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March 20, 2023
Attorney General James Secures More Than $860,000 from Capital Region Medical Transportation Company for Medicaid Provider Fraud
… from Capital Region Medical Transportation Company for Medicaid Provider Fraud March 20, 2023 Ismat Farhan and USA Medical Transport Falsely Billed Medicaid for Services His Company Did Not Provide NEW YORK – …
December 21, 2023
Scheinbaum Settlement
… Type Court settlement Date Thu, 12/21/2023 - 12:00 Bureau Medicaid Fraud Control Unit (MFCU) … 20 December STATE OF NEW YORK … by the Office of the Attorney General, through the Medicaid Fraud Control Unit ("MFCU"), and Chaim "Mutty" …
September 18, 2023
Gramercy Cardiac NY Settlement
… Type Court settlement Date Mon, 09/18/2023 - 12:00 Bureau Medicaid Fraud Control Unit (MFCU) … 1 UNITED STATES DISTRICT COURT … by the Office of the Attorney General, through the Medicaid Fraud Control Unit (“MFCU”), the relator Michele …
July 11, 2023
Attorney General James Announces Indictment and Arraignment of Owner and Manager of New York City Pharmacy for Allegedly Stealing Millions from Medicaid
… York City Pharmacy for Allegedly Stealing Millions from Medicaid Owner and Manager of Santiago Pharmacy Allegedly … Paid Kickbacks to Patients and Falsely Billed Medicaid for HIV Medications That Were Diverted or Never … Jury for Grand Larceny in the First Degree, Health Care Fraud in the Second Degree, and for violating the New York …
February 27, 2023
Attorney General James Secures Over $7.1 Million from Former Saratoga County Nursing Home for Years of Fraud and Neglect
… from Former Saratoga County Nursing Home for Years of Fraud and Neglect February 27, 2023 Owners, Operator, and … wrongdoing, and together, will return $7.1 million to Medicaid, with $4.3 million going to New York. In addition, … home’s real property, are excluded from participating in Medicaid and Medicare for at least 10 years. This action is …
December 21, 2023
Attorney General James Secures $656,000 from Unlicensed Nursing Home Operator for Years of Fraud and Neglect
… from Unlicensed Nursing Home Operator for Years of Fraud and Neglect Chaim Scheinbaum Allowed Widespread … part of the settlement, Scheinbaum will return $656,000 to Medicaid, with $393,600 going to New York.  “Every resident … This unlawful arrangement resulted in false claims to Medicaid for worthless services. We will continue to hold …
November 22, 2023
Attorney General James Announces Guilty Verdict of Physician Who Subjected Patients to Unnecessary and Invasive Tests
… to Physicians for Patient Referrals and Defrauded Medicaid by Subjecting Patients to Unnecessary Radiological … related to running a kickback scheme that defrauded Medicaid and subjected patients to invasive procedures they … guilty of  Grand Larceny in the Third Degree, Health Care Fraud in the Third Degree, four of eight counts of Falsifying …
October 03, 2023
Attorney General James Sues Fresenius Vascular Care for Subjecting Vulnerable Patients to Unnecessary Surgeries
… M.D., and several of their affiliates for subjecting Medicaid recipients with end-stage renal disease (ESRD) to unnecessary surgeries and defrauding the New York state Medicaid program. The defendants allegedly scheduled ESRD … of New York and the National Association of Medicaid Fraud Control Units. The case was initiated by two doctors, …
June 28, 2023
Attorney General James Sues Owners and Operators of Four Nursing Homes for Financial Fraud and Resident Neglect
… Owners and Operators of Four Nursing Homes for Financial Fraud and Resident Neglect Centers Health Care Allegedly … by the Office of the Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU), the lawsuit alleges that … owners and operators converted more than $83 million in Medicaid and Medicare funds to enrich themselves, their …
January 06, 2023
Attorney General James Announces Sentencing of Former Nursing Home Employee for Raping a Resident
… General (OAG). This matter was investigated by OAG's Medicaid Fraud Control Unit (MFCU). MFCU Detective Stacey DiSanto … by First Deputy Attorney General Jennifer Levy. Reporting Medicaid Provider Fraud:  MFCU defends the public by …
May 12, 2023
CONSUMER ALERT: Attorney General James and Acting Department of Health Commissioner Dr. McDonald Issue Alert to Protect New Yorkers from Health Insurance Renewal Scams
… For the first time since March 2020, people enrolled in Medicaid, Child Health Plus, and the Essential Plan will have … for quality health insurance and uncertainty over ongoing Medicaid coverage,” said Attorney General James. “The best … in a text message or phone call.    Report suspected fraud.    Call the New York State of Health’s Customer …
November 16, 2023
Attorney General James and Department of Health Commissioner Dr. McDonald Issue Alert Reminding New Yorkers to Beware of Health Insurance Scams
