The federal Medicaid program provides financial assistance to states that offer medical treatment to needy persons. (Mission Hospital Regional Medical Center v. Shewry (2008) 168 Cal.App.4th 460, 469–470 (Mission I).) “California participates in the federal Medicaid program through the Medi-Cal program,” and the Department is the state agency authorized to administer the Medi-Cal program. (Id. ... More...   $0 (08-19-2015 - CA)

Charlotte, NC - Three Sentenced For Stealing Millions From Medicaid

Three Charlotte women were sentenced for conspiring to steal millions from Medicaid. All three defendants appeared before Chief U.S. District Judge Frank D. Whitney and were sentenced as follows: Aliya Boss, 36, of Charlotte, was sentenced to 44 months in prison, followed by three years of supervised release and was orde... More...   $0 (08-18-2015 - NC)

Oklahoma City, OK - East Central Family Health Center agreed to pay $825,000 to settle civil claims stemming from allegations that it violated the False Claims Act by submitting false Medicaid claims.

East Central is a designated federally qualified health center (FQHC) located in Wetumka, Oklahoma. It receives grant funds from the U.S. Health and Human Services and provides primary heal... More...   $0 (08-14-2015 - OK)

Cedar Rapids, IA - Nursing Facility Chain Agrees To Repay $415,000 To Resolve Civil Overpayment Allegations

Signature Care Centers, LLC, and its seven related nursing facilities – Gowrie Care Center, Lake Park Care Center, Perry Health Care Center, Primghar Rehabilitation and Care Center, Rosewood Manor, Woodlands Rehabilitation Center, and Sutherland Care Center – agreed to pay $415,044.... More...   $0 (08-13-2015 - IA)

Paul Hebert Pleads Not Guilty to Social Security and Medicaid Fraud

Paul Hebert, 50, of Gloucester, Massachusetts, formerly of Barre, Vermont, pleaded not guilty today in United States District Court in Burlington to charges related to Social Security fraud and Medicaid fraud. U.S. Magistrate Judge John M. Conroy released Hebert on conditions pending trial, which has not been scheduled.More...   $0 (08-10-2015 - VT)

Newark, NJ - Bergen County, New Jersey, Doctor Admits Billing For Bogus Office Visits, Altering Patient Medical Records

A family medicine physician with offices in Cresskill and Little Falls, New Jersey, admitted defrauding Medicare, Medicaid and private insurance companies out of hundreds of thousands of dollars by billing them for non-existent office visits.

Albert Ades, 60, of... More...   $0 (08-10-2015 - NJ)

On June 2, 2011, Florida Governor Rick Scott signed the Act into law. The
Act created Fla. Stat. § 790.338, entitled “Medical privacy concerning firearms;
prohibitions; penalties; exceptions,” and amended the Florida Patient’s Bill of
Case: 12-14009 Date Filed: 07/28/2015 Page: 5 of 152
6
Rights and Responsibilities, Fla. Stat. § 381.026, to include several of the... More...   $0 (08-09-2015 - FL)

New York, NY - Brooklyn Couple Sentenced In Manhattan Federal Court For Massive Internet Identity Theft And Credit Card Fraud Scheme

Defendants Used Stolen Identities and Hundreds of Stolen Credit Card Numbers to Fraudulently Obtain over $1 Million in Goods, Services, and Cash

RANA KHANDAKAR, and USAWAN SAELIM were sentenced today to 56 and 36 months in prison, respectively, for ... More...   $0 (08-07-2015 - NY)

We granted review to answer the question “whether and under what circumstances
prosecutorial immunity protects a person who is not a prosecutor.” Appellant Marcia Lee
Stresemann is the sole owner of Affiliated Counseling Center, LLC (Affiliated).
Respondent Catharine Morton-Peters was the Chief Investigator for the Medicaid Fraud
Control Unit (MFCU) of the Minnesota Attorney ... More...   $0 (08-06-2015 - MN)

In 2011, Texas (“the State”) passed Senate Bill 14 (“SB 14”), which requires individuals to present one of several forms of photo identification in order to vote. See Act of May 16, 2011, 82d Leg., R.S., ch. 123, 2011 Tex. Gen. Laws 619. Plaintiffs filed suit challenging the constitutionality and legality of the law. The district court held that SB 14 was enacted with a racially discriminatory pur... More...   $0 (08-06-2015 - TX)

WILMINGTON - United States Attorney Thomas G. Walker announced that yesterday in federal court, TERRY LAMONT SPELLER, 37, of Winterville, North Carolina, pleaded guilty to Health Care Fraud and Engaging in Monetary Transactions Involving Criminally Derived Property.

“Illegal schemes like this one waste tax dollars and divert funds that are supposed to go toward needed medical care. Our in... More...   $0 (08-05-2015 - NC)

Wilmington, NC - Pitt County Behavioral Health Businessman Pleads Guilty To Defrauding Medicaid After Threatening To Kill Witness

TERRY LAMONT SPELLER, 37, of Winterville, North Carolina, pleaded guilty to Health Care Fraud and Engaging in Monetary Transactions Involving Criminally Derived Property.

