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November 20, 2024
Attorney General James Announces Sentencing of Former Owner of Over 20 New York City Pharmacies for Running $11 Million Medicaid Fraud Targeting Vulnerable HIV Patients
… Over 20 New York City Pharmacies for Running $11 Million Medicaid Fraud Targeting Vulnerable HIV Patients Aftab Hussain … in Prison for Predatory Scheme that Stole Millions from Medicaid November 20, 2024 New York – New York Attorney …
November 14, 2024
Abraham Operations Associates Assurance of Discontinuance 2024
… Date Thu, 11/14/2024 - 12:00 Bureau Criminal Justice Medicaid Fraud Control Unit (MFCU) Hubs Fraud … 1 ASSURANCE OF … State of New York (the “State”) acting by and through the Medicaid Fraud Control Unit (“MFCU”) of the Attorney General …
September 12, 2024
Cornerstone - Settlement agreement fully executed
… (289.91 KB) Date Thu, 09/12/2024 - 12:00 Bureau Medicaid Fraud Control Unit (MFCU) … 1 STATE OF NEW YORK OFFICE OF THE … Attorney General for the State of New York, through the Medicaid Fraud Control Unit (“MFCU”) and New York Quality …
May 23, 2024
17cv636 RiverSpring - NYS Settlement Stipulation
… Type Court settlement Date Thu, 05/23/2024 - 12:00 Bureau Medicaid Fraud Control Unit (MFCU) Hubs Health Care & Insurance … … by the Office of the Attorney General, through the Medicaid Fraud Control Unit (“MFCU”); the relator Galina …
March 03, 2024
Fulton Commons AOD
… settlement Date Sun, 03/03/2024 - 12:00 Bureau Medicaid Fraud Control Unit (MFCU) … 1 ASSURANCE OF DISCONTINUANCE … State of New York (the “State”) acting by and through the Medicaid Fraud Control Unit (“MFCU”) of the Attorney General …
September 12, 2024
Attorney General James Secures More Than $7.6 Million from Health Insurer for Using Banned Medicaid Provider
… Than $7.6 Million from Health Insurer for Using Banned Medicaid Provider Fidelis Contracted with Social Worker Ward … Criminal Conviction, License Suspension, and Ban from the Medicaid Program September 12, 2024 NEW YORK – New York … “excluded” from the Medicaid Program as a result of a fraud or criminal conviction. Managed Care Organizations like …
July 03, 2024
Attorney General James Announces Indictment of Orange County Transportation Company for Stealing Over $2.3 Million from Medicaid
… Transportation Company for Stealing Over $2.3 Million from Medicaid July 3, 2024 NEW YORK – New York Attorney General … their roles in a scheme that stole over $2.3 million from Medicaid and paid illegal kickbacks to Medicaid recipients. … those who attempt to illegally profit from health care fraud face justice.” Medicaid recipients who lack access to …
July 03, 2024
Attorney General James Announces Arrest of Tompkins County Transportation Company Owner for Stealing Over $1 Million from Medicaid
… Company Owner for Stealing Over $1 Million from Medicaid July 3, 2024 NEW YORK – New York Attorney General … his company ASAP 2, allegedly stole over $1 million from Medicaid by using fictitious billing and an illegal kickback … Larceny in the First Degree, two counts of Health Care Fraud in the Second Degree, and three counts of Medical …
June 27, 2024
Attorney General James Announces Indictments of Rensselaer and Orange County Medical Transport Companies for Stealing over $4.4 Million From Medicaid
… Transport Companies for Stealing over $4.4 Million From Medicaid Five Individuals Arrested for Illegally Overcharging Medicaid Millions in Fees June 27, 2024 NEW YORK – New York … and illegal kickback schemes, as well as engaging in fraud and money laundering. Muhammad Rizwan Khan, Muhammad …
October 22, 2024
Attorney General James Announces Convictions of Orange County Transportation Company Owners for Stealing More Than $2.1 Million from Medicaid
… Company Owners for Stealing More Than $2.1 Million from Medicaid Damir Yuldashev, Leader of the Scheme, Will Be … State Prison and Required to Pay More Than $2.1 Million to Medicaid October 22, 2024 NEW YORK – New York Attorney … exploited Medicaid recipients to carry out their fraud. I will not tolerate schemes like these that damage our …
December 05, 2024
Attorney General James Announces Convictions and Sentences of Five Taxi Company Owners in Orange and Rensselaer Counties for Stealing Millions from Medicaid
… Orange and Rensselaer Counties for Stealing Millions from Medicaid Hudson Valley and Capital Region Taxi Companies and Their Owners Plead Guilty to Illegally Overcharging Medicaid Millions in Fees for Transportation Services … services at risk. My office will continue to root out fraud and abuse in our health care system.” Medicaid …
September 30, 2024
Attorney General James and U.S. Attorney Peace Secure Over $17 Million From Home Health Agencies for Cheating Workers and Defrauding Medicaid in Landmark Wage Parity Agreement
… Home Health Agencies for Cheating Workers and Defrauding Medicaid in Landmark Wage Parity Agreement Edison, Preferred, … Former Employees They Cheated, Pay $9.75 Million to the Medicaid Program in Largest Wage Parity Settlement Ever … District of New York (EDNY) to resolve federal Medicaid fraud liability. This settlement is the largest reached by …
March 04, 2024
Attorney General James Secures $8.6 Million and Significant Reforms to Long Island Nursing Home after Repeated Financial Fraud and Resident Mistreatment
