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Tag: Medicaid Fraud

Jefferson County Brothers Accused of Stealing $12 Million From Medicaid Program
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The Denver Gazette, Approved, Local

Jefferson County Brothers Accused of Stealing $12 Million From Medicaid Program

By: Matt Kyle | The Denver Gazette Two Jefferson County men have been indicted on a slew of charges alleging they fraudulently obtained $12 million from Medicaid. James Andrew Heath, 33 and Jared Parker Heath, 37, were indicted on June 12 in Denver District Court. They are accused of defrauding Colorado’s Medicaid optical program by falsely billing Medicaid for glasses and other materials through their business QuickSpex LLC, according to a news release from Attorney General Phil Weiser. READ THE FULL ARTICLE AT THE DENVER GAZETTE
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Colorado Man Charged in Alleged Medicaid Kickback Scheme at Adult Daycare
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kdvr.com, Approved, Local

Colorado Man Charged in Alleged Medicaid Kickback Scheme at Adult Daycare

By Adam Rosen | KDVR DENVER (KDVR) — A Colorado man faces 12 charges relating to a Medicaid fraud scheme concerning an Arapahoe County adult daycare center, according to a pair of releases. Attorney General Phil Weiser and Peter McNeilly, the U.S. Attorney for the District of Colorado, announced that Mohamed Elias Omer faces 12 counts of offering and paying illegal remuneration, or illegal kickbacks, to convince Medicaid beneficiaries to attend Nadina Adult Daycare Center LLC. READ THE FULL ARTICLE AT KDVR
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Colorado Medicaid Freezes Payments to Home Health Agency Facing Fraud Investigation
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Colorado Politics, Approved, State

Colorado Medicaid Freezes Payments to Home Health Agency Facing Fraud Investigation

By: David Migoya | Colorado Politics The agency overseeing Colorado’s federal Medicaid program has suspended an Aurora home-health agency that is the focus of an investigation into an enterprise that lured dozens of homeless people with promises of free housing and cash and reaped tens of millions of dollars in Medicaid reimbursements. Officials said it has stopped paying Medicaid claims filed by On Going Home Health Care pending the outcome of its inquiry into “The Program,” an elaborate and intertwined confederation of businesses that provided shelter, money and prescriptions to homeless participants in return for billing the federal program for administering the drugs. The Program was the center of a Denver Gazette investigation last month that exposed how On Going ...
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House Report Alleges Walz Administration Ignored Billions in Fraud Losses
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Just The News, Approved, National

House Report Alleges Walz Administration Ignored Billions in Fraud Losses

By John Solomon | Just the News Vance announced criminal referral in a social media post in which he raised concerns that Walz's administration tried to retaliate against whistleblowers. Vice President JD Vance has referred evidence gathered by Congress that Minnesota Gov. Tim Walz and Attorney General Keith Ellison failed to act against mass welfare fraud in their state to the Justice Department for possible criminal investigate. Vance announced the criminal referral in a social media post late Monday in which he raised concerns that Walz's administration also tried to retaliate against state workers who blew the whistle on the welfare fraud scams in Minnesota, estimated by the House Oversight Committee to have cost taxpayers more than $9 billion. "...
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Colorado Probes Claims of Cash Incentives Linked to Medicaid Services for Homeless Residents
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Colorado Politics, Approved, Local

Colorado Probes Claims of Cash Incentives Linked to Medicaid Services for Homeless Residents

By: David Migoya | Colorado Politics Editor’s Note: This story is part of a series. Read about how home health in Colorado is a complex setupand about the group On Going HHC. They call it “the program.” For the past four years, dozens of homeless people in the Denver metro area have been recruited to live rent-free in suburban houses sprinkled across Aurora — not the stereotypical homeless shelter-type housing one might think, but rather neat homes in middle-class communities with mortgages. But living there comes with a hitch: a requirement that participants be on Medicaid and have at least one prescribed medication — all must first visit the same doctor to get a cursory exam and a prescription — administered by a home health company for which the doctor ...
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Trump Task Force Uncovers Nationwide Web Of Welfare And Immigration Fraud
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Just The News, Approved, National

