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Medicaid Law
 
STATE OF OHIO v. LORETTA A. PHILLIPS

Appellant owned Solutions Counseling Center in Sebring. She was a counselor with plans to become a clinical psychologist. As a counselor, Appellant was not eligible to receive a provider number from the Ohio Department of Medicaid in order to directly seek reimbursement for rendering services to clients who used the traditional Medicaid option. (Under traditional Medicaid, a counselor had to wo... More...   $0 (09-21-2018 - OH)

United States of America v. John P. Ramirez, M.D., Ann Nwoko Shepherd, and Yvette Nwoko Southern District of Texas Courthouse - Houston, Texas Morelaw Internet Marketing National Find A Lawyer Directory 888-354-4529

Houston, TX - Physician and Two Clinic Operators Found Guilty for Their Roles in $17 Million Medicare Fraud Scheme

A federal jury found a physician and two clinic owners and operators guilty on September 18, 2018 for their roles in a $17 million Medicare fraud scheme.

John P. Ramirez (Ramirez), M.D., 64; Ann Nwoko Shepherd (Shepherd), 62; and Yvette Nwoko (Nwoko), 30, all of Hous... More...
   $0 (09-19-2018 - TX)

Hickory Heights Health & Rehab, LLC v. Mabel Keller Cook

This is an interlocutory appeal concerning the denial of a motion to compel
arbitration. Appellants are Hickory Heights Health and Rehab, LLC; Central Arkansas
Nursing Centers, Inc.; Nursing Consultants, Inc. d/b/a Professional Nursing and
Rehabilitation Services; Tina Lynette Beard, individually and as nursing home
administrator for Hickory Heights Health and Rehab, LLC; Micha... More...
   $0 (09-14-2018 - AR)

United States of America v. Centers Plan for Healthy Living (“Centers Plan”) Eastern District of New York Courthouse - Brooklyn, New York

Brooklyn, NY - Staten Island-Based Health Care Service Agrees to Pay More than $1.6 Million to Settle False Claims Act Suit Alleging Fraudulent Billing Practices

Centers Plan for Healthy Living (“Centers Plan”), a Staten Island-based company that provides services to people who are chronically ill or who need long-term health care services, has agreed to pay $1,650,000 to settle civil fra... More...
   $0 (09-14-2018 - NY)

United States of America v. David Blaszczak, Christopher Worrall, Theodore Huber and Robert Olan Southern District of New York - New York, New York

New York, NY - Four Defendants Sentenced Following Convictions At Trial For Stealing Confidential Government Information And Using It To Engage In Illegal Trading

Robert Khuzami, the Attorney for the United States, Acting Under Authority Conferred by 28 U.S.C. § 515, announced today that DAVID BLASZCZAK, a political intelligence consultant, was sentenced to 12 months and one day in prison... More...
   $0 (09-13-2018 - NY)

United States of America v. Orrin K. McLeod, D.O. District of New Mexico Federal Courthouse - Albuquerque, New Mexico

Albuquerque, NM - East Mountain Family Practice Doctor Pays $300,000 to Resolve Alleged False Claims to Federal Healthcare Programs for Services Rendered While Out of Country

Settlement also Resolves Alleged Violations of Controlled Substances Act Relating to Signed, but Otherwise Blank, Prescriptions Available for Use While Out of the Country

Orrin K. McLeod, D.O., a family prac... More...
   $300000 (09-08-2018 - NM)

State of Ohio v. Jake Paul Heiney

Heiney is an orthopedic surgeon who ran his own medical practice, called Cutting Edge Orthopedics. He operated two offices, one in Sylvania, Ohio, and the other in Lambertville, Michigan. In this case, Heiney is alleged to have touched two female patients inappropriately while examining them at his Sylvania office in early 2015. The patients, referred to as “M.S.” and “K.O.,” offered the fo... More...   $0 (09-06-2018 - OH)

United States of America v. Haydn Thomas and Catinia Farrington Middle District of North Carolina Federal Courthouse - Greensboro, North Carolina

Raleigh, NC - Two Individuals Associated With a Mental Health Company Plead Guilty to Health Care Fraud and Tax Evasion



Two individuals associated with a mental health company pleaded guilty to health care fraud related to the submission of false claims to Medicaid and tax evasion, announced Principal Deputy Assistant Attorney General Richard E. Zuckerman and U.S. Attorney Matth... More...
   $0 (09-06-2018 - NC)

United States of America v. Dr. Michael Cash Western District of Pennsylvania Courthouse - Pittsburgh, Pennsylvania

Pittsburgh, PA - Suboxone Clinic Doctor Pleads Guilty to Unlawfully Dispensing Controlled Substances, Health Care Fraud

A prescribing physician with SKS Associates, an opioid treatment facility located in Johnstown, PA, guilty in federal court to charges of dispense and distribution of controlled substances, conspiracy to distribute controlled substances and health care fraud,.