“Illegal schemes like this one waste tax dollars and divert funds that are suppo... More...   $0 (08-05-2015 - NC)

Savannah, GA - Pediatric Services Of America And Related Entities To Pay $6.88 Million To Resolve False Claims Act Allegations

Pediatric Services of America Healthcare, Pediatric Services of America, Inc., Pediatric Healthcare, Inc., Pediatric Home Nursing Services (collectively, “PSA”), and Portfolio Logic, LLC agreed to pay $6.88 million ($6,882,387) to resolve allegations that PSA, a p... More...   $0 (08-04-2015 - GA)

Dallas, TX - Ellis County Woman Admits Defrauding Medicaid

Alexis C. Norman, 47, of Midlothian, Texas, appeared in federal court before U.S. Magistrate Judge David L. Horan and pleaded guilty to one count of health care fraud.

Norman, who remains on bond, faces a maximum statutory penalty of 10 years in federal prison, mandatory restitution, and a $250,000 fine. Sentencing is se... More...   $0 (08-04-2015 - TX)

The Governor of the State of Florida, other Florida officials, and members of the Board of Medicine of the Florida Department of Health (collectively, the “State”), appeal from the District Court’s grant of summary judgment and an
injunction in favor of a group of physicia... More...   $0 (07-29-2015 - FL)

Dallas, TX - Dallas County Woman Admits Defrauding Medicaid

Brenda Ward, 47, of Cedar Hill, Texas, appeared in federal court this morning before U.S. District Judge Sidney A. Fitzwater and pleaded guilty to one count of health care fraud, announced John Parker, U.S. Attorney for the Northern District of Texas.

Ward, who remains on bond, faces a maximum statutory penalt... More...   $0 (07-28-2015 - TX)

This is an appeal from the trial court’s SAPCR1 order granting a child support modification in favor of appellee J.S.F., the mother of J.M.W., an adult child who is mentally disabled. Appellant M.L.W., the father of J.M.W., contends the trial court abused its discretion by: (1) disregarding the general child support
1 Under the Texas Family Code, a suit affecting the parent-child relationship ... More...   $0 (07-27-2015 - TX)

This is an appeal from the trial court’s SAPCR1 order granting a child support modification in favor of appellee J.S.F., the mother of J.M.W., an adult child who is mentally disabled. Appellant M.L.W., the father of J.M.W., contends the trial court abused its discretion by: (1) disregarding the general child support
1 Under the Texas Family Code, a suit affecting the parent-child relationship ... More...   $0 (07-27-2015 - TX)

Brooklyn, NY - Board Certified Obstetrician And Gynecologist Agrees To Civil Fraud Settlement In Conjunction With Deferred Prosecution In Medicare And Medicaid Fraud Investigation

The United States and New York State have entered into a civil settlement agreement with Haroutyoun Margossian, a Board Certified Obstetrician and Gynecologist (OB/GYN). Margossian maintains an OB/GYN subspecia... More...   $0 (07-26-2015 - )

21 Defendants‐Appellants Nursing Personnel Home Care and its president
22 Walter Greenfield (collectively, “Nursing Personnel”) appeal from a January 6,
23 2014 partial judgment of the United States District Court for the Eastern District
2
of New 1 York (Block, J.) awarding Plaintiff‐Appellee Maurice Keshner $185,962.12
2 in attorneys’ fees pursuant to the attorney... More...   $0 (07-23-2015 - NY)

Miami, FL - A Miami-area pharmacy owner pleaded guilty for his role in the submission of more than $1.8 million in fraudulent claims to Medicare. Evelio Fernandez Penaranda, 47, of Miami, Florida, pleaded guilty before U.S. Magistrate Judge Chris M. McAliley of the Southern District of Florida to one count of health care fraud. Sentencing has been scheduled for Oct. 8, 2015.

Penaranda ow... More...   $0 (07-23-2015 - FL)

Jackson, TN - Regional Hospital of Jackson has agreed to pay the United States $510,000 to resolve allegations that it billed Medicare and Medicaid for unnecessary cardiac procedures over an eight-year period.

The hospital agreed to the half-million dollar settlement on Friday, July 10th. According to the allegations, from January 2004 to May 2012, Regional Hospital defrauded Medicare and... More...   $0 (07-23-2015 - TN)

Woody and Kathy Medlock (the Medlocks) appeal their jury convictions for aggravated identity theft, health-care fraud, and related crimes.1 The Medlocks, who are married, owned and operated Murfreesboro Ambulance Service (MAS), a non-emergency ambulance company that transported Medicare patients to regular kidney-dialysis appointments. In their appeals, which we decide together, the Medlocks arg... More...   $0 (07-18-2015 - )

Defendants-Appellants Woody and Kathy Medlock (the
Medlocks) appeal their jury convictions for aggravated identity theft, health-care fraud, and
related crimes.1 The Medlocks, who are married, owned and operated Murfreesboro Ambulance
Service (MAS), a non-emergency ambulance company that transported Medicare patients to
regular kidney-dialysis appointments. In their appeals, which ... More...   $0 (07-17-2015 - TN)

COVINGTON, IL — A former X-ray technician from Ft. Thomas, Ky., who previously admitted to defrauding state and federal health care programs out of thousands of dollars, was sentenced to one year in federal prison. U.S. District Judge Amul Thapar sentenced Robert Moyer for health care fraud and also ordered him to pay 112,173.93 in restitution. Under federal law, Moyer must serve at least 85 perc... More...   $0 (07-16-2015 - KY)