Trump Task Force Uncovers Nationwide Web Of Welfare And Immigration Fraud

By Steven Richards | Just the News The cost to taxpayers identified by Vice President JD Vance's task for targeting government benefit programs is mounting, and no plausible explanations are forthcoming. The Trump administration’s work to pare back waste, fraud, and abuse in the federal government has reportedly exposed a vast network of taxpayer-fleecing scams, abuses of immigration, and of the citizenship process across all corners of the United States.  The story involves resettled refugees soaking up federal paychecks to run home healthcare and childcare businesses, transnational criminal organizations exploiting food benefit programs, and scammers using fake student profiles to make off with millions in federal student loans. It also involves non-monetary f...
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Colorado saw red flags in autism therapy billing and approved higher rates anyway
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Rocky Mountain Voice, State, Top Stories

Colorado saw red flags in autism therapy billing and approved higher rates anyway

By Jen Schumann | Rocky Mountain Voice Federal auditors documented convicted staff working with autistic children. Colorado had no system to catch it. Every week, parents of autistic children in Colorado dropped their kids off with behavior therapists they trusted. What they didn't know—what the state never required anyone to verify—was whether those therapists had passed a background check. Many hadn't. Not because anyone failed a background check. Because Colorado never required one. HHS Office of Inspector General audit highlights—February 2026. Source: https://oig.hhs.gov/documents/audit/11494/A-09-24-02004-highlights.pdf The findings from federal auditors came out in February. At least $77.8 million in improper Medicaid payments for autism therapy in 20...
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Congress Investigates Colorado Medicaid After Reports Of Fraud And Improper Payments
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The Denver Gazette, Approved, State

Congress Investigates Colorado Medicaid After Reports Of Fraud And Improper Payments

By Marianne Goodland | The Denver Gazette A congressional committee is probing reports of waste, fraud and abuse in Colorado’s Medicaid program, citing recent stories outlining over-billing in transportation spending and alleged improper payments in autism services. The U.S. House Committee on Energy and Commerce has sent a letter to Gov. Jared Polis and the Colorado Department of Health Care Policy and Finance, seeking, among other things, audits and processes in place to comply with federal laws The March 3 letter, signed by committee Chair Rep. Brett Guthrie, a Republican from Kentucky, and two subcommittee chairs, pointed to problems that they said surfaced in Minnesota, such as over-billing, falsified records, identity theft and phantom claims in Medicaid social s...
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Trump Champions Middle Class Growth And Government Accountability In Marathon Address
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The Epoch Times, Approved, National

Trump Champions Middle Class Growth And Government Accountability In Marathon Address

By Jacob Burg, Andrew Moran, Troy Myers, Ryan Morgan, John Haughey, Jackson Richman | The Epoch Times The president unveiled new policies including a retirement program proposal, lower energy costs tied to data centers, and a task force to combat fraud. President Donald Trump highlighted his economic agenda in a record-long State of the Union address, declaring the United States is “bigger, richer, and stronger than ever before.” In his 1-hour 47-minute-long speech, the president introduced multiple guests to spotlight the impacts of his policies, from no-tax-on-tips to Trump Accounts. The president awarded the Medal of Honor to a Korean War hero and to a helicopter pilot wounded in the mission to capture Venezuelan Leader Nicolás Maduro, and announced that he w...
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$4 million-plus in alleged Medicaid ride billing draws federal fraud charges in Colorado
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Rocky Mountain Voice, State, Top Stories

$4 million-plus in alleged Medicaid ride billing draws federal fraud charges in Colorado

By Shaina Cole | Contributing Writer, Rocky Mountain Voice Colorado’s Medicaid transportation system operates on a straightforward premise. A ride is provided to a qualified Medicaid recipient. Documentation is submitted. The state reimburses the provider. For thousands of Coloradans, particularly those in rural communities or without reliable transportation — that structure makes routine medical care possible. But federal prosecutors now allege that in two separate cases, the reimbursement model itself was manipulated. Non-emergent medical transportation billing is the focus in the cases that have been filed in U.S. District Court this month regarding providers in Mesa and Douglas counties. The cases involve more than $4 million. On Feb. 10, the U...
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