D... More...
   $0 (09-04-2018 - PA)

United States of America v. Vincent Njong Federal Courthouse - District of Columbia

Washington, DC - Maryland Man Pleads Guilty to Health Care Fraud in Scheme Targeting D.C. Medicaid Program

Defendant Worked as Personal Care Aide, Submitted Timesheets For Work That Never Was Performed

A Maryland man who was employed as a personal care aide pled guilty today to a federal charge of health care fraud stemming from a scheme in which he submitted more than $66,000 in... More...
   $0 (08-29-2018 - DC)

United States ex rel. Dean v. Paramedics Plus, LLC, et al Eastern District of Texas Federal Courthouse - Beaumont, Texas

Beaumont, TX - Ambulance Company and its Municipal Clients Agree to Pay over $21 Million

To Settle Allegations of Unlawful Kickbacks and Improper Financial Relationships

Seven ambulance industry defendants have agreed to pay the government a total of over $21 million to settle a False Claims Act lawsuit alleging that they knowingly submitted claims to the Medicare and Medicaid pr... More...
   $21000000 (08-28-2018 - TX)

William James Crenan v. The State of Texas

Evidence at trial showed that Crenan was the owner of C4 Cattle, Inc. and an “order
buyer” for the Ty Jones Cattle Company. As an order buyer, he brokered the sale of cattle by filling
orders. Generally, Crenan would find cattle from a rancher and make an offer to buy the cattle on
behalf of a feedlot. Crenan would then ship the cattle from the rancher, receive the cattle at Ty Jone... More...
   $0 (08-20-2018 - TX)

Derek Waskul; Cory Schneider; Kevin Wiesner; Washtenaw Asociation for Community Advocacy v. Washtenaw Country Community Mental Health, et al. Eastern District of Michigan Federal Courthouse - Detroit, Michigan

An association generally has standing if “at least one of [its] members would have standing to sue on his own.” United Food & Commercial Workers v. Brown, 517 U.S. 544, 554–55 (1996) (citing Warth v. Seldin, 422 U.S. 490, 511 (1975)). In this interlocutory appeal, the Washtenaw Association for Community Advocacy identifies at least one named member who appears to have suffered an initial deprivati... More...   $0 (08-16-2018 - MI)

State of Ohio v. Rickey Lamb, Jr.

On July 21, 2015, the Fulton County Grand Jury issued a seven-count indictment charging appellant with one count of arson in violation of R.C. 2909.03(A)(2), a felony of the fourth degree (“Count 1”); one count of aggravated arson in violation of R.C. 2909.02(A)(2), a felony of the second degree (“Count 2”); one count of aggravated arson in violation of R.C. 2909.02(A)(1), a felony of the firs... More...   $0 (08-14-2018 - OH)

United States of America v. Dr. Dwight L. Bailey Western District of Virginia Federal Courthouse - Abington, Virginia

Abington, VA - Lebanon Doctor Convicted of Federal Drug Distribution Charges Following Two Week Jury Trial

Dr. Dwight L. Baily Found Guilty of 63 Charges Including Drug Conspiracy

A medical doctor who operated two rural healthcare practices in Lebanon, Virginia was convicted on August 1, 2018 of federal drug and healthcare fraud charges.

Following more than two weeks o... More...
   $0 (08-04-2018 - VA)

Frank Ciaramella v. Howard Zucker Southern District of New York - New York, New York

New York, NY - Frank Ciaramella and Richard Palazzola, on behalf of themselves and all others similarly situated sued Howard Zucker, as Commissioner of the Department of Health on civil rights violation theories challenging the proposed policy of the Medicaid denial of health benefits to individuals like him.

