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July 30, 2020
Attorney General James Secures $1.85 Million Following Medicaid Fraud by Global IT Company
… Attorney General James Secures $1.85 Million Following Medicaid Fraud by Global IT Company July 30, 2020 Computer Sciences … violated state and federal law by improperly processing Medicaid claims for services rendered as a part of New York’s …
December 21, 2020
aci settlement with exhibits and sign final signed 12-17-2020
… (1.17 MB) Date Mon, 12/21/2020 - 12:00 Bureau Medicaid Fraud Control Unit (MFCU) … UNITED STATES DISTRICT COURT … abuse addiction treatment services that are reimbursed by Medicaid; WHEREAS, Yohay is the majority owner, President and …
September 25, 2020
ny novartis 315 settlement agreement 003
… (276.57 KB) Date Fri, 09/25/2020 - 12:00 Bureau Medicaid Fraud Control Unit (MFCU) … Novartis-315 Page 1 of 19 STATE … caused claims for payment to be submitted to the State’s Medicaid Program (42 U.S.C. Chapter 7 Subchapter XIX), …
December 21, 2020
AG James Secures $6 Million Over False Medicaid Billing Scheme at an Inpatient Drug Treatment Center
… AG James Secures $6 Million Over False Medicaid Billing Scheme at an Inpatient Drug Treatment Center … Defrauding the State, and Also Agrees to a Ban from the Medicaid Program NEW YORK – New York Attorney General Letitia … claims in the  qui tam  case were handled by the Medicaid Fraud Control Unit (MFCU) in the Office of the Attorney …
February 26, 2020
Operation Ghost Ride: AG James Announces Convictions Of Niagara Falls Taxi Company Owner And Drivers For Defrauding Medicaid  
… Falls Taxi Company Owner And Drivers For Defrauding Medicaid   February 26, 2020 Wego  Taxi Tours, Inc., Owner … Others Convicted for Stealing Thousands of Dollars from Medicaid by Illegally Billing for Phony Rides and Paying Off … on every single day. My Office will continue to stamp out fraud schemes and bring to justice those who violate the …
October 09, 2020
Attorney General James Charges Bronx Clinic Owner With Stealing More Than $4 Million From New York Taxpayers
… Center (Healthy Living), for defrauding the New York State Medicaid program by submitting false claims to Medicaid and to MetroPlus, a Medicaid-funded managed care … from New York taxpayers.” The Attorney General’s Medicaid Fraud Control Unit (“MFCU”) alleges that Montgomery regularly …
April 03, 2020
Attorney General James Orders 78 Transport Providers to Immediately Stop Endangering New Yorkers
… companies and providers of transportation services to Medicaid recipients in and around Albany, Buffalo, Rochester, … investigation, conducted by the Attorney General’s Medicaid Fraud Control Unit, revealed that dozens of transportation …
December 04, 2020
Attorney General James Calls on Congress to Ensure Equitable Access to COVID-19 Vaccine
… Coalition Calling for Vaccine Access for Americans on Medicaid, Medicare, and Uninsured NEW YORK – New York … by COVID-19, and are also more likely to be on Medicare, Medicaid, or uninsured. In the joint letter, the coalition … administrative fees, and to increase financial support for Medicaid . “An end to the COVID-19 pandemic is in sight, but …
October 02, 2020
Attorney General James Secures $4 Million from Companies Involved in Alleged Fraudulent Physical Therapy Scheme
… Therapy Services   Includes $2 Million to New York State Medicaid Program Alone   NEW YORK — New York Attorney General … that the couple and their companies falsely billed Medicaid and other federal health care programs for physical … York’s claims in the qui tam were handled by the Medicaid Fraud Control Unit (MFCU) in the Office of the Attorney …
September 25, 2020
Attorney General James Delivers $22.7 Million in Busting Pharmaceutical Company for Its Kickback Scheme
… is to resolve claims relating specifically to New York's Medicaid program.   “New Yorkers trust that their health care … program did not take appropriate measures to prevent fraud with respect to its speaker programs. Novartis’ … District of New York.    The case was handled by the OAG’s Medicaid Fraud Control Unit (MFCU), which worked closely with …
April 23, 2020
Attorney General James Statement on Protecting Nursing Home Residents
… this crisis at nursing homes across the state. While our Medicaid Fraud Control Unit continues to investigate allegations of …
January 16, 2020
aarp et al
… access to health coverage by expanding eligibility for Medicaid .................................................... … 22-23 vii Matt Broaddus and Aviva Aron-Dine, Medicaid Expansion Has Saved at Least 19,000 Lives, New … Ctrs. for Medicare & Medicaid Servs., The Health Care Fraud and Abuse Control Program Protects Consumers and …
August 07, 2020
Williamsburg Physical Therapy AOD