… to Long Island Nursing Home after Repeated Financial Fraud and Resident Mistreatment Fulton Commons Owners … and pay an additional $1.6 million in restitution to Medicaid and Medicare for the funds they illegally diverted. … in fraudulent inflated rental payments using Medicare and Medicaid funds. In another scheme, the principal owner and …
November 14, 2024
Attorney General James Secures $45 Million and Delivers Major Reforms to Four Nursing Homes Following Significant Financial Fraud and Resident Neglect
… to Four Nursing Homes Following Significant Financial Fraud and Resident Neglect Independent Monitors Installed by … $45 million, including $8.75 million in restitution to the Medicaid and Medicare programs and $35 million to a Resident … by a multi-disciplinary investigative team from the Medicaid Fraud Control Unit, led by Regional Director Todd …
May 23, 2024
Attorney General James Secures Over $10 Million from Health Care Companies for Failing to Provide Care to New Yorkers
… Yorkers RiverSpring and ElderServe Collected Millions in Medicaid Payments for Services They Never Provided to Seniors … health care services while continuing to bill New York’s Medicaid program for those services. For years, RiverSpring … investigation between the Attorney General’s Medicaid Fraud Control Unit (MFCU), and the United States Attorney’s …
March 12, 2024
Press Releases
… - Any - Antitrust Appeals and Opinions Auto Insurance Fraud Unit Charities Civil Recoveries Civil Rights Consumer … Law Enforcement Misconduct Investigative Office (LEMIO) Medicaid Fraud Control Unit (MFCU) Office of Special Investigation …
November 12, 2024
Attorney General James Warns New Yorkers of Health Insurance Scams During Open Enrollment for Affordable Care Act Plans
… my office if they think they are the target of a scam or fraud. Affordable and accessible health care is a fundamental … Enrollment in New York’s public health programs – Medicaid, Child Health Plus, and the Essential plan – is open … often use fear by threatening New Yorkers that their Medicaid or other health coverage is at risk of cancellation, …
September 30, 2024
Executed Federal Agreement (003)_Redacted
… Date Mon, 09/30/2024 - 12:00 Bureau Criminal Justice Medicaid Fraud Control Unit (MFCU) Hubs Wages & Pay … Sept. 25 /s/ I. …
June 11, 2024
2024.06.11.JNJ Talc Consent Judgment--New York
… Stat. section 325F.69 (Minnesota Prevention of Consumer Fraud Act); Minn. Stat. section 325D.45 (Minnesota Uniform … violations; ii. State false claims violations; iii. State Medicaid fraud or abuse claims (whether common law, statutory … to claims by individuals who were/are enrolled in State Medicaid programs); 13 iv. State or federal tax violations; …
June 04, 2024
Best Practices Agreement - Northwell
… AGB Percentage. AGB is calculated by Northwell utilizing Medicaid rates on a “Look-Back” basis, as defined by Section … to information about a person’s estimated income and Medicaid eligibility available to Northwell or contracted … available to Northwell, the patient was not eligible for Medicaid at the time services were rendered; and g. Where a …
March 29, 2024
Amicus Brief CA NY EMTALA
… of Health & Hum. Servs. & Dep’t of Justice, Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year … 25, 27 Johns, Nicole E., et al., Distance Traveled for Medicaid-Covered Abortion Care in California, 17 BMC Health … Likewise, in September 2021, Centers for Medicare and Medicaid Services (CMS) issued guidance on EMTALA restating …
March 28, 2024
Amicus Brief Idaho EMTALA
… 28 HHS & Dep’t of Justice, Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year … Likewise, in September 2021, Centers for Medicare and Medicaid Services (CMS) issued guidance on EMTALA restating … 5 See also HHS & Dep’t of Justice, Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year …
October 23, 2024
Dkt 220_Amicus Brief of CA-NY-et al in Supp. US Govt_USA v. Idaho_9th Cir. en banc
… 30 HHS & Dep’t of Justice, Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year … Likewise, in September 2021, Centers for Medicare and Medicaid Services (CMS) issued guidance on EMTALA restating … 6 See also HHS & Dep’t of Justice, Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year …
December 13, 2024
State of New York v. Lilmor Management - Consent Decree -2024
… in Your Home pamphlet English, Spanish, Arabic, French, Chinese, Russian, Somali, Tagalog and Vietnamese (copies in … Completed by: ____________________________________ Company Name ____________________________________ … landlord Morris Lieberman (“Lieberman”), his management company Lilmor Management LLC (“Lilmor”), and owners of …
May 06, 2024
THE_PEOPLE_OF_THE_STATvHBI COMPLAINT_1
… depending on the progesterone used.” Private insurance and Medicaid may cover these costs. However, HBI directs … FIFTH CAUSE OF ACTION VIOLATION OF EXECUTIVE LAW § 63(12) FRAUD 286. The NYAG repeats and re-alleges paragraphs 1 … of business. 288. Executive Law § 63(12) broadly defines “fraud” or “fraudulent” to include “any device, scheme or …

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Letitia James

New York State Attorney General

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