Federal prosecutors bringing Maine’s first health care fraud case of its kind since 2019 failed Tuesday to persuade a judge to jail any of the six people accused of billing Medicaid for services that were never provided. Faysal Kalayaf Manahe, 51, his…
(The Center Square) – The Michigan Economic Development Corp. wants thousands of dollars to fulfill a public records request related to a recent controversy involving taxpayer funds. The Center Square submitted a Freedom of Information Act request following allegations that more…
Federal authorities arrested six people associated with Community Home Health Care on fraud charges following a federal grand jury indictment, months after The Maine Wire visited the company’s South Portland office and the state suspended its ability to bill MaineCare.
DULUTH, Ga., October 27, 2026--Codoxo, the leading provider of AI and generative AI-powered healthcare payment integrity solutions, today announced it will share how payers can look beyond claims data to uncover overlooked fraud patterns and build stronger investigative leads during a…
The federal government has charged a South Portland personal care agency and several of its employees with healthcare fraud conspiracy related to Medicaid billing. An indictment was unsealed Tuesday morning, laying out the government’s allegations against Community Home Health Care…
Workers at a Medicaid call center in Jefferson City, Mo., field questions and review information regarding eligibility determination. David A. Lieb / AP Workers at a Medicaid call center in Jefferson City, Mo., field questions and review information regarding eligibility determination. Ohio…
By PAT MCFADDEN, WORK AND PENSIONS SECRETARY A pensioner recently contacted my department in tears about a benefits claim that had been made on her behalf. She didn't know what it was for and feared it could get her into…
October 22, 2026, Press Release from the Ohio Attorney General’s Office: COLUMBUS, Ohio — A Columbus doctor and his clinic’s office manager have pleaded guilty in connection with a scheme that defrauded Medicaid of more than $1.6 million, Ohio Attorney General Andy Wilson announced…
In the clip, the guest states that some operators “were themselves just running fraud schemes” and that officials are “moving full speed ahead to bring accountability to those who are treating patients and our most vulnerable as dollar bills.” The…
BOISE – On Aug. 27, 2026, Gainwell Technologies identified an issue with certain letters mailed on behalf of the Idaho Medicaid Program to Medicaid members. Gainwell provides fiscal agent and account administration services for the Department of Formatting Error Causes Some Medicaid Member…
When Health Insurance goes wrong.
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