Molina Healthcare

MA 2022 Behavioral Health

DOJ False Claims Act Healthcare Fraud

Penalty

$4.6 million

Outcome

Molina Healthcare Agrees to Pay Over $4.5 Million to Resolve Allegations of False Claims Act Violations

Details

Molina Healthcare — DOJ Enforcement (2022)

Outcome: Molina Healthcare Agrees to Pay Over $4.5 Million to Resolve Allegations of False Claims Act Violations

How Crucible Prevents This

Crucible's billing compliance controls enforce documentation-to-claims reconciliation and flag billing anomalies before false claims are submitted. Crucible's healthcare compliance layer enforces proper documentation, eligibility verification, and claims accuracy.

Source: DOJ Press Release — Molina Healthcare Agrees to Pay Over $4.5 Million to Resolve Allegations of False Claims Act Violations

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