M&Y Care, LLC
Outcome
M&Y Care LLC, a Detroit home health agency, paid $334,807 to the United States and State of Michigan to resolve False Claims Act allegations involving fraudulent home health billing to Medicaid.
Details
M&Y Care LLC (Detroit, MI) — Home Health False Claims Settled (2025)
Outcome: M&Y Care, LLC, a Detroit-area home health agency, paid $334,807.20 to the United States and the State of Michigan to resolve False Claims Act allegations related to fraudulent billing to Medicaid.
M&Y Care, LLC operated as a home health care provider in the Detroit, Michigan area, enrolled in both Medicare and Michigan Medicaid (the state component of which is Healthy Michigan Plan / MDHHS Medicaid). The agency submitted claims to these programs that violated the False Claims Act, triggering a joint federal-state enforcement action.
The $334,807.20 settlement was announced July 11, 2025 and resolved the False Claims Act liability under the joint U.S. Attorney's Office/State of Michigan enforcement. Home health agencies participating in federal healthcare programs are required to maintain accurate, contemporaneous documentation supporting all billed visits and services.
Primary Source: OIG Enforcement Record
How Crucible Prevents This
Crucible's home health billing compliance hooks would cross-reference service delivery documentation against submitted claims, flagging mismatches between visit records and billed services. Joint state-federal False Claims Act exposure is particularly significant for Medicaid-enrolled home health agencies.
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