & Saf. Code,
§ 25249.5 et seq.), adopted a regulation setting a “maximum allowable dose level” or
MADL for lead as a reproductive toxicant. (Cal. Code Regs., tit

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United States of America v. David Williams Morelaw Internet Marketing for Legal Professionals Helping People Find You On The Internet 888-354-4529

Fort Worth, TX - Fort Worth Man Convicted of Health Care Fraud Scheme

Following a two-day trial, a federal jury convicted David Williams, 54, of Fort Worth, Texas on May 24, 2018 on four counts of Healthcare Fraud.

Each healthcare fraud count carries a statutory penalty of 10 years in federal prison and a $250,000 fine.

According to evidence presented at trial, between

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United States of America v. I&L Express Pharmacy Eastern District of Pennsylvania Federal Courthouse - Philadelphia, Pennsylvania

Philadelphia, PA - Pharmacy owners agree to pay $3.2 million to resolve False Claims case

The owners of I&L Express Pharmacy in Philadelphia have agreed to pay millions to resolve a False Claims Act case against them, U.S. Attorney William M. McSwain announced today.

Irina Minkovich and Yelena Babchinetskya have agreed to pay $3.2 million to the federal government to resolve alle

More...   $3200000 (06-04-2018 - PA)

United States of America v. Dr. Michael Alson Smith Morelaw Internet Marketing for Legal Professionals Helping People Find You On The Internet 888-354-4529

Charlotte, NC - Former North Carolina Physician Pleads Guilty To Durg Distribution, Health Care Fraud, And Aggravated Identity Theft Charges

The Defendant Admitted to Prescribing Pain Medication to Female Patients in Exchange for Sex Acts

Dr. Michael Alson Smith, 65, a former Mt. Holly, N.C. family practice physician, appeared in federal court today and pleaded guilty to drug di

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ANTHONY RUSSO VERSUS INTERNATIONAL DRUG DETECTION, L.L.C. AND PSYCHEMEDICS CORPORATION FIFTH CIRCUIT COURT OF APPEAL STATE OF LOUISIANA

Mr. Anthony Russo, a communications technician who services offshore oil
platforms and installations, filed a petition for damages on January 20, 2016
against International Drug Detection, LLC (“IDD”) and Psychemedics, wherein he
alleged that on or about July 7, 2015, he and approximately 200 other individuals,
prior to transportation to an offshore oil platform, underwent samp

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United States of America v. Charles Turner and Donald Kevin Collins Eastern District of Tennessee Courthouse - Greeneville, TN

Greenville, TN - Charles Turner and Donald Kevin Collins Sentenced for Mail Fraud Conspiracy to Defraud Mountain Empire Surgery Center

On May 23, 2018, two individuals were sentenced by the Honorable J. Ronnie Greer, U.S. District Judge, for their roles in a conspiracy to commit mail fraud. Donald Kevin Collins, 41, of Elizabethton, Tennessee, was sentenced to serve 51 months in federal

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United States of America v. Marina Burman Southern District of New York - New York, New York

New York, NY - David Raymond Lewis, Stephen J. Ritchin, and Won S. Shin

Marina Burman was sentenced on May 17, 2018 to 36 months in prison. BURMAN, the former president of a medical supply company, submitted approximately $3.4 million in fraudulent bills to the New York State Medicaid Program, falsely claiming to have dispensed adult diapers and other medical supplies that were not med

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Kerrie Reilly v. Marin Housing Authority

Kerrie Reilly lives with her severely disabled adult daughter in housing subsidized
by the Marin Housing Authority (MHA). The family participates in the Housing Choice
Voucher program, commonly known as Section 8, which MHA administers according to
the rules and regulations of the United States Department of Housing and Urban
Development (HUD). As a Section 8 participant, Kerrie Re

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United States of America v. Dr. Erum Shahab and Waire, LLC d/b/a Ellington Behavloral Health ("EBH") District of Connecticut Federal Courthouse - New Haven, Connecticut

