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)

DOJ took enforcement action against Molina Healthcare in MA in 2022 involving false claims act, healthcare fraud violations in the Behavioral Health sector.

Penalty: $4.6 million

Violation types: False Claims Act, Healthcare Fraud
Entity type: Behavioral Health Facility
Penalty type: Settlement
Location: MA

Source: DOJ Press Release — 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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