With all of the focus on the prevention of fraud by way of federal enforcement, often times we forget that the States are engaged in a similar battle against fraud. Some of the more recent alleged scams uncovered by the States include the following:
- Three States arrested multiple individuals for submitting claims to Medicaid for services not rendered, in Florida, Kansas and New Jersey.
- A person was charged with "doctor shopping" in order to obtain prescriptions for controlled dangerous substances.
- A doctor was indicted for submitting claims to insurance carriers for medical studies that were never performed.
- A home health care aid was sentenced for defrauding Medicaid by submitting false time sheets and collecting on services that were never performed.
- A doctor was ordered to pay restitution for Medicaid fraud, and was also barred from participation in the Medicaid program.
- A woman was arrested for obtaining prescription painkillers paid for by the State and then selling the painkillers.
- A man was charged with using another's benefits to obtain health coverage.
A full list of state enforcement has also been posted by the Office of Inspector General (OIG).
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