Dayton, Ohio-based CareSource, which provides managed care benefits to Medicaid beneficiaries in Ohio, Indiana and Michigan, has agreed to pay $26 million to resolve allegations that it filed false Medicaid claims, according to a news release by the Department of Justice.
Between Jan. 2001 and Dec. 2006, CareSource allegedly knowingly failed to provide required screening, assessment and case management for adults and children with special healthcare needs. As a result, it was alleged that CareSource received millions of dollars in Medicaid funds to which it was not entitled. CareSource also allegedly submitted false data to the state of Ohio so that it appeared they were providing these required services to improperly retain incentives received from Ohio Medicaid and to avoid penalties.
Read the news release about the CareSource settlement.
Read other coverage about fraud settlements:
- AmeriHealth Mercy Health Plan Pays $2M to Settle Medicaid Fraud Allegations
- St. Jude Medical to Pay $16M to Settle Kickback Allegations
- 7 Hospitals to Pay Over $6.3M to Resolve Kyphoplasty-Related False Claims Allegations
Between Jan. 2001 and Dec. 2006, CareSource allegedly knowingly failed to provide required screening, assessment and case management for adults and children with special healthcare needs. As a result, it was alleged that CareSource received millions of dollars in Medicaid funds to which it was not entitled. CareSource also allegedly submitted false data to the state of Ohio so that it appeared they were providing these required services to improperly retain incentives received from Ohio Medicaid and to avoid penalties.
Read the news release about the CareSource settlement.
Read other coverage about fraud settlements:
- AmeriHealth Mercy Health Plan Pays $2M to Settle Medicaid Fraud Allegations
- St. Jude Medical to Pay $16M to Settle Kickback Allegations
- 7 Hospitals to Pay Over $6.3M to Resolve Kyphoplasty-Related False Claims Allegations