Hampton Mental Health Provider Defrauded Medicaid for Unnecessary Services to Children; State Reclaims $1.5 Million in Fraudulent
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Details
Hampton Mental Health Provider Defrauded Medicaid for Unnecessary Services to Children; State Reclaims $1.5 Million in Fraudulent — $1,500,000 Criminal
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.
Newport News - A Hampton mental health service provider pled guilty earlier this week to a charge of health care fraud for falsely claiming that 66 Medicaid-eligible children she provided mental health treatment to actually needed it. She exaggerated or wholly invented their need for treatment to deceive Medicaid into approving payment for her services.
Read more on www.oag.state.va.us
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.
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