Mr. Ciaramella, age 57, suffers from a number of health problems and is unable ... More...
   $0 (08-03-2018 - NY)

United States of America v. Mustak Y. Vaid Southern District of New York - New York, New York

New York, NY - Doctor Sentenced To 18 Months In Prison For Participating In $30 Million Scheme To Defraud Medicare And Medicaid

Mustak Y. Vaid, was sentenced today by U.S. District Judge Lorna G. Schofield to 18 months in prison for his participation in a $30 million scheme to defraud Medicare and the New York State Medicaid Program. VAID falsely posed as the owner of a medical clinic, w... More...
   $0 (08-02-2018 - NY)

United States of America v. Waveney Blackman Federal Courthouse - District of Columbia

Washington, DC - Owner of Durable Medical Equipment Company Pleads Guilty to Defrauding Medicaid of More Than $9 Million - Defendant Used Money to Buy Real Estate, Luxury Car

The owner of a company that provided durable medical equipment pleaded guilty on July 25, 2018 to a federal charge of health care fraud for carrying out a scheme in which she fraudulently obtained more than $9.4 mill... More...
   $0 (07-26-2018 - DC)

Lacey Robinett v. Shelby County Healthcare Corporation United States District Court for the Eastern District of Arkansas - Jonesboro, Arkansas

Lacey Robinett appeals the district court’s 1 grant of judgment on the pleadings
to Shelby County Healthcare Corporation (“the Med”) and Avectus Healthcare
1The Honorable D.P. Marshall Jr., United States District Judge for the Eastern
District of Arkansas.
Solutions, LLC. Robinett contends that the district court erroneously concluded that
the federal and Arkansas Medicaid laws... More...
   $0 (07-18-2018 - AR)

Planned Parenthood of the Heartland and Jill Meadows v. Kimberly K. Reynolds, ex rel State of Iowa and Iowa Board of Medicine SUPREME COURT OF IOWA

In this appeal, we must decide if the constitutional right of women to choose to terminate a pregnancy is unreasonably restricted by a statute that prohibits the exercise of the right for a period of seventy-two hours after going to a doctor. In making this decision, we recognize the continuing debate in society over abortion and acknowledge the right of government to reasonably regulate the const... More...   $0 (07-15-2018 - IA)

United State of America, et al. v. Southern Baptist Hospital of Florida Inc., et al. Glass Office Floor Mats

Jacksonville, FL - United States Settles False Claims Act Allegations Against Liberty Ambulance For $1.2 Million

After a multiple-year investigation and the government’s intervention into a whistleblower suit in 2015, the United States announces a $1.2 million settlement with Liberty Ambulance. In reaching this settlement, the parties have resolved allegations that, from June 29, 2005, to... More...
   $0 (07-11-2018 - FL)

United States of America v. Health Quest Systems, Inc. and Putnan Health Cetner Northern District of New York Federal Courthouse - Albany, New York

Albany, NY - Health Quest and Putnam Hospital Center to Pay $14.7 Million to Resolve False Claims Act Allegations

Health Quest Systems, Inc. and certain of its subsidiaries (Health Quest) and Putnam Health Center (PHC) have agreed to pay over $14.7 million to resolve allegations of violations of the False Claims Act by submitting inflated and otherwise ineligible claims for payment. New-... More...
   $14700000 (07-10-2018 - NY)

United States of America, ex rel. Gerald Polukoff v. St. Marks Hospital, et al. District of Utah Federal Courthouse - Salt Lake City, Utah

This is a qui tam action alleging violations of the False Claims Act (“FCA”), 31
U.S.C. §§ 3729–33, involving fraudulent reimbursements under the Medicare Act, 42
U.S.C. §§ 1395–1395ccc. Plaintiff Gerald Polukoff, M.D., is a doctor who worked with
Defendant Sherman Sorensen, M.D. After observing some of Dr. Sorensen’s medical
3
practices, Dr. Polukoff brought this FCA action, o... More...
   $0 (07-10-2018 - UT)

United States of America v. James Burkhart Southern District of Indiana Federal Courthouse - Indianapolis, Indiana Morelaw Internet Marketing National Find A Lawyer Directory 888-354-4529

Indianapolis, IN - Former health care chief executive sentenced to 9.5 years in federal prison

James Burkhart’s conspiracy reaped nearly $19.4 million in fraud and kickbacks, funding
private jets, vacation homes, diamond jewelry, and gold bars

United States Attorney Josh J. Minkler today announced the sentencing of the former CEO of American Senior Communities (ASC) in a mas... More...
   $0 (07-07-2018 - IN)

In the Matter of the Guardianship of E.C., A Minor Child

On August 9, 2016, the maternal grandparents of E.C., petitioned the court to be appointed as E.C.'s guardians. D.P., E.C.'s mother, had died of cancer on July 28, 2016. Grandparents alleged that they were fit to serve as E.C.'s guardians partly because E.C. had been living with them since she was six months old. Grandparents also asserted that D.C., E.C.'s biological father, had no bond with E.C.... More...   $0 (07-07-2018 - KS)

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