New Haven, CT - Ellington Psychiatrist and Mental Health Clinic Pay Over $800,000 to Settle False Claims Act Allegations

DR. ERUM SHAHAB and WAIRE, LLC, doing business as ELLINGTON BEHAVIORAL HEALTH (“EBH”), have entered into a civil settlement agreement with the federal and state governments in which they will pay $805,071 to resolve allegations that they violated the federal and state

More...   $805071 (05-14-2018 - CT)

STORMONT-VAIL HEALTHCARE, INC. and STORMONT-VAIL, INC., v. THE BOARD OF COUNTY COMMISSIONERS for JACKSON COUNTY, KANSAS v. COREY MELLENBRUCH

At about 2 a.m. on a Saturday morning in 2012, Jackson County Sheriff's Deputy Shawn Swisher saw a car run through a stop sign in the small town of Netawaka. Swisher turned on his flashing lights and stopped the car.

But after a short time—and before Swisher even got out of his patrol car—the other driver sped off. Swisher pursued—across a field, onto a county road, and across a highwa

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Lenworth Bailey v. Rocky Mountain Holdings, LLC, Air Methods Corporation United States District Court for the Southern District of Florida - Miami, Florida

The Airline Deregulation Act (“ADA”) provides that “a State, political
subdivision of a State, or political authority of at least 2 States may not enact or
enforce a law, regulation, or other provision having the force and effect of law
related to a price, route, or service of an air carrier.” 49 U.S.C. § 41713(b)(1).
This language expresses a broad preemptive intent that encompass

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Bevaughn Rogers v. The State of Texas

Appellant was arrested and indicted for aggravated sexual assault with a deadly weapon. In 2014, Appellant entered a negotiated plea agreement for a plea of “guilty” in exchange for a recommended punishment of deferred adjudication community supervision for four years. The trial court accepted Appellant’s plea, and in accordance with the agreement, placed Appellant on deferred community supervis

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Planned Parenthood of Greater Ohio v. Lance Himes Sixth Circuit Court of Appeals for the Sixth Circuit

Enacted in 2016, Ohio Revised Code § 3701.034
requires the Ohio Department of Health (ODH) to ensure that all funds it receives through six
non-abortion-related federal health programs are not used to contract with any entity that
performs or promotes nontherapeutic abortions, or becomes or continues to be an affiliate of any
entity that performs or promotes nontherapeutic abortion

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JAMES LARAIL SHARP, JR. v. STATE OF ARKANSAS

Appellant was charged in the Sebastian County Circuit Court with one count of
murder in the first degree, a Class Y felony; two counts of aggravated robbery, a Class Y
felony; and one count of kidnapping, a Class Y felony. The charges arose from an event
that occurred on January 23, 2016, and the victim was identified as Kaleb Glenn Watson.
Bailey Smith testified that on Janua

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United States of America v. Sajid Javed Southern District of New York - New York, New York

New York, NY - New York City Pharmacy Owner Pleads Guilty To Committing $8.5 Million Fraud On Medicare And Medicaid

Sajid Javed, an owner and operator of nine different pharmacies in the New York City area, pled guilty on April 19, 2018 to participating in a health care fraud scheme that used his pharmacies to submit more than $8.5 million in fraudulent claims to Medicare and Medicaid. J

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United States of America v. Aharon Aron Krkasharyan Central District of California Federal Courthouse - Los Angeles, California

Los Angeles, CA - Former Employee of Southern California Ambulance Company Sentenced to Prison for Role in Medicare Fraud Scheme

A former employee of a Southern California ambulance company was sentenced on April 16, 2018 to 36 months in prison for his role in a scheme that resulted in more than $1.1 million in fraudulent claims to Medicare.

