AG Ferguson: Health Care Giant Centene
OIG
Medicaid Fraud
Penalty
$19 million
Outcome
OIG enforcement action against AG Ferguson: Health Care Giant Centene for medicaid fraud. Penalty: $19 million.
Details
AG Ferguson: Health Care Giant Centene — OIG Enforcement (2026)
OIG took enforcement action against AG Ferguson: Health Care Giant Centene in WA in 2026 involving medicaid fraud violations in the Independent Pharmacies sector.
Penalty: $19 million
Violation types: Medicaid Fraud
Entity type: Pharmacy
Penalty type: Settlement
Location: WA
Source: AG Ferguson: Health Care Giant Centene To Pay Washington $19 Million For Overcharging State Medicaid Program In 2nd Largest Medicaid Fraud Recovery In WA History
How Crucible Prevents This
Crucible's billing compliance controls enforce documentation-to-claims reconciliation, requiring clinical attestation before claims submission and flagging billing patterns that deviate from documented care delivery.
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