… health insurance shopping for both public health programs (Medicaid, Child Health Plus, and the Essential Plan) and … and looking for the official New York State of Health, Medicaid, or State Department of Health logos on forms before … to calls, texts, or emails from scammers. Report suspected fraud.    Enrollment in Medicaid, Child Health Plus, and the …
September 18, 2023
Attorney General James Secures More Than $3 Million from Health Care Company for Illegal Kickback Scheme
… cardiologists. The recovered funds will be returned to Medicaid, with nearly $2 million going to New York state. As … New York False Claims Act. The case was handled by OAG’s Medicaid Fraud Control Unit (MFCU), which worked closely with …
April 18, 2023
Attorney General James Co-Leads Multistate Coalition Calling for Increased Transparency of Nursing Home Ownership
… and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) that would require the disclosure of … would improve the ability of attorneys general and their Medicaid Fraud Control Units (MFCUs) to hold bad actors accountable …
March 29, 2023
Ismat Farhan Settlement
… acting through the Office of the Attorney General, Medicaid Fraud Control Unit ("MFCU"), and Ismat Farhan ("Parhan") … services in New York State's Medical Assistance Program ("Medicaid Program" or "Medicaid") with a provider …
March 01, 2023
Smart Seniors Booklet - English
… requires having the tools to protect yourself from fraud and abuse. Unfortunately, there are many ways for con … VII. Medicaid Fraud Control Unit … shapes and forms. It ranges from home improvement scams to medicaid fraud to physical abuse. It costs its victims nearly …
April 17, 2023
Letter from State AGs to CMS re Proposed Rule on Nursing Home Transparency
… Brooks-LaSure, Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human … Health and Human Services and the Centers for Medicare and Medicaid Services’ (“CMS”) Proposed Rule, file code … of residents of nursing facilities. Our Medicaid Fraud Control Units (“MFCUs”), as well as other sections in …
March 01, 2023
Smart Seniors Booklet - Spanish
… edad ..............24 VII. Unidad de Control de Fraude de Medicaid ............................... 27 VIII. Tome … Varía desde estafas mediante mejoras en casa, fraudes con Medicaid y abuso físico. A sus víctimas les cuesta casi 3,000 … (914) 422-8755 \ Ancianos Inteligentes 35 Medicaid Fraud Control Units Albany …
July 10, 2023
Santiago Pharmacy Indictment
… LAW §155.42, (Defendants 1, 2 and 3) COUNT 2 HEALTH CARE FRAUD IN THE SECOND DEGREE, PENAL LAW §177.20, (Defendants 1, … LETITIA JAMES ATTORNEY GENERAL STATE OF NEW YORK Medicaid Fraud Control Unit 28 Liberty St, 13th Floor New … funded by the New York State Medical Assistance Program (“Medicaid”), and the value of said property exceeded one …
June 28, 2023
Centers Filed Petition
… Could Have Been Prevented If Respondents Had Devoted Medicaid and Medicare Funds Towards Resident Care Instead of … VIII. RESPONDENTS REPEATEDLY AND PERSISTENTLY COMMITTED FRAUD AND ILLEGALITIES BY POCKETING MEDICAID AND MEDICARE PAYMENTS THAT WERE MEANT TO PROVIDE …
March 13, 2023
Saratoga Center Settlements
… ·) by the Office o i"the Attorney Genera l. th ro ugh the Medicaid Fralic! Contro l Unit (""MFcu··) . Sa ratoga Center …
March 01, 2023
Whistleblower Policies Under the Nonprofit Revitalization Act of 2013
… whistleblower policy is that contained in 18 NYCRR 521 for Medicaid Provider Compliance programs, which applies to New York Medicaid providers with Medicaid revenues above a dollar … controls, accounting policies, and policies prohibiting fraud, theft, embezzlement, bribery, kickbacks, and abuse or …
March 01, 2023
Smart Seniors Booklet - Haitian Creole
… VII. Sant kontwòl sou fwod k ap fèt sou Medicaid .......................... 27 VIII. Pran Kontwòl … aje ka parèt sou tout fòm. Ka se fwod sou renovasyon kay, medicaid oswa abi nan domèn fizik. Moun ki viktim yo pèdi yon … (914) 422-8755 \ Moun aje ki entèlijan 35 Medicaid Fraud Control Units Albany …
March 01, 2023
Smart Seniors Booklet - Russian
… Отдел по борьбе с мошенничеством в сфере медобслуживания Medicaid ..............................................27 … с ремонтом жилья до мошенничества с программой Medicaid и физического насилия. Ежегодно это обходится … сообщения о мошенничестве ..................transunion.com/fraud-alerts Заморозка открытия нового …
October 18, 2023
Personal Touch AOD
… their impacted data may include first and last name and Medicaid ID number. They were not offered any credit … telephone number, date of birth, Social Security numbers, Medicaid ID number, MLTC ID number, provider name, … information, such as delinquencies or bankruptcies. iii. Fraud Consultation and Identity Theft Restoration: provide …

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Letitia James

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