Acting Assistant Attorney General John

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United States of America v. Rotech Healthcare, Inc. Eastern District of Texas Federal Courthouse - Beaumont, Texas

Beaumont, TX - Rotech Agrees To Pay $9.68 Million To Settle False Claims Act Liability Related To Improper Billing For Portable Oxygen

Rotech Healthcare Inc., a Florida-based respiratory equipment supplier, agreed to pay $9.68 million for knowingly submitting false claims for portable oxygen contents to Medicare. As part of the settlement, Rotech admitted that it knowingly billed portab

More...   $9680000 (04-13-2018 - TX)

STATE OF KANSAS v. SHEENA THOMAS

A jury convicted exotic dancer Sheena Thomas of one count of aggravated battery with a deadly weapon against her fellow dancer, Traci Borntrager. The attack occurred at an establishment called Pleasures, the two women's place of work. The weapon in question—a stiletto heel—was an accoutrement of the trade. Following her conviction, the district court sentenced Thomas to serve 24 months' probation

More...   $0 (04-14-2018 - KS)

Association for Accessible Medicines v. Brian E. Frosh, et al. District of Maryland Federal Courthouse - Baltimore, Maryland

The Association for Accessible Medicines (“AAM”) appeals the district court’s dismissal of its dormant commerce clause challenge to a Maryland statute prohibiting price gouging in the sale of prescription drugs. AAM also appeals the district court’s refusal to enjoin enforcement of the statute on the basis that it is unconstitutionally vague. We hold that the statute violates the dormant commerce

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United States of America v. John Davis and Brenda Montgomery Middle District of Tennessee - Estes Kefauver Federal Courthouse Nashville, Tennessee

Nashville, TN - Two Tennessee Health Care Executives Charged for Role in $4.6 Million Medicare Kickback Scheme

Two Tennessee health care executives were charged in an indictment unsealed on April 9, 2018 for their alleged participation in a $4.6 million Medicare kickback scheme involving durable medical equipment (DME).

Acting Assistant Attorney General John P. Cronan of the Just

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State of Louisiana v. Ralph David Turner, Jr.

On October 13, 2016, Turner was charged by bill of information with
the second degree battery of his mother, Nelwyn Turner, in violation of La.
R.S. 14:34.1, which occurred on or about July 23, 2016. The initial bill
incorrectly named the victim and, on December 19, 2016, was amended to
change the victim’s name to Ms. Turner. Also on December 19, 2016,
pursuant to a plea

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Raad Al-Shaikh v. State Department of Health Care Services

When Dr. Raad Al-Shaikh, an orthopedic surgeon, moved his Fremont practice a
couple of miles from its original location, he applied to the Department of Health Care
Services (DHCS), pursuant to Medi-Cal regulations, for approval of his new office as an
“established place of business.” He had been an approved Medi-Cal provider at his prior
location for six years. Much to Dr. Al-Shai

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United States of America v. Larry B. Howard Middle District of Florida Federal Courthouse - Tampa, Florida

Tampa, FL - Pharmacy Owner and Pharmacist Sentenced to 160 Months in Prison for $4.3 Million Pain and Scar Cream Kickback Scheme Against Military Insurance Program

The owner of an Orlando, Florida-area pharmacy, who was also a licensed pharmacist, was sentenced on March 30, 2018 for his role in a kickback scheme involving pain and scar creams that resulted in the payment of approximately

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STATE OF KANSAS v. DON CHARLES BALL

The charges against Ball arose out of his handling of funds belonging to Richard White III. Richard had suffered a severe head injury in 1979 that left him with diminished mental capacity.

In 1992, Richard was placed in an adult group home operated by Tri-Ko, Inc. Originally, Richard's parents were named as guardians and conservators for him, but after both parents had died, Richard's

More...   $0 (03-29-2018 - KS)

United States of America v. Medical Transport, LLC Eastern District of Virginia - Federal Courthouse - Alexandria, Virginia

Alexandria, VA - Ambulance Company to Pay $9 Million to Settle False Claims Act Allegations

Medical Transport LLC, a Virginia Beach-based provider of ambulance services, agreed to pay $9 million to resolve allegations that it violated the False Claims Act by submitting false claims for ambulance transports, the Justice Department announced today.

“Those who benefit from federal

More...   $0 (03-29-2018 - VA)

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