… 12:00 Keywords Health & Prescription Discount Plans Bureau Medicaid Fraud Control Unit (MFCU) Hubs Health Care & Insurance Health …
July 28, 2020
Computer Sciences Corporation Settlement
… 12:00 Keywords Health & Prescription Discount Plans Bureau Medicaid Fraud Control Unit (MFCU) Hubs Health Care & Insurance Health …
January 01, 2020
OAG Annual Report (2019)
… York State to affordable housing programs recovered for Medicaid from negotiated settlements $137 million $85 million … who use vital government safety-net programs, like Medicaid or food stamps, for even nominal periods of time, … greed and deliver justice to victims of financial fraud. From sham funds, to fraudulent brokers, to deceptive …
December 31, 2020
2020 Year In Review
… 07 Protecting Consumers from COVID-19-Related Fraud ................................................ 8 … in restitution for New Yorkers Over Over recovered for Medicaid $61 $55 Over $99 Over $45 Over $20 from negotiated … to 78 companies that continued to provide group rides to Medicaid recipients during the pandemic in violation of the …
December 31, 2020
2020 Year In Review
… 07 Protecting Consumers from COVID-19-Related Fraud ................................................ 8 … in restitution for New Yorkers Over Over recovered for Medicaid $61 $55 Over $99 Over $45 Over $20 from negotiated … to 78 companies that continued to provide group rides to Medicaid recipients during the pandemic in violation of the …
April 18, 2020
Stimulus Payments Will Be Off Limits to Debt Collectors After Attorney General James Issues Official Guidance
… to companies providing medical transportation services to Medicaid recipients that are violating the state’s …
February 06, 2020
1:19-cv-11633-GBD MAKE THE ROAD NEW YORK, et al., v MICHAEL POMPEO, et al.
… Dania Palanker, JoAnn Volk, & Maanasa Kona, Seeing Fraud and Misleading Marketing, States Warn Consumers About … likely receipt of certain supplemental benefits, including Medicaid, Supplemental Nutrition Assistance Program (SNAP) … the ACA is broader than other federal programs, such as Medicaid, that impose a five-year waiting period before …
September 25, 2020
4:20-cv-05883-JSW Immigrant Legal Resource Center v Wolf In Support of Plaintiff
… Lorelei Laird, Underreporting Makes Notario Fraud Difficult to Fight, ABA Journal (May 1, 2018), … benefits—including supplemental nutrition assistance and Medicaid—for the first five years of their status as LPRs. … granted asylum become eligible for federally-funded Medicaid, see 8 U.S.C. § 1613, saving States the cost of …
May 06, 2020
19-840 California et al. v. Texas Opening Brief for Petitioners
… 46 Status of State Medicaid Expansion Decisions: Interactive Map, Kaiser Family … allowed States to expand the number of people eligible for Medicaid, with the federal government covering most of the … and strength- ened criminal laws against healthcare fraud, see, e.g., 18 U.S.C. § 1347(b). c. The ACA has …
October 27, 2020
state ags comment re independent contractor nprm
… on safety net programs, like unemployment insurance and Medicaid. B. The nature of employment relationships today … Terri Gerstein, Confronting Misclassification and Payroll Fraud: A Survey of State Labor Standards Enforcement … that misclassification results in Social Security and Medicaid losing significant resources, state-run unemployment …
January 30, 2020
State of California et al. v. HHS Complaint
… federal civil rights statutes, such as race, color, national origin, and sex. 42 U.S.C. § 18116 (2019). 47. These … the implementation of Section 1303. The GAO conducted a national review of state with no laws restricting abortion … plan” filings: Kaiser, Anthem, Blue Shield, Molina, Oscar, Chinese Community Health Plan, HealthNet, L.A. Care, Santa …
September 08, 2020
20-cv-1689 New York v. Scalia Joint Employer Complaint
… employment of home care workers in consumer-directed, Medicaid-funded programs by public entities under the Fair … employment of home care workers in consumer-directed, Medicaid-funded programs by public entities under the Fair … employees as independent contractors (known as “payroll fraud”).26 Misclassified workers are generally excluded from …
February 06, 2020
19-36020 Latino Network v. Trump Brief in Support of Plaintiffs-Appellees
… intentionally broader than other federal programs such as Medicaid or CHIP, which impose a five-year waiting period … their regulatory oversight to protect consumers from fraud and abuse.79 Experts see the Proclamation “as an … care costs fell by about 30% on average, and in Medicaid expansion states that figure was roughly 50%.84 …

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Letitia James

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