Six Indicted In Scheme To Defraud D.C. Medicaid Program

FL 2024 Behavioral Health
OIG Healthcare Fraud
Penalty
$10 million

Outcome

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Details

Six Indicted In Scheme To Defraud D.C. Medicaid Program — $10,000,000 Settlement

Outcome: Official websites use .gov A .gov website belongs to an official government organization in the United States.

Official websites use .gov A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS A lock ( Lock A locked padlock ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

WASHINGTON – Omolere Omomowo, 43, a resident of Laurel, Maryland and Fort Lauderdale, Florida, who led several companies that claimed to provide mental health rehabilitative services to some of the District’s most vulnerable citizens, was indicted on August 1, 2024, along with five “community support workers” (CSWs) employed by his company, on charges that they conspired to and did defraud the D.C. Medicaid program of over $10 million by engaging in a scheme to submit bills for mental-health related services that were not medically necessary, not reimbursable, and did not occur.

HHS Office of Inspector General

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Crucible's compliance monitoring controls for Behavioral Health / SUD Treatment would have detected the patterns underlying this violation through automated screening, documentation enforcement, and real-time alert escalation.

Source: Six Indicted In Scheme To Defraud D.C. Medicaid Program

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