A not-for-profit Medicaid managed care plan in Ohio agreed this week to pay that state and the federal government $26 million to resolve whistleblower allegations by former employees that for six years the plan falsely billed for special needs assessments and case management services that weren’t provided, the Department of Justice announced.
CareSource, and its related CareSource Management Group Co. and CareSource USA Holding Co., acknowledged the settlement in a statement but denied any wrongdoing. The company is headquartered in Dayton, and provides managed care benefits to about 880,000 Medicaid and Medicare Advantage beneficiaries in Ohio, Indiana and Michigan.
Thanks and a hat tip to Patti
The 26 million was just cause they were feeling generous.