Deer Valley Home Health Services LLC
Outcome
Deer Valley Home Health Services settled for $534,475 for submitting fraudulent Medicaid claims for applied behavior analysis therapy services provided by a person who falsified educational credentials and claimed more than 24 hours of service in a single day.
Details
Deer Valley Home Health Services LLC (St. Louis, MO) — Credential Fraud / ABA Billing Fraud
Outcome: Settled for $534,475 for submitting fraudulent Medicaid claims for applied behavior analysis therapy billed by a person who falsified credentials and claimed more than 24 hours of service delivery in a single day.
Deer Valley Home Health Services LLC, based in the St. Louis area of Missouri, submitted fraudulent Medicaid claims for applied behavior analysis (ABA) therapy services provided to individuals with behavioral or developmental conditions. The fraud involved a provider who transitioned from contractor to employee status and "falsely inflating his educational credentials" — misrepresenting qualifications required to provide ABA therapy.
The billing anomaly that should have triggered review was stark: the individual claimed to have provided more than 24 hours of service in a single day, a mathematical impossibility. Despite this obvious red flag, Deer Valley submitted the claims to Medicaid, exposing the agency to liability for claims it "should have known" were fraudulent.
The violation ran from October 1, 2022, through May 31, 2023. The U.S. Attorney's Office for the Eastern District of Missouri announced the $534,475 settlement on November 24, 2025.
Primary Source: Missouri Home Health Care Company Agrees to Pay $534,475 False Claims Act Settlement
How Crucible Prevents This
Crucible's credential-verification enforcement hooks and service-hour anomaly detection would catch both violations simultaneously — a gate validating educational credentials against accrediting databases and a billing anomaly check flagging 24+ hours billed in a single day would have blocked these claims before submission.
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