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Medicaid fraud

Centers for Medicare & Medicaid Services
National

CMS Targets Autism-Therapy Oversight as Medicaid Spending Surges

August 10, 2026August 10, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services is urging states to strengthen oversight of applied behavior analysis services for children with autism after federal data showed Medicaid …

CMS Targets Autism-Therapy Oversight as Medicaid Spending Surges Read More

Arrest
Crime & Safety / Pennsylvania

Care-Dependent Resident Found Dead; 4 Caregivers Face Charges

August 6, 2026August 6, 2026 - by Zainuddin Harinder

HARRISBURG, PA — Four Warren County home care workers are accused of neglecting a care-dependent resident who was later found dead at a shared care home, according to the Pennsylvania …

Care-Dependent Resident Found Dead; 4 Caregivers Face Charges Read More
Settlement, fines
Pennsylvania

Blessings Home Care Pays $1M to Resolve Medicaid Fraud Claims

August 5, 2026August 5, 2026 - by Zainuddin Harinder

PHILADELPHIA, PA — Blessings 4 Ever Home Care Agency LLC and affiliated management company V&V Management Solutions LLC have agreed to pay $1 million to resolve civil allegations that they …

Blessings Home Care Pays $1M to Resolve Medicaid Fraud Claims Read More

Office of the Attorney General
Crime & Safety / Pennsylvania

Impossible Hours? Care Attendants Charged in $1.5M Fraud Case

August 5, 2026August 5, 2026 - by Zainuddin Harinder

PHILADELPHIA, PA — Two southeastern Pennsylvania personal care attendants have been charged with allegedly submitting nearly $1.5 million in false Medicaid claims for work that was not performed, according to …

Impossible Hours? Care Attendants Charged in $1.5M Fraud Case Read More
Department of Justice
Crime & Safety / Pennsylvania

DOJ Alleges Massive Medicaid Fraud Scheme in Philadelphia

August 5, 2026August 5, 2026 - by Zainuddin Harinder

PHILADELPHIA, PA — Federal prosecutors have charged 12 individuals and one home health agency in a series of indictments alleging schemes to defraud Pennsylvania’s Medicaid program, while the U.S. Department …

DOJ Alleges Massive Medicaid Fraud Scheme in Philadelphia Read More

Centers for Medicare & Medicaid Services
National

CMS Says Fraud Unit Blocked $203 Million in Medicaid Payments

August 3, 2026August 2, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services said its Medicaid Fraud War Room helped stop more than $203 million in potentially improper payments during its first 88 …

CMS Says Fraud Unit Blocked $203 Million in Medicaid Payments Read More
Justice
Crime & Safety / Pennsylvania

Eight Charged in Pennsylvania Medicaid Fraud Crackdown

June 26, 2026June 25, 2026 - by Zainuddin Harinder

HARRISBURG, PA — Eight people have been charged in Pennsylvania in connection with separate alleged Medicaid fraud schemes that investigators say caused more than $260,000 in losses, Attorney General Dave …

Eight Charged in Pennsylvania Medicaid Fraud Crackdown Read More

Judge
Crime & Safety / Pennsylvania

Lehigh County Man Sentenced for Posing as Medical Provider

April 24, 2026April 23, 2026 - by Zainuddin Harinder

HARRISBURG, PA — A Lehigh County man was sentenced to prison for posing as a medical professional and providing unauthorized care to patients in Carbon County, Attorney General Dave Sunday …

Lehigh County Man Sentenced for Posing as Medical Provider Read More
Attorney General Dave Sunday
Crime & Safety / Pennsylvania

Pa. Leads Nation in Medicaid Fraud Convictions, Report Finds

April 1, 2026March 31, 2026 - by Maryann Pugh

HARRISBURG, PA — Pennsylvania ranked first in the nation for Medicaid fraud convictions and recovered more than $41 million in misused funds last year, according to a new federal report.

Pa. Leads Nation in Medicaid Fraud Convictions, Report Finds Read More
Court News
Crime & Safety / Pennsylvania

Montgomery County Woman Sentenced in $1.76 Million Medicaid Fraud Case

March 11, 2026March 11, 2026 - by Zainuddin Harinder

HARRISBURG, PA — A Montgomery County woman was sentenced to prison for her role in a $1.76 million Medicaid fraud scheme involving a home care agency where she served as …

Montgomery County Woman Sentenced in $1.76 Million Medicaid Fraud Case Read More

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