Category: State False Claims Acts

Whistleblower Sparks Federal Suit Against NYC

In January 2011, the U.S. Attorney’s office in Manhattan filed a lawsuit against the City of New York, accusing the city’s Human Resources Administration of overbilling Medicaid millions of dollars by abusing the federally funded 24-hour home care program.  The suit followed a complaint filed by a whistleblower.  The suit alleges that,

Protecting the Evergreen State: Washington Senate Introduces Medicaid False Claims Act

A Bill currently pending before the Washington State Senate would enact a Medicaid False Claims Act to protect against false claims made to the Washington State Medicaid Program.  Senate Bill Number 5458 would, like the federal False Claims Act, encourage private whistleblowers (known as qui tam “relators”) to step forward and file a lawsuit against those who submit false claims for payment to the Washington State Medicaid Program. 

New York’s Largest Residential Services Provider Cooks the Books in Order Get Paid More

New York State recently settled claims against Young Adult Institute (YAI), a provider of residential services for developmentally disabled adults for $18 million. Under government sponsored programs, New York State reimbursed YAI for losses sustained in operating its state programs. The state charged YAI with inflating its losses by attributing additional expenses unrelated to the state programs to the losses in order to inflate the amount to be reimbursed,

Ohio Attorney Wants Whistleblowers

Ohio Attorney General Mike DeWine is advocating for a state false claims act similar to the federal act.  DeWine recognized the benefits of having a state false claims act, having recovered $10 million as its share of a recent FCA settlement with CareSource of Dayton under the Federal False Claims Act. 

DOJ and HHS Announce Recoveries of $13 Billion in FCA Cases

In a January 24, 2011 letter to U.S. Senator Charles E. Grassley of Iowa, representatives from the U.S. Department of Health and Human Services (“HHS”) and the U.S. Department of Justice (“DOJ”) detailed their efforts in combating health care fraud.  The letter noted that Fiscal Year 2010 was a banner year during which 931 health care fraud defendants were charged,

Massachusetts Contractor Sued For Not Using Minority- and Woman-owned Businesses

Petricca Construction Company, a Massachusetts-based contractor, was allegedly involved in construction fraud and violating the Massachusetts False Claims Act.  A new lawsuit filed by the Massachusetts Attorney General claims that Petricca falsely certified compliance with contracts that required Petricca to use minority- and woman-owned businesses for work equal to a certain value of